Transcript Patient Care - El Camino College

Patient Care
Human diversity, patient interactions, history taking
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Patient Care Part I and II
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Human Diversity
Patient Interactions
Patient History taking
Infection control
Aseptic Technique
Vital Signs
Medical Emergencies
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Terminology
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Diversity
Gerontology
Pertinent
Cultural
Empathy
Demeanor
Objective
Subjective
Open-ended
Aseptic technique
Patient history
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Vital signs
Localizations
Chronology
Allleviating factors
Associated manifestations
Maslow’s hierarchy
Therapeutic
Dissonance
Paralanguage
palpation
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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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Human Genome Project 2001-every human has 99.9% of the
same genetic code indicating that all humans have the same
genetic ancestor, originating in Africa
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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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Cultural Diversity and Health
Care
• We All Have It!
• Obvious Manifestations:
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Religion
Ethnicity (Race?)
National Origin (language)
Gender
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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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Patient Interactions
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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Patient Communication
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Interacting with the patient
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Interacting with family and friends
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Methods of Effective Communication
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Age as a factor in Patient Interactions
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Abraham Maslow’s
Hierarchy of Needs
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Patient Dignity
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Patients are usually in the lower levels of Maslow’s
Hierarchy
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Must always be remembered and respected
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Difficult to maintain dignity when ill
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Patient Communication
• Therapeutic
• Dissonance
Methods of16Communication
1. Verbal
2. Humor
3. Paralanguage
4. Body Language
5. Touch (Palpation)
Verbal Communication
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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
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Touch and Palpation
Patient History Taking
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Extract as much history as possible for the exam.
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Radiologists often do not even speak with the patient.
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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
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Objective: Signs that can be seen
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Subjective: Perceived by the affected individual
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Questioning Skills
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Open-ended questions
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Facilitation – encourages pt to elaborate
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Silence – give pt time to remember
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Probing questions – focus interview, provide more
information
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Repetition – rewording, clarifies info
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Summarization – verifies accuracy
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Sacred Seven
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Localization
Chronology
Quality
Severity
Onset
Aggravating or Alleviating Factors
Associated Manifestations
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You never know27 what you are
going to get…