FINAL Flashcards
communication about mental health - RMTs ROLE
-act in best interest of patient
-offer compassion
-pay attention to signs
-make suggestions for support
-create environment of safety
6 basic facial expressions
anger
disgust
fear
joy
sadness
surprise
biopsychosocial model
biological
social & environmental
psychological
universal infection control procedure
hand washing
protective barriers
personal protective equipment
hygiene
safe handling/ disposal of contaminated containers
SMART goals
S - specific
M - measurable
A - achievable / attainable
R - relevant / realistic
T - timely
PASSIVE - no response at all
client: expects therapist to “know” how they are feeling, afraid to speak up
therapist: believe they are “bad” instead of reflecting on feedback
PASSIVE AGGRESSIVE - “hidden” feelings are apparent
-sarcasm, stubbornness, manipulation
Clients: may be displaying transference
Therapists: may blame, may inadvertently/ purposefully change the treatment
AGGRESSIVE – outright aggressive behavior
Client: can be asking something inappropriate like sexual favors or billing they know is illegal, being persistent with inappropriateness
Therapist: never okay
ASSERTIVE
Behaves confidently & is not afraid of what they want or believe
AIM of Public Health – what is public health?
Protection
Prevention
Promotion
Advocacy
Education
Wellness
Professional Misconduct
INQUIRY PROCESS → DISCIPLINE PROCESS
-they may dismiss complaints
Social Determinants of health – what are they?
Economic stability
Education
Social & community context
Health & health care
Neighborhood & built Environment
If there is an issue with a coworker, what might you do prior to reporting? What is the duty to report?
Talk to/ address your colleague FIRST
-Request to have a conversation
-Describe your feelings
-Description of behavior / issues
-Request for change
COLLUDE
to agree or cooperate secretly for a fraudulent or otherwise illegal purpose
SOMATIZATION
Psychological memory manifesting as physical symptoms
COGNITIVE SYMPTOM
can make you feel exhausted, overwhelmed, stressed, anxious, depressed, sad
-memory loss
-difficulty speaking
-difficulty understanding
PHYSICAL SYMPTOM
Something a person feels or experiences that may indicate they have a disease / condition
TOUCH-TRIGGERED RESPONSE
-numbness
-pain referral patterns
-ticklishness
-tears
-cold / jittery
EMPATHY
Ability to understand & share the feelings of another
TRANSFERENCE
Client projects feelings that come from their own personal experience / attitudes onto therapist
COUNTERTRANSFERENCE
Therapist projects feelings that come from their own personal experience / attitudes onto client
Non-verbal Communication
55% non-verbal
38% paraverbal
7% verbal
VERBAL
Words “spoken”
PARA-VERBAL
(vocalics) – how words are spoken
-pitch
-tone
NON-VERBAL
What is happening other than words
VOCALICS
nonverbal uses of the voice that indicate emotion
“Para-verbal” communication
KINESICS
body movements & gestures
Hand gestures
Body language:
-Orientation
-Shoulders elevated / slumped
-Rib cage positioning, mobility
-Body twitching / jumping
-Foot position
HAPTICS
communication via touch
Hugs
Friendly touches
Supportive touches
Massage
PROXEMICS
amount of space that people feel it necessary to set between themselves & others
CHRONEMICS
use of time in nonverbal communication
How we perceive & value time
How we structure time
How we react to time
Practice Environment
refers to the physical environment where the (RMT) delivers treatment and provides care to patients, as well as to the objects and equipment within that environment
Patient First Language
Emphasize the person, not the condition
“My client with a disability” NOT “my disabled client”
TRAUMA
Result of removal of choice
Forced to participate in / observe a traumatic event
Has no control
Sees no way out
Can result in neuroplasticity
Can result in DNA changes
SOCIAL HISTORY
“I would love to help you get back to your life”
Work
Hobbies & activities
Family support
Diet & exercise
ADL’s
PAST MEDICAL HISTORY
“Are there any other medical conditions or procedures that i should know about?”
Encourage them to tell you everything (remote illness, surgery)
Medications
Allergies
Family history
“I STATEMENTS”
Communication
Deliver clear messages – plain language
“I feel”
*this is how it feels from my perspective
Explain boundaries clearly
Answer legitimate questions
Call for help if needed
VALIDATION
Client-centered care
Making something acceptable / approved
CHIEF COMPLAINT
“Why are you here”
Symptoms
Mechanism of injury
Timelines
ANOREXIA
Eating disorder causing people to weigh less / extreme weight loss
Not eating
“skinny queen”
Confidentiality
You need consent from client to communicate with anyone about their care
You only share what you need to, and what client gives you permission to
Expectation of special status
Feeling entitled, asking for favors
Seeking confirmation of special status
Trying to charm therapist
Misinterpreting therapists care as friendship or more
Plain Language – COMPREHENSION BARRIERS
Education level
Language
Background
Client characteristics discussed earlier
Trust
Physical barriers
