Communicating With the Elderly **Workshop Session** Robert S. Stall, MD, Medical Director, Kresge Residence October 4, 1996 Presented at the Hospice Clinical Education Day Healing Words: Communicating with the Seriously Ill or Dying Patient I. Medical Factors That Affect Communication A. Sensory impairment B. Medical illnesses C. Medications II. Social Factors That Affect Communication A. Ageism B. Family and friends C. Caregiver/patient perspective mismatch III. Communicating Advance Directives A. Health care proxy B. DNR ("Do not resuscitate") C. Artificial nutrition & hydration D. Levels of capacity E. Broaching the topic IV. Communication Strategies A. Know your patient B. Time and patience C. Open-ended questions D. Atypical questions E. Touch & manner F. Humor & music G. Shots in the dark Feel free to contact me by phone (716 636-7531) or E-mail (email@example.com) if you have any questions! Robert S. Stall, M.D.