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Patient Care. Human diversity, patient interactions, history taking. Patient Care Part I and II. Human Diversity Patient Interactions Patient History taking Infection control Aseptic Technique Vital Signs Medical Emergencies. Terminology. Diversity Gerontology Pertinent Cultural
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Patient Care Human diversity, patient interactions, history taking
Patient Care Part I and II • Human Diversity • Patient Interactions • Patient History taking • Infection control • Aseptic Technique • Vital Signs • Medical Emergencies
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
Human Diversity • Differences in human beings • Include many characteristics • Not limited to any one
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
Cultural Diversity and Health Care It is because we are different that each of us is special.
Cultural Diversity and Health Care • We All Have It! • Obvious Manifestations: • Religion • Ethnicity (Race?) • National Origin (language) • Gender
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
Patient Interactions • Introduction • Explanation of exam • Inform patient how they will receive their results • Get pertinent patient history • Risks of examination
Patient Communication • Interacting with the patient • Interacting with family and friends • Methods of Effective Communication • Age as a factor in Patient Interactions
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
Patient Communication Therapeutic Dissonance
Verbal Humor Paralanguage Body Language Touch (Palpation) Methods of Communication
Verbal Communication Stress, pain, worry
____________ Very dangerous !.!.!
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
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
Pertinent Patient History • 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
Sacred Seven • Localization • Chronology • Quality • Severity • Onset • Aggravating or Alleviating Factors • Associated Manifestations
