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RTE1000 > Patient Care and Communication > Flashcards

Patient Care and Communication Flashcards

1
Q

Define Health

A

WHO defined human health as a “state of complete, physical, mental and social well-being and not merely the absence of disease or infirmity.

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2
Q

Holistic Medicine

A

Natural. Treating whole health, not just physical.

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3
Q

Patient Definition

A

A healthcare recipient who is ill or hospitalized.

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4
Q

Client Definition

A

A recipient of healthcare regardless of their state of health.
“Customers” or “Consumers”

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5
Q

Physical Health

A

Physical manifestations of symptoms that produce a condition.

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6
Q

Spiritual Health

A

Can be a significant part of their state of health.

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7
Q

Intellectual Health

A

Cognitive abilities.

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8
Q

Emotional Health

A

Family, Friends, Connections…

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9
Q

Empathy Definition

A

Ability to understand and share the feelings of another

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10
Q

Sympathy Definition

A

Feelings of pity and sorrow for someone else’s misfortune.

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11
Q

Apathy Defnition

A

Lack of interest, enthusiasm, or concern.

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12
Q

Autonomy Definition

A

Freedom from external control or influence; independence.

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13
Q

Assessment Definition

A

Evaluation or estimation of the nature, quality, or ability of someone or something (collecting pt. history).

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14
Q

Maslow’s Hierarchy of Needs

A
  1. Physiological Needs… Food, Shelter, Oxygen.
  2. Safety and Security
  3. Need to be loved and give love
  4. Self-Esteem: accepted by others
  5. Self-Actualization: Creative, Confident, Successful.
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15
Q

Patient Safety

A

Above All, do not harm.

Position for comfort and safety during exams.

Problem-Solving: Critical Thinking

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16
Q

Patient Assessment

A

Physical Status
Emotional Status
Patient Comprehension
Cultural Diversity

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17
Q

Critical C’s

A

Compassion
Caring
Communication
Competence
Confidentiality
Compliance
Confidence
Charting
Critical Thinking

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18
Q

Compassion/Caring

A

Patient Dignity
Patient Respect
Patient Autonomy
Empathy

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19
Q

Competence

A

Obtain pt. History
Positioning Skills
Knowledge of Procedures
Exposure/Technique Skills
Equipment Use
Critical Thinking and Problem Solving

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20
Q

Compliance

A

Follow Policy and Procedure of the Department and Hospital

Work within your scope of practice

Standard of Care

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21
Q

Patient Interview/History

A

Obtaining an accurate pt. history is part of every exam

Radiologists need this info to help interpret images

Save time by taking history while prepping for exam

Chief Complaint: Primary medical problem as determined by pt.

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22
Q

Questioning Skills

A

Open Ended Questions: Let pt. tell the story

Facilitation (nod, “yes”, “ok”) encourages elaboration

Silence: Gives time for pt. to remember

Probing Questions: Provides more Detail

Repetition: Clarifies info

Summarization: verifies accuracy

23
Q

Elements of Clinical History

A

Localization
Chronology
Quality
Severity
Onset
Aggravating or Alleviating Factors
Associated Manifestations

24
Q

Localization

A

Precise area of pt’s complaint

25
Q

Chronology

A

Duration since onset, frequency, and course of symptoms

26
Q

Quality

A

Describes character of symptoms

27
Q

Severity

A

Intensity, Quantity, or extensiveness of the problem

28
Q

Onset

A

What the pt. was doing upon onset of symptoms

29
Q

Aggravating or Alleviating Factors

A

What makes it worse or better?

30
Q

Associated Manifestations

A

Are other symptoms related to chief complaint?

31
Q

Confidence

A

Become unconsciously competent to become confident

Confidence instills pt’s trust

32
Q

Confidentiality

A

Privacy

HIPAA: Health Insurance Portability and Accountability Act

33
Q

HIPPA: Health Insurance Portability and Accountability Act

A

Failure to abide by HIPPA Mandates may lead to disciplinary procedures, termination, jail.

34
Q

Charting

A

pt’s chart is a legal document

Use blue/black ink

Initial Entries

Don’t use whiteout - make one line through mistake and initial

Maintain confidentiality

35
Q

Communication

A

Verbal: Clarity, tone of voice, avoid med terms, pt. fears

Non-Verbal: Body language, touch, listening

Flexibility/Adaptability

36
Q

Touch

A

Most often considered therapeutic.

Indicated for palpation of positioning, emotional support, emphasis of communication.

*Beware of cultural differences

37
Q

Communicating with Culturally Diverse Patients

A

Show Respect
Treat Equally
Be Aware of verbal and non-verbal cues
Ask for Clarification
Use Pantomime
Use Interpreter
Be Assertive

38
Q

Aphasic Patients

A

Don’t speak loud
Use flashcards
Ask “yes” “no” questions
Be Patient
Use pad and pencil

39
Q

Chemically Dependent Patients

A

Be Patient
Prepare for Combative, Disoriented, and Agitated Behavior.
Varies w/ drug.

40
Q

Geriatric Patients

A
  • Address by name, not pet names.
  • Don’t assume they are hard of hearing.
  • Takes more time to complete exam.
  • Ask for clarification of instructions
  • Be aware of decubitus ulcers (bed sores)
  • Atrophy (loss of muscle)
  • Comfort and Safety
  • Fear of falling
41
Q

Young Adults/Teens

A

Modesty
Privacy
Parental Involvement for consent

42
Q

Pediatric Patients

A

Get on eye level
Simplify Language
Give a toy
Parents: Can help hold
Never say hurt

43
Q

Trauma Patient

A
  • Monitor, Assess, Evaluate
  • Never leave unattended
  • Avoid Aspiration
  • Be aware of spinal injury precautions
  • STAT (Within 30 mins)
44
Q

Things to look for with Trauma Patients

A

Head Injuries
MVA
GSW
MI
CVA
AMA

45
Q

Triage

A

Sort patients by injury and need of medical attention

46
Q

MVA

A

Motor Vehicle Accident

47
Q

GSW

A

Gunshot Wound

48
Q

MI

A

Myocardial Infarction (Heart Attack)

49
Q

CVA

A

Cerebrovascular Accident (stroke)

50
Q

AMA

A

Against Medical Advice (Typically discharge)

51
Q

Terminally and Chronically Ill Patients

A

Hospice Care
Palliative Care
Loss of Autonomy

52
Q

Common fears of Terminally and Chronically Ill patients

A

Illness is punishment
Burden to family
Less valuable person
Isolation

53
Q

Kubler-Ross Grieving Process

A

Denial: acting as if nothing is wrong/cannot deal with treatment decisions

Anger: pts and family will act out their anger towards others

Bargaining: pts and family accept reality and become open to suggestions for medical treatment

Depression: Finally realizing impending loss

Acceptance: final stage (aware of mortality)

RTE1000 (7 decks)

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