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Patient Care

Patient Care

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Patient Care

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  1. Patient Care Human diversity, patient interactions, history taking

  2. Patient Care Part I and II • Human Diversity • Patient Interactions • Patient History taking • Infection control • Aseptic Technique • Vital Signs • Medical Emergencies

  3. Terminology • Diversity • Gerontology • Pertinent • Cultural • Empathy • Demeanor • Objective • Subjective • Open-ended • Aseptic technique • Patient history • Vital signs • Localizations • Chronology • Allleviating factors • Associated manifestations • Maslow’s hierarchy • Therapeutic • Dissonance • Paralanguage • palpation

  4. Human Diversity • Differences in human beings • Include many characteristics • Not limited to any one

  5. Types of Diversity

  6. 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

  7. Cultural Diversity and Health Care It is because we are different that each of us is special.

  8. Cultural Diversity and Health Care • We All Have It! • Obvious Manifestations: • Religion • Ethnicity (Race?) • National Origin (language) • Gender

  9. 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

  10. Patient Interactions • Introduction • Explanation of exam • Inform patient how they will receive their results • Get pertinent patient history • Risks of examination

  11. Patient Communication • Interacting with the patient • Interacting with family and friends • Methods of Effective Communication • Age as a factor in Patient Interactions

  12. Abraham Maslow’s Hierarchy of Needs

  13. Patient Dignity • Patients are usually in the lower levels of Maslow’s Hierarchy • Must always be remembered and respected • Difficult to maintain dignity when ill

  14. Patient Communication Therapeutic Dissonance

  15. Verbal Humor Paralanguage Body Language Touch (Palpation) Methods of Communication

  16. Verbal Communication Stress, pain, worry

  17. ____________ Very dangerous !.!.!

  18. 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 pitch volume speed

  19. Body Language

  20. Touch and Palpation

  21. Patient History Taking • Extract as much history as possible for the exam. • Radiologists often do not even speak with the patient. • Radiologist can be focus on anatomy of interest

  22. Pertinent Patient History • Respect • Genuineness • Empathy • Polite • Professional demeanor

  23. Data Collection • Objective: Signs that can be seen • Subjective: Perceived by the affected individual

  24. 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

  25. Sacred Seven • Localization • Chronology • Quality • Severity • Onset • Aggravating or Alleviating Factors • Associated Manifestations

  26. You never know what you are going to get…