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RTEC-ARTEC-AWK – 12 2009WK – 12 2009
Patient Skills & Patient Skills & CommunicationCommunication
COMMUNICATIONCOMMUNICATION
Patient CommunicationPatient Communication
Interacting with the patientInteracting with the patient
Interacting with family and friendsInteracting with family and friends
Methods of Effective CommunicationMethods of Effective Communication
Age as a factor in Patient InteractionsAge as a factor in Patient Interactions
Radiologic TechnologistRadiologic Technologist
Helping othersHelping others
Working with peopleWorking with people
Making a differenceMaking a difference
Thinking criticallyThinking critically
Demonstrating creativity Demonstrating creativity
Achieving resultsAchieving results
Abraham Maslow’s
Why is this important?Why is this important?PATIENT NEEDSPATIENT NEEDS
Altered states of consciousnessAltered states of consciousness
EnvironmentEnvironment
Fear of unknownFear of unknown
VulnerableVulnerable
Coping MechanismsCoping Mechanisms
Patient DignityPatient Dignity
Patients are usually in the lower Patients are usually in the lower levels of Maslow’s Hierarchy levels of Maslow’s Hierarchy
Must always be remembered and Must always be remembered and respectedrespected
Difficult to maintain dignity when illDifficult to maintain dignity when ill
No No’s…..No No’s…..
Referring to a patient as: Referring to a patient as:
“ “the chest in room 2”the chest in room 2”
Always use the patients name!Always use the patients name!
HIPAA Laws - Only discuss what you must HIPAA Laws - Only discuss what you must know to do your job. know to do your job.
Classification of PatientsClassification of Patients
InpatientsInpatients
OutpatientsOutpatients
– Family Family
– FriendsFriends
Methods of CommunicationMethods of Communication
VerbalVerbal
HumorHumor
ParalanguageParalanguage
Body LanguageBody Language
TouchTouch– PalpationPalpation
Professional Professional AppearanceAppearance
Physical PresencePhysical Presence
Visual ContactVisual Contact
Six Components of CommunicationSix Components of Communication
MessageMessage
Source Source
ChannelChannel
ReceiverReceiver
ContextContext
FeedbackFeedback
Radiographer’s Responsibility
Introduction
Explanation of exam
Inform patient how they will receive their results
Risks of examination
Rad Tech’s Role in Clinical Hx
Extract as much history as possible
Radiologists often do not even speak
with the patient.
Radiologist can be focus on anatomy of interest
Desirable Qualities for Establishing Open Dialogue
Respect
Genuineness
Empathy
Polite
Professional demeanor
Data Collection
Objective: Signs that can be seen
Subjective: Perceived by the affected individual
Questioning Skills
Open-ended questions
Facilitation – encourages pt to elaborate
Silence – give pt time to remember
Probing questions – focus interview, provide more information
Repetition – rewording, clarifies info
Summarization – verifies accuracy
Leading Questions
This is an UNDESIRABLE method of questioning. Introduces bias to history
Chief Complaint
Focuses attention to the single most important issue.
Patients often have many complaintsFocus on primary reason for exam
Clinical Indication
Tech must collect a focused history.
Several elements comprise a “complete history”.
Sacred Seven
Sacred Seven
1. Localization
2. Chronology
3. Quality
4. Severity
5. Onset
6. Aggravating or Alleviating Factors
7. Associated Manifestations
You never know what you are going to get?
Special Condition PatientsSpecial Condition Patients
Traumatized PatientsTraumatized Patients
Visually Impaired PatientsVisually Impaired Patients
Speech and Hearing Impaired PatientsSpeech and Hearing Impaired Patients
Non-English Speaking PatientsNon-English Speaking Patients
Mentally Impaired PatientsMentally Impaired Patients
Substance AbusersSubstance Abusers
GerontologyGerontology
The study of aging and diseases of the The study of aging and diseases of the elderly.elderly.
By the end of the 20By the end of the 20thth century 33 century 33 million, more than 12% of total million, more than 12% of total population.population.
In 1900 only 4%, of populationIn 1900 only 4%, of population
Key to a Successful ExamKey to a Successful Exam Plan of actionPlan of action
Systematic problem-solving processSystematic problem-solving process Assessment of dataAssessment of data
Setting a goalSetting a goal
Establishing a planEstablishing a plan
Safety in completing assignmentSafety in completing assignment Evaluating the work Evaluating the work
CommunicationCommunication
The key to a successful exam for The key to a successful exam for Technologist and Patient.Technologist and Patient.