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Exchange of information, thoughts or messages |
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Definition
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effective communication greatly improves the quality of radiologic ________ as well as ______________ |
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Definition
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Obtanining the patient's _____________ is one of the most challenging and most important parts of a radiologic technologist's role. |
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Definition
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Communication from the technologist often determines the patients __________ of the radiology department |
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Definition
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Patient assessment consists of three things, what are they? |
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Definition
Review the chart or the procedure request, patient history, contraindications for the procedure |
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Term
someone who has come to the hospital or center for diagnostic testing or treatment but does not occupy a bed |
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Definition
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connection' harmonious or sympathetic relation |
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_____________ says as much about you as a person as your technical abilities do about your competence |
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Definition
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For seriously ill and traumatized patients you need to work ________________. |
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Definition
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Term
How would you communicate with a deaf of hearing impaired pateint? |
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Definition
Pantomime/demonstrate, written language |
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Term
Even if a patient is mentally impaired, in a coma, or can't respond, should you always talk to them and talk them through each step? |
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Definition
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Should you always use the patients name, intruduce yourself and explain the prcedure if the patient is incapable of interacting? |
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Infants first communications are established with _______________ and body movements. |
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at about 8 months of age, children start experiencing ___________________, so minimize separation from parents when possible. |
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Definition
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With toddlers, Thinking is related to _____________ |
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Definition
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School aged children age range |
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Definition
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Term
Around seven years of age, children begin to think logically and _______________________ |
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Definition
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Term
with school aged children, exams may be perceived as ________. |
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Term
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Definition
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With adolescents (very self conscious) ____________ is very important, so ask personell to leave the room during exams, let them change in privacy. |
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With adolescents, conversation including _____________ eases tension |
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Definition
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Younger adolescents often revert to _________________ when nervous |
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Definition
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Young adult age groups, healthcare may be an ______________. |
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Definition
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middle aged adults age group |
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Definition
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with middle aged adults, poor health or threat of poor health occurs, results in concern over how to ____________________ |
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Definition
maintain responsibilities |
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Definition
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most people over _____ years do not consider themselves old |
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Definition
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65+ age group....__________ is NOT a natural part of aging, only _____% of mature adults experience memory loss |
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Definition
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Term
Gerontology: study of __________ and _________ in older adults. |
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Definition
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Term
Geriatric patients should be treated as all mature adults in regards to communication/conversation. Special considerations include: |
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Definition
gentle handling extra time for movements and verbal response fear of falling |
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Term
chronological age and __________ age. - young-old: 65-74 years__________ - old-old: 75-84 years__________ - oldest-old: 85+____________ |
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Definition
functional - young-old: 65-74 years: healthy active - old-old: 75-84 year: transitional - oldest-old: 85+: fragile |
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Term
Usual result of death is from ____________(from contrast) |
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Definition
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Term
When death is expected, for most people the crisis is not death itself but _____ and _______ it will occur |
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Definition
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__________ awareness: patient not told their condition. |
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Definition
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_________awareness: watch for clues to their condition but attempt to keep the health care team from knowing exactly how much they understand |
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Definition
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_________ pretense: when patient, staff and family all know but are pretending not to know in hopes of avoiding interpersonal conflicts |
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Definition
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__________ awareness: permits everyone to work through the various stages that preceded death |
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Definition
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Term
In order, what are the stages preceding death? |
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Definition
Denial and Isolation, anger, bargaining, depression, preparatory, acceptance |
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Term
Advanced Directives - provide terminally ill patients with ___________________. |
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Definition
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Term
Obtain available information regarding a patients condition (extract as much information as possible) and is a form of an interview. |
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Definition
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Term
____________ interest in what the patient has to say, attentiveness and professional competence can provide patients with a real sense of caring and establishes rapport |
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Definition
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Term
What are the qualities of a good patient interviewer. |
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Definition
Establish open dialogue. Have respect. Make the patient feel as if their information is important. Be polite. Introduce yourself. Verify the patients name and date of birth. |
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Term
What are the two types of data? |
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Definition
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Subjective data is perceived by ____________________. |
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Definition
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Patients want to feel ___________, listened to and empathized with |
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Definition
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Do not disregard information the patient gives you because it does ont fit with your opinion of the patients symptoms. Disregarding symptoms is ______________ collection of data |
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Definition
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Term
Let adults _____ ______ _______ and many of our questions we ask for patient history will be answered. |
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Definition
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Term
Always document ____ is providing the patient information. ie pt, pt mother, pt brother... |
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Definition
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Term
What are the elements of patient history? |
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Definition
Cheif Complaint, localization, chronology, quality, severity, onset, aggravating or alleviating factors, associated manifestations. |
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Term
defining as exactly as possible, ________________ for the patients complaint. (medical history) |
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Definition
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Term
When asking patient history always ask ___________ questions. |
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Definition
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Term
nondirected, nonleading, the patient tells the story |
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Definition
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_______________ focuses interview, provides more detail |
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Definition
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When questioning patient, begin with ____________ questions to encourage spontaneity |
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Definition
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Term
When questioning patient, begin with open ended questions to encourage spontaneity, follow with __________questions. |
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Definition
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Term
Ask patient to _________ to area when appropriate. |
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Definition
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Term
avoid ________ questions by asking "does the pain stay in your hip or does it move" rather than "does the pain travel down your leg" |
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Definition
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__________ is the time element of the history |
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Definition
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________=how long ________=how often |
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Definition
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Instead of giving a date, give ___________________ so the radiologist doesn't have to find a calendar. |
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____________ is the character of the symptoms |
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Definition
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Color/consistency of bodily fluids, presents of sores, bruises, lesions, type of cough(dry/productive) are all charachteristics of ____________ of pain. |
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Definition
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_________________ is intensity, quantity, extensiveness of the problem. |
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Definition
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_________ involves what the patient was doing when the condition began. Can help determine predictable events. Were they standing, running, playing football, dancing etc. |
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Definition
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__________- anything that intensifies the pain (stressful day, eating certain foods, standing...) |
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Definition
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_____________- anything that reduces the symptoms (sleeping, laying down, tylenol...) |
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Definition
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Associated manifestations is the same as _____________. "Do all the symptoms related to the chief complaint or are they related to separate conditions" |
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Definition
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Term
What prevents an action or movement? |
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Definition
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Term
What are three simple immobilization techniques to reduce movement during exam? |
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Definition
sponge, sandbag, suspend breathing |
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Term
Technologists sometimes immobilize patients to reduce movement during x-ray. Technologists strive to produce __________________ film possible with ________________ to patient and others. |
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Definition
most diagnostic, least about of radiation |
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Term
Voluntary movements can usually be controlled by ___________________ between the tech and the patient. |
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Definition
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Term
involuntary movements is the result of contributing factors such as room temp, medication, and posttraumatic shock. Involuntary movement is where the patient is _____________ to control their movements. |
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Definition
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Term
___________ is one of the most effective means to reduce motion and one of the most ____________ means. |
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Definition
Communication, overlooked |
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Term
patients are often capable of cooperation and would be willing to facilitate the examination if he or she was _______________ of what is going to happen. |
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Definition
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Term
What are three routine immobilization applications??? |
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Definition
sponges, velcro straps, and sandbags |
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Term
What are three special immobilization applications? |
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Definition
sponges, table pad, blankets (all usually for comfort) |
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Term
Trauma patients already have immobilization devices applied to them when the radiology department receives them. With these devices we want to ____________ the area and facilitate safe transport. |
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Definition
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Term
in MOST situations for trauma patients with c-collars, backboards, or other splints, the initial exam will be performed _______ the immobilization device left in place. |
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Definition
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Term
Only after the radiographs has been read and _______________________, should the tech remove the device(c-collar, backboard etc.) from the trauma patient for a more complete exam. |
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Definition
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Term
Most commonly used spinal traction device is the _____________. |
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Definition
Cervical Collar (C Collar) |
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Term
A _____________ is another common spinal immobilization device used for thoracic or lumbar spine, hips, pelvis, lower extremities, and multiple injuries. With this, we slide the entire thing onto exam table. |
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Definition
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Term
With head traumas, we have to ____________ to compensate for c-collars etc. Head clamps are not usually used these days. |
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Definition
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Term
______________ or splints may be on extremities for extremity traumas. Air splints are also radiolucent. |
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Definition
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Term
With extremity trauma, _______________ REMOVE the antishock trousers. |
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Definition
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____________ are inflatable pants to slow the rate of hemorrhage. |
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Definition
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With pediatric immobilization, communication with the parents is ____________.Parents may need to leave the room for child to cooperate. |
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Definition
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Term
With parents we need to share the importance of ________ and _________. |
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Definition
cooperation and understanding |
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Term
Always find the ________ and ________ way to produce optimal diagnostic radiographs with the least amount of exposure to the patient. |
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Definition
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Term
Children must be able to __________________ to use the pigg-o-stat. |
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Definition
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Sheet restrains are often used for pediatric immobilization. They can be used up to age 4-5 but best for patients who are ______________________. |
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Definition
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Pigg-o-stats can be used for ages up to ______. But are usually used on children ages ______ months and older, depending on size of child. |
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Definition
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Term
Brat board is also known as a ______________, is a pad or sponge with velcro straps for securing the patient. It has an octastop and used only up to age _____ |
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Definition
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When using tape on children or elderly, always ________ the tape so the non sticky side touches their skin to avoid skin tears. |
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Definition
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With geriatric immobilization we want to keep the patient _________ and __________ by giving them blankets and pads to lay on. |
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Definition
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Term
the power we have as rad techs is so great that it includes the most basic elements of a person's _______ and _______. |
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Definition
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Term
The radiographer has the responsibility to make patients and their _________ and ________ believe they are receiving the best possible care. |
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Definition
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Term
Accurate and timely ________ is essential to providing patient care. |
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Definition
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Term
It is especially important to watch for visual indications of the change in vital signs in __________ and _________ patients. |
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Definition
seriously ill and tramatized |
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Term
Using a strong yet reassuring tone of voice is especially important with _______________. |
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Definition
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Term
__________ data are perceptible to the sense (seen, heard, felt.) |
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Definition
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Term
A(n) ___________ projection is one that is not at right angles to the long axis of an anatomic structure. |
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Definition
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Term
____________ is the act of flexing or the condition of being bent. |
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Definition
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Term
Another name for newborn infant is __________ |
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Definition
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When you establish trust or harmony between two people you have developed ____________. |
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Definition
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Term
recognition of and entering into the feelings of another person |
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Definition
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substance or structure not naturally present which appears on the radiograph |
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Definition
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determination of the precise area |
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Definition
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application of light pressure with fingers |
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Term
questioning that provides information that may direct he answer toward a suggested symptom or complaint |
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Definition
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Term
someone who has been admitted to the hospital for diagnostic studies or treatment |
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Definition
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Term
music of language; cadence and rhythm of speech |
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Definition
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Term
legal document by an adult to provide guidance to the health care team if that person should be unable to make decisions regarding his/her medical care |
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Definition
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character of the symptoms (color, quality, consistency) |
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Definition
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pertaining to the treatment of the aged |
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Definition
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Term
give the patient time to remember, facilitates accuracy and elaboration |
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Definition
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Term
non directed, non leading, let the patient tell the story |
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Definition
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condensing; certifies accuracy |
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Definition
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nod, "okay," "go on", encourages elaboration |
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Definition
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rewording, clarifies information |
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Definition
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Term
focus the interview; provide more detail |
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Definition
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Term
may have a fear of bodily injury and death |
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Definition
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Term
health is seen as an invoncenience |
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Definition
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Term
worry about how to maintain responsibilities and providing for family when healthcare arrises |
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Definition
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must be actively involved to maintain short attention span |
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Definition
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Term
I may be old and wrinkled on the outside, but I'm young and vulnerable on the inside." |
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Definition
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unable to understand more than one word for something |
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Definition
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This is a reminder for the patient to hold still rather than an absolute restraining device |
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Definition
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Term
greatest concern of an older person |
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Definition
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Term
this can be used for spinal immobilization |
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Definition
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Term
radioopaque immobilization device |
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Definition
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Term
the most common spinal traction device |
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Definition
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Term
if done well, communication, rapport and understanding is all that is usually needed to immobilize these patients |
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Definition
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can be used for children up to five years of age |
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Definition
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Term
List maslow's heirarchy of needs from most basic(bottom) to the most advanced |
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Definition
self actualization aesthetics need to know and understand esteem belongingness and love safety physiological |
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Term
name the three types of touch that radiographers commonly use |
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Definition
emotional, emphasis, palpation |
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Term
when should the technologist assume that a patient does not comprehend comments that are made within earshot? |
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Definition
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Term
list the "sacred Seven" of a patients medical history and briefly describe define each one. |
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Definition
60) Localization – pinpointing where the pain is Chronology – how long has this been going on? Quality – description of the pain (sharp, dull, aching, throbbing, etc.) Severity – how bad is it? Onset – what were you doing when this started? Aggravating or alleviating factors – what makes it better or worse? Associated manifestations – other accompanying symptoms |
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