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Lesson 6 - Psychosocial Aspect of Patient Care
Psychosocial aspect of patient care for the medical assistant
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06/29/2010

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Term
Learning Domains
Definition
Modes of learning conducted by different parts of the brain.
Term
Name the three Learning Domains
Definition
Cognitive, Affective, and Psychomotor
Term
Cognitive Domain
Definition
Thought processes that involve the intellect and include thinking on several levels.
Term
What are some teaching strategies for a a Cognitive learner?
Definition
Include lectures active discussion, role playing, and independent projects.
Term
Affective Domain
Definition
Thought processes involving emotions, values, and attitudes.
Term
What are some teaching methods for an Affective learner?
Definition
Include discussion and role playing with a focus on feelings, beliefs, and values. Private one-on-one discussion are appropriate for personal issues and in group discussions allow idea exchange, and for the members of the group to learn from others experiences and to feel supported by eachother.
Term
Psychomotor Domain
Definition
Processes that involve physical activity and the senses (sight, sound, touch, smell, and taste.)
Term
What is the most effective teaching strategy for the psychomotor domain?
Definition
Include demonstration, practice, and return demonstration.
Term
Compliance
Definition
Patient's adherence to the plan of care as instructed by the health care provider.
Term
Learning Objectives
Definition
Goals or outcomes to be achieved in the learning process. Should be written from the patients perspective, eg. "Patient will demonstrate correct opperation of glucometer."
Term
What are two key goals of patient education?
Definition
Compliance, and to have the patient feel free to ask questions and completely understand the information.
Term
Preoperative Care involves what components?
Definition
Physical Preparation, Psycological Preparation, Informed Consent, and Preoperative Teaching.
Term
Physical Preparation
Definition
May consist of a complete medical history and physical exam, including the patient's surgical and anesthesia background.
Term
Psychological Preparation
Definition
Patients are often fearful or anxious about having surgery. It may be helpful for them to express their concerns to health care workers.
Term
Preoperative Teaching
Definition
Includes instruction about the postoperative period and pain managment.
Term
Locus of Control
Definition
Persons belief about the degree of control that they have over events in their life.
Term
External Locus of Control
Definition
Belief that events in ones life are left up to fate and happen for a reason.
Term
Internal Locus of Control
Definition
Belief that one is in control of the events in their life.
Term
Self-efficacy
Definition
Person's perception of how capable and confident they feel about being able to make a specified change or accomplish a goal.
Term
What is the path to Self-efficacy?
Definition
The health care provider educates, encourages, and coaches the patient, who then takes small steps to proficiency and feeling empowered, which turns into the patient having self-efficacy and forming new habits and improving their health.
Term
What are some common barriers to effective patient education?
Definition
Emotions, such as denial and anger; Sensory deficits, such as hearing loss; or Physical issues, such as pain or decreased mobility.
Term
What are the typical stages of grief and loss?
Definition
Denial, Anger, Bargaining, Depression, Resolution, and Acceptance
Term
Denial
Definition
Stage of grief and loss when a person refuses to accept the reality of a situation.
Term
Anger
Definition
Stage of grief and loss when a person experiences feelings of rage.
Term
Bargaining
Definition
Stage of grief and loss when a person makes irrational attempts to negotiate for unlikely or impossible changes.
Term
Resolution
Definition
Stage of grief and loss when a person expresses emotions more freely and begins to identify changes in life caused by the loss.
Term
Acceptance
Definition
Stage of grif and loss when a person acknowledges the reality and permanence of life changees.
Term
What are some common Environmental barriers to learning?
Definition
Physical discomfort, room is too hot, cold, or drafty. Environmental noise, poor lighting, uncomfortable seating, poorly arranged furnishing, lack of privacy, and lack of time.
Term
What are some common Physical Barriers to learning?
Definition
Pain limitations, low energy, fatigue, decreased strength, impaired mobility, impaired coordination or agility, impaired memory, dementia, anxiety, sensory deficits, illiteracy, language, and culture barriers.
Term
What are the three main teaching strategies?
Definition
Verbal Lecture, Conversational, and Group
Term
Verbal Lecture (Teaching Strategy)
Definition
Efficient for giving instructions.
Term
Conversational (Teaching Strategy)
Definition
This approach encourages the patient to participate and collaborate. This allows and helps the patient to feel comfortable, ask questions, and give feedback.
Term
Group (Teaching Strategy)
Definition
This allows discussion and brain storming, and encourages general interaction. It also provides patients with emotional support.
Term
What are some appropriate teaching strategies for Infants?
Definition
Consistancy, secure handling, soft soothing voice, smile, and make eye contact.
Term
What are some appropriate teaching strategies for Toddlers and Preschoolers?
Definition
Allow the patient to touch the equipment before using it on them, and role playing.
Term
What are some appropriate teaching strategies for School Age Children?
Definition
Simple explainations, questions and answers, and demonstration.
Term
What are some appropriate teaching strategies for Teens to Middle-Age Adults?
Definition
Allowing choice, inviting collaboration and expression of feelings, and providing information.
Term
What are some appropriate teaching strategies for Older Adults?
Definition
Allowing choice, inviting collaboration, Teaching when the patient is rested and mentally alert, limiting the length of the teaching session, focusing on realistic goals of optimal strength and independence, and adapting strategies to sesory deficits.
Term
Analogy
Definition
Comparison between two partially similar things.
Term
Role Play
Definition
Allows the patient to try out actions, words, and responses to see what works best for them.
Term
What is Maslow's Hierarchy of Needs?
Definition
An assessment tool.
Term
What is the Self-fulfillment needs portions of Maslow's Hierarchy Pyramid?
Definition
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Term
What is the Psychological needs portions of Maslow's Hierarchy Pyramid?
Definition
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Term
What is the Basic needs portions of Maslow's Hierarchy Pyramid?
Definition
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Term
Explain the age of development from ages 0-1 years
Definition
Centers around infants basic needs being met by the parents.
Term
Explain the age of development from ages 2-3 years
Definition
During this stage the child still needs a strong base of security from which they can venture out to assert their will. Toddlers become capable of satisfying some of their own needs.
Term
Explain the age of development from ages 4-6 years
Definition
The child is learning to master the world around him or her, learnng basic skills an principles of physics. The child begins to complete their own actions for a purpose, they devolop courage and independence.
Term
Explain the age of development from ages 7 to 12 years
Definition
At this stage the child is becoming more aware of themselves as individuals. They are eager to learn and accomplish more comple skills.
Term
Explain the age of development from ages 13-19 years
Definition
The child develops a sense of sexual identity. They acheive a sense of identity regarding who they are and where their lives are headed, they are eager to blend with their friends.
Term
Explain the age of development from ages 20-34 years
Definition
Ready to make long-term commitments to others, and are capable of forming intimate, reciprocal relationships.
Term
Explain the age of development from ages 35-65 years
Definition
Concern of establishing and guiding the next generation.
Term
Explain the age of development from ages 65 years onwards
Definition
They slow down productivity and explore life as a retired person. The final developmental task is retrospection: people look back on their lives and accomplishments.
Term
Depression
Definition
Stage of grief and loss where the patient may exhibit typical depressive symptoms, such as fatigue, apathy, loss of interest in usual activities, and insomnia.
Term
Provide 5 functions of blood
Definition
1)Transporting nutrients, oxygen, and hormones. 2)Removing metabolic waste and carbon dioxide. 3)Providing immunity through antibodies. 4)Maintaining body temperature and electolyte balance. 5)Clotting to prevent bleeding from a wound.
Term
Erythrocyte
Definition
Red Blood Cells (RBC) that contain hemoglobin that carry oxygen to all cells and remove carbon dioxide.
Term
Leukocyte
Definition
White Blood Cells (WBC) fight disease and infection.
Term
Thrombocyte
Definition
Blood platelet promotes clotting to prevent blood loss.
Term
Plasma
Definition
Pale yellow liquid that is left when the formed elements are removed from blood.
Term
Coagulation
Definition
Clotting of the blood
Term
Serum
Definition
Plasma without clotting proteins
Term
Antigen
Definition
Substances that cause the formation of antibodies.
Term
Antibody
Definition
Substances produced in the body as a reaction to a specific antigen.
Term
Complete Blood Count (CBC)
Definition
Involves several laboratory tests, each of which serves to assess the three major blood cells formed in the bone marrow.
Term
Hematocrit
Definition
Determined by spinning blood in a centifuge, which causes Red Blood Cells (RBC) and plasma to seperate.
Term
Hemoglobin
Definition
Reduced in cases of Anemia,and hemorrhage.
Term
Basic Metabolic Panel (BMP)
Definition
Tests that give important information about the current status of your kidneys, blood sugar, and electrolyte and acid/base balance.
Term
Lipoprotein Panel
Definition
Done to seperate lipoproteins into HDL, LDL, and VLDL and Chylomicrons.
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