Chapter 11 Patient Interactions Flashcards

1
Q

people oriented and hands on

1.important to understand emotions 2.communicate effectively

A

radiologic technology

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2
Q

why are you here, why field chosen

A

personal understanding

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3
Q

ability to evaluate, perceive and control emotions

  1. patients come to be imaged with all states of emotions
  2. communicate using care and empathy
  3. get patient to cooperate
  4. interactive skills can determine and affect patients opinion of medical imaging dept
A

emotional intelligence

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4
Q

have our own needs to satisfy our career ambitions

A

personal needs

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5
Q

people strive from a basic level of physiological needs toward a level of self actualization. Each level must be satisfied before proceeding to next level

A

Maslows hierarchy of needs (theory of psychology)

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6
Q
  1. physiological (food, shelter, clothes)
  2. safety (employment, health)
  3. belongingness and love (friendships, family)
  4. esteem (self confidence, respect for self and others)
  5. need to know and understand (cognitive needs, academic, thinking, why’s)
  6. aesthetics (beauty, emotional need of artist)
  7. self actualization (fulfillment with life, goals)
A

order of maslows hierarchy of needs

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7
Q

belonging and love (#3)

A

level that radiologic technologist students come in at

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8
Q

environment unfamiliar
little control over whats happening to them
dont know their exact state or health
fear of what was found

A

patients are in altered state of mind (patient needs)

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9
Q

important to know which level they come in at

A

level patients are at

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10
Q

dignity
self respect
acknowledge how they are feeling..empathy
need to satisfy each level to move on to higher needs

A

power rad tech has over a patient (patient satisfaction)

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11
Q

admitted to hospital for diagnostic studies or treatment. occupy bed for longer than 24 hours

A

inpatient

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12
Q

have been up and down maslows hierarchy of needs
may have previous experience in hospitals
must gain their confidence
they are always watching and listening

A

patient and inpatients being admitted

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13
Q

patient has to come to hospital or center for diagnostic testing or treatment…no overnight stay

A

outpatient

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14
Q
you don't know what they have faced that day
expect schedule to be on time
expect updates if running behind
ok to apologize
treat all patients equally
A

patients and outpatients

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15
Q

because they wait they have time to critique
if they get rude anxiety may play role
cant tell them what you see…doc only
be courteous

A

interacting with family of patients

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16
Q

radiologist will read…doc will call

stat exam…keep patient there

A

interacting with family of patients
read and call
hold and call or stat exam

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17
Q

verbal (humor, organizational vocabulary, speech and grammar)
non verbal (paralanguage, body language)
touch

A

effective communication methods

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18
Q

music of language…signals sent by tone, speech, rate, stress, volume

A

paralanguage

19
Q

frowns=disapproval
dont look directly into eyes=rejection,avoidance
clenched fist/teeth=angry
tight, rigid posture=pain,defensive
leaning forward when listening=best way,interested

A

body language

20
Q

emotional (trying to be empathetic)
emphasis (highlight or direction)
palpation (landmarks touched)

A

touch

21
Q
professional appearance
personal hygiene
physical presence
visual contact
listening skills
A

methods of communication

22
Q

rough handling, hurry, being pushy

calm, persuasive, firm, expression of feelings

A

aggressiveness vs assertiveness

23
Q
seriously ill (determine coherent level, work fast, explain)
visually impaired (explain, touch)
speech and hearing impaired (write things down)
non english speaking (interpreter)
mentally impaired (use strong voice)
substance abuse (firm directions, restraint)
A

types of patients

24
Q

demonstrate with hands, point

A

pantomine

25
Q

same procedure as xray room
verify patient name
explain to family

A

surgical exams

26
Q

get to their level
explain in waiting room, hold child
security
never leave alone

A

pediatrics

27
Q
hold in familiar position
tight blanket
soothing voice
anxiety from parent separation
vivid memories
A

birth to 1 infants

28
Q

live in the here and now

familiar words are often more effective…bones, pics

A

1 to 3 toddlers

29
Q

dont understand reason or cause and effect
understand big, little or first but not waiting
form opinion they are sick because they are bad
must see or hear to understand
will not let you hold them unless win trust

A

3 to 5 pre school

30
Q

begin to think logically
fear of injury, disease, death and punishment
can help child rationalize

A

5 to 10 school age children

31
Q

early adolescence–body awareness
middle adolescence–peer groups important
late adolescence–mature

A

10-25 adolescence

32
Q

new roles and responsibilities may neglect on one area to handle another

A

25 to 45 young adult

33
Q

found their place in life

when sick their place in life is threatened

A

45 to 65 middle aged

34
Q

treat as middle aged and mature person

A

65 and older mature adult

35
Q

study of aging and disease of older adults

treat as mature adults

A

geriatrics

36
Q

young-old, age 65-74
old-old, age 75-84
oldest-old, age 85 and older

A

healthy and active
transitional
frail and infirm

37
Q

primary aging—inevitable aging (everyone experiences)

secondary aging–aging from disease, abuse, disuse (individual can control this)

A

aging process groups

38
Q
nervous system (psychomotor slows)
respiratory system (decrease cough reflex)
musculoskeletal system (falls)
cardiovascular system (avoid orthostatic hypotension, avoid chilling)
integumentary system (loss of skin elasticity)
gastrointestinal system (delay bowel)
A

physical changes with aging

39
Q

may have DNR
be aware of current practices for patient
unexpected death may occur

A

interacting with terminally ill

40
Q

closed awareness (dont know condition)
suspicious (watch for clues)
mutual (all know but avoid)
open (all know and talk about it)

A

terminally ill

41
Q
denial and isolation
anger
bargaining
prepatory
acceptance
A

stages of death elisabeth kubler-ross

42
Q

can sign DNR, hospice, ventilation

patient has opinion about healthcare

A

patient autonomy

43
Q

medical chart
advanced healthcare directives
living will
health care proxy (power of attorney)

A

legal documents