Patient Care Quiz#2 Flashcards
Emotional reactions to illness
AAAPSB
Annoyed angry apprehensive panic self-pity bitter (anger and self-pity)
Physical effects of illness
FPLURD
Fever pain digestive problems urinary problems Lethargy restlessness
Influences on a patient’s reaction to illness
Childhood senescence life role adjustment dependency cultural background /language barriers /past experiences
Challenges for providers
- Relating to the patient
- communicating with the patient:
- use appropriate vocabulary for age educational level linguistic skills
- many other patients are hard of hearing
- many patients will not speak English
Disruptive patient
- Take the patient out of the waiting room
- listen to the patient
- explained delays offer alternatives
- apologize when appropriate
- never argue
- never respond aggressively or offensively
- try to identify the problem by restating or paraphrase
Deaf -hard of hearing
- tone -lots of individuals have lost hearing in the upper ranges
- most read lips
- Do not yell or shout
- speak slower and enunciate words
- remind them to bring hearing aids to future appointments
Visual impairment:
- Legally blind
- visually impaired
-Legally blind -20/400 or less BVCA in best eye
Visual field less than 10°
-visually impaired -20/60 or less BCVA in best eye
Visual field less than 20°
Assisting with visual impairments
- guide dogs / CNI dogs
- leading
- make sure you ask ! how can I assist you?
Tools
Telescopes projection devices lighting large print writing guides marking pens yellow filter
Children
Positioning
infants
-papoose board
toddlers
Parents
Diabetics
Hypoglycemia
- most offices have a plan
(schedule first thing in the morning)
-scheduling
-exam taking longer than expectedGuidelines for improving healthcare provider /patient relations
- -accept the patient
- -show interest and concern
- -listening and observing
- -recognize significant behavior
- -use appropriate responses
- -maintain confidentiality
- -be sensitive to feelings
- -identify patients needs
Egocentrism -_______________
Regression-_______________________________
Egocentrism -being self-centered
Regression -behaviors that are appropriate to an earlier level of development
-unfriendly behavior
-aggressive behavior:
-
-
-
-
-hostility
Aggressive behavior :
- physical or verbal
- get supervisor ASAP
- children need limits
- passive aggression
- hostility -listen -remain calm
Crying
do not offer false hope
do not make promises you cannot keep
do not minimize the patients cause for crying
do not express disapproval of crying
Over cheerful patient
- Still requires same amount of care
- may have disguised behavior
Over friendly patient
- Being hit on
- wanting to have someone to talk to
Ways healthcare provider can help patients Adjust to illness
- identify patient’s needs
- introduction to clinic
- adapt your behavior
- providing emotional support
- use good judgment
Your role in identifying patients needs
- You don’t know what you don’t know
- importance of a good complete history!!!!
