Health care interactions with deaf culture.
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In three experiments, we investigated the influence of the overt performance of signs on memory. Deaf and hearing participants studied lists of action phrases (Experiment 1) or nouns (Experiment 2) under standard verbal instruction, under the instructions to sign the verbal phrase, to symbolically perform the denoted action, or to carry out a prototypical action corresponding to each noun. Higher recall and recognition performances were observed when actions were performed than in the verbal encoding condition, and signing was as effective for memory as was enactment. Thus, overt signing can induce an enactment effect. In contrast, Experiment 3 demonstrated that performing an unrelated action did not. A unique but unrelated action was not memory efficient.
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This article has described the rationale and methods available for treatment of severely communicatively impaired children. The primary goal of such intervention is to facilitate communication, rather than speech per se, as the most realistic goal for some youngsters. To the extent that augmentative techniques affect speech development, however, they have been shown to exert a facilitory, rather than inhibitory, effect. The relatively new phenomenon of aided augmentative communication for non-speaking youngsters is still in its infancy. Service professionals in the medical, clinical, and research fields must continue to discern ways to practically apply these instruments to the task of human communication interchange.
Fourteen of 80 interpreters (18%) for deaf students at a national center on deafness sought medical care for painful conditions of the upper extremity; 11 others (14%) had less severe or transient symptoms. The conditions were brought on by repetitive use and were relieved by rest. All represented overuse syndromes. Tendinitis, fasciitis, synovitis, and nerve entrapment were encountered most often. Conservative treatment (eg, physical therapy, splinting, medications) was of little or no value. Only rest relieved symptoms. Surgery was rarely indicated. The most reasonable approach to treatment would, therefore, seem to be prevention. Suggested methods for avoidance of pain include limiting the duration of interpreting sessions, technique modification, and resistance exercises to increase endurance.
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Hearing impairment affects significant numbers of the people who are most likely to use healthcare services. Nursing skills in this area still fall short of acceptable standards. Awareness of the scale of the problem, identification of those affected and knowledge of how best to communicate with them are crucial to providing sensitive and individualized care.
This article discusses the reasons why deaf patients might become angry and outlines de-escalation techniques that could be used by nurses when caring for these patients.
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