Week 3 Flashcards

1
Q

What is the definition of patient care?

A

“The provision of what is necessary for the health, welfare, maintenance, & protection of someone or something”
Patient care involves all aspects of care from when they arrive in the department for their scan to when they leave

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2
Q

What does “to care for mean”?

A

To look after & provide for the needs of

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3
Q

What is a holistic approach?

A

Holisim describes the interconnectedness of mind, body, spirit, emotions
Holistic health care is comprehensive or total health care that takes into consideration physical, emotional, cultural aspects, social aspects & environmental issues
Care for the whole person, not just the physical body
We want our care to be patient focussed

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4
Q

What is the paternalistic health care model?

A

Based on the premise that the health professional is an expert in the field & one most informed to make the best decision for the patient

Dominant attitude of the healthcare worker over that patient

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5
Q

What is the patient-focused care model?

A

“Patient-centred care is a model of care that respects the patients experiences, values, needs & preferences in the planning, coordination & delivery of care”

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6
Q

What does the patient-focused care model look like in sonography?

A

Consider patients age, cultural traditions, personal values, lifestyle
Involves communicating well with patients & allowing them to express their individual problems, fears and frustrations
Cooperation with other healthcare professionals to deliver the best & most complete patient care through a team effort
Ensure patient safety throughout scan through diligent monitoring of their health & any changes as well as correct handling whilst in your care
Professionalism expected at all times

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7
Q

What does basic patient care involved?

A

Patient safety needs to be ensured
Vital signs are observable & measurable signs of life
- Pulse, Respiratory rate, temperature, BP
Infection control
Professionalism
Communication skills
Cultural safety
Correct transfer
Correct consent

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8
Q

What are the pre-scan, scanning skills and post scan procedures?

A

Pre scan: Room set up & infection control, referal interpretation, intro, explanation, history, patient care management & safety, professional care management & safety, professional behaviour (includes confidentiality), obtaining consent
Scanning skills: Practical skills for surveys & image acquisition, interpretation, image optimisation, instrumentation control & selection, patient care management & safety, professional behaviour
Post scan: Patient care management & safety for the dispatch, written technical impressions, room clean up & infection control, professional behaviour (includes confidentiality)

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9
Q

What is patient care?

A

They’re a person not a case from a list
Recognise they could be frightened, in pain, unwell, anxious
Some may need more time than the previous patient
They may have other concerns
How would you like to be treated?
Ensure patient has a positive care experience
Smile & be professional
Treat each patient as an individual

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10
Q

What is communication?

A

Method to convey info
A form of communication between individuals
A process to share or express feelings
Sharing of meaning
Creation of a shared understanding

Whilst we all might communicate in one way or another it might not be effective

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11
Q

Why is communication so important?

A

It’s the 1st step in caring for our patients is in how we communicate with them
Allows us to establish a rapport with our patients by showing respect, actively listening & responding to them
Allows us to give clear and concise instructions/info

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12
Q

What make listening effective? What is active listening?

A

For listening to be effective we need to actively listen

“The practice of engaging closely with what a speaker is saying & indicating understanding, typically by asking relevant questions, using gestures & summarising”

Active listening:
Conveys a mutual understanding of the feeling or message
Confirms the point is being understood
Better engagement & understanding
Respond appropriately

We need to gather accurate info & understand the feeling & meaning of the message the patient is trying to convey

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13
Q

What are the 2 types of communication?

A

Verbal
Nonverbal

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14
Q

What is verbal communication?

A

Much of our intntional communication with others is through verbal communication which is based upon language
Verbal communication can be further subdivided into:
Vocal:
- focussing on the spoken language
- includes words/sounds & intonation
Non vocal:
- language transmitted through written, sign language, braille

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15
Q

How is information delivered?

A

Paralanguage & intnation has to do with the sound of speech rather than the content
-rate of speech, the volume of the voice, fluency & vocal patterns/tone

For verbal communication to be understood we need to:
-use appropriate tone of voice, speak clearly & consisely, don’t use unnecessary words/technical jargon, use clear articulation & pronounciation of words, use the correct inflection, use an appropriate rate of speech

Know the material to be communicated

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16
Q

What is non-verbal communication?

A

A powerful form of human behaviour which involves a subtle, non-linguistic, multidimensional process
Non-verbal communication is interpreted through:
-body movements, facial communication, eye communication, touch, physical distance, appearance

Needs to be synchronous with the words spoken

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17
Q

How may non verbal communication come across?

A

Unspoken messages often indicate how the patient feels more quickly than any words spoken

Non-verbal communication may:
Repeat or stress the spoken message, accent the spoken word, consolidate the spoken word, substitute for verbal communication

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18
Q

What are the 9 categories of non-verbal communication?

A

1.appearance: clothing & physical appearance
2. Olfatics: smell
3. Kinesics: body language. Posture, facial expression, eye gestures, body movement/gestures
4. Oculesics: eye contact or lack of
5. Proxemics: social use of space in communication, innapropiate invasion of intimate space
6. Haptics: touch as a form of communication, low to high contact, appropriate vs inappropriate
7. Chronemics: time e.g late for appointment, slow or rushed, verbal & non-verbal mismatch
8. Observation: recognising non-verbal cues e.g pain/discomfort, scared, confused
9. Environment: the influence & choice of environment

19
Q

What does appearance involve?

A

Clothing & physical appearance includes:
Gender, jewellery, makeup, hairstyle, accessories, clothing, height, weight, skin colour, body shape

20
Q

What does kinesics (body language) include?

A

Posture, facial expressions, eye gestures, body movements/gestures

21
Q

What is oculesics?

A

The study of messages sent by the eyes, including eye-contact, blinks, eye movements & pupil dilation
Eye gaze- Direct eye contact
Blinking: Should be every so often

22
Q

What is proxemics?

A

The use of space & effects that has on communication
Be aware of inappropriate invasion of intimate space

23
Q

What are the types of proxemics?

A

Intimate- 2 fists away
Personal-1 handshake away
Social- 2 arm lengths away
Public- over 3.6m away

24
Q

What are haptics and what does is portray?

A

The way we communicate & interact through touch
In the work environment touch takes on an important role
Touch communicates:
-positive emotions, controls behaviour, may intrude, personal space, be aware of cultural differences, be aware of inappropriate touching

25
Q

How is environment an aspect of healthcare?

A

You should choose an appropriate and private setting to tell information. A quiet area where no one can overhear

26
Q

Why do we need to validate communication and how do we do this?

A

Very important t be correctly understood especially with essential information
We need feedback that the information was correctly understood
To demonstrate understanding th listener may:
Repeat. Clarify. Summarise
If info isn’t clearly understood,the speaker may need to rephrase & restate
If points aren’t clear there is a large potential for error
Response must indicate clear understanding

27
Q

What are some barriers to effective communication?

A

Anything that interferes with the communication
These can be :
Verbal or nonverbal
Sender or receiver

28
Q

Barriers to effective communication (detailed)

A

Use of inpproprtiate language: Technical/medical jargon. Slang & broad generalisations
Physical barriers (hearing & speech)
“Talking down” & using hostile tone
Talking to fast or too quickly
Distractions or interference - Noise or behaviour
Language and cultural differences
Cutting off communication - Interupptinf, changing subject, judgemental responses, arguing, evasion and avoidance
Attitude and feelings - Physical state (tired, pain, cold). Emotional state (fear, anger)
Lack of feedback

29
Q

What to avoid when trying to effectively communicate

A

Riducle, lecturing, didactic
Being aggressive (be assertive not aggressive)
Assuming
Controlling & coercive behaviour
Strategic communication given for a reason
Uncaring behaviour
Superiority

30
Q

How to be an effective communicator

A

Appropriate appearance
Positive body language that matches your words
Patient is seated with you so eye level is same
Attentive posture & avoid withdrawn body posture
Be aware of your facial expressions
Make eye contact
Appropriate use of gestures
Appropriate use of silence. Use tone, volume, modulation of voice, speech rate & pronounciation appropriately
Be confident, clear & fluent. Use correct grammar and vocabulary according to patients level of comprehension
Actively listen for patient response & repeat info to clarify. Respond appropriately
Observe nonverbal cues
Don’t interrupt or criticise
Be professional & friendly
Use empathy
Build a rapport (relationship) with the patient

31
Q

How to communicate with a hearing impaired patient?

A

Make sure you have their attention
Avoid background noise
Speak clearly and at moderate pace
Lower the tone of voice
Allow patient to keep hearing aids on for as long a possible
Make sure the patient has understood:
–open ended questions
–pt to repeat important instructions back to you
–rephrase if necessary

32
Q

How to communicate with a lip reading or deaf patient?

A

Lip reading:
Make sure the patient can see your face when speaking to them (don’t turn your back)
–Ensure there’s enough light for them to see you clearly

Deaf
Be guided by the patient in how to communicate:
-Lip reading, written communication, sign language (auslan)

33
Q

How to communicate with a vision impaired patient?

A

Find out from patient which form of assistance (if any) would be most appreciated
Clear walking paths
Adequate lighting
More descriptive language
use touch and tone of voice
avoid non verbal responses like head shaking etc

34
Q

How to communicate with a speech impaired patient?

A

Multiple possible causes
Different devices and techniques can allow patients to communicate verbally
Be patient, allow time for them to communicate
Simple gestures

35
Q

How to communicate with a mentally impaired patient?

A

Determine patient’s level of comprehension and ability to follow instructions
Use simple, direct instructions
Allow enough time for response
May need to repeat yourself, be patient
Address the patient with respect, as you would anyone their age

36
Q

How to communicate with a physically injured patient?

A

Sudden and unexpected for the patient
Pain
Altered emotional response
Pain relief – nausea, dizziness
Care in moving
Often requires technical adaptation

37
Q

How to communicate when there is cultural differences?

A

Personal space
•Family decision maker
•Eye contact
•Appropriate touch
•Clothing

Language barrier
•Patient right to clear communication
•Use of interpreter
•Speak to the patient (not the interpreter)

38
Q

How to communicate with geriatric (older) patients?

A

Cognitive decline
• May have hearing or sight loss
• Postural hypotension
• Multiple health conditions
• Reduced mobility
•give choices and explain carefully

39
Q

How to communicate with paediatric patients?

A

• Communication with child and parents
•Consent
• Be organised and calm
• Build rapport!! Gain trust
•eye level
•very simple terms

40
Q

How do we communicate with staff?

A

Professionalism, clear & consise communication, use appropriate verbal & non verbal communication, demonstrate respect, common goal, appropriate time & place

41
Q

Who will you communicate with?

A

Administration, student, nurse, patient/family/carer, doctor, allied health professional, fellow team member/colleague

42
Q

How do we communicate about patients?

A

Professionalism
Clear and concise communication
Be accurate and thorough
Ensure confidentiality
Make sure information is current
Use ISBAR method of communication

43
Q

What in the ISBAR communication technique?

A

Identify
Situation
Background
Assesment
Reccomend

44
Q

Explain the 5 components of ISBAR

A

I: Name, age, MRN, ward, team
S: Symptoms, problem, patient stability/level of concern
B: History of presentation, date of admission & diagnosis, relevant past medical hx
A: What is your diagnosis/impression of situation? What have you done so far?
R: What you want done. Treatment/investigations underway or that need monitoring. Review: by whom, when and of what? Plan depending on results /clinical course