MODULE 1 Flashcards
“Music of Language”
attitude while saying your content
Paralanguage
Increase the quanti and quali of patient communication and improve history; eye contact
Positive non verbal cues
Yawning, frowning or sneering
Head looking down
Negative non verbal cues
Expresses physical behaviors and thoughts
Body language
Exchange of information, thoughts, or messages using sign language, eye contact, and other than actual words
Non verbal Communication
HIPAC
Health Insurance Portability Accountability Act
Avoiding assumptions
Careful on crafting questions
Reward system
Tell the truth (no sugarcoating)
How to adress patient
First name basis for anomity
Use ‘patient’ if not sure of its identity
Procedure
Touch
For emphasis, show empathy
For palpation, use fingertips
DO NOT USE PALMS: offensive & inaccurate
Professional appearance/ personal hygiene
Clip nails
Prevent body odor
Avoid strong perfumes
Physical presence
Good posture to gain the confidence of our patient
Visual contact
Maintain eye contact
However, it may not be welcome in all cultures
Dr. Armand Brodeur
“To stand tall in pediatrics, you have to get down on your knees.”
Implied consent
Used if patient in unconscious
Most important people in healthcare team
Patient
Physician
Sends the pt to hospi
Responsible for assessing pt
Prescribe therapeutic procedures
Primary care physician/ General practioner
Give lab test, imaging test
Determine the results
Can be a referring physician
Attending physician
Attending to the needs, treatment, medication of pt
Referring physician
Refers the pt to other physician
Interns
Recent medical school graduates gaining practical experience
Fellows
Licensed physicians receiving advanced training
Residents
Licensed physicians in an educational program to become certified in a speciality area
Nurse
Carry out physician order
Interview
CONSENT
Good Samaritan Law
Verbal Consent
Written/ Informed Consent
Implied Consent
Not liable if he/she fies
Good samaritan law
Patient states their consent
Verbal consent
Signed by the patient or guardian
Informed/ Written consent
How to communicate with VISUALLY IMPAIRED PATIENTS
Communicate what we can see
Provide cleae information
Inform the patient what is to occur
Gentle touch
Don’t talk loud
Hoe to communicate with SPEECH-IMPAIRED & HEARING-IMPAIRED PATIENTS
Pantomine and demo work well with hearing impaired pt
Demo instruction
Go to facilities offer deaf
Rapport
Close and harmonious rel between the radiographer & pt
Establishing rapport
Explain the procedure
Proper attitude
Provide privacy
Provide comfort
Provide clean & safe environment
Secure patient’s belongings
Good history taking involves collectiong of accurate and subjective information
Improve communication between doctors and patients
Data Collection Process
Symptoms : Y = you
Pertain to or perceived only by the affected individual
Subjective Data
Signs : I = i can see
Can be seen of felt, such as lab reports
Objective Data
Questioning Skills
Open ended questions
Facilitation
Silence
Probing questions
Repetition
Summarization
Let the pt tell the story
Non directed/ Non leading
Open ended questions
Nod or say yes, okay, go on..
Encourages elaboration
Facilitation
To give the pt a time to remember
Favilitates accuracy and elaboration
Silence
To focus the interview
Provide more detail
Probing questions
Rewording
Repetition
Verifies accuracy
Summarization
Chief Complaint
Primary medixal problem defined by the pt
Sacred 7
for determining chied complaint
Enumerate Sacred Seven
Localization
Chronology
Quality
Severity
Onset
Aggravating / Alleviating factors
Associated manifestations
Defining as exact and precise an area as possible for the complaints
Localization
Time element history
Duration: since osnet
Freq: 50 x a day
Course: symptoms should be established
Chronology
Describes the character of the symptoms
Ex. color, consistency of fluids, type of cough, mass is palpable
Quality
Describe intensity, quantity, or extent of the problem
Ex. intensity of pain, number of lesions or lumps, extenr of a burn
Severity
When did the prob begin?
Onset
Circumstances that produce the problem or intensity
Aggravating or Alleviating factors
Find out whether other symptoms accompany the chief complaint or in separate condition
Associated manifestations
Legal Consideration
- Criminal Law
- Civil Law
Civil wrong committed by one individual against the person or property of another
Tort
CLASSIFICATION of TORT
International & Unintentional
Threat of touching in a injurious way
Assault
Unlawful touching w/o consent
Battery
Unjustifiable detention of patient against his/her will
False imprisonment
Malicious spreading of info
Defamation
Slander
spoken or verbal
Libel
Cyber libel: published online
written or published pic
Willful and intentional misintentional misrepresentation of facts
Fraud
Negligence
Failure to use such care
Elements of Medical Negligence
Duty to provide reasonable care
Breach of duty
Patient sustained lose or injury
Injury/ loss is attributable to negligence
Plaintiff
suing party
injured party
one filing the case against defendant
Defendant
party being sued
Malpractice
outside your profession or mandate
Ex. RT but giving prescription
Standard of Care
practice that is being done across all
Ex. Ask for last mens cycle
Check lab test (creatinine, BUM)
Has asthma
Anaphylactic shock
severe allergy
larengeal edema
Nephrotoxicity
Deterioration of kidnet function due to toxic medications or chemicals
Other legal theories
1 Res ipsa loquitor
2 Respondent superior
“The thing speaks for itself”
Used to switch the burden of proof from the plaintiff to the defendant
Res ipsa loquitor
“The master speaks for the servant”
Respondent superior
Requires the hospital to be responsible for the quality of care delivered to patients in their facilities
Corporate Liability
Duty of reasonable care in:
Selection and retention of employees and medical staff
Maintenance and use of equipment
Availability of equipment and service
Both HC providers and patient’s acrion contribute to an injury
Patient is partly liable
Ex. Not following instruction, did not drink his meds
Contributory negligence
ARRT
American Registry of Radiologic Technology
ASRT
American Society of Radiologic Technologists
Communication with patient
Adress the patient
Avoid assumptions
Specialize in trauma and emergency situations
Emergency department physician
Diagnose and treat diseases of the gastrointestinal tract
Gastroenterologist
Treat pt in ICU
Intensivist
Specializes in internal organs
Internist
Specialist ear, nose, and throat
Oto rhino laryngo logist
Specializes in labor, pregnancy, delivery, and immediate postpartum care
Obstetrician
Diagnoses and treat problems in urinary tract and male reproductive system
Urologist
Elderly person
Geriatrician
For female reproductive system
Gynecologist
