Chapter 11 Flashcards

1
Q

As a rad tech, it’s important to understand:

A

Emotions

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2
Q

What is emotional intelligence?

A

Ability to evalute, perceive, and control emotions

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3
Q

How should you communicate with patients?

A

Using care and empathy

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4
Q

What are personal needs?

A

Have our own needs to satisfy our career ambitions

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5
Q

What is the theory of Maslow’s hierarchy of needs?

A

People strive from a basic level of physiological needs toward a level of self-actualization. Each level must be satisfied before proceeding to the next.

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6
Q

What are the 7 levels of Maslow’s hierarchy of needs?

A

Physiologic
Safety
Belongingness & Love
Esteem
Need to Know & Understand
Aesthetics
Self-Actualization

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7
Q

Physiologic need:

A

Largest most fundamental needs

Food, shelter, clothing, sexual gratification

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8
Q

Safety need:

A

Employment, health, and property

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9
Q

Belongingness & Love need:

A

Family and friendship

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10
Q

Need to Know & Understand need:

A

Conginitive need of the academic

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11
Q

Aesthetics need:

A

Emotional need of the artist

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12
Q

Self-actualization need:

A

Highest need

Confidence in who you are and what your goals are

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13
Q

Esteem need:

A

Self confidence and respect for self and others

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14
Q

Power a Rad Tech has over a patient:

A

Dignity
Self respect

Acknowledge how patient is feeling

Lack of satisfaction in level 1 can cause a patient to be unable to satisfy the other needs

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15
Q

What is impatient?

A

Admitted to the hosptial for diagnostic studies or treatment.

Occupy a bed for longer than 24 hours

Before arriving, they have been up & down hierarchy of needs

Must gain their confidence - always watching and listening

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16
Q

Define outpatients:

A

Patient has to come to the hosptial or outpatient center for diagnostic testing or treatment - no overnight stay.

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17
Q

One of the most challenging parts of the job is getting patients to:

A

Cooperate

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18
Q

Read and call or report order:

A

Let patient go

Radiologist reads and calls referring doctor or report issue to referring doctor

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19
Q

Hold and call or STAT order:

A

Radiologist reads while patient stayts there

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20
Q

Methods of communication:

A

Verbal
Nonverbal
Touch

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21
Q

Verbal communication (how to talk to patient):

A

Introduce yourself
Humor
Organizational vocabulary (sentence structure)
Speech and grammer

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22
Q

Nonverbal communication:

A

Paralanguage
Body language

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23
Q

What is paralanguage?

A

“Music of language” - you send signals by use of tone, speech, rate, pitch, stress, and volume

24
Q

3 types of touch

A

Emotional
Emphasis
Palapation

25
What is emotional touch?
Conveys trying to be empathetic
26
What is emphasis touch?
Touch for highlight or specific instructions
27
What is palpation touch?
Light pressure for landmarks Communicate to patients what you are doing
28
Aggressive vs. Assertive
Aggressive: rough handling, hurrying, being pushy Assertive: calm, persuasive, firm expression of feelings
29
How to understand seriously ill and traumatized patients?
Determine coherent level; work quickly and efficiently Continue to talk to the patient and explain procedures
30
How to understand visually impaired patients?
Explain the procedure; reassure with touch
31
How to understand speech and hearing impaired patient?
Write things down Pantomime instructions
32
How to understand mentally imparied patients?
Use a strong yet reassuring voice Not apporiate to send back to ER if patient cannot do exam or patient uncooperative
33
How to handle infants?
Hold in familiar positions Most like a tight blanket Soothing voice 8 months on - have anxiety being separated from parents 1 year olds can have vivid memories of medical experiences
34
How to handle toddlers(1-3)?
Live in the here and now Familiar words are more effective
35
How to handle Pre-schoolers (3-5)
Not able to understand reason, or cause and effect Must see or hear something to understand Will not let you hold them unless you can win their trust
36
How to handle school age children (5-10)?
Begin to think logically and analyze Fear of injury, disease, death and punishment Can help rationalize why it is good to get exam
37
How to handle Adolescents (10-25 years)?
Early adolescence: body awareness and modesty is important Middle adolesence: peer groups important - dev. independence, want to be treated as adult Late adolescense: mature relationships, financially secure, treat as adults
38
How to handle young adults (25-45)?
New roles and responsibilites, may neglect one area to handle for another
39
How to handle middle aged (45-65)?
Found their place in life When sick their place in life is threatened
40
How to handle mature adults (65+)?
Treat as middle aged becuase they are not on their way out
41
What is Gerontology/Geriatrics?
The study of aging and diseases of older adults
42
Gerontology Aging Categories
Young-old (65-75); healthy and active Old-old (75-84); transitional Oldest-old (85+); frail and infirm
43
What is primary aging?
Gradual, inevitable aging process that begins in childhood and goes through old age
44
What is secondary aging?
Aging from disease, abuse and disuse. This type of aging is within control of the individual
45
Physical changes of the nervous system:
Slowing of psychomotor responses, and slowing of visual acuity and process of information Need to give time to move
46
Physical changes of the respiratory system?
Patient has decreased cough reflex Avoid aspiration - give time to drink and swallow
47
Physical changes of the musculoskeletal system?
Osteoporosis Patient has potential for falls Decreased tolerance for hard table top
48
Physical changes of the cardiovascular system?
Decreased cardio efficiency Avoid orthostatic hypotension by allowing to sit up before standing Avoid chills
49
Physical changes of the integumentary system?
Loss of skin texture and elasticity Avoid skin abrasions/lacerations
50
Physical changes of the GI system?
Decrease in secretions, loss of GI motility, and decreased sphincter muscle tone Expect delays in small bowel studies
51
What is patient autonomy?
Patient has opinion about what health care they want to receive. Make decisions with their doctor about how symptoms controlled and how conscious they want to be at the end
52
What is advanced healthcare directives?
Patient states wishes beforehand if becomes unable to make decisions later
53
What is a living will?
Patient legally states what wishes are
54
What is health care proxy?
Power of Attorney. Patient chooses someone to make decisions for them
55
What is CT and how is a patient prepped?
Used higher dose of ioning radiation. IV contrast or Oral will be requested to be NPO or nothing by mouth 4 hours prior
56
Pros/Cons of ultrasound?
Good for visualizing body's internal organs Not useful for imaging bone or the air filled bowel
57
What is Bone Densitometry and what is the prep for patient?
Uses ionizing radiation to measure bone density. No calcium or tums 24 hours before scan