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Communication & Patients History . RTEC A Fall 2009 Ch. 11 & 12. COMMUNICATION. Patient Communication. Interacting with the patient Interacting with family and friends Methods of Effective Communication Age as a factor in Patient Interactions. Radiologic Technology .
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Communication & Patients History RTEC A Fall 2009 Ch. 11 & 12
Patient Communication • Interacting with the patient • Interacting with family and friends • Methods of Effective Communication • Age as a factor in Patient Interactions
Radiologic Technology • People-oriented, hands-on profession that requires proficiency in a wide variety of communication techniques. • Obtaining the patient's cooperation is one of the most challenging parts of a radiologic technologist's role
Radiologic Technologist • Helping others • Working with people • Making a difference • Thinking critically • Demonstrating creativity • Achieving results
RADIOLOGIC TECHNOLOGY A HIGH TECH – HIGH TOUCH PROFESSION
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
Patient Dignity • Patient dignity must always be remembered and respected • Difficult to maintain dignity when wearing flimsy gown, vomiting, making a run to the bathroom
What if this was you in the wheelchair? • How would you feel? • Would you be in a good mood? • Would you want to see people?
Show some respect.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.
Patient's family and friends • Must receive attention • Family members often listen closely to everything a professional says. The technologist should be careful not to attempt to interpret images because this is diagnosing, which is illegal.
Patient's family and friends • Be careful not to reveal medical information with others listening. HIPAA laws
EFFECTIVE COMMUNICATION • Interaction and communication techniques that have proved effective in improving relationships with patients can produce dramatic results in clinical situations. • Accurate communication is essential to providing quality patient care.
Patient Care • A coordinated, TEAM APPROACH is required, with the patient at the center. • Communication comes in many forms, and health care practitioners must be aware of them all; otherwise, although they may not verbally communicate an idea or thought, other forms of communication may be conveying the message, positive or negative.
Verbal Humor Paralanguage Body Language Touch Palpation Professional Appearance Physical Presence Visual Contact Methods of Communication*worksheet*
PERSONAL APPEARANCE & HYGIENE • Personal hygiene is as important as professional appearance. • Personal grooming sends a powerful message. • A patient will not communicate with someone with whom they do not desire to be in close contact.
Special Condition Patients • Traumatized Patients • Visually Impaired Patients • Speech and Hearing Impaired Patients • Non-English Speaking Patients • Mentally Impaired Patients • Substance Abusers
Children • Get down to child size • Kindness • Patience
Communication • The key to a successful exam for Technologist and Patient.
History Taking Chapter 12
Rad Tech’s Role in Clinical History • 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.
Desirable Qualities of the Interviewer • The art of healing, and it is directly related to the role of the radiologic technologist when taking a history. • Genuine interest in what the patient has to say, attentiveness, and an aura of professional competence can provide patients with a real sense of caring that can lead to healing.
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
Respect Genuineness Empathy Polite Professional demeanor Desirable Qualities for Establishing Open Dialogue
Leading Questions • This is an UNDESIRABLE method of questioning. Introduces biases into the history. Ex: Does the pain travel down your leg? • Better = Where does the pain start and where does it end?
Chief Complaint vs. Clinical History • 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.
Clinical Indication • Technologist must collect a focused history specific to the procedure being performed. • Several elements comprise a “complete history”. • Sacred Seven…
Key to a Successful Exam • Obtain the patient's cooperation by establishing an open dialogue for communication. • Gather an accurate clinical history. Make sure you are doing the right exam at the right time.
