Patient Interactions Flashcards
1
Q
Advanced Directive
A
Legal document prepared by the living to provide guidelines to healthcare team in case of incapacitation
2
Q
Communication
A
Exchange of information, thoughts and messages. Includes interpersonal rapport and accurate conveyance of information.
3
Q
Emotional Intelligence
A
Ability to evaluate, perceive and control emotions
4
Q
Gerontology
A
Pertaining to the study of older adults
5
Q
Inpatient
A
Someone who has been admitted to the hospital for diagnostic studying/treatment
6
Q
What are Maslow’s Hierarchy of Needs?
A
Model of a human which progresses in 7 layers on an ascending level of how essential the needs are to survive?
7
Q
What are the 7 layers of Maslow’s Hierarchy?
A
- Physiological
- Safety & Security
- Belongingness & Love
- Self Esteem & Respect
- Need to know & understanding
- Aesthetics
- Self Actualization
8
Q
Non-verbal communication
A
Exchange of information, thoughts or messages using methods other than speech
9
Q
Outpatient
A
Someone who comes to a healthcare facility for diagnosis or treatment but do not occupy a bed overnight
10
Q
Palpation
A
Application of light pressure with fingers to find body landmarks
11
Q
Paralanguage
A
Music of language; cadence and rhythm of speech
12
Q
Patient Assessment
A
Objective evaluation & determination of the status of patients
13
Q
Patient autonomy
A
Ability & right of patients to make independent decisions about their medical care
14
Q
Verbal communication
A
Messages sent using spoken word
15
Q
What are good skills of a radiongrapher?
A
- Fulfilling patient needs
- Being able to effectively direct a patients actions
- Obtaining patients cooperation
16
Q
Why is it essential to obtain patient cooperation?
A
To obtain quality images
17
Q
How should a radiographers communication be?
A
Patient focused, accurate and timely
18
Q
What should a technologist always communicate within?
A
Scope of practice
19
Q
What is feedback?
A
Response of a patient to questioning
20
Q
What are some forms of feedback?
A
Verbal or non verbal
21
Q
What is an example of non verbal feedback?
A
When the patient successfully assumes radiographic positions
22
Q
What fears do patients encounter with imaging?
A
- Fear of the unknown
- Fear of pain and discomfort
- Fear of loss and control
23
Q
What are patient behaviors and emotions guided by?
A
The condition
24
Q
How do some patients act as a result of their circumstances?
A
Angry, aggressive or despondent
25
What personal needs should you have as a technologist?
- helping others
- working with people
- making a difference
- thinking critically
- demonstrating creativity
- achieving results
26
What happens when personal needs are met?
- increase confidence in technical ability
- better cooperation
27
What does patient dignity deal with?
Deals with a patient's self esteem
28
How does a radiologist ensure patient dignity?
By focusing on their needs and treating them with respect
29
What other ways can a radiographer maintain patient dignity?
- gain patient's confidence
- offer support
- position with sensitivity
- treat with empathy
- address patient with respect
30
What is empathy?
The ability to recognize and to some extent share the emotions/state of mind of another
31
Who else should a radiographer extend respect and care to?
Patient's family or friends in attendance with them
32
What are the first steps of patient interaction?
- Patient assessment
- Introducing yourself
33
What should be done during patient interactions?
- Use patient name and ask preference
- Confirm identity
- Explain procedure in terms they understand
- Obtain and brief/relevant history
- Obtain informed consent
34
What are qualities of an inpatient?
- Someone admitted to a hospital that occupies and bed for more than 24 hours
- Previous stays often shape their attitude
35
What are qualities of an outpatient?
- Someone visiting a hospital temporarily for treatment or diagnostic testing
-Arrive to the facility with preconceived expectations
- Have schedules to contend with
36
Who gives the results of x-rays?
Radiographers ONLY. Radiologists should never give results and always defer patient requests to their doctor
37
What should always be checked before x-raying or assisting patients?
Contraindications
38
What is a contraindication?
A condition that makes a particular treatment inadvisable
- Ex: Having a non-weight bearing patient stand for a CXR (chest x-ray)
39
What are examples of verbal communication?
- Vocabulary
- Clarity of voice
- Diction
40
When should your communication vary with patients?
- Age
- Sex
- Physical/mental condition
- Culture
- Socioeconomic background
- Education
41
What are examples of non-verbal communication?
Body gestures, touch, physical appearance, facial expressions and eye contact
42
What percent of communication is non-verbal?
80-90%
43
What are 3 types of acceptable patient touch?
Touching for emotional support, emphasis and palpation
44
What is touching for emotional support?
Using touch to reassure patients, like holding their hand
45
What is touching for emphasis?
Helping to position a patient, like helping turn their hand laterally for a certain position
46
What is touching for palpation?
The application of light pressure with the palm or hand or fingers to locate body landmarks
47
What are some legal issues of touching a patient?
Battery
48
What is Battery?
Unlawful touching of another person that is without justification or cause
49
What are some examples of medical battery?
- touching a patient without consent or explanation
- performing a study against a patient's will
- physical harm as the result of an exam (x-raying the wrong patient)
50
What are various types of patients?
- Seriously ill or traumatized
- Visually impaired
- Speech and hearing impaired
- Non- English speaking patients
- Mentally impaired patients
- Substance abusers
51
What are some qualities of a seriously ill or traumatized patient?
- may not be able to communicate or cooperate
- may be unconscious
52
What are guidelines for treating ill and traumatized patients?
- Evaluate vital signs and watch for changes
- work quickly and efficiently
53
How should you work with a visually impaired patient?
- Always announce your presence and identify yourself
- Ask the patient how you may assist them
- Explain the sounds and environment
54
What type of communication do visually impaired patients rely on?
Verbal communication and touch
55
How should you work with a speech or hearing impaired patient?
- Demonstration or sign language
- If they can lip read, speak clearly and make sure you face them
- Decrease background noise
- Write down instructions if needed
- DO NOT SHOUT
56
What type of communication should be used with hearing impaired patients?
Visual or written
57
How to work with non-English speaking patients?
- Use an interpreter
- Use basic language (yes, no, stop)
- Address your questions to the patient and not their interpreter
58
What communication should be used with non-English speaking patients?
- Touch and demonstration
59
How to work with mentally impaired patients?
- Talk to the patient throughout the procedure
- Utilize the aid, attendant or family member accompanying the patient
- Immobilize the patient if needed
- Give simple instructions
60
How to work with a substance abuser patient?
- Expect all types of behaviors
- Immobilize the patient if needed
- Make sure the patient is safe and cannot hurt themselves
61
How to work with mobile and surgical radiography?
- Introduce yourself
- Treat patient with respect and dignity
- Explain the procedure and why leaving the room when exposing is necessary
- Show empathy with family and friends
62
What is not considered a barrier to effective communication?
Age
63
What are the 8 age groups?
- Infants (Birth-1 year)
- Toddlers (1-3 years)
- Preschoolers (3-5 years)
- School aged children (5-10 years)
- Adolescents (10-25 years)
- Young Adults (25-45 years)
- Middle aged adults (45-65 years)
- Mature adults (65 and older)
64
How should you work with pediatric patients?
- Patiently explain procedure in terms they understand
- Demonstrate the procedure and never leave child unattended
- Explain everything to parents/guardians
- Immobilize as needed
- Come down to child's level to speak
- Talk slowly and less authoritatively
65
How should the exam room be setup for adolescent patients?
- Do setup before child enters the room
- Soften room lighting
- Avoid loud and dramatic equipment movements
66
What should not be done when working with older patients?
- Referring to them as geriatrics
- Using terms such as "Golden Agers" or senior citizens
- Leave the patient unattended, speak loudly or in childish terms
67
What should be done with working with older patients?
- Always treat them with respect
- Use gentle handling and pads on the table and under knees
- Use blankets to keep them warm
- Give clear directions and be patient
68
How to work with terminally ill patients?
- Let the patient guide the discussion and be understanding of their emotions
69
What are the stages of grief?
- Phase 1: Denial and isolation
- Phase 2: Anger
- Phase 3: Bargaining
- Phase 4: Depression
- Phase 5: Acceptance
70
Morals
A person's standard of behavior or beliefs concerning what is and is not acceptable
71
Veracity
Conformity to facts, accuracy
72
Fidelity
Faithfulness to a person, cause or belief demonstrated by loyality
73
Ambulatory
Related to walking- ability to walk
74
Assault
Making a physical attack on
75
Bilateral
Affecting or relating to both sides of the body or both members of a paired organ
76
False imprisonment
Unjustified restraint or restraining a patient against their will
77
Libel
Written information that results in the defamation of character or loss of reputation
78
Metastasis
Medical term for the spread of cancer cells from the original tumor to other body parts
79
Nasogastric tube
A flexible plastic tube that is inserted through the nose and into the stomach or small intestine
80
Negligence
Unintentional misconduct
81
Medical Negligence / Malpractice
Occurs when a medical professional's actions or omissions fail to meet the standard of care and injure a patient
82
Nonmalfecience
Ethical principle of doing no harm
83
Slander
Verbally spreading false information
84
Tort
Violation of civil law (personal injury law) may be intentional or negligence
85
Statutory disclosure
The requirement to disclose specific information in certain situations, as mandated by the government
86
Senility
The condition of being senile
87
Ventilator
A device for maintaining artificial respiration
88
Respondeat Superior
"The master speaks for the servant"
- Employer will be responsible for the employees actions, except in the case of negligence
89
Res Ipsa Loquitur
" the thing speaks for itself"
- Negligence is obvious
90
Patient's Bill of Rights
informs the patient about their rights
91
ARRT
American Registry of Radiologic Technologists
92
DNR
Do not resuscitate
93
ER
Emergency Room
94
W/C
Wheel Chair
95
AMB
Ambulatory
96
NG tube
Nasogastric Tube
