Interviewing Patient with Special Needs

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Interviewing Patient with Special Needs

  1. 1. 1. Hearing-Impaired Patient  Remain within the sight of the patient.  Ensure that the hearing aid is in working order and turned on.  Background noise should be at minimum.
  2. 2.  Even with intermediary, face the patient and direct all communication to the patient.  Use facial expression and body movements  Give additional time  Use written form for gathering data
  3. 3. 2. Visually Impaired Patient  Always look directly at the patient.  Cues, voice intonation, volume and inflection are important.  Use TOUCH.  Advise the patient when entering or leaving the room.
  4. 4.  Orient the patient to the immediate environment  Use clock hours to indicate position of items  Offer assistance
  5. 5. 3. Speech Impaired- Aphasic  Ask simple questions  Allow additional time for patient responses.  Use written interview format, letter board, yes/no cards
  6. 6. 4. Non- English Speaking Patient  Requires assistance interpreter.  Give direct interview questions to the patient not to the interpreter.  Pay attention to nonverbal cues.  Signs are important.
  7. 7. 5. Patient with low level understanding  Requires time and patience  Interview also the family and care giver  Request permission from patient to speak to someone else.  Allow patient to ask assistance  Observe the interaction
  8. 8. 6.Crying Patient  Gently ask what’s the cause of emotional response  Show empathy and allow to cry  Convey message of thoughtfulness  Finish the interview
  9. 9. 7. Anxious and angry patient  Allow to express emotions  Give permission to bring out their feelings  Convey the patient’s sentiment to their attention  Recognize and acknowledge the emotion
  10. 10. 8. Hostile Patient  Review documentation.  Be cautious.  Do not reciprocate with the anger and hostility.  Limit setting and refocusing.  Position yourself near an accessible exit.
  11. 11.  Do not turn your back on the patient  Never allow the patient to walk behind you or come between you and the exit  Watch for signs of increasing tension in the patient  Leave the door of the room open to some degree
  12. 12. 9. Sexually- Aggressive Patient  Alert a colleague or security  Trust your instinct  Define appropriate boundaries  Share personal reactions  Refocusing the patient  Set limits
  13. 13. 10. Under the influence of drugs/alcohol  Alert security personnel and station nearby  Place yourself at a distance  Remain calm  Provide care
  14. 14. 11. Seriously ill Patient  Collect the pertinent data first  Interview the family member or significant other  Allow the patient to be present and participate the interview  Show respect
  15. 15. 12. Older Adult Patient  Require additional time for patient response  Schedule more than one interview  Interview an older patient’s family member or care giver  Assess the quality of interaction

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