1. Patient Interactions

2. cleveland clinic if we could see inside other people's hearts

3. 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

4. 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

5. 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

6. 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

7. 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

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

9. 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

10. 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

11. 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

12. 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

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

14. 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

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

17. 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

18. 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

19. Terminally ill patients

20. 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