1 / 19

Principles of Patient Assessment in EMS

Principles of Patient Assessment in EMS . By: Bob Elling, MPA, EMT-P & Kirsten Elling, BS, EMT-P. Chapter 2 - Listening to Patients. © 2003 Delmar Learning, a Division of Thomson Learning, Inc. . Objectives. List the major components of the communication process.

fleur
Download Presentation

Principles of Patient Assessment in EMS

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Principles of Patient Assessment in EMS By: Bob Elling, MPA, EMT-P & Kirsten Elling, BS, EMT-P

  2. Chapter 2 - Listening to Patients © 2003 Delmar Learning, a Division of Thomson Learning, Inc.

  3. Objectives • List the major components of the communication process. • Describe various methods for communicating a message. • Explain why making a proper introduction and identifying level of training is an important factor for patient communication. • Provide examples of how the EMS provider can establish trust with a patient. © 2003 Delmar Learning, a Division of Thomson Learning, Inc.

  4. Objectives (continued) • Explain the EMS provider’s responsibility in maintaining the patient-EMS provider relationship. • List examples of both positive and negative facilitation. • Describe the techniques EMS providers may use to encourage feedback from a patient. © 2003 Delmar Learning, a Division of Thomson Learning, Inc.

  5. Objectives (continued) • Identify two factors that tend to impede verbal communications. • Provide examples of special challenges the EMS provider may encounter in communicating with patients and some tips to manage each. • Describe verbal and nonverbal factors to consider when communicating with a patient with cultural differences. © 2003 Delmar Learning, a Division of Thomson Learning, Inc.

  6. Introduction • Establishing a rapport with patient and family is important • Effective communication between EMS provider and patient takes practice • Obtaining a good history is often difficult, yet necessary • This chapter focuses on interpersonal dynamics and communications strategies © 2003 Delmar Learning, a Division of Thomson Learning, Inc.

  7. Communication is a 2-way process © 2003 Delmar Learning, a Division of Thomson Learning, Inc.

  8. The Feedback Loop • Sender • Receiver • Message • Encoding • Decoding • Feedback © 2003 Delmar Learning, a Division of Thomson Learning, Inc.

  9. Message is Communicated • Verbal – speaking and observing feedback • Non-verbal – use of body language • Non-verbal – understanding of one’s personal space • Listening – adjust the environment so it is possible to listen © 2003 Delmar Learning, a Division of Thomson Learning, Inc.

  10. Factors that Facilitate Effective Communication • Is the patient comfortable? • Consider your method of approach • Professional, respectful introductions • Addressing the patient: name and formality • Establishing trust • Consider the environment, modesty, emotional, and biological needs • Confidentiality © 2003 Delmar Learning, a Division of Thomson Learning, Inc.

  11. Communication Techniques • Facilitation – positive or negative • Open-ended questions • Closed questions • Reflection – echoing the patient’s words to encourage the flow of conversation © 2003 Delmar Learning, a Division of Thomson Learning, Inc.

  12. Communication Techniques (continued) • Clarification of confusing or ambiguous responses • Silence is sometimes helpful • Explanation to help put the patient more at ease © 2003 Delmar Learning, a Division of Thomson Learning, Inc.

  13. Barriers to Communication • Words and phrases the patient does not understand • Technical terms should be kept to a minimum (unless dealing with a health care worker) © 2003 Delmar Learning, a Division of Thomson Learning, Inc.

  14. Special Challenges • Hearing impairment • Visual impairment • Speech impairment • Non-English speaking • Developmental disability • Terminally ill © 2003 Delmar Learning, a Division of Thomson Learning, Inc.

  15. Special Challenges (continued) • Hostile patients • Anxious patients • Abused patients • Patients with multiple symptoms • Asymptomatic patients • Overly talkative patients © 2003 Delmar Learning, a Division of Thomson Learning, Inc.

  16. Communicating with Children • Your interview must be age appropriate • Kneel down to get to the child’s level • Involve the parent or caregiver in the interview © 2003 Delmar Learning, a Division of Thomson Learning, Inc.

  17. Communicating with the Elderly • Aging rate differs with the person so do not assume all elderly are visually or hearing impaired • Give the patient time to discuss the chief complaint • Verify information with a family member or caregiver as necessary © 2003 Delmar Learning, a Division of Thomson Learning, Inc.

  18. Cultural Considerations • Recognize cultural differences in your patients • Culture based preferences may conflict with usual medical practices • Don’t assume patients with a particular cultural background are different…take the time to learn about the culture • Consider verbal and non-verbal messages © 2003 Delmar Learning, a Division of Thomson Learning, Inc.

  19. Conclusion • Practice your listening skills • Do not judge • Demonstrate kindness, compassion, and empathy • Understanding basic communications skills is essential to EMS providers © 2003 Delmar Learning, a Division of Thomson Learning, Inc.

More Related