Healthcare Communication and Elderly Care Quiz
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Questions and Answers

Which of the following is NOT considered an immobilization tool?

  • Pigg-O-Stat
  • Urinals (correct)
  • Sandbags
  • Velcro straps

What is the primary focus of therapeutic communication in a healthcare setting?

  • Establishing a good relationship with the patient (correct)
  • Documenting patient care
  • Improving diagnostic skills
  • Providing technical instructions

In Maslow's Hierarchy of Needs, which category is focused on emotional relationships and connections?

  • Safety Needs
  • Physiological Needs
  • Self-Actualization
  • Love and Belonging (correct)

How should a radiographer approach palpation when assessing a patient?

<p>Using 1-2 fingers only (B)</p> Signup and view all the answers

What differentiates a restraint from immobilization?

<p>Restraint involves physical means to restrict movement. (A)</p> Signup and view all the answers

What is the primary cause of long-term care needs in elderly patients?

<p>Chronic illnesses (C)</p> Signup and view all the answers

Which of the following is a common symptom of depression in elderly patients that may be confused with dementia?

<p>Memory loss (A)</p> Signup and view all the answers

What percentage of individuals over 65 are reported to suffer from Alzheimer disease?

<p>50% (B)</p> Signup and view all the answers

What should a radiographer ensure during communication with elderly patients?

<p>Clearly state instructions and verify understanding (B)</p> Signup and view all the answers

Why is it important to assist elderly patients back to their dressing room or caretaker after an examination?

<p>To avoid confusion and potential falls (A)</p> Signup and view all the answers

What is the primary concern regarding radiation protection for infants and children?

<p>Radiosensitivity due to rapid cell growth (D)</p> Signup and view all the answers

Which of the following is NOT considered a type of child abuse?

<p>Mandatory reporting (D)</p> Signup and view all the answers

What type of fracture is indicative of potential child abuse?

<p>Corner fractures (A)</p> Signup and view all the answers

What is the appropriate method of palpation to maintain professionalism?

<p>Using 1-2 fingers only (C)</p> Signup and view all the answers

What is a significant behavioral indicator of child abuse?

<p>Excessively passive or compliant behavior (C)</p> Signup and view all the answers

What is the role of a radiographer when suspecting child abuse?

<p>To report to the designated authority at the institution (A)</p> Signup and view all the answers

Why should family members preferably stay out of the exam room?

<p>For radiation safety and to avoid interruptions (C)</p> Signup and view all the answers

Which of the following is a reason for performing a skeletal survey in children?

<p>To identify signs of child abuse (A)</p> Signup and view all the answers

Which is a recommended communication technique when in a stressful situation?

<p>Lower voice and speak slowly and clearly (A)</p> Signup and view all the answers

What is a potential drawback of performing a babygram?

<p>Risk of distortion from improper centering (B)</p> Signup and view all the answers

What should a patient expect to be informed about regarding an imaging exam?

<p>Detailed description of the procedure and equipment (A)</p> Signup and view all the answers

What is the first element needed to obtain a complete clinical history?

<p>Chief Complaint (B)</p> Signup and view all the answers

Which imaging examination is specifically used to check for scoliosis in children?

<p>Scoliosis study (A)</p> Signup and view all the answers

What is the most effective type of question to encourage patient elaboration during communication?

<p>Open-ended questions (A)</p> Signup and view all the answers

How should you respond if a family member expresses aggressive demands?

<p>Respond with reassurance rather than anger (A)</p> Signup and view all the answers

What should be done if a patient has questions about the exam before it starts?

<p>Do not start until the questions are resolved (D)</p> Signup and view all the answers

What is the primary purpose of immobilization during patient transfers?

<p>To ensure patient safety (D)</p> Signup and view all the answers

What should always be assessed before moving a patient?

<p>The patient's ability to assist (B)</p> Signup and view all the answers

What is orthostatic hypotension and its main effect on a patient?

<p>A rapid change in body position leading to light-headedness (C)</p> Signup and view all the answers

What is the appropriate chair position during a wheelchair transfer?

<p>At a 45-degree angle or parallel (D)</p> Signup and view all the answers

Which of the following is NOT a consideration before moving a patient?

<p>Patient's job history (A)</p> Signup and view all the answers

What should be done immediately after returning a patient to their room?

<p>Help the patient into bed and make them comfortable (A)</p> Signup and view all the answers

When conducting a stretcher-to-table move, what is an important step?

<p>Cross the patient's arms over their chest (A)</p> Signup and view all the answers

Why is good communication between technician and patient important during transfers?

<p>It reduces the need for immobilization (B)</p> Signup and view all the answers

What should be done if a tear to the skin occurs in a geriatric patient?

<p>Report it to the Clinical Preceptor before the patient leaves. (B)</p> Signup and view all the answers

What is a typical change in lung capacity due to aging?

<p>Diminished lung capacity. (A)</p> Signup and view all the answers

What is a common misconception about elderly patients during imaging procedures?

<p>They do not experience emotional distress related to their care. (C)</p> Signup and view all the answers

What are the three main categories of elder abuse?

<p>Domestic elder abuse, Institutional elder abuse, Self-neglect. (A)</p> Signup and view all the answers

In the five stages of grief, which stage is characterized by feelings of frustration and helplessness?

<p>Anger (A)</p> Signup and view all the answers

What is the purpose of an advance directive?

<p>To clarify medical treatment preferences and relieve burdens from loved ones. (D)</p> Signup and view all the answers

How should a geriatric patient be positioned during a chest exam?

<p>In a seated position to prevent dyspnea. (D)</p> Signup and view all the answers

What should be avoided when caring for elderly patients during imaging procedures?

<p>Pinching their skin. (A)</p> Signup and view all the answers

Flashcards

Patient Assessment Before Transfer

Evaluating a patient's ability to assist with a transfer, including their strength, range of motion, balance, understanding, and acceptance of the move. This assessment is crucial for determining the level of assistance needed.

Orthostatic Hypotension

A condition that occurs when a patient's blood pressure drops significantly due to a rapid change in position, causing dizziness or fainting. This is particularly common when moving from a lying down position to a standing position.

Wheelchair Transfer Assessment

Determining the patient's strength, identifying their strong and weak sides, and understanding their ability to assist. This assessment is essential for a safe and successful transfer.

Chair Position for Wheelchair Transfer

Positioning the wheelchair at a safe angle relative to the table, typically at a 45-degree angle or parallel. This ensures stability and ease of movement.

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Stretcher-to-Table Transfer

Moving a patient from a stretcher to a table using a transfer device, such as a draw sheet. This involves coordinating movements and providing adequate support for the patient.

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Importance of Patient Immobilization

Immobilizing a patient during medical procedures is essential for safety, reducing repeat exposures to radiation, and enhancing positioning accuracy.

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Communication & Permission for Immobilization

Open communication between the technologist and the patient is crucial, ensuring the patient understands the need for immobilization. Always ask for permission before applying restraints.

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Returning a Patient to the Room

After a procedure, safely return the patient to their room, assist them into bed, ensure their comfort, and place the bed in the closest position to the floor with side rails up.

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Immobilization

Limiting movement to reduce blurring on an image.

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Restraint

Using a physical hold to restrict movement.

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Rapport

Building a positive connection with a patient through good communication and understanding their feelings.

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Physiological Needs (Maslow)

Basic requirements for survival like air, water, food, shelter, sleep, clothing, and reproduction.

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Non-verbal Communication

Expressing thoughts and feelings through body language, facial expressions, eye contact, touch, and appearance.

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Palpation

Examining by touch using only 1-2 fingers. This technique is used to assess the size, shape, and consistency of tissues and organs.

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Communication With Patients and Families

Prioritizing patient care by limiting family members in the exam room to maintain radiation safety and reduce distractions. One family member can be allowed if needed, but their role should be clarified and inquiries directed to the physician.

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Communication Under Stress

Maintaining calm and professional communication when dealing with emotional situations by lowering your voice, speaking slowly and clearly, and refraining from judgmental responses.

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Open-Ended Questions

Asking questions that encourage detailed and comprehensive answers from the patient, promoting a deeper understanding of their experience.

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Patient Education

Informing patients about the imaging procedure including details about the process, purpose, duration, and expected outcome.

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Clinical History

Collecting and verifying a comprehensive patient history prior to any imaging procedure, ensuring accuracy and completeness of the information.

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Chief Complaint

The primary reason for the patient's visit to the imaging department, outlining their main concern or symptom.

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Localization

Pinpointing the specific body area affected by the patient's condition.

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ALARA Principle

A fundamental principle in radiation safety, emphasizing minimizing radiation exposure to patients and staff as low as reasonably achievable.

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Child Abuse Indicators

Signs that may suggest a child is being abused, including physical injuries, behavioral changes, and the child's statements.

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Mandatory Child Abuse Reporting

A legal obligation for healthcare professionals to report suspected child abuse to authorities.

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Babygram: Pros

A single x-ray image capturing the chest and abdomen of an infant, useful for line placement or trauma assessment.

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Babygram: Cons

Distortion, scatter, and exposure variations are challenges associated with babygrams.

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Skeletal Survey in Children

A series of x-rays examining the entire skeleton to identify fractures, particularly suspicious for child abuse.

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Bone Age Study

An x-ray of the hand and wrist to assess skeletal development and compare it to age-appropriate norms.

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Scoliosis Study

An x-ray series of the spine to detect any abnormal curvature known as scoliosis.

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Geriatric Patient Needs

Older patients often have chronic illnesses, require more support, and may be at risk for falls due to conditions like dizziness, incontinence, and infections.

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Alzheimer's Disease Impact

Alzheimer's disease causes dementia, affecting memory, thinking, and behavior. It's a common problem, affecting about 50% of people over 65.

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Communication with Elderly Patients

Use clear and loud speech, check for understanding, and address the patient respectfully. Remember, they may have hearing problems.

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Leaving an Elderly Patient Alone

Never leave an elderly patient unattended in the imaging room, as they might become confused and fall from the table.

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Differentiating Normal vs. Pathological

As a radiographer, you must identify what is a natural part of aging and what could be a sign of illness. This includes recognizing subtle changes.

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Geriatric Skin

The skin of elderly individuals is delicate and easily injured.

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Elder Abuse

Neglect, mistreatment, or exploitation of individuals 65 years or older (or any disabled dependent adult).

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Domestic Elder Abuse

Abuse occurring within the home by a family member, caregiver, or friend.

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Institutional Elder Abuse

Abuse occurring in a facility, such as a nursing home, hospital, or assisted living.

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Self-Neglect

Elderly individuals neglecting their own needs, causing harm to themselves.

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Advance Directives

Legal documents outlining a person's wishes regarding medical care when they are unable to make decisions themselves.

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Stages of Grief

A series of emotional responses to loss, often described as Denial, Anger, Bargaining, Depression, and Acceptance.

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Living Will

A type of advance directive that documents a person's healthcare wishes, particularly at the end of life.

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Study Notes

Handwashing

  • Hand hygiene is crucial for preventing bacterial spread in healthcare settings.
  • Hospital-acquired infections are frequently transmitted via healthcare worker hand contact.
  • Studies show that healthcare workers only wash their hands 40% of the time.
  • Methicillin-Resistant S. Aureus (MRSA) and Vancomycin-Resistant Enterococci (VRE) are examples of resistant bacteria often found on hands.
  • Alcohol-based hand rubs are more effective than regular soap and water for clean hands when not visibly soiled, or contaminated with blood/body fluids.
  • Soap and water should be used when hands are visibly soiled or contaminated with blood/body fluids.

Body Mechanics and Safety

  • Radiographers' duties include patient transfers, assistance with personal needs, and radiation protection.
  • Proper body mechanics are crucial to prevent injuries.
  • Ergonomics examines the relationship between the human body and the work environment.
  • Common musculoskeletal injuries include back, neck, wrist, and shoulder pain.
  • Proper body alignment, movement, and balance reduce injury risk.

Patient Transfer

  • Wheeled transport is used for all inpatients.
  • Wheelchairs are for patients who can safely sit and stand.
  • Stretchers are for patients who cannot stand or have suffered recent significant injury, surgery, stroke, or heart attack.
  • Patient transfers should include patient introduction, identification & assessment of patient care needs.
  • Orthostatic hypotension can occur with rapid position changes.
  • Wheelchair transfer considerations include patient ability (strong/weak side), wheelchair positioning relative to the table, and having footstools available to assist with transfers.
  • Lock wheelchair wheels to prevent movement during transfers.

Patient Transfer Procedures

  • Follow patient directions and instructions carefully, ensuring assistance levels are understood and correct.
  • Never move a patient without sufficient assessment or assistance to avoid injury.
  • Return patient to their room safely and comfortably. Return room to original position.
  • Always obtain patient consent before applying immobilization devices.

Communication and Professionalism

  • Effective communication includes verbal, nonverbal (body language, expressions, appearance), and written methods.
  • Critical thinking, problem-solving, and communication are essential radiographer skills.
  • Cultural diversity considerations include avoiding language barriers, and understanding diverse patient needs.
  • Respect patient privacy, and sensitivity are essential in patient care.
  • Nonverbal signals including body posture, facial expressions and eye contact are vital for effective communication.
  • Proper patient documentation should include medical terminology but should be comprehensible to the patient.

Pediatric Considerations

  • Radiography procedures specific to infants, children and teenagers.
  • Establish rapport with the patient and parents if appropriate.
  • Proper hand hygiene.
  • Consider patient’s age and needs for appropriate communication strategy.

Important considerations regarding patient age and condition.

  • Radiographers must consider age-related factors when handling patients (infants, children, older adults.)
  • Elderly patients are often dealing with chronic conditions like heart disease, cancer, or various forms of disability.
  • Injuries to elderly patients are often more serious as tissues and bones are more fragile.
  • Procedures should be planned out and explained clearly to the patient.
  • Additional care should be taken to avoid patient harm.

Patient Education

  • Provide clear explanations of the procedures.
  • Explain purposes, and timeframes of examinations.
  • Offer support and reassurance if needed.

Safety

  • Hand hygiene is strongly emphasized.
  • Appropriate attire and PPE use as appropriate
  • Radiographers should use caution and appropriate tools and/or equipment when handling patients, especially if they cannot be trusted with themselves.
  • The use of additional equipment should be considered if there is a risk of injury or harm to the patient.

Radiography procedures Specific to children and adolescents

  • Proper hand hygiene.
  • Age-specific communication techniques.
  • Appropriate measures to prevent overheating/hypothermia.
  • Safety precautions for immobilization.
  • Additional care and caution are important for the safety of the child and the caregiving staff.
  • Follow up care and post-scan instructions are vital for these patient groups to minimize any further risks or complications.
  • Radiographers have an ethical obligation to report suspected child abuse if appropriate.
  • Always act according to the guidelines of the specific institution and jurisdiction.

Advanced Directives

  • Advance directives (living wills, durable power of attorney for health care) allow individuals to plan for future medical decisions.
  • Patient and caregiver comfort and safety should always take precedence.

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Module B - Week 1_2 Review PDF

Description

Test your knowledge on therapeutic communication and care practices related to elderly patients with this engaging quiz. Explore key concepts such as Maslow's Hierarchy of Needs and the significance of communication in healthcare settings. Ideal for healthcare professionals and students alike.

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