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Methods of Patient Care RSMI 242 طرق العناية بالمريض 242 أشعة. Unit 3: Professional Practice (Part 2). Prepared By: Dr. Ahmad H. Abu Raddaha, PhD, RN-BC @ Prince Sattam Bin Abdulaziz University’s College of Applied Medical Sciences. Professional Practice of Imaging.
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Methods of Patient Care RSMI 242طرق العناية بالمريض242 أشعة Unit 3: Professional Practice (Part 2) • Prepared By: • Dr. Ahmad H. Abu Raddaha, PhD, RN-BC • @ Prince Sattam Bin Abdulaziz University’s • College of Applied Medical Sciences
Introduction • Communication is defined as the exchange of information in writing, talking, electronically, or using signs. • Communication is a two-way process. • When the communication is understood, the communicator is an effective communicator.
The quality of healthcare members procedures depends on good interpersonal communication skills with patients and their families, co-workers, physicians, and other members of the healthcare team.
Communication Process • Verbal and nonverbal communications often work together in the communication process. • There are many factors that affect the message being sent by each type of communication.
Types of Communication • Communication • Non Verbal Communication • Verbal Communication
Verbal Communication • It is the use of the voice to send messages and information • Grammar • Clear, Slow • Speech • Tone and Volume • Face to Face • Medical • Terminology
Verbal Communication • Develop a practice of speaking distinctly and at a pace that enables proper enunciation (نطق)of each word. • Face the person you are addressing. • In case the person has difficulty hearing, he or she can read your lips. • Pause to emphasize important information, such as breathing instructions or post-procedure care. • If you deliver instructions in a hurried (متعجّل), monotone manner (أحادي النغم), while you are working on other tasks, then the message to the patient is that this information is not important.
Verbal Communication • The age of the person being addressed control the words you use to deliver your message. • Try to maintaina calm and clear tone when dealing with nervous people.
Verbal Communication • Perception is a powerful aspect of interpersonal relations, so a positive first impression makes a big difference in the patient's opinion of the entire imaging experience. • The use or misuse of grammar impacts other's perceptions of you, before you begin a procedure. Unfortunately, the use of poor grammar can cause perceptions of a lack of intelligence and competence. Examples: • Do you got any pain in any one place or all over your spine? (poor grammar) • Where in your spine are you experiencing the most pain? (proper grammar)
Verbal Communication • It is a bad idea to try to impress others by using long, sophisticated medical terminology. • This practice can be a barrier to effective communications. • Speak to patients using the more common layman's (normal person) terms for anatomy etc.
Non Verbal Communication • It is the use of other means (other than voice) to send messages, such as sign language, body language, expressions, touch, or gestures Body Language • Personal Space • Touch • Appearance • and Hygiene • Eye • Contact
Non Verbal Communication • Body language is a powerful aspect of nonverbal communication. Oftentimes, our body language gives away feelings that we would rather hide. • Positive perceptions are achieved if communications are received with an open body posture, such as the arms relaxed by the side or loosely clasped behind the back. • Folding the arms over the chest or across the body, communicates a defensive or closed posture. • Nod and lean forward to signal that you’re listening and are interested.
Facial expressions are a critical component of nonverbal skills, so pay close attention to maintaining an open, friendly expression on your face. • Smile and facially show your interest, attention, and positivity.
Attention to space and communication distance indicates our feelings to others. • Stepping back from a person can convey dislike, even fear. • Stand reasonably close to show connectedness. • Intimate space (touching to 1 1/2 feet) (touching to 46 cm) • Personal space (1 1/2 to 4 feet) (46 cm to 1.2 meter) • Social space (4 to 12 feet) (1.2 meter to 3.65 meters) • Public space (12 to 15 feet) (3.65 meters to 4.57 meters)
Appropriate touch is a big part of effective communication in patient care situations. Touch communicates empathy and clarifies instructions for positioning. • Imaging professionals must learn to use touch to work more efficiently and effectively. • Touch is extremely important in health care, not just to obtain proper positioning, but to also comfort our patients. • A pat on the shoulder or hand can be reassuring during an imaging procedure. • Before we begin a procedure, it is also important to communicate to our patients why and where we are touching them.
Appearance is a form of nonverbal communication that everyone can easily work on to send a positive message. • Uniforms should be neat, clean, and free of wrinkles. • Shoes should also be clean. • Sloppy attire (اللباس غير النظيف) and a lack of attention to your appearance will communicate a lack of ability.
Hygiene is another aspect of nonverbal communication that everyone can control. • Good hygiene is important for maintenance of your health, but it also communicates a great deal of information about you to others. • Good hygiene signifies caring and attention to detail. • Avoidheavy cologne or perfumes in the workplace, since ill patients are more sensitive to smell. • Present a pleasant smell—and be careful to onions, garlic, or smoke smell.
Eye contact is a more complex aspect of nonverbal communication than the other factors. • Stareتحديق النظر , ogle غمز , glareنظرة ساخطة , or otherwise make the person feel that he or she is under scrutiny.
Challenges of Communications • Hearing impairment • Visual impairment • Slang speech كلام عامي • Speech impairment • Human diversity • Altered consciousness
Age can be a barrier to effective communications if you do not make the appropriate accommodations. • Relating to older persons may prove to be more difficult because of a lack of experience. • The fears and anxieties of people change as they grow older (from unknown for young children, and loss of independence and lifestyle due to illness for adult).
Respectful calling • (e.g., Sir, Mam) Communication with Geriatric • Avoid assumption • Slowly • (They feel tense with hurry) • Geriatrics • Let them feel they can be useful
Communication with Healthcare Professionals • To provide the best patient care possible, it is important to work together with other members of the health care team. • Proper delivery of message between health care providers, increase efficiency of patient care either direct or by fax, telephone or e-mail. • Avoid acronyms and abbreviation during communication with other department’s personnel.
Denial • Anger • Bargain • Depression • Acceptance