What is the best way to communicate with wade

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Assignment:

Wade is a 22-year-old American Indian who is employed as a delivery driver for a local bread company. He wears hearing aids due to deafness secondary to Usher syndrome, which he was diagnosed with at the age of 12 years. Wade is being evaluated by his primary care provider because he has begun to have difficulty driving while making night deliveries. He describes that he "feels like he is looking through a tube" when driving and that he can hardly see anything at dusk or dawn. He reports that his income is the primary support for his family. He has a wife and a two-year-old daughter.

His current vitals are 98.5 (oral, °F), 84 BPM, 18 respirations, 122/78 BP, and 97% on room air. Other than the new visual difficulty, he does not report any other issues. Wade is noted to have bilateral hearing aids. All other assessment findings are within normal limits. The primary care physician refers Wade to an ophthalmologist that specializes in Usher syndrome.

Questions

1. Describe lifespan and genetic factors that influence Wade's alteration in sensory perception.

2. What additional assessment data would be beneficial?

3. What would indicate Wade's alteration in sensory perception is getting worse?

4. What is the best way to communicate with Wade?

5. How are Usher syndrome and hearing loss related?

Reference no: EM133867570

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