MODULE 1 Flashcards by Cescel Mae Floresca

“Music of Language”
attitude while saying your content

Paralanguage

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Increase the quanti and quali of patient communication and improve history; eye contact

Positive non verbal cues

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Yawning, frowning or sneering
Head looking down

Negative non verbal cues

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Expresses physical behaviors and thoughts

Body language

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Exchange of information, thoughts, or messages using sign language, eye contact, and other than actual words

Non verbal Communication

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HIPAC

Health Insurance Portability Accountability Act

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Avoiding assumptions

Careful on crafting questions
Reward system
Tell the truth (no sugarcoating)

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How to adress patient

First name basis for anomity
Use ‘patient’ if not sure of its identity
Procedure

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Touch

For emphasis, show empathy
For palpation, use fingertips
DO NOT USE PALMS: offensive & inaccurate

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Professional appearance/ personal hygiene

Clip nails
Prevent body odor
Avoid strong perfumes

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Physical presence

Good posture to gain the confidence of our patient

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Visual contact

Maintain eye contact
However, it may not be welcome in all cultures

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Dr. Armand Brodeur

“To stand tall in pediatrics, you have to get down on your knees.”

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Implied consent

Used if patient in unconscious

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Most important people in healthcare team

Patient

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Physician

Sends the pt to hospi
Responsible for assessing pt
Prescribe therapeutic procedures

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Primary care physician/ General practioner

Give lab test, imaging test
Determine the results
Can be a referring physician

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Attending physician

Attending to the needs, treatment, medication of pt

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Referring physician

Refers the pt to other physician

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Interns

Recent medical school graduates gaining practical experience

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Fellows

Licensed physicians receiving advanced training

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Residents

Licensed physicians in an educational program to become certified in a speciality area

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Nurse

Carry out physician order
Interview

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CONSENT

Good Samaritan Law
Verbal Consent
Written/ Informed Consent
Implied Consent

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Not liable if he/she fies

Good samaritan law

Patient states their consent

Verbal consent

Signed by the patient or guardian

Informed/ Written consent

How to communicate with VISUALLY IMPAIRED PATIENTS

Communicate what we can see Provide cleae information Inform the patient what is to occur Gentle touch Don't talk loud

Hoe to communicate with SPEECH-IMPAIRED & HEARING-IMPAIRED PATIENTS

Pantomine and demo work well with hearing impaired pt Demo instruction Go to facilities offer deaf

Rapport

Close and harmonious rel between the radiographer & pt

Establishing rapport

Explain the procedure Proper attitude Provide privacy Provide comfort Provide clean & safe environment Secure patient's belongings

Good history taking involves collectiong of accurate and subjective information Improve communication between doctors and patients

Data Collection Process

Symptoms : Y = you Pertain to or perceived only by the affected individual

Subjective Data

Signs : I = i can see Can be seen of felt, such as lab reports

Objective Data

Questioning Skills

Open ended questions Facilitation Silence Probing questions Repetition Summarization

Let the pt tell the story Non directed/ Non leading

Open ended questions

Nod or say yes, okay, go on.. Encourages elaboration

Facilitation

To give the pt a time to remember Favilitates accuracy and elaboration

Silence

To focus the interview Provide more detail

Probing questions

Rewording

Repetition

Verifies accuracy

Summarization

Chief Complaint

Primary medixal problem defined by the pt

Sacred 7

for determining chied complaint

Enumerate Sacred Seven

Localization Chronology Quality Severity Onset Aggravating / Alleviating factors Associated manifestations

Defining as exact and precise an area as possible for the complaints

Localization

Time element history Duration: since osnet Freq: 50 x a day Course: symptoms should be established

Chronology

Describes the character of the symptoms Ex. color, consistency of fluids, type of cough, mass is palpable

Quality

Describe intensity, quantity, or extent of the problem Ex. intensity of pain, number of lesions or lumps, extenr of a burn

Severity

When did the prob begin?

Onset

Circumstances that produce the problem or intensity

Aggravating or Alleviating factors

Find out whether other symptoms accompany the chief complaint or in separate condition

Associated manifestations

Legal Consideration

1. Criminal Law 2. Civil Law

Civil wrong committed by one individual against the person or property of another

Tort

CLASSIFICATION of TORT

International & Unintentional

Threat of touching in a injurious way

Assault

Unlawful touching w/o consent

Battery

Unjustifiable detention of patient against his/her will

False imprisonment

Malicious spreading of info

Defamation

Slander

spoken or verbal

Libel Cyber libel: published online

written or published pic

Willful and intentional misintentional misrepresentation of facts

Fraud

Negligence

Failure to use such care

Elements of Medical Negligence

Duty to provide reasonable care Breach of duty Patient sustained lose or injury Injury/ loss is attributable to negligence

Plaintiff

suing party injured party one filing the case against defendant

Defendant

party being sued

Malpractice

outside your profession or mandate Ex. RT but giving prescription

Standard of Care

practice that is being done across all Ex. Ask for last mens cycle Check lab test (creatinine, BUM) Has asthma

Anaphylactic shock

severe allergy larengeal edema

Nephrotoxicity

Deterioration of kidnet function due to toxic medications or chemicals

Other legal theories

1 Res ipsa loquitor 2 Respondent superior

"The thing speaks for itself" Used to switch the burden of proof from the plaintiff to the defendant

Res ipsa loquitor

"The master speaks for the servant"

Respondent superior

Requires the hospital to be responsible for the quality of care delivered to patients in their facilities

Corporate Liability

Duty of reasonable care in:

Selection and retention of employees and medical staff Maintenance and use of equipment Availability of equipment and service

Both HC providers and patient's acrion contribute to an injury Patient is partly liable Ex. Not following instruction, did not drink his meds

Contributory negligence

ARRT

American Registry of Radiologic Technology

ASRT

American Society of Radiologic Technologists

Communication with patient

Adress the patient Avoid assumptions

Specialize in trauma and emergency situations

Emergency department physician

Diagnose and treat diseases of the gastrointestinal tract

Gastroenterologist

Treat pt in ICU

Intensivist

Specializes in internal organs

Internist

Specialist ear, nose, and throat

Oto rhino laryngo logist

Specializes in labor, pregnancy, delivery, and immediate postpartum care

Obstetrician

Diagnoses and treat problems in urinary tract and male reproductive system

Urologist

Elderly person

Geriatrician

For female reproductive system

Gynecologist