Understand families’ cultural, ethnic, and linguistic backgrounds….Common communication, behavior issues, and needs

Linguistic competence is the system of linguistic knowledge possessed by native speakers of a language. In Chomsky’s view, competence can be studied independently of language use, which falls under “performance”, for example through introspection and grammaticality judgments by native speakers.

The terms culture and linguistics refer to integrated patterns of human behavior that include language, thoughts, communications, actions, customs, beliefs, values, and institutions of racial, ethnic, religious, or other groups (e.g., gender identity/gender expression, age, national origin, sexual orientation.

• Not talking.
• Difficulty following directions.
• Difficulty expressing ideas and feelings.
• Difficulty responding to questions consistently.
• Isolate themselves as they take on the role of a spectator or observer.

What should you do if a patient complains to you? (List the steps in order.) 1. Don’t stand over the patient….

1. Apologize.
2. Acknowledge the patients feelings.
3. Offer alternatives.
4. Make amends.

Ease patients’ anxiety with a calming office environment

1. Offer a warm reception. When patients come in, greet them warmly with a smile.
2. Make the waiting room welcoming and comfortable.
3. Offer productive distractions.
4. Manage timeline expectations.
5. Consider a concierge.
6. Engage earnestly.
7. Preview the appointment.
8. Keep it simple.

The steps of the primary assessment are: form a general impression of the patient, assess responsiveness, and perform a rapid scan that consists of checking and correcting problems with the patient’s airway, breathing, and circulation. Finally, update responding EMS units.

The focused physical exam should include the following components:

• Test Results.
• Assessment of physical, mental and neurological status.
• Vital Signs.
• Airway Assessment.
• Lung Assessment.
• CNS and PNS Assessment.

The universal sign for choking is hands clutched to the throat. If the person doesn’t give the signal, look for these indications: Inability to talk. Difficulty breathing or noisy breathing.

Abdominal thrusts

1. Stand behind the person who’s choking.
2. Place your arms around their waist and bend them forward.
3. Clench 1 fist and place it right above their belly button.
4. Put the other hand on top of your fist and pull sharply inwards and upwards.
5. Repeat this movement up to 5 times.

What should I do if a choking adult becomes unconscious?

1. If a conscious choking adult becomes unconscious, carefully lower the person to the ground, open the mouth and look for an object.
2. If an object is seen, remove it with your finger.
3. Open the person’s airway by tilting the head and try to give 2 rescue breaths.

Thick mucus or saliva triggered by allergies or respiratory problems may not easily flow down your throat. While sleeping, mucus and saliva can collect in your mouth and lead to choking. Other symptoms of allergies or a respiratory issue include: sore throat.

1. Lower the person to the floor.
2. Call 911 or the local emergency number or tell someone else to do so.
3. Begin CPR. Chest compressions may help dislodge the object.
4. If you see something blocking the airway and it is loose, try to remove it. If the object is lodged in the person’s throat, DO NOT try to grasp it.

Strangulation is a significant predictor for future lethal violence. If your partner has strangled you in the past, your risk of being killed by them is 10 times higher. Strangulation is one of the most lethal forms of domestic violence: unconsciousness may occur within seconds, and death within minutes.

A much debated topic, choking and strangulation is one of the top domestic abuse crimes, but is not considered a felony by many states. Nearly 30 states have made strangulation and choking (or “knowingly impeding someone’s breathing”) a felony over the last 10 years.

When a person is choking, some sort of foreign object inside the body is blocking airflow. When someone is being strangled, an outside force is exerting enough pressure to impede movement of air.

Choking can cause an acquired brain injury (ABI). When something becomes lodged in your throat and cuts off your ability to breathe, this also limits or cuts off the oxygen supply to your brain. When a brain does not get the oxygen it needs, the brain cells begin to die.