rad 102 communication

To be a successful communicator you need these skills

• Listening

• Observing

• Speaking

• Writing

Identify patient

Name DOB scan wrist band

Guidelines for interaction

• introduce oneself

• Give explanation of exam

• What is expected of patient and what patient can expect from staff

Goal of patient history

Obtain necessary information to perform a safe and comfortable examination

Atmosphere

Ask questions and speak one both are seated and in a room

Procedure explanations

• detailed description of procedure

• Purpose of exam

• Amount of time

• Explanation of unusual equipment

• Follow up care

• If patient questions exam, dont start until problem is resolved

Getting patient history

Name, DOB

Pregnant?

Localization of problem

Chronology (how long has it been hurting?)

Quality

Onset

Aggravating or alleviating factors

Associated manifestations

Neonatal

Under 28 days

adolescent

12-19 years

Young adult

Under 45

Geriatric

65+

Culture

Socially inherited characteristics of group of people that go from one generation to the next

Paralanguage

Rate at which one speaks, the volume of the voice, fluency, and vocal patterns

Therapeutic Communication Techniques

• Establishing guidelines

• Reducing distance

• Listening

• Using silence

• Responding to underlying message

• Restating main idea

• Reflecting main idea

• Seeking and providing clarification

• Making observations

• Exploring

• Validating

• Focusing

Phases of grief

1) denial

2) Anger

3) Bargaining

4) Depression

5) Acceptance

Passive suicide

Refusal of treatment by a person who knows that refusal will lead to death

Active suicide

Taking ones own life consciously

Euthanasia

Painlessly putting to death a person suffering from an incurable and painful disease/ condition

Passive euthanasia

The ending of another persons life by withdrawing treatment

Active euthanasia

Ending of another persons life by an aggressive method to end suffering

Uniform determination of death act (1980)

• Irreversible cessation of circulatory and respiratory functions

• Irreversible cessation of all functions of the entire brain, including brainstem

• Physician has to declare death