Chapter 1: Preparing for pt encounter Flashcards
What are the 3 main elements of patient centered care
Individualized care, patient involvement, provider collaboration
What does individualized care entail?
Empathetic communication, respect for patient values, privacy sensitivity to cultural values
What does patient involvement entail?
Patient education, shared decision making, patient participation in care
What does provider collaboration entail?
Communication
coordination
shared responsibility
What are some factors influencing effective communication
Internal factors
sensory/emotional factors
Environmental factors
Verbal expression
Nonverbal expression
What are some examples of internal factors
Previous experiences
attitudes, values
cultural heritage
religious beliefs
self concept
listening habits
preoccupations, feelings
What are some examples of sensory/emotional factors
Fear
Stress/anxiety
pain
mental acuity, brain damage, hypoxia
Sight, hearing, speech impairment
What are some examples of environmental factors
Lighting
Noise
Privacy
Distance
Temperature
What are some examples of verbal expression
Language barrier
Jargon
choice of words/questions
Feedback/voice tone
What are some examples of nonverbal expression
Body movement
Facial expression
Dress, professionalism
Warmth, interest
What are the stages of patient -clinician interaction
Pre-interaction
introductory
Initial assessment
Treatment and monitoring
follow-up
What should one do during the pre-interaction stage?
Review patient chart
make initial assessment of pt
clarifies your role in patient care
What does the introductory stage contain
introduce yourself
Your purpose
Check armband with permission
Establish positive rapport
Look for resistance behavior and act appropriately
Whathappens during the initial assessment stage
Brief assessment determining patient illness
What does the treatment and monitoring stage include
Begin tx after assessment
Reassess vital signs and BS
Record both positive and negative effects of tx
If any adverse effects what should one do?
Stop tx, monitor, document and inform appropriate health care team.
What happens during the follow-up stage include
Reassessing vital signs and BS
Clean equipment
Return pt to pre-treatment position
Let pt know when you will be back
Thank pt.
How many feet during the social space and what is useful for?
4 to 12 feet: it is useful for initial introduction
How many feet during the personal space and what is it useful for?
18 inches to 4 feet: useful for interview
How many inches during intimate space and what is it useful for?
0 to 18 inches: useful for physical examination
Describe chief complaint (CC)
what brought the patient to the hospital e.g. Cough, chest pain
What type of questions should you ask to clarify information?
Closed-ended
What does review of systems include:
Subjective, objective data
What are some examples of constitutional symptoms
chills, fever, excessive sweating
Describe History of present illness(HPI)
Narrative description in detail of each symptoms listed in CC ( chronologically)
How is pack years calculated
no. of years smoked * no. of packs smoked
What is the pre-interaction stage used for?
Review pt. chart
make initial assessment of pt
clarifies your role in pt. care
What is the introductory stage used for?
Introduce yourself/which dept
your purpose
check armband with permission
Establish positive rapport
Look for resistive behavior and act appropriately.
What are the stages of pt clinician interaction
Pre-interaction
Introductory
Initial assessment
Treatment and monitoring
Follow-up
