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Intro- Unit 3 Exam
Patient Care in Radiation Therapy
Question | Answer |
---|---|
Integrated cancer management involve what kind of approach to patient care? | multidisciplinary which means healthcare providers work together to provide quality patient care |
How does cancer team integration work? | Referrals, oncology conference (tumor boards), weekly chart rounds, pt/family support services, comprehensive cancer centers |
What are the 3 main forms of cancer treatment? | -radiation oncology -surgery oncology -medical oncology |
Health Science Profession and How It Relates to Oncology: Radiation technology. | ... |
Health Science Profession and How It Relates to Oncology: Nursing. | ... |
Health Science Profession and How It Relates to Oncology: Surgery. | ... |
What are the 5 main responsibilities of a radiation therapist? | -provide quality patient care -deliver treatments properly and accurately -promote good communication -provide medical and emotional support -provide patient (and public) education |
What are our responsibilities as healthcare providers? | -taking care of others -taking care of ourselves -provide empathy |
What is the health-illness continuum composed of? | two arrows pointing in the opposite direction and joined at a neutral point (no discernable illness or wellness) |
Movement to the left of the arrows is pointing towards what? | premature death |
Movement towards the left of the arrow equates a progressively ___________________ state of health. | decreasing |
Movement to the right of the arrows is pointing towards what? | the high level of wellness |
Movement to the right of the arrows equates an _____________________ in level of health and well being. | increase |
When is the health-illness continuum most effective? | when used to compare a client's present level of health with the client's own previous level of health |
What are 3 examples of inappropriate non-verbal communication? | -inappropriate moving techniques -actions that express not wanting to be there -facial expressions/body language |
Give examples of impaired communication. | -hearing -vision -speech |
What are some examples of impaired physical, sensory, or mental function? | -mentally ill - down's syndrome -patient w/ brain mets -autistic -claustrophobic -literacy |
Altered state of consciousness is known as ______________. | comatose |
What are some emotional/psychological factors of challenging patient communication? | -acceptance -depression (changes in mood) -how the patient copes -quality of life |
What are some physical factors of challenging patient communication? | -pain/suffering -disability -disorientation -deterioration |
Of all the age groups, which might be the more accepting? | elderly |
What could cause the patient to be listening to what you are saying but not hearing/comprehending? | stress |
Why could the use of medical jargon cause unnecessary anxiety to the patient? | because they are not familiar with the terms and this could cause them to worry if something new is wrong |
3 things to be done for gender identification. | -never assume -ask if unsure -respect their pronouns |
What are 3 artificial speech devices? | -trans-esophageal puncture (TEP) -esophageal speech -laryngeal electrical devices |
Name the 8 ways to promote positive patient interaction. | 1. establish good communication 2. reduce your distance 3. listen to and hear what they tell you 4. don't force them to talk 5. respond to what they tell you 6. use therapeutic silence 7. be mindful and observant 8. watch body language |
Critical Thinking Question: What is the importance in establishing good communication with colleagues, patients, and families? | ... |
Model of care that acknowledges the impact of trauma on people's well-being and aims to avoid re-traumatization. | Trauma-informed care |
What are the principles of trauma-informed care? | -safety -trustworthiness -support -empowerment |
What could lead to burnout for employees? | overworked and underpaid with no outlet |
What are 4 aspects of emotional intelligence? | -self-awareness -self-regulation -motivation -social skills |
What 3 things need to be present to develop professional attitudes? | -teamwork -assertiveness -inter-professional collaborative practices |
Aspects of death | -emotional -psychological -depression, coping and quality of life -physical |
In the aspect of death with the end-of-life issues, which aspect normally is the first piece and then others follow? | physical (pain, suffering, disability, disorientation) |
What are the 5 stages of the grieving process? | Denial, Anger, Bargaining, Depression, Acceptance |
What 3 things should patients do when dealing with grief? | -get help -not neglect personal needs -take care of practical considerations |
Who normally leads the support organizations/cancer groups? | former patients or trained professionals |
List 3 examples of support organizations. | -I Can Cope - Reach to Recovery -Look Good, Feel Good |
What social services do hospitals typically provide? | ... |
To be considered for hospice, the patient must be considered __________________. | terminal |
In hospice, the doctor and family must agree that any further treatment must be considered ________________. | palliative |
IV treatment is done to prevent what? | dehydration |
Hospice treatment is directed at what 2 things? | -keeping the patient at home is possible -keeping the patient as comfortable as possible |
Maslow's Hierarchy of Needs | **From bottom to top** -Physiological needs -Safety needs -Love and belonging -Esteem -Self-actualization |
What percent of people actually make it to self-actualization? | 10% |
Physiological needs | air, water, food, shelter, clothing, reproduction |
Safety needs | personal security, employment, resources, health, property |
Love and belonging | friendship, intimacy, family, sense of connection |
Esteem | respect, self-esteem, status, recognition, strength, freedom |
Self-actualization | desire to become the most that one can be |
Emotional response for children. | -once past the fear stage, they are wonderful patients -very forgiving -trusting |
Emotional response for teens-40s. | -sometimes very bitter -have lived long enough to know what they may miss -be moody and move at their own pace |
Emotional response for elderly. | -often very accepting -feel they have lived full lives -are more understanding and grateful |
Who copes better, male or females? | Females because they typically open up and talk about their feelings whereas men usually bottle up theirs. |
T or F. Medical treatment might be strictly against some religions. | True |
Symptoms may come from what 2 things? | the cancer itself or the treatments |
Laryngeal treatment (5x5 field) may cause mild to moderate ________ __________. | sore throat |
Ovarian treatment (whole abdomen) may cause _________ abdominal distress. | severe |
Critical Thinking Question: How would a patient's prognosis affect their response to treatment and to you? | ... |
Critical Thinking Question: How would a diagnosis affect a patient? | ... |
What plays a major role in how we respond to life? | attitude |
Name a socioeconomic factor. | emotional support from family, friends, etc. |
Aspects of explaining the procedure. | -positioning/immobilization -the exact procedure -how long it will take -audio/visual communication -room/machine noises -machine movement |
What common patient concerns could we alleviate? | -side effects -misconceptions about radiation therapy -abandonment -scheduling -transportation -financial issues |
Holistic approaches to family members and friends. | -informing -supporting -family system concepts -conflict resolution |
What can affect the way we respond to a patient? | -beliefs, attitude, and prejudices -self image -emotions -patient/colleague rapport |