RAD-128 Ch.3 Patient Assessment & Communication

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  1. define health
    the status of an organism functioning without any evidence of disease or disfigurement
  2. what do all humans seek to maintain a high level of?
    well being
  3. Since perfect health is almost nearly unachievable, what is health considered on a spectrum?
    a continuum (which means there are different aspects of health)
  4. what are the five aspects of basic human need?
    • physiological needs (life sustaining - food water sleep)
    • safety and security (shelter & safe living conditions)
    • belongingness & affection
    • esteem & self respect
    • self-actualization (spiritual growth)
  5. what 4 categories are required for learning
    cognitive, effective and psychomotor, didactic skills
  6. what is the hallmark of an excellenct radiographer?
    the ability to achieve a positive diagnostic or treatment result in a timely, efficient manner whule meeting the unique needs of the individual patient
  7. what 6 things does criticial thinking require?
    • ability to:
    • interpret
    • analyze
    • evaluate
    • infer
    • explain
    • reflect
  8. what is "recall" in the modes of thinking section
    knowledge of scientific facts that you can recall at a moments notice while with parents
  9. what is habit" in the mode of thinking
    becoming accustomed to performing a skill without deep thought b/c of repittion

    developing habits that make for efficient practice of learned skills
  10. what is inquiry in the "modes of thinking"
    using the skills of recall and habit along with higher modes of thinking

    to process information thoughtfully and be willing and able to recognize, explore, and challenge assumptions to make sense of complex ideas
  11. what is creativity in the "modes of thinking"
    it is used to solve individual problems and to prevent causing the patient discomfort or pain

    using alternative methods of performing tasks or accomplishing a procedure that is more efficient or less traumatic
  12. what are the two types of data collection
    subjective and objective data
  13. what is subjective data in data collection
    anything that the patient says "spoken words"

    patient might say "i had an xray, they gave me medicine in my vein that me itch all over"
  14. what is objective data in data collecting
    anything that the radiographer observes like hearing seeing reading on patients chart, feels or smells
  15. what method requires all levels of critical thinking
    data analysis
  16. what must the radiographer do when data collection has been complete
    performing the exam with quality images, patient comfort and safet and efficiency
  17. what concept requires all modes of thinking
    planning and implementation
  18. what concept depends on the patients problems and the need for assistance to achieve the desired goal safely
    implementation of the plan
  19. what are the 3 steps in "planning and implementation"
    • make the plan
    • establish the goal
    • and acquire patient safety during implementation
  20. what are the evaluation questions the radiographer must think about?
    **Pt’s needs met?           **Any problems?**Safety maintained?      **Improvements?**Skin still intact?           **Use CT skills?  **Did pt. experience pain?
  21. define culture
    • A shared system of beliefs, values and behavioral expectations that provide social structure in daily living.
    • habits and routines, ethnicity, customs and rituals
  22. what 2 factors play a mjor role in assessing the patient ?
    culture and ethnicity
  23. what other aspects of in cultural diversity play a role in assessing the patient
    • culture - what are the customs and values of this patient that may affect my treatment of this patient
    • sociological - what are the patients economic status, educational background, and family structure
    • psychological - how will the patients self concept and sexual identity affect my plan of care
    • physiological and biological - are there anatomical or racial aspects of this patient that may affect my plan of care? are these disease factors to consider?
  24. what 2 factors are a part of the radiographers assessment and plan of care?
    cultural and ethnic diversity
  25. what are the patient expectations of the radiographer
    • concerned
    • clean well groomed
    • professional
    • delivery of qulaity care
  26. what major aspect has an impact on the patients health care
    problems of communication
  27. what are the skills needed to be a successful communicator
    • listening
    • observing
    • speaking
    • writing
  28. what are the 4 elements of self concept
    • body image
    • role
    • identity
    • self esteem
  29. what is self concept
    how we see our selves (self acceptance & achivement and having a positive self concept is good)
  30. what is self esteem?
    our personal worth based on feedback from behavious in our life which is the goal of self acceptance
  31. what can change body image
  32. under self concept what do seem to change thoruought our lifes depending on situation, circumstances etc...
  33. what rarely changes the deals with self concept
  34. what is the nonverbal aspects of communication
    all stimuli other than the spoken word involved in communication
  35. what factor must the radiographer be aware of in the manner of communication upon the patient?
  36. what must the radiographer avoid in regards to gender factors
    sexual innuendoes
  37. what is paralanguage
    has to do with the sounds of speed, rather than the content
  38. what is the percentage of each verbal communication nonverbal and paralanguage
    • verbal comm = 7%
    • non verb comm = 55%
    • paralanguage = 38%
  39. what is a key factor in maintain a positive clinical experience
  40. what are basic guidelines in establishing interaction with patient
    • –Introducing oneself to the patient
    • –Give an explanation of the exam
    • –Give an explanation of what is expected of the patient and what the patient can expect from the imaging staff
  41. what are some factors the cloud or block communication between you and the patient
    • complex terminology
    • understanding of english
    • changing the subject
    • not listening to patient
    • nosy waiting room
    • rapid speech
    • failure to explore by questioning
  42. what is the goal of obtaining patient history
    getting necessary information to perform a safe and comfortable examination
  43. what factors must the patient have a right to question as he or she is instructed
    –A detailed description of the procedure

    –A description of the purpose of the exam

    Approximate amount of time to complete the exam

    An explanation of any unusual equipment

    Follow up care after the procedure is complete

    –If the patient questions the exam, do not begin until the problem is resolved
  44. what are all the phases of loss & grief and explain
    p1 denial - experiences denial from knowledge of terminal illness, pt usually senses it before doc comes

    p2 anger - pt is verified of illness, pt is angry, begins to lash out at family or HCW, feels an injustice, anger is therapeutic for patient, not to take personally on HCW

    p3 bargaining - pt is a good patient, he/she follows medical advice becomes submissive, experience feelings of guilt and they may seek alternative treatments

    • p4 depression - patient accepts reality of the situation, begins to mourn, pt is often quite and submissive
    • Give support

    • p5 acceptance - loss of interest outside world, desire to discuss grief, can last a yr or 2, attempts rehab, deals with the suffering
    • HCW role = quite support relfective communication, be understanding
  45. when was the patient self determination act was made a law
  46. what is an advanced directive
    legal documents that are given by a person while in a healthy state concerning wishes at a time of death
  47. what are advanced directives apart of
    the patients chart
  48. what is an advanced directive that is the oldest and is rquested at the time of the death
    • living will
    • usually happens when there are no more measures to prolong life and no chance of recovery
  49. what is the DNR or No Code
    do not resuscitate - means that no CPR (chest compressions, cardiac drugs, or placement of a breathing tube) will be performed

    it is part of the legal document that staes no CPR or other life saving measures are implented if the need may arise
  50. what is the DPOA
    dual power of attorney is used when the patient authorizes another to carry out his/her wishes
  51. what is the DNI and Full code
    Do not intubate order means that chest compressions and cardiac drugs may be used, but no breathing tube will be placed

    CPR (code blue)
  52. what is stress
    it has various forms but it affects a perons ability to maintain his or her health status at a high level
  53. what are basic needs
    mandatory necessities
  54. what are the higher modes of thinking
    and the lower
    • inquiry and creativity
    • recall and habit
  55. what are the problem solving requirements
    • data collection
    • data analysis
    • planning
    • implementation
    • evaluation
  56. where are theoretical concepts learned from?
    they are learned and recalled from the classroom
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RAD-128 Ch.3 Patient Assessment & Communication
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