RTEC-A WK – 12 2009 Patient Skills & Communication

RTEC-ARTEC-AWK – 12 2009WK – 12 2009

Patient Skills & Patient Skills & CommunicationCommunication

COMMUNICATIONCOMMUNICATION

Patient CommunicationPatient Communication

Interacting with the patientInteracting with the patient

Interacting with family and friendsInteracting with family and friends

Methods of Effective CommunicationMethods of Effective Communication

Age as a factor in Patient InteractionsAge as a factor in Patient Interactions

Radiologic TechnologistRadiologic Technologist

Helping othersHelping others

Working with peopleWorking with people

Making a differenceMaking a difference

Thinking criticallyThinking critically

Demonstrating creativity Demonstrating creativity

Achieving resultsAchieving results

Abraham Maslow’s

Why is this important?Why is this important?PATIENT NEEDSPATIENT NEEDS

Altered states of consciousnessAltered states of consciousness

EnvironmentEnvironment

Fear of unknownFear of unknown

VulnerableVulnerable

Coping MechanismsCoping Mechanisms

Patient DignityPatient Dignity

Patients are usually in the lower Patients are usually in the lower levels of Maslow’s Hierarchy levels of Maslow’s Hierarchy

Must always be remembered and Must always be remembered and respectedrespected

Difficult to maintain dignity when illDifficult to maintain dignity when ill

No No’s…..No No’s…..

Referring to a patient as: Referring to a patient as:

“ “the chest in room 2”the chest in room 2”

Always use the patients name!Always use the patients name!

HIPAA Laws - Only discuss what you must HIPAA Laws - Only discuss what you must know to do your job. know to do your job.

Classification of PatientsClassification of Patients

InpatientsInpatients

OutpatientsOutpatients

– Family Family

– FriendsFriends

Methods of CommunicationMethods of Communication

VerbalVerbal

HumorHumor

ParalanguageParalanguage

Body LanguageBody Language

TouchTouch– PalpationPalpation

Professional Professional AppearanceAppearance

Physical PresencePhysical Presence

Visual ContactVisual Contact

Six Components of CommunicationSix Components of Communication

MessageMessage

Source Source

ChannelChannel

ReceiverReceiver

ContextContext

FeedbackFeedback

Radiographer’s Responsibility

Introduction

Explanation of exam

Inform patient how they will receive their results

Risks of examination

Rad Tech’s Role in Clinical Hx

Extract as much history as possible

Radiologists often do not even speak

with the patient.

Radiologist can be focus on anatomy of interest

Desirable Qualities for Establishing Open Dialogue

Respect

Genuineness

Empathy

Polite

Professional demeanor

Data Collection

Objective: Signs that can be seen

Subjective: Perceived by the affected individual

Questioning Skills

Open-ended questions

Facilitation – encourages pt to elaborate

Silence – give pt time to remember

Probing questions – focus interview, provide more information

Repetition – rewording, clarifies info

Summarization – verifies accuracy

Leading Questions

This is an UNDESIRABLE method of questioning. Introduces bias to history

Chief Complaint

Focuses attention to the single most important issue.

Patients often have many complaintsFocus on primary reason for exam

Clinical Indication

Tech must collect a focused history.

Several elements comprise a “complete history”.

Sacred Seven

Sacred Seven

1. Localization

2. Chronology

3. Quality

4. Severity

5. Onset

6. Aggravating or Alleviating Factors

7. Associated Manifestations

You never know what you are going to get?

Special Condition PatientsSpecial Condition Patients

Traumatized PatientsTraumatized Patients

Visually Impaired PatientsVisually Impaired Patients

Speech and Hearing Impaired PatientsSpeech and Hearing Impaired Patients

Non-English Speaking PatientsNon-English Speaking Patients

Mentally Impaired PatientsMentally Impaired Patients

Substance AbusersSubstance Abusers

GerontologyGerontology

The study of aging and diseases of the The study of aging and diseases of the elderly.elderly.

By the end of the 20By the end of the 20thth century 33 century 33 million, more than 12% of total million, more than 12% of total population.population.

In 1900 only 4%, of populationIn 1900 only 4%, of population

Key to a Successful ExamKey to a Successful Exam Plan of actionPlan of action

Systematic problem-solving processSystematic problem-solving process Assessment of dataAssessment of data

Setting a goalSetting a goal

Establishing a planEstablishing a plan

Safety in completing assignmentSafety in completing assignment Evaluating the work Evaluating the work

CommunicationCommunication

The key to a successful exam for The key to a successful exam for Technologist and Patient.Technologist and Patient.