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COMMUNICATION

COMMUNICATION. Patient Communication. Interacting with the patient Interacting with family and friends Methods of Effective Communication Age as a factor in Patient Interactions. Radiologic Technologist. Helping others Working with people Making a difference Thinking critically

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COMMUNICATION

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  1. COMMUNICATION

  2. Patient Communication • Interacting with the patient • Interacting with family and friends • Methods of Effective Communication • Age as a factor in Patient Interactions

  3. Radiologic Technologist • Helping others • Working with people • Making a difference • Thinking critically • Demonstrating creativity • Achieving results

  4. Abraham Maslow’s

  5. Why is this important?PATIENT NEEDS • Patients may be in altered states of consciousness • Unfamiliar environment • Fear of not knowing their state of health • Patients do not have control of the situation – very vulnerable • Pt Reactions: Inconsiderate, arrogant, impatient, rude – coping mechanisms

  6. Patient Dignity • Patients are usually in the lower levels of Maslow’s Hierarchy - Why? • Patient dignity must always be remembered and respected • Difficult to maintain dignity when wearing flimsy gown, vomiting, making a run to the bathroom

  7. No No’s….. • Referring to a patient as: “the chest in room 2” Always use the patients name! HIPAA Laws - Only discuss what you must know to do your job.

  8. Classification of Patients • Inpatients • Outpatients • Family • Friends

  9. Verbal Humor Paralanguage Body Language Touch Palpation Professional Appearance Physical Presence Visual Contact Methods of Communication

  10. Message Source Channel Receiver Context Feedback Six Components of Communication

  11. Radiographer’s Responsibility • RT is responsible for insuring patient understands what to expect during examination. • Introduction • Explanation of exam • Inform patient how they will receive their results • Risks of examination

  12. Rad Tech’s Role in Clinical Hx • Extract as much information as possible • Radiologists often do not even speak with the patient. • Radiologist can be instructed to give special attention to the exact anatomic area where pain is focused.

  13. Respect Genuineness Empathy Polite Professional demeanor Desirable Qualities for Establishing Open Dialogue

  14. Data Collection • Objective: Signs that can be seen • Subjective: Perceived by the affected individual

  15. 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

  16. Good Communication with your patient improves radiation protection • How ? • Any ideas?

  17. X-ray Order from the ED • 24 year old • Female • 2 V Abdomen • Diag: Abd Pain X 2 days • What questions are you going to ask her?

  18. X-ray Order - Outpatient • 86 year old • Female • RT Hand • Diag: Pain • What questions are you going to ask her?

  19. Primary Role of the Radiographer?

  20. Primary Role of the Radiographer

  21. Leading Questions • This is an UNDESIRABLE method of questioning. Introduces biases into the history. Ex: Does the pain travel down your leg? Vs. Where does the pain start and where does it end?

  22. Chief Complaint • Focuses attention to the single most important issue. • Patients may have several complaints, but thorough history taking can reveal the main issue or why the patient is there for treatment.

  23. Clinical Indication • Tech must collect a focused history specific to the procedure being performed. • Several elements comprise a “complete history”. • Sacred Seven…

  24. Sacred Seven • Localization: exact & precise area • Chronology: duration, frequency, course • Quality: size, color, consistency • Severity: intensity, quantity, extensiveness • Onset: what was happening when condition occurred • Aggravating or Alleviating Factors • Associated Manifestations

  25. You never know what you are going to get?

  26. Special Condition Patients • Traumatized Patients • Visually Impaired Patients • Speech and Hearing Impaired Patients • Non-English Speaking Patients • Mentally Impaired Patients • Substance Abusers

  27. Children • Get down to child size • Kindness • Patience

  28. Key to a Successful Exam • Plan of action • Systematic problem-solving process • Assessment of data • Setting a goal • Establishing a plan • Safety in completing assignment • Evaluating the work • Creativity

  29. Communication • The key to a successful exam for Technologist and Patient.

  30. Review • Communication • Patient Assessment

  31. Got Clothes?

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