Considering the age of the of Ms. Graham, she would be rational in the way she learns something. The medical assistant should be able to convey to her why she needs to learn those things. She chooses to be there learning because she knows it's important so the role of the medical assistant is to let her know why it is important. The medical assistant should also assess the type of learner Ms. Graham is. She may already have visual problems, hearing problems and the like, so this should be considered in approaching her. She is more interested on the outcome of her learning so the medical assistant should make her more involved throughout the course of learning. She should also use words of encouragement to her since they are likely to be very sensitive with the words you are using to them.