Of course sensory impairments but what about? Discussion Posting from others

I am listing three individual discussion postings and i need you to respond individually to each posting. In your responses to the posts provide constructive and insightful comments that go beyond that of agree or disagree. 1) Marita posting: Hearing and /or vision loss can affect the most common, simple tasks. Activities of daily living may become difficult for people with these impairments. Reading the newspaper, writing notes, managing medication and recognizing facial expressions may become difficult for someone with vision loss. This may cause a person to appear timid, hesitant or confused especially when confronted with a new situation. Hearing loss may cause one to miss part of a conversation and make them appear confused. This may lead to disappointment and frustration. Either of these impairments may increase social isolation and depression and decrease quality of life (Crews, Campbell, 2004). The nurse can help guide these individuals to adapt to the impairment by educating family on ways to communicate with their loved one such as to sit/stand face to face during a conversation, do not cover face with hand while talking. Speak in a normal volume, rephrase sentences instead of repeating them and minimize background noise. Educate the patient on assistive devices such as hearing aids and encourage them to wear it. Refer them to support groups for the hearing impaired. For vision impaired patients, teach them to read larger print or use a magnifying device, increase lighting in rooms, ensure eyeglasses are available. Put bright identifiers such as a red strip at the edge of steps and refer to support groups for the vision impaired (Ladwig, Ackley, 2011). Education should be specialized to meet individual needs of each patient. It is reasonable to believe a person may hide an impairment due to embarrassment and frustration from previous negative experiences. 2)Nash posting: Both physical and psychosocial issues arise with patients who have sensory impairments outside of the health care setting. The physical impairments that arise, whether visually apparent or not, have psychosocial effects on the patients (Pettengill, Wallhagen, & Whiteside, 2006, pp.40-48). An example of this could be decreased hearing or loss of hearing. A patient may begin to not be as social as before which could eventually cause depression or worse. Patients will also begin to change their behaviors to cope or hide their sensory impairments (Pettengill, Wallhagen, & Whiteside, 2006, pp.40-48). The Registered Nurse (RN) can identify the needs of the individual and guide the adaptation to the impairment by communicating with the patient. This is difficult due to individuals hidding their impairments and/or being uncomfortable when talking about them. The RN needs to set up a non-threatening enviornment and use open communication skills to assess the individual and come up with personalized solutions and adaptations. It is reasonable to think a person may try to hide an impairment. Many people are generally insecure about anthing that is not within the norm. In the medical setting it is a little different due to the trust many individuals already have just for our profession, which inturn may make the individual a little more comfortable to share these impairments willingly. 3)Eric posting: There are many concerns regarding sensory impairments depending on the age the loss occurred. If the individual is young they will more easily adapt to the loss. If the loss of ability is sudden and later in life there will be a more difficult transition. Sensory impairments affect all areas of an individual's life including the person's ability to support themselves or their family financially as well as caring for themselves or others physically. Such a loss will profoundly affect the patient's social interactions and intimate relationships. This type of loss would affect an entire family in multiple ways. The disabled member would be more dependent on the other members of the family for everyday activities. If the sensory impaired individual had no family then we should be concerned about his or her ability to care for their basic hygiene, health, and nutritional needs. We would need to consider their home environment and how they would navigate the surrounding areas. A loss of senses could likely lead to social isolation, decreased self esteem, negative body image, resentment, grief, and anger. We would have to monitor them for depression and suicidal ideations. This person may try to hide this disability to prevent some of these concerns, or they could use the impairment to access services and sympathy from others. They could try to force others to care for them because they feel they can no longer do anything for themselves. This individual will likely require multiple services including counseling. They may need to relearn activities they had previously taken for granted like reading, writing, typing, cooking, walking, traveling, and even speaking depending upon the impairment. We would need to conduct a thorough assessment of the individuals current abilities and interview the person regarding their past abilities. We would have to go through the patient's day with them step by step to work out details they hadn't ever considered problematic. A home visit would be most helpful to see what obstacles may exist. We would have to ensure they receive the appropriate referrals for additional services and adaptive equipment.