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Unit 3
Chapter 11, 12, 13, 14
141
Science
Not Applicable
02/17/2013

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Cards

Term
Exchange of information, thoughts or messages
Definition
commuinication
Term
effective communication greatly improves the quality of radiologic ________ as well as ______________
Definition
images, patient care
Term
Obtanining the patient's _____________ is one of the most challenging and most important parts of a radiologic technologist's role.
Definition
cooperation
Term
Communication from the technologist often determines the patients __________ of the radiology department
Definition
opinion
Term
Patient assessment consists of three things, what are they?
Definition
Review the chart or the procedure request, patient history, contraindications for the procedure
Term
someone who has come to the hospital or center for diagnostic testing or treatment but does not occupy a bed
Definition
outpatient
Term
connection' harmonious or sympathetic relation
Definition
rapport
Term
_____________ says as much about you as a person as your technical abilities do about your competence
Definition
professional appearance
Term
For seriously ill and traumatized patients you need to work ________________.
Definition
Quickly and efficiently
Term
How would you communicate with a deaf of hearing impaired pateint?
Definition
Pantomime/demonstrate, written language
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?
Definition
yes
Term
Should you always use the patients name, intruduce yourself and explain the prcedure if the patient is incapable of interacting?
Definition
YES
Term
Infant age range
Definition
Birth-1 year
Term
Infants first communications are established with _______________ and body movements.
Definition
facial expressions
Term
at about 8 months of age, children start experiencing ___________________, so minimize separation from parents when possible.
Definition
separation anxiety
Term
Toddlers age range
Definition
1-3 years
Term
With toddlers, Thinking is related to _____________
Definition
tangible events
Term
School aged children age range
Definition
5-10 years
Term
Around seven years of age, children begin to think logically and _______________________
Definition
analyze situations.
Term
with school aged children, exams may be perceived as ________.
Definition
punishment
Term
Adolescents age range
Definition
10-25 years
Term
With adolescents (very self conscious) ____________ is very important, so ask personell to leave the room during exams, let them change in privacy.
Definition
modesty
Term
With adolescents, conversation including _____________ eases tension
Definition
same sex relationships
Term
Younger adolescents often revert to _________________ when nervous
Definition
school age behaviors
Term
young adults age range
Definition
25-45
Term
Young adult age groups, healthcare may be an ______________.
Definition
inconvenience
Term
middle aged adults age group
Definition
45-65
Term
with middle aged adults, poor health or threat of poor health occurs, results in concern over how to ____________________
Definition
maintain responsibilities
Term
mature adults age group
Definition
65+
Term
most people over _____ years do not consider themselves old
Definition
65
Term
65+ age group....__________ is NOT a natural part of aging, only _____% of mature adults experience memory loss
Definition
Senality, 10%
Term
Gerontology: study of __________ and _________ in older adults.
Definition
aging and deseases
Term
Geriatric patients should be treated as all mature adults in regards to communication/conversation. Special considerations include:
Definition
gentle handling
extra time for movements and verbal response
fear of falling
Term
chronological age and __________ age.
- young-old: 65-74 years__________
- old-old: 75-84 years__________
- oldest-old: 85+____________
Definition
functional
- young-old: 65-74 years: healthy active
- old-old: 75-84 year: transitional
- oldest-old: 85+: fragile
Term
Usual result of death is from ____________(from contrast)
Definition
anaphylactic shock
Term
When death is expected, for most people the crisis is not death itself but _____ and _______ it will occur
Definition
how and where
Term
__________ awareness: patient not told their condition.
Definition
closed
Term
_________awareness: watch for clues to their condition but attempt to keep the health care team from knowing exactly how much they understand
Definition
suspicious
Term
_________ pretense: when patient, staff and family all know but are pretending not to know in hopes of avoiding interpersonal conflicts
Definition
mutual
Term
__________ awareness: permits everyone to work through the various stages that preceded death
Definition
open
Term
In order, what are the stages preceding death?
Definition
Denial and Isolation, anger, bargaining, depression, preparatory, acceptance
Term
Advanced Directives - provide terminally ill patients with ___________________.
Definition
some control over death
Term
Obtain available information regarding a patients condition (extract as much information as possible) and is a form of an interview.
Definition
Clinical History
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
Definition
Genuine
Term
What are the qualities of a good patient interviewer.
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.
Term
What are the two types of data?
Definition
Objective and Subjective
Term
Subjective data is perceived by ____________________.
Definition
the affected individual
Term
Patients want to feel ___________, listened to and empathized with
Definition
validated
Term
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
Definition
subjective
Term
Let adults _____ ______ _______ and many of our questions we ask for patient history will be answered.
Definition
tell their story
Term
Always document ____ is providing the patient information. ie pt, pt mother, pt brother...
Definition
who
Term
What are the elements of patient history?
Definition
Cheif Complaint, localization, chronology, quality, severity, onset, aggravating or alleviating factors, associated manifestations.
Term
defining as exactly as possible, ________________ for the patients complaint. (medical history)
Definition
the area
Term
When asking patient history always ask ___________ questions.
Definition
open ended
Term
nondirected, nonleading, the patient tells the story
Definition
open ended questions
Term
_______________ focuses interview, provides more detail
Definition
probing questions
Term
When questioning patient, begin with ____________ questions to encourage spontaneity
Definition
open ended
Term
When questioning patient, begin with open ended questions to encourage spontaneity, follow with __________questions.
Definition
focused
Term
Ask patient to _________ to area when appropriate.
Definition
point
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"
Definition
leading
Term
__________ is the time element of the history
Definition
Chronology
Term
________=how long
________=how often
Definition
duration
frequency
Term
Instead of giving a date, give ___________________ so the radiologist doesn't have to find a calendar.
Definition
how long ago
Term
____________ is the character of the symptoms
Definition
Quality
Term
Color/consistency of bodily fluids, presents of sores, bruises, lesions, type of cough(dry/productive) are all charachteristics of ____________ of pain.
Definition
quality
Term
_________________ is intensity, quantity, extensiveness of the problem.
Definition
Severity
Term
_________ involves what the patient was doing when the condition began. Can help determine predictable events. Were they standing, running, playing football, dancing etc.
Definition
Onset
Term
__________- anything that intensifies the pain (stressful day, eating certain foods, standing...)
Definition
aggravating factors
Term
_____________- anything that reduces the symptoms (sleeping, laying down, tylenol...)
Definition
alleviating factors
Term
Associated manifestations is the same as _____________. "Do all the symptoms related to the chief complaint or are they related to separate conditions"
Definition
accompanying symptoms
Term
What prevents an action or movement?
Definition
Restraint
Term
What are three simple immobilization techniques to reduce movement during exam?
Definition
sponge, sandbag, suspend breathing
Term
Technologists sometimes immobilize patients to reduce movement during x-ray. Technologists strive to produce __________________ film possible with ________________ to patient and others.
Definition
most diagnostic, least about of radiation
Term
Voluntary movements can usually be controlled by ___________________ between the tech and the patient.
Definition
effective communication
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.
Definition
unable
Term
___________ is one of the most effective means to reduce motion and one of the most ____________ means.
Definition
Communication, overlooked
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.
Definition
informed
Term
What are three routine immobilization applications???
Definition
sponges, velcro straps, and sandbags
Term
What are three special immobilization applications?
Definition
sponges, table pad, blankets (all usually for comfort)
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.
Definition
stabalize
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.
Definition
with
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.
Definition
approval has been given
Term
Most commonly used spinal traction device is the _____________.
Definition
Cervical Collar (C Collar)
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.
Definition
backboard
Term
With head traumas, we have to ____________ to compensate for c-collars etc. Head clamps are not usually used these days.
Definition
move the x-ray equipment
Term
______________ or splints may be on extremities for extremity traumas. Air splints are also radiolucent.
Definition
Traction Devices
Term
With extremity trauma, _______________ REMOVE the antishock trousers.
Definition
DO NOT
Term
____________ are inflatable pants to slow the rate of hemorrhage.
Definition
Antishock trousers
Term
With pediatric immobilization, communication with the parents is ____________.Parents may need to leave the room for child to cooperate.
Definition
essential
Term
With parents we need to share the importance of ________ and _________.
Definition
cooperation and understanding
Term
Always find the ________ and ________ way to produce optimal diagnostic radiographs with the least amount of exposure to the patient.
Definition
safest and surest
Term
Children must be able to __________________ to use the pigg-o-stat.
Definition
sit up unassisted
Term
Sheet restrains are often used for pediatric immobilization. They can be used up to age 4-5 but best for patients who are ______________________.
Definition
too young to cooperate
Term
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.
Definition
3, 18 months
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 _____
Definition
restraint board, 1 year
Term
When using tape on children or elderly, always ________ the tape so the non sticky side touches their skin to avoid skin tears.
Definition
twist
Term
With geriatric immobilization we want to keep the patient _________ and __________ by giving them blankets and pads to lay on.
Definition
warm and comfortable
Term
the power we have as rad techs is so great that it includes the most basic elements of a person's _______ and _______.
Definition
dignity and self respect
Term
The radiographer has the responsibility to make patients and their _________ and ________ believe they are receiving the best possible care.
Definition
family and friends
Term
Accurate and timely ________ is essential to providing patient care.
Definition
communication
Term
It is especially important to watch for visual indications of the change in vital signs in __________ and _________ patients.
Definition
seriously ill and tramatized
Term
Using a strong yet reassuring tone of voice is especially important with _______________.
Definition
mentally impaired
Term
__________ data are perceptible to the sense (seen, heard, felt.)
Definition
Objective
Term
A(n) ___________ projection is one that is not at right angles to the long axis of an anatomic structure.
Definition
Axial
Term
____________ is the act of flexing or the condition of being bent.
Definition
Flexion
Term
Another name for newborn infant is __________
Definition
neonate
Term
When you establish trust or harmony between two people you have developed ____________.
Definition
rapport
Term
recognition of and entering into the feelings of another person
Definition
empathy
Term
substance or structure not naturally present which appears on the radiograph
Definition
artifact
Term
determination of the precise area
Definition
localization
Term
able to walk
Definition
ambulatory
Term
application of light pressure with fingers
Definition
palpation
Term
questioning that provides information that may direct he answer toward a suggested symptom or complaint
Definition
leading question
Term
someone who has been admitted to the hospital for diagnostic studies or treatment
Definition
inpatient
Term
music of language; cadence and rhythm of speech
Definition
paralanguage
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
Definition
advanced directive
Term
character of the symptoms (color, quality, consistency)
Definition
quality
Term
pertaining to the treatment of the aged
Definition
geriatric
Term
give the patient time to remember, facilitates accuracy and elaboration
Definition
silence
Term
non directed, non leading, let the patient tell the story
Definition
open ended question
Term
condensing; certifies accuracy
Definition
summarization
Term
nod, "okay," "go on", encourages elaboration
Definition
facilitation
Term
rewording, clarifies information
Definition
repitition
Term
focus the interview; provide more detail
Definition
probing questions
Term
may have a fear of bodily injury and death
Definition
school aged children
Term
health is seen as an invoncenience
Definition
young adults
Term
worry about how to maintain responsibilities and providing for family when healthcare arrises
Definition
middle aged adults
Term
must be actively involved to maintain short attention span
Definition
preschoolers
Term
I may be old and wrinkled on the outside, but I'm young and vulnerable on the inside."
Definition
mature adults
Term
unable to understand more than one word for something
Definition
toddlers
Term
This is a reminder for the patient to hold still rather than an absolute restraining device
Definition
tape
Term
greatest concern of an older person
Definition
falling
Term
this can be used for spinal immobilization
Definition
back board
Term
radioopaque immobilization device
Definition
sand bags
Term
the most common spinal traction device
Definition
cervical collar
Term
if done well, communication, rapport and understanding is all that is usually needed to immobilize these patients
Definition
older children
Term
can be used for children up to five years of age
Definition
mummification
Term
List maslow's heirarchy of needs from most basic(bottom) to the most advanced
Definition
self actualization
aesthetics
need to know and understand
esteem
belongingness and love
safety
physiological
Term
name the three types of touch that radiographers commonly use
Definition
emotional, emphasis, palpation
Term
when should the technologist assume that a patient does not comprehend comments that are made within earshot?
Definition
never
Term
list the "sacred Seven" of a patients medical history and briefly describe define each one.
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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