DEATH WITH DIGNITY Flashcards
is standard when recovery is possible.
Resuscitation
No resuscitation if death is imminent.
DNR (Do Not Resuscitate):
No mechanical ventilation or life support.
Orders are documented in the patient’s medical chart
DNR/DNI (Do Not Intubate):
: A legal document outlining a patient’s medical care preferences.
Advance Directive
Appoints a trusted person to make medical decisions if the patient is unable.
Families should be informed to avoid confusion or disputes
Durable Power of Attorney for Healthcare:
DEALING WITH DEATH AND LOSS
Role of Radiologic Technologist
Provide emotional support for grieving families while awaiting physician updates.
Avoid volunteering opinions or discussing medical staff actions.
Be aware of legal sensitivities in cases of sudden or unexpected death..
PHASES OF GRIEF BY (Doctor Elizabeth kubler ross 1969)
Denial
anger
bargaining
depression
acceptance
The patient who is facing imminent death or loss often responds by not accepting the truth.
Phase 1: DENIAL
The patient may become angry preceding death or disfigurement
Phase 2:ANGER
The patient feels that if he becomes the “good and submissive patient” he may be spared or miraculously cured.
Phase 3:BARGAINING
The patient accepts the impending loss and begins to mourn for his or her past life and all that will be lost.
The depressed person is often acquiescent, quiet, and withdrawn, and may cry easily.
Support is the best response of the health worker during this period.
Phase 4: DEPRESSION
The person accepts the loss or impending death and deals with life and relationships on a more realistic, day-to-day basis.
Phase 5:ACCEPTANCE
Many patients feel intimidated in medical settings, which may
prevent them from expressing concerns about pain or discomfort.
• When patients feel heard and reassured, they become more
cooperative and receptive to medical instructions.
• Radiographers play a key role in gathering patient history and
reporting observations to the radiologist.
PATIENT ASSESSMENT
Radiologists rely on radiographers to gather relevant
patient history.
• Helps in diagnosing conditions and customizing the imaging study.
• Builds connection with the patient and improves cooperation.
Taking patient history
- anything said by the patient
- This includes information about the patient’s feelings, perceptions, and experiences that cannot be measured directly.
Examples:
Chief Complaint. “I have a headache”
Pain Description. “The pain is sharp and rates at 8/10.”
Nausea or Dizziness: “I feel dizzy when I stand up.”
Medical History: “I had surgery two years ago.
lifestyle Factors: “I smoke a pack of cigarettes a day.
Family History “My father has hypertension.”
Emotional State: “I feel very anxious about this procedure.”
Subjective data
anything that RT sees, heard, smells, feel or reads on the patient’s chat
This includes measurable facts gathered through observation, physical examination, or diagnostic tests.
Examples:
Vital Signs: Blood pressure: 140/90 mmHg, Temperature: 38°C, Heart rate: 110 bpm
Physical Examination Findings:
• Visible swelling in the right ankle
• Rash on the lower back
Decreased range of motion in the left shoulder
Diagnostic Test Results:
• Chest X-ray showing lung infiltrates
blood glucose level: 150 mg/DI
ECG showing abnormal heart rhythms
Objective data
Listing all subjective and objective data and analyzing it, relevant data are listed in order of their priority
DATA ANALYSIS
OBTAINING PATIENT’S HISTORY
Rules to follow to complete a succesful patient history are:
- Provide atmosphere that is private
- Establish rapport with the patient by approaching in a nice manner.
- Ask how they would like to be addressed (e.g. Mr. Mrs. Ms)
- Inform patient why information is needed
- Tell patient that everything is confidential and only be shared with medical staff involved in her/his care.
- Use open-ended and closed-ended questions if necessary.
COMPLETE PATIENT HISTORY SHOULD HAVE THE FOLLOWING:
- Location of the problem (area of pain)
- Onset (when did the problem begin)
- Chronology (when and for how long the problem has been present)
- Quality (how severe is the problem or pain)
- Aggravating or alleviating (what factor makes the pain worse or better?)
- Associated manifestations (what else happen during the pain episodes)
It is a term used to describe the ways we move as we go about our daily lives.
It includes how we hold our bodies when we sit, stand, lift, carry, bend, and sleep.
Poor are often the cause of back problems.
BODY MECHANICS
occurs when muscle fibers are overstretched or torn, typically due to excessive force, overuse, or improper use.
Symptoms often include pain, swelling, bruising, and limited movement.
These are common among hospital workers.
The most common injury reported by the Radiologic Technologists.
Muscle strain
The most common injury reported by the Radiologic Technologists.
• Often occurs during:
Patient transfers
Moving heavy equipment
Repetitive motions during procedures
CORRECT UPRIGHT POSTURE
Stand with feet 4-8″ apart;
Head erect, chin in;
Abdomen up, buttocks in;
Chest out, stomach in;
Knees slightly bent
