2. Communication modifications for individualized resident care Nursing Fundamentals 72431 2.01 Unit A Nurse Aide Workplace Fundamentals Essential Standard NA2.00 Apply communication and interpersonal skills and physical care that promote mental health and meet the social and special needs of residents in long-term care. Indicator 2.01 Understand communication and interpersonal skills needed to provide resident care and relate to team members.

3. Nursing Fundamentals 72432 Unit A / Essential Standard NA2.00 / Indicator 2.01 General Modifications to Assist Hearing: 1.Reduce or Remove Noise Turn off or lower TV volume Turn off or lower radio volume Close resident’s door 2.01

4. Nursing Fundamentals 7243 3 Unit A / Essential Standard NA2.00 / Indicator 2.01 General Modifications to Assist Hearing: 2.Get resident’s attention before speaking to them Approach from the front Lightly touch the arm 2.01

5. Nursing Fundamentals 7243 4 Unit A / Essential Standard NA2.00 / Indicator 2.01 General Modifications to Assist Hearing: 3.Face resident at eye level when speaking Care giver should adjust to resident’s eye level Stoop down if resident in wheelchair 2.01

6. Nursing Fundamentals 7243 5 Unit A / Essential Standard NA2.00 / Indicator 2.01 General Modifications to Assist Hearing: 4.Light should be on care provider’s face, not the resident's face 2.01

7. Nursing Fundamentals 72436 Unit A / Essential Standard NA2.00 / Indicator 2.01 General Modifications to Assist Hearing: 5.Speak clearly, slowly, with a lower pitch of voice using simple sentences 2.01

8. Nursing Fundamentals 7243 7 Unit A / Essential Standard NA2.00 / Indicator 2.01 / Letter B General Modifications to Assist Hearing: 6.Avoid sudden topic change 2.01

9. Nursing Fundamentals 7243 8 Unit A / Essential Standard NA2.00 / Indicator 2.01 General Modifications to Assist Hearing: 7.Do not mouth words in an exaggerated way 2.01

10. Nursing Fundamentals 72439 Unit A / Essential Standard NA2.00 / Indicator 2.01 General Modifications to Assist Hearing: 8.Direct speech to stronger ear but do not shout. 2.01

11. Nursing Fundamentals 724310 Unit A / Essential Standard NA2.00 / Indicator 2.01 / Letter B General Modifications to Assist Hearing: 9.Use gestures to clarify statements 2.01

12. Nursing Fundamentals 724311 Unit A / Essential Standard NA2.00 / Indicator 2.01 General Modifications to Assist Hearing: 10.Use pictures or notepad 2.01

13. Nursing Fundamentals 724312 Unit A / Essential Standard NA2.00 / Indicator 2.01 General Modifications to Assist Hearing: 11. Use basic signing 2.01

14. Nursing Fundamentals 724313 Unit A / Essential Standard NA2.00 / Indicator 2.01 / Letter B General Modifications to Assist Hearing: 12. Expect residents to hear less when tired or sick 2.01

15. http://www.hearingaidinfo.co.uk/ http://www.livestrong.com /article/5324-need- hearing-aid-maintenance Nursing Fundamentals 7243 14 Unit A / Essential Standard NA2.00 / Indicator 2.01 Hearing Aids Assist the resident in the use and care of hearing aids 2.01

16. Nursing Fundamentals 724315 Unit A / Essential Standard NA2.00 / Indicator 2.01 Hearing Aid Insertion Hearing aid with a red dot goes in the right ear, “red-right” 2.01

17. Nursing Fundamentals 724316 Unit A / Essential Standard NA2.00 / Indicator 2.01 Hearing Aid Insertion Follow the natural shape of the ear Needs to fit snugly without forcing 2.01

18. Nursing Fundamentals 724317 Unit A / Essential Standard NA2.00 / Indicator 2.01 Hearing Aid Insertion Whistling sound could mean: hearing aid is not far enough to create a good seal OR the volume is up too loud 2.01

19. Nursing Fundamentals 7243 18 Unit A / Essential Standard NA2.00 / Indicator 2.01 Hearing Aid Insertion Problem: hearing aid is not in far enough to create a good seal Solution: Try to reposition FIRST 2.01

20. Nursing Fundamentals 7243 19 Unit A / Essential Standard NA2.00 / Indicator 2.01 Hearing Aid Insertion Problem: After repositioning the hearing aide, it continues to whistle Solution: Turn the volume down 2.01

21. Nursing Fundamentals 724320 Unit A / Essential Standard NA2.00 / Indicator 2.01 Hearing Aid – Handling & Care Never allow hearing aid to get WET 2.01 Remove before showers or bathing Remove at bedtime (H.S.) hour of sleep

22. Nursing Fundamentals 7243 21 Unit A / Essential Standard NA2.00 / Indicator 2.01 Hearing Aid – Handling & Care 2.01 Hearing Aid Gets WET!!! Remove batteries immediately (stat) Wipe exterior case with a dry absorbent cloth Low setting hair dryer can be used for drying Notify Supervisor

23. Nursing Fundamentals 7243 22 Unit A / Essential Standard NA2.00 / Indicator 2.01 Hearing Aid – Handling & Care 2.01 Protect hearing aid from exposure to extreme HEAT and COLD. Hearing aids work best at room temperature

24. Nursing Fundamentals 7243 23 Unit A / Essential Standard NA2.00 / Indicator 2.01 Hearing Aid – Handling & Care 2.01 Never take a hearing aid apart to examine the inside; this will void warranties.

25. Nursing Fundamentals 724324 Unit A / Essential Standard NA2.00 / Indicator 2.01 Hearing Aid – Handling & Care 2.01 Follow the manufacturer’s directions for cleaning

26. Nursing Fundamentals 7243 25 Unit A / Essential Standard NA2.00 / Indicator 2.01 Hearing Aid – Handling & Care 2.01 Store hearing aid in it’s case when not worn If storing for extended time, remove battery

27. Nursing Fundamentals 7243 26 Unit A / Essential Standard NA2.00 / Indicator 2.01 Hearing Aid – Handling & Care 2.01 Turn it OFF when not in use

28. Nursing Fundamentals 724327 Unit A / Essential Standard NA2.00 / Indicator 2.01 Hearing Aid – Trouble shooting 2.01 Be sure aid is turned ON Try a fresh battery Make sure tubing is not twisted or bent Make sure switch is on “M” (microphone), not “T” telephone Try a spare cord is resident using conventional body type aid Make sure ear mold if not plugged with wax