Patient Interactions

cleveland clinic if we could see inside other people's hearts https://www.youtube.com/watch?v=IQtOgE2s2xI

Maslow’s Hierarchy of Needs Student becomes Registered Radiographer Clinical skills have improved Senior student Awaiting acceptance from classmates, instructor, clinical site staff New student

Patient Needs Patient Dignity No longer feel in control Don’t know the exact state of their health Patient Dignity Cover with gown front and back Blanket or sheet over them Don’t leave them in waiting room if they have hospital clothing on Put them in a private hallway while they are awaiting transportation back up to their room Referring to the patient by their exam versus their actual name Having to share a room with critical patient

Patient assessment Review chart or procedure request for patient history and indications for the requested procedure Verbal communication Introduce yourself Explain the procedure Obtain a brief history

Inpatients Outpatients Admitted to the hospital for diagnostic studies or treatments What was their previous experience like Be aware that patients are listening in the hallway Outpatients Comes to the hospital or outpatient center for diagnostic treatment but does not occupy a bed Expect to be seen immediately because they have a scheduled appointment Make them aware that you know they are waiting

Methods of Effective Communication Verbal skills Speech and grammar Vocabulary used Clarity of voice Organization of sentences Face to face Focus attention on listener’s perception of the manner in which you are communication Be careful of humor used

Methods of Effective Communication Nonverbal Paralanguage Pitch of voice Stress Tone Pauses Speech rate Volume Accent quality

Body language Position of the speakers extremities and torso Don’t cross arms Do smile, make eye contact and use a friendly tone of voice

Let’s practice interacting with our patient State your name Ask the patients name/DOB Obtain a medical history Explain the procedure Give your partner feedback on how you felt about the interaction

Touch Emotional support- pat on the shoulder Emphasis- guiding pt to left side after you tell them Palpation-gentle use of fingertips. Ask for pts permission first

Professional Appearance Dress code Uniforms Helps the patient feel comfortable and confident in the technologists abilities Personal hygiene Patients suspect that the persons professional behavior is similar to his appearance Patient may be allergic to certain smells Review the Cambridge dress code policy

Various types of patients Traumatized patients Seriously ill Visually impaired Speech and hearing impaired Non English speaking Mentally impaired Substance abusers

Mobile examinations Identify the patient Identify yourself Explain the procedure Include the family in this conversation Ask family to step out during exposure and explain why

Pediatric patients Get down to eye level Patience Technical knowledge Understanding your patient Effective use of communication skills Immobilization devices toys

Mature adults (65 and older) Adolescents Focused on body awareness Modesty is important Mature adults (65 and older) Should not attempt to interact with them as geriatric patients Conversations center around life activities

Geriatrics Avoid talking loudly or using childish terms Use gentle handling and allow extra time for movements and verbal responses Paranoid of falling Uncomfortable on hard table Use pad Use radiolucent sponges Skin lacerations Be careful during patient transports Do not apply tape to sensitive skin Allow time for blood pressure adjustment when moving from supine to erect Give blankets for extra warmth

Terminally ill patients

Advanced directive Provides an individual means to direct health care if a situation occurs in which she is unable to make decisions Ventilator Feeding tube