week 7 1st Assess & PT com/s Flashcards
Comfortable space:
Intimate space:
Personal Space:
Public Space:
= 4-12 ft
= 0-1.5 ft
= 1.5-4ft
= 12 or more ft
Why always remove glasses when talking to PT:
PT needs eye contact & could see reflection of injuries
Never ask “why did you” b/c?
can be perceived as blame
SPED & challenging PTs interview
use same techniques as would on any other patient, but in a slightly different way.
EX start interview in usual manner. If PT doesn’t respond to your questions, take time to develop rapport by reviewing the reason dispatch gave for the call.
Interviewing Children PTs
down to their eye level. Children pick up on anxiety easily and often take cues from what they observe
Elderly PT interviews
Always use a formal means of address, such as “Mr.” and “Mrs.” or “Ms.” Speak slowly and clearly
Angry PT interviews
Avoid confrontation, but keep trying until. Use same questioning techniques usually used. Sometimes PTs open up if you clearly explain benefits & advantages of cooperation.
Could obtain info from: observing scene, questioning PT’s family, bystanders, or law enforcement officers.
Ethnocentrism=
viewing your own life as the most desirable, acceptable, or best, and acting in a superior manner
Cultural imposition:
inserting one’s own culture and applying it to another
Depressed PTs
Ask whether they have ever thought about suicide, currently thinking about suicide, have means to commit suicide, & have ever attempted. The more exact & precise the suicide plan, the more apt they are to carry it out.
Transferring care
“Are you the person who will be listening to my hand-off report?” If so, follow up w/ “Are you ready to listen, or would you rather wait a moment?” Also, be sure to introduce the PT by name & say bye to PT
In what interpersonal zone do you conduct the majority of a patient assessment?
Personal zone
Echoing a patient’s message back to him in your own words is a technique known as:
Relaxion
Asking questions to refine a patient’s initially vague answer is called:
Clarification
Active listening involves
empathy, reflection, clarification
When arriving on the scene of an emergency, determining if your patient is a medical or trauma patient is most likely performed:
As you approach the PT and make your GI
CAGE alcoholic questionnaire: C:
A:
G:
E
=Cut down- drinking “Have you ever felt need to cut down on drinking?”
=Annoyed- by criticism “Annoyed by people criticizing your drinking?”
=Guilty feelings- “Have you ever felt guilty about drinking?”
=Eye-opener- “You ever felt needing a drink 1st in the morning (eye-opener) to steady your nerves or to get rid of a hangover?
Decorticate posturing:
Decerebrate posturing:
=elbows bend and fold their arms up toward their chest “cor cross”
=limbs all extend away from their head
Vehicle airbags are designed to do
Cushion chest of large adults, deploy during front-end collisions, deflate automatically after deployment
When arriving at a door, you should
Stand off to the side of the door when you knock
Meth Labs are double treat b/c
People participating in illegal activity might be a threat to responders
When arriving on the scene of an emergency, determining if your patient is a medical or trauma patient is most likely performed
When you approach the PT and make your GI