Communicating with Physicians, Peers, Children, the Elderly, and Families Flashcards

1
Q

What is the primary purpose of communication with physicians?

A

To enhance patient care

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2
Q

How can HCPs enhance patient care?

A
  • Clarifying orders
  • Change plan of care/treatment plan
  • Report concerns in patient progress
  • Establishment of new goals
  • Physician requests weekly/monthly updates
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3
Q

What is the secondary purpose of communication?

A

Enhance physical therapy as a profession

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4
Q

How can PTs enhance physical therapy as a profession?

A
  • Educate physician about the field of physical therapy
  • Educate physician about advancements in field of PT
  • Demonstrate your knowledge/expertise and professionalism
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5
Q

What are the two forms of communicating with physicians?

A
  • Formal

- Informal

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6
Q

5 forms of formal communication

A
  • Phone calls / Messages with nurse
  • Faxed notes (outpatient)
  • Notes in the medical chart (inpatient)
  • Catching the doctor on rounds
  • Scheduling interactions (shadowing)
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7
Q

3 forms of informal communication

A
  • lunch
  • hallways
  • social gatherings
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8
Q

What is the best method of communication with physicians?

A

IT DEPENDS on the physician/circumstance

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9
Q

How often do physicians feel it is necessary to communicate?

A
  • When pt condition changed
  • At specific stages
  • If not doing well
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10
Q

How often does Medicare require communication with physicians?

A

Every 10th visit OR every 30 calendar days

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11
Q

What are two other factors to consider when determining how often to communicate with physicians?

A
  • Before the patient returns to the doctor

- Per protocol

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12
Q

How often should you contact a physician?

A

IT DEPENDS

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13
Q

3 Tips for communicating with Physicians

A

1) Short & Sweet, be organized beforehand
2) Use assertiveness without aggressiveness
3) Be considerate of MD

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14
Q

Of the 98% of physicians that refer PT what percentage felt they possessed enough information to do so

A

54%

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15
Q

What percent of MDs received no information on PT in med school?

A

70%

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16
Q

Who makes up Interdisciplinary Teams?

A
PT
OT
Speech
Doctor
Nurse
Social Worker
Dietician
17
Q

Why is it important to have effective teamwork and communication?

A

Patient Care

18
Q

Do you think health care professionals communicate well with each other?

19
Q

6 Problems threating communication

A

1) Role Conflict
2) Role Overload
3) Lack of Interprofessional / Interdisciplinary Understanding
4) There’s no extra time
5) Territorial disputes
6) Dominance/Power Issues

20
Q

Describe Role Conflict

A

Someone is trained with one role within a setting, but expected to fulfill duties not within normal domain

21
Q

Describe Role Overload

A

HCP has too much work to do in too short a period of time

22
Q

Two examples of Lack of Interprofessional/Interdisciplinary Understanding

A
  • There is little education about other health professionals occurs during professional education
  • MDs are briefly on the floor, very minimal interaction with nursing and often no interaction with PT
23
Q

How do territorial disputes occur?

A

The expansion of professional roles means multiple disciplines are trained to do the same task which causes conflict

24
Q

7 Types of Smalls Groups in the Medical Setting

A
  • Rehab Team
  • Quality Assurance
  • Departments
  • Spine Team
  • Education Committee
  • Finance Committee
  • Marketing Committee
25
What are 3 signs of excessive conflict among small groups?
1) Conflict getting personal 2) Conflict causes splintering of group 3) Main issue becomes lost
26
What is the key to conflict resolution?
Problem Solving
27
5 Barriers to Communication with Children
1) Egocentrism (me-only point of view) 2) Rigidity of Thought (Mom is always right) 3) Semilogical reasoning (my dog died because I was a bad boy) 4) Very literal (I’m going to take your vital signs) 5) Concerned about peer opinions
28
What are the 3 Barriers to Communication with Patient Families?
- Emotions run high - Multiple sources of input - Opinions differ from the pt
29
5 Barriers to Communication with Elderly Patients
1) Reluctant to ask questions 2) Don’t fully report subjective complaints 3) Doesn’t feel responsible for his/her own health 4) Thinks HCP is too young/inexperienced 5) Hearing loss, vision loss, etc.
30
Ways to Counteract Barriers to Communication with Elderly Patients
- Give extra time to report symptoms - Observe non-verbal cues - Ask questions - Give choices - Use sensitivity and understanding - Encourage patients to express fears - Encourage patients to ask questions
31
How many Americans does Alzheimer’s affect?
4 million
32
What percent of Alzheimer’s patients are between the ages of 65-75?
3%
33
What percent of Alzheimer’s patients are between the ages of 75-84?
18%
34
Alzheimer’s is the ____ most common cause of death in US
4th
35
1 out of ___ families will see one parent affected
3