RespT 312 PATIENT ASSESSMENT Current- determines the effect
of a shock
LORMA COLLEGES
Voltage & Resistance-
WILKINS’ Clinical Assessment in Respiratory Care determines how much current
flows
STUDY GUIDE, TERMINOLOGIES, ASSESSMENT AND
B. Factors affecting the harmful Effects of
EXAMINATION NOTES
Electrical Current:
I. PATIENT SAFETY Amount of Current
- Always the first consideration in respiratory Duration
care Path
1. PATIENT MOVEMENT & AMBULATION Macroshock- exists when
A. Basic Body Mechanics high current (>1mA) is
- Consider Good Posture vs. Poor Posture applied externally to the
B. Moving the patient in Bed skin
- Consider Conscious patient vs bedridden Microshock- exists when
patients a small (<1mA) by
C. Ambulation passess the skin and
- Helps maintain normal body function follows a direct, low
- Should begin as soon as patient’s is free from resistance path into the
pain & physiologically stable body
- Monitor patient during ambulation
Preventing Shock Hazards
a. Level of Consciousness
b. Color 1.Do not ground the patient
c. Breathing Pattern
2. Ground electrical equipment near the patient
d. Strengths of Weakness
e. Complaints throughout the Process 3. Avoid contact with transcutaneous conductors
2. ELECTRICAL SAFETY
4. Connect all electrical equipment to a common ground
A. Physiological Effects of Electric Current
, Attitudes and values
Cultural Heritage- (different factors)
3. FIRE HAZARDS
Religious Beliefs
Conditions to start a fire: Self- Concepts
Listening Habits
a. Flammable material
Preoccupation- Gadgets( no destruction
b. Presence of Oxygen (support enhances fire)
before the interview)
c. Ignition temperature
Feelings- establish rapport
II. COMMUNICATION- establish rapport
SENSORY / EMOTIONAL FACTORS-
A. FIVE BASIC COMPONENTS OF COMMUNICATION
Fear
Sender- one who transmits the message
Stress
Message- information/ attitude communicated
Anxiety
by the sender
Pain
Channel- method used to transmit the message
Mental Acuity, brain damage, hypoxia-
(it answer the question HOW)
mental alertness
Receiver- target of the communication
Sight, hearing, speech impairment
(it answer the question WHO)
Environmental Factors
Feedback- influences communication
Lighting
interactions
Noise
B. BASIC PURPOSES OF HEALTH COMMUNICATION
Privacy- (interviewing patient/ Respect
To establish rapport with another
patient)
individual(communication)
Distance- (particular space)
To obtain information
Temperature(good ventilation)
To relay pertinent information( tell the
VERBAL EXPRESSION
procedure of a certain test)
Language Barrier- (do not use medical
To give instruction( PFT, Incentive Spirometry)
terminologies)
To persuade others to take action
Jargon- (easily understand words)
C. FACTORS AFFECTING COMMUNICATION
Choice of words/ questions
Internal Factors
Feedback-( paraphrase/ clarify words)
Previous experiences
, Voice tone o Work at listening- focus attention on the speaker &
NON- VERBAL EXPRESSION message
Body movement o Stop talking- silent listening, avoid interrupting
Facial Expression-( know the patient if in o Resist distraction- full attention to the speaker
pain) o Keep your mind open/ Be objective
Dress- (hygiene) o Hear the speaker out before making an evaluation
Professionalism o Judge content not the delivery
Warmth- ( have to deliver the message) o Maintain the composure, control emotions
Interest- (attentive) E. Use of Space
D. EFFECTIVE HEALTH COMMUNICATION 1. Social space (4 to 12feet)- avoid personal question
1. Roles- sender vs receiver Useful for introduction
2. Message & Channel Start to establish rapport
-Formality See” big picture”
-Objectivity Limit to formal issues
-Brevity Avoid personal questions
-Accuracy 2. Personal space (18’ to 4 feet)- measure start in the
-Consistency foot of the bed
3. FEEDBACK Most useful for interview
After a rapport has been established
E. 1. Improving Communication Skills ( Sender) Professional appearance is important
o Share information rather than telling Appropriate use of eye contact- ( take
o Seek to relate to people rather than control them considerations of culture before use eye to
o Value disagreement as much as agreement eye)
o Eliminate threatening behavior 3. Intimate space( 0 to 18”)- physical examination
Done only after your introduction in the
o Use effective non- verbal communication techniques
social space and brief interview of the
E.2. Improving Communication Skills ( Receiver/ Listener) personal space
Ask permission- (auscultation)
Reserved for PE
of a shock
LORMA COLLEGES
Voltage & Resistance-
WILKINS’ Clinical Assessment in Respiratory Care determines how much current
flows
STUDY GUIDE, TERMINOLOGIES, ASSESSMENT AND
B. Factors affecting the harmful Effects of
EXAMINATION NOTES
Electrical Current:
I. PATIENT SAFETY Amount of Current
- Always the first consideration in respiratory Duration
care Path
1. PATIENT MOVEMENT & AMBULATION Macroshock- exists when
A. Basic Body Mechanics high current (>1mA) is
- Consider Good Posture vs. Poor Posture applied externally to the
B. Moving the patient in Bed skin
- Consider Conscious patient vs bedridden Microshock- exists when
patients a small (<1mA) by
C. Ambulation passess the skin and
- Helps maintain normal body function follows a direct, low
- Should begin as soon as patient’s is free from resistance path into the
pain & physiologically stable body
- Monitor patient during ambulation
Preventing Shock Hazards
a. Level of Consciousness
b. Color 1.Do not ground the patient
c. Breathing Pattern
2. Ground electrical equipment near the patient
d. Strengths of Weakness
e. Complaints throughout the Process 3. Avoid contact with transcutaneous conductors
2. ELECTRICAL SAFETY
4. Connect all electrical equipment to a common ground
A. Physiological Effects of Electric Current
, Attitudes and values
Cultural Heritage- (different factors)
3. FIRE HAZARDS
Religious Beliefs
Conditions to start a fire: Self- Concepts
Listening Habits
a. Flammable material
Preoccupation- Gadgets( no destruction
b. Presence of Oxygen (support enhances fire)
before the interview)
c. Ignition temperature
Feelings- establish rapport
II. COMMUNICATION- establish rapport
SENSORY / EMOTIONAL FACTORS-
A. FIVE BASIC COMPONENTS OF COMMUNICATION
Fear
Sender- one who transmits the message
Stress
Message- information/ attitude communicated
Anxiety
by the sender
Pain
Channel- method used to transmit the message
Mental Acuity, brain damage, hypoxia-
(it answer the question HOW)
mental alertness
Receiver- target of the communication
Sight, hearing, speech impairment
(it answer the question WHO)
Environmental Factors
Feedback- influences communication
Lighting
interactions
Noise
B. BASIC PURPOSES OF HEALTH COMMUNICATION
Privacy- (interviewing patient/ Respect
To establish rapport with another
patient)
individual(communication)
Distance- (particular space)
To obtain information
Temperature(good ventilation)
To relay pertinent information( tell the
VERBAL EXPRESSION
procedure of a certain test)
Language Barrier- (do not use medical
To give instruction( PFT, Incentive Spirometry)
terminologies)
To persuade others to take action
Jargon- (easily understand words)
C. FACTORS AFFECTING COMMUNICATION
Choice of words/ questions
Internal Factors
Feedback-( paraphrase/ clarify words)
Previous experiences
, Voice tone o Work at listening- focus attention on the speaker &
NON- VERBAL EXPRESSION message
Body movement o Stop talking- silent listening, avoid interrupting
Facial Expression-( know the patient if in o Resist distraction- full attention to the speaker
pain) o Keep your mind open/ Be objective
Dress- (hygiene) o Hear the speaker out before making an evaluation
Professionalism o Judge content not the delivery
Warmth- ( have to deliver the message) o Maintain the composure, control emotions
Interest- (attentive) E. Use of Space
D. EFFECTIVE HEALTH COMMUNICATION 1. Social space (4 to 12feet)- avoid personal question
1. Roles- sender vs receiver Useful for introduction
2. Message & Channel Start to establish rapport
-Formality See” big picture”
-Objectivity Limit to formal issues
-Brevity Avoid personal questions
-Accuracy 2. Personal space (18’ to 4 feet)- measure start in the
-Consistency foot of the bed
3. FEEDBACK Most useful for interview
After a rapport has been established
E. 1. Improving Communication Skills ( Sender) Professional appearance is important
o Share information rather than telling Appropriate use of eye contact- ( take
o Seek to relate to people rather than control them considerations of culture before use eye to
o Value disagreement as much as agreement eye)
o Eliminate threatening behavior 3. Intimate space( 0 to 18”)- physical examination
Done only after your introduction in the
o Use effective non- verbal communication techniques
social space and brief interview of the
E.2. Improving Communication Skills ( Receiver/ Listener) personal space
Ask permission- (auscultation)
Reserved for PE
