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RAD271-Patient Care

Interpersonal Communication

What are minimum requirements for patient verification? at least two patient identifiers - NAME, DOB, MRN
Describe HEALTH condition of feeling physically and mentally sound or whole; organism functioning without any evidence of disease or disfigurement
Describe Maslow's Hierarchy of Needs 1. physiologic needs (food, clothing, shelter) 2. Safety and security 3. Belongingness and affection (peer support/family) 4. Esteem and self-respect (confidence, respect, achievement) 5. Self-actualization (morality, creativity, lack of prejudice)
Describe the modes of communication. VERBAL - spoken; NONVERBAL - unspoken: written (documentation) facial expression body language touch eye contact appearance
Define PARALANGUAGE. sound of speech rather than content; includes rate of speech, volume of voice, fluency and vocal patterns
Identify nontherapeutic communication techniques. Judgmental statements; cliche; false reassurance, defending, changing subject, giving advice, subjective interpretation, disagreeing; probing, demanding an explanation
Identify THERAPEUTIC communication techniques. Establishing guidelines, reducing distance, listening, using silence, responding to underlying message, restating main idea, reflecting main idea, seeking/providing clarification, making observations, exploring; validating; focusing
What are some challenges in communication? a. interactions with others 1. language barriers; 2. cultural/social factors; 3. physical or sensory impairments; 4. age; 5. emotional status; acceptance of condition b. medical terminology ETHNOCENTRISM
What is radiographer's role with patient education? 1. VERIFY patient (minimum 2 ID) provide a thorough explanation of prep and/or exam in terms patient understands; using good listening skills and observations, the tech can assess the patient for anxiety, comprehension and answering questions honestly;
Describe cultural groups 1. religious groups 2. age groups 3. racial groups 4. socioeconomic groups 5. disabilities 6. gender 7. sexual preference 8. geographic groups
Describe the styles of learning. 1. global versus linear 2. visual 3. auditory 4. kinesthetic
Name and describe (in order) the phases of grief. (Kubler-Ross) Denial - defense mechanism Anger - Bargaining - make deal mitigate impact of loss Depression - accept impending loss/begins mourning process Acceptance - accept loss/begin to disengage except for closest persons (TECH - be quietly supportive/open)
Describe the modes of thinking. 1. recall - ability to remember large body of facts quickly 2. habit - repetition allows skill w/o thought 3. inquiry - process info thoughtfully (analyze, infer, explain, reflect) 4. Creativity - critical thinking w/in std of safe/ethical practice
Explain the importance of reviewing the exam/pt info prior to bringing patient to exam room. An informed tech works more efficiently. Verifying the order and the patient ensure the procedure is performed correctly, on the correct person. The room should be setup before bringing the patient.
What is the best way to ensure correct ID of patient? 1. Verify name (in waiting area and in exam room) 2. Verify DOB (in exam room) 3. Verify MRN (in waiting area and in exam room)
Why is obtaining patient history important? It is tech responsibility to assist radiologist with diagnosing patient - getting thorough and accurate history gives a full picture to the radiologist.
Describe some nonverbal messages a tech uses to communicate with patients. Making eye contact, how patient is touched, tech appearance/ demeanor, organized exam room
Describe verbal messages that have a positive impact on patient as well as those that have a negative effect. being in front of patient, speaking clearly and directly to them, listening; volume and rate of speech; clarify patient questions negative = loud, rapid speech
Name five patient-related challenges that might require special communication efforts by the tech. 1. Impediments (IE blind, hearing or speech loss); 2. traumatized patients; 3. families; 4. abusers (alcohol/drugs); 5. physical/cognitive/emotional disability
Radiographer responsibilities concerning patient education. Explain procedure clearly, in laymen's terms (nonmedical). Use good listening skills/answer questions honestly/thoroughly. Obtain patient consent (noninvasive exams). Answer questions about other modalities. Give pre and post exam instructions.
Radiographer communication skills include 1. observational skills 2. listening skills 3. speaking skills 4. writing skills
Define ETHNOCENTRISM The belief that one's own cultural ways are superior to any other.
State the SACRED SEVEN of patient history. CHRONOLOGY - cause of injury/illness LOCALIZATION - where's injury/illness ONSET - when occur QUALITY - describe pain SEVERITY - pain level AGGRAVATING or ALLEVIATING FACTORS - what makes it better/worse 7. ASSOCIATIVE MANIFESTATION - other symptoms
Created by: Larobbins