Nonverbal Aids : Verbal Aids : Hearing
Nonverbal Aids : Verbal Aids : Hearing 150 150 Tony Guo

  Nonverbal Aids Verbal Aids Draw attention with hand movements. Speak normally and slowly. Have speaker’s face in good light. Do not overexaggerate facial expressions. Avoid covering mouth or face with hands. Do not overenunciate. Avoid chewing, eating, smoking while talking. Use simple sentences. Maintain eye contact. Rephrase sentence. Use different words. Avoid distracting environments.…

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Interprofessional Management : Hearing
Interprofessional Management : Hearing 150 150 Tony Guo

Interprofessional Management Nursing Assessment Health Promotion Ototoxic substances—drugs Ototoxic substances—industrial chemicals Toluene, carbon disulfide, mercury Monitoring is important Discontinuing drug may be indicated Assistive devices and techniques Hearing aids Fit by a specialist Provide amplification, sound lateralization, speech discrimination Require a motivated, capable user for optimum success Speech reading Lip reading Visual cues associated with…

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Classifications of hearing loss
Classifications of hearing loss 150 150 Tony Guo

Classifications of hearing loss Decibel (dB) loss 0-15 Normal hearing 16-25 Slight hearing loss 26-40 Mild impairment 41-55 Moderate impairment 56-70 Moderately severe impairment 71-90 Severe impairment >90 Profound deafness* Clinical manifestations Early signs of hearing loss often go unnoticed by patient Pressure by others is a significant factor in whether help is sought The…

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Types of hearing loss
Types of hearing loss 150 150 Tony Guo

Types of hearing loss Conductive hearing loss  Sound transmission to inner ear impaired Patients actually hear better in noisy environments Patient often speaks softly Identify and treat cause Suggest hearing aid Caused by  Otitis media with effusion Impacted cerumen Perforation of TM Otosclerosis Narrowing of the external auditory canal Sensorineural hearing loss   Results in ability…

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Centrally Inserted Catheter
Centrally Inserted Catheter 150 150 Tony Guo

Centrally Inserted Catheter Inserted into a vein in neck, chest, or groin with tip resting in distal end of superior vena cava Non-tunneled or tunneled Single, double, triple, or quad lumen Examples of long-term (tunneled) catheters Hickman Groshong CVC (Central venous catheters) Two types of central venous catheters (inserted in the internal jugular vein or…

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Central Venous Access Devices (CVADs)
Central Venous Access Devices (CVADs) 150 150 Tony Guo

Central Venous Access Devices (CVADs) CVADs Catheters placed in large blood vessels Subclavian vein, jugular vein Three main types Centrally inserted catheters Peripherally inserted central catheters Implanted ports Applications Allows for frequent, continuous, rapid, or intermittent administration of fluids and drugs Allow for giving drugs that are potentially vesicants Used to administer blood/blood products and…

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HIV Evaluation
HIV Evaluation 150 150 Tony Guo

Evaluation The patient at risk will Analyze personal risk factors Develop and implement a personal plan to decrease risks Get tested for HIV The patient with HIV will Describe basic aspects of the effects of HIV on the immune system Compare and contrast various treatment options for HIV disease Work with a team of HCPs…

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HIV Testing and counseling : Antiretroviral therapy
HIV Testing and counseling : Antiretroviral therapy 150 150 Tony Guo

HIV Testing and counseling Testing is the only sure method of determining HIV infection CDC recommends universal, voluntary testing as part of routine medical care An estimated 14% of people living with HIV are not aware they are infected Acute intervention Early intervention promotes health and delays disability Reactions to positive HIV test Similar to…

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Implementation : HIV
Implementation : HIV 150 150 Tony Guo

Implementation Primary prevention and health promotion are the most effective strategies for diseases of a chronic nature including HIV When prevention fails Disease results Early intervention is facilitated by health promotion practices Health promotions HIV infection is preventable Avoid risky behaviors Modify risky behaviors Candid, culturally sensitive, language- appropriate, age-specific information and behavior change counseling…

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