what is radiation and communication
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‘When it comes to radiations risks, as experts we should be the linchpins for communication, because we should know exactly the risk associated with the task we are performing,’ Foley stresses. ‘Unfortunately, this is not the case, as multiple studies show. There’s quite a difference in understanding even between experts. So, we should all go back to basics and increase our own knowledge, because how do we expect to impart information to patients if we don’t comprehend it ourselves?’
Radiation risks are generally associated with either one of two categories: stochastic effects or tissue reactions. ‘While we should be aware of tissue reactions, they are rather uncommon. Current evidence suggests there are between one in 10,000 and one in 100,000 cases and those are mostly skin effects. The main stochastic risk in all our practice related to ionising radiation is that of potential cancer development.’
Successfully conveying information to patients
Cancer is a disease that spreads fear in a flash, so Foley’s advice is to begin a discussion with patients by highlighting the benefit of the examination and its medical need, so as to remind and reassure patients of the procedure’s value.
Throughout any patient conversation it is important to use simple, plain language and focus on a few key points, instead of overwhelming patients with medical terms. Foley also recommends building and using a set of standardised terms.
Besides these basic facts, Foley also offers more personal advice: ‘Minimise the use of numbers and stats,’ he advised. Even though parameters such as effective dose will hold up for comparison, they can be rather confusing for patients who are rarely well acquainted with radiation effects and statistics.
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