Communication & Counselling Skills – 6. People with visual problems
Read the complete lesson in an organized slide-by-slide format. This topic contains 24 learning sections from the source presentation.
LESSON CONTENTS — 24 SECTIONS
Learning objectives
By the end of this session, student should be able to:-
- Define the term visual impairment
- Identify levels of impairments
- Explain guideline for communicating with visual impairment
- Explain challenges for communicating with visual impairment
- Explain the concept of tadoma
Definition of terms
Visual impairment refers to a significant loss of vision that cannot be corrected by medication, surgical operation or ordinary optical lenses such as spectacles
Levels of visual impairment
Visual impairment ranges from mild to moderate to severe levels
Mild visual impairment
Can read relatively large characters
No difficulty in identifying shapes, colors and brightness contracts
Moderate visual impairment
Can tell shapes and colors of objects and can distinguish between brightness and darkness
Can only read characters with larger size and broader strokes
Severe visual impairment
Can only distinguish more obvious changes in brightness and darkness
May not see anything (completely blind)
Do you remember effective communication skills?
Guidelines for communication with visual impairment
Gain the person’s attention by speaking first and/or by a gentle touch on the arm
Introduce yourself and what you do
Always talk to the person directly, rather than their sighted companion
Use verbal responses, avoid nodes and head shakes
Verbalize your actions
Cont…
Inform people when you are moving away from them or leaving the room
Ask if guidance or support is required
Provide information in an alternative/accessible way- audio, large print or braille
Use accurate and specific language when giving directions
Communication barriers with visual impairments
Lack of facial expressions or body gestures
Non verbal gestures may not appear interested
Fear of offending the visually impaired
Standing too close and invading the personal comfort level
Cont…
A look of detachment or disengagement
Dependency
Learning difficulties
Stigma or discrimination
Tadoma
Is a method of communication used by deaf blind individuals, in which the deaf blind person places their thumb on the speaker’s lips and their fingers along the jaw line.
Cont…
The middle three fingers often fall along the speaker’s cheeks with the little finger picking up the vibrations of the speaker’s throat.
Slide 15
CONT….
It is sometimes referred to as ‘tactile lip-reading’, as the deaf blind person feels the movement of the lips, as well as vibrations of the vocal cords, puffing of the cheeks and the warm air produced by nasal sounds such as ‘N’ and ‘M’.
CONT….
In some cases, especially if the speaker knows sign language, the deaf-blind person may use the Tadoma method with one hand, feeling the speaker’s face; and at the same time, the deaf-blind person may use their other hand to feel the speaker sign the same words.
In this way, the two methods reinforce each other, giving the deaf-blind person a better chance of understanding what the speaker is trying to communicate.
Cont…
In addition, the Tadoma method can provide the deaf-blind person with a closer connection with speech than they might otherwise have had.
This can, in turn, help them to retain speech skills that they developed before going deaf, and in special cases, to learn how to speak brand new words.
Slide 19
Slide 20
Questions for next session
Define the term Key populations
Identify risky behaviors in key population
Explain the concept of communication in interacting with Key populations
Explain challenges of communication in interacting with Key populations
Apply techniques of communication in interacting with Key populations
Additional Study Notes
This section is separated from the source slides to make the lesson easier to revise.
Supplementary learning: Effective health communication requires attentive listening, clear language, appropriate non-verbal behaviour, empathy, respect, confidentiality and checking that the client has understood. Counselling should support informed decisions rather than forcing a choice.
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