Transcript patient communication

PATIENT
COMMUNICATION
Patient Communication
and Human Diversity
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Why become a Radiologic
Technologist ?
1.
Helping others
2.
Working with people
3.
Making a difference
4.
Thinking critically
5.
Demonstrating creativity
6.
Achieving results
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Patient Communication
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Human Diversity
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Patient Communication
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Abraham Maslow’s
Hierarchy of Needs
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Patient Dignity
1.
Patients are usually in the lower levels of
Maslow’s Hierarchy
2.
Must always be remembered and
respected
3.
Difficult to maintain dignity when ill
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Patient Communication
1.
Interacting with the patient
2.
Interacting with family and friends
3.
Methods of Effective Communication
4.
Age as a factor in Patient Interactions
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When a
technologist meets
a patient for the first
time……
-anxiety
-regressive behavior
-trauma/loss
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Patient Communication
 Therapeutic
 Dissonance
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Methods of Communication
1.
Verbal
2.
Humor
3.
Paralanguage
4.
Body Language
5.
Touch (Palpation)
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Verbal Communication
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____________
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Paralanguage
 Defines
all of the audio information in a
conversation beyond word choice
 Simply
listening to someone’s voice, even
if you can’t make out the words, conveys
their emotional state
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Body Language

You could be talking to someone and your body
language will convey something else entirely.

Make eye contact occasionally you show an interest
in that person and in what he or she is saying.

A smile sends a positive message. Smiling adds
warmth and confidence about you.

Arms crossed or folded over your chest say that you
have shut other people out and have no interest in
them or what they are saying.

Placing your arms at your side can make you look
and feel confident and relaxed to other people
around you.
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Body Language
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Touch and Palpation
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Radiographer’s Responsibility
1.
Introduction
2.
Explanation of exam
3.
Inform patient how they will receive
their results
4.
Get pertinent patient history
5.
Risks of examination
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Rad Tech’s Role in Clinical Hx
1.
Extract as much history as possible
2.
Radiologists often do not even speak
with the patient.
3.
Radiologist can be focus on anatomy of
interest
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Pertinent Patient History
1.
Respect
2.
Genuineness
3.
Empathy
4.
Polite
5.
Professional
demeanor
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Data Collection
1.
Objective: Signs that can be seen
2.
Subjective: Perceived by the affected
individual
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Questioning Skills
1.
Open-ended questions
2.
Facilitation – encourages pt to elaborate
3.
Silence – give pt time to remember
4.
Probing questions – focus interview, provide
more information
5.
Repetition – rewording, clarifies info
6.
Summarization – verifies accuracy
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Abraham Maslow’s
Hierarchy of Needs
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Sacred Seven
1.
Localization
2.
Chronology
3.
Quality
4.
Severity
5.
Onset
6.
Aggravating or Alleviating Factors
7.
Associated Manifestations
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Localization
 Defining
exact area
of patient
complaint
 Carefully
questions
worded
 Palpation
needed
as
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Chronology
 Duration
 Frequency
 Course
of symptoms
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Quality
 Color
and
consistency of fluids
 Size
of bumps and
lesions
 Type
of pain
 Burning,
throbbing,
dull, sharp, cutting,
aching, radiationg,
pressure or crushing

Number of bumps or
lesions?

Pain on number
scale? (1-10)

The degree of a burn?
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Severity
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Onset
 What
 Was
was PT doing when illness began?
there an aura before the migraine?
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Aggravation or
Alleviating Factors
 For

example
Lying down headache goes away?
 Putting
ice on it reduces swelling?
 Pain
intensifies when walking?
 Pain
stops when sitting?
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Associated
Manifestations
 Other
illness
symptoms that happen with this
 May
describe loss of feeling in fingers as a
part of diabetes
 May
describe an aura as part of a seizure
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You never know what you are
going to get…
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Human Diversity
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Human Diversity
 Differences
in
human beings

Include many
characteristics
 Not
limited to
any one
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Types of Diversity
Age
Ethnicity
National origin
Race
Gender
Sexual orientation
Mental ability
Physical ability
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Cultural Diversity and Health
Care
 We
All Have It!
 Obvious Manifestations:




Religion
Ethnicity (Race?)
National Origin (language)
Gender
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Cultural Diversity and Health
Care
 Less

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
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Obvious Manifestations:
Age
Education
Educational Status
Mobility (including handicaps)
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Cultural Diversity and Health
Care
It is because we are
different that each of us
is special.
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Gerontology
 The
study of aging and diseases of the
elderly.
 By
the end of the 20th century 33 million,
more than 12% of total population.
 In
1900 only 4%, of population
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