RTEC-A
WK – 12
SP 2010
Patient Skills &
Communication
FINAL
1
Patient Communication
1. Interacting with the patient
2. Interacting with family and friends
3. Methods of Effective Communication
4. Age as a factor in Patient Interactions
2
Radiologic Technologist
1.
Helping others
2.
Working with people
3.
Making a difference
4.
Thinking critically
5.
Demonstrating creativity
6.
Achieving results
3
Abraham Maslow’s
Hierarchy of Needs
4
Patient Dignity
1. Patients are usually in the lower levels of
Maslow’s Hierarchy
2.
Must always be remembered and
respected
3. Difficult to maintain dignity when ill
5
Why is this important?
PATIENT NEEDS
1.
2.
Altered states of consciousness
Environment
3.
Fear of unknown
4.
Vulnerable
5.
Coping Mechanisms
6
No No’s…..
Referring to a patient as:
“the chest in room 2”
Always use the patients name!
HIPAA Laws - Only discuss what you must
know to do your job.
7
Classification of Patients
1. Inpatients
2. Outpatients
– Family
– Friends
8
Methods of Communication
1.
_______________
2.
_______________
3.
_______________
4.
5.
1.
Professional
Appearance
2.
Physical Presence
3.
Visual Contact
_______________
_______________
1. Palpation
9
__________________
10
____________
11
Paralanguage
Defines all of the audio information in a
conversation beyond word choice
Simply listening to someone’s voice, even
if you can’t make out the words, conveys
their emotional state
12
Body Language
You could be talking to someone and your body language will
convey something else entirely.
Make eye contact occasionally you show an interest in that person
and in what he or she is saying.
A smile sends a positive message. Smiling adds warmth and
confidence about you.
Arms crossed or folded over your chest say that you have shut other
people out and have no interest in them or what they are saying.
Placing your arms at your side can make you look and feel confident
and relaxed to other people around you.
13
______and_______
14
Cycle of Communication
15
16
Radiographer’s Responsibility
1. Introduction
2. Explanation of exam
3. Inform patient how they will receive
their results
4. Risks of examination
17
Rad Tech’s Role in Clinical Hx
1. Extract as much history as possible
2. Radiologists often do not even speak
with the patient.
3. Radiologist can be focus on anatomy of
interest
18
Desirable Qualities for
Establishing Open Dialogue
1.
_____________
2.
_____________
3.
_____________
4.
_____________
5.
_____________
19
Data Collection
1. ___________: Signs that can be seen
2. ___________: Perceived by the
affected individual
20
Questioning Skills
1.
Open-ended questions
2.
Facilitation – encourages pt to elaborate
3.
Silence – give pt time to remember
4.
Probing questions – focus interview, provide more
information
5.
Repetition – rewording, clarifies info
6.
Summarization – verifies accuracy
21
Leading Questions
This is an UNDESIRABLE method of
questioning.
– Introduces bias to history
22
Chief Complaint
1. Focuses attention to the single most
important issue.
2. Patients often have many complaints
– Focus on primary reason for exam
23
Clinical Indication
1. Tech must collect a focused history.
2. Several elements comprise a “complete
history”.
1. Sacred Seven
24
Sacred Seven
1.
___________________
2.
___________________
3.
___________________
4.
___________________
5.
___________________
6.
___________________
7.
___________________
25
________________
Defining exact area of
patient complaint
Carefully worded
questions
Palpation as needed
26
__________________
Duration
Frequency
Course of symptoms
27
______________
Color and consistency
of fluids
Size of bumps and
lesions
Type of pain
– Burning, throbbing,
dull, sharp, cutting,
aching, radiationg,
pressure or crushing
28
Number of bumps or
lesions
_____________
Pain on number scale
(1-10)
The degree of a burn
29
Onset
What was PT doing when illness began?
Was there an aura before the migraine?
30
Aggravation or Alleviating Factors
For example
– Lying down headache goes away
Putting ice on it reduces swelling
Pain intensifies when walking
Pain stops when sitting
31
Associated Manifestations
Other symptoms that happen with this
illness
May describe loss of feeling in fingers as a
part of diabetes
May describe an aura as part of a seizure
32
You never know what you are
going to get?
33
Special Condition Patients
Traumatized Patients
Visually Impaired Patients
Speech and Hearing Impaired Patients
Non-English Speaking Patients
Mentally Impaired Patients
Substance Abusers
34
35
Gerontology
The study of aging and diseases of the
elderly.
By the end of the 20th century 33
million, more than 12% of total
population.
In 1900 only 4%, of population
36
Key to a Successful Exam
Plan of action
Systematic problem-solving process
– Assessment of data
– Setting a goal
– Establishing a plan
– Safety in completing assignment
– Evaluating the work
37
Communication
The key to a successful exam for
Technologist and Patient.
38
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