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Self Care Instructions. Exercise regularly Monitor your blood pressure Eat a healthful diet. Plain Words Exercise. Effective Communication. Introduces self and elicits introduction from patient Empathizes with and supports Uses effective non-verbal communication
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Self Care Instructions • Exercise regularly • Monitor your blood pressure • Eat a healthful diet
Effective Communication • Introduces self and elicits introduction from patient • Empathizes with and supports • Uses effective non-verbal communication • Avoids the use of jargon *HL • Confirms the basic diagnosis • Explores the patients knowledge base of his/her diagnosis *HL
Effective Communication • Prioritizes treatment options and educates patients to these choices *HL • Elicits patient’s preferences and commitment to a treatment plan • Reviews treatment plan and obtains mutual statement of commitment • Encourages patient to ask questions *HL • Responds appropriately to patient’s feelings and is not judgmental
Clear Communication • Assess baseline understanding • Explain things clearly using plain language • Emphasize 1-3 points • Effectively encourage patients to ask questions • Use teach-back to confirm understanding • Write down important instructions • Provide useful educational materials
Instructions • Break up into groups of 3 • 1 person is the health care provider, 1 is the patient, 1 is an observer • The healthcare provider will select an instruction s/he is comfortable giving to patients and the patient will interact appropriately • The observer will observe with a list of strategies used in clear health communication. The observer will provide feedback.
Tips • Do not ask a patient, “Do you understand?” • Ask patients to explain or demonstrate • Ask questions that begin with “how” and “what,” rather than closed-ended yes/no questions • Organize information so that the most important points stand out and repeat this information
Teach-back phrases • “I want you to explain to me how you will take your medication, so I can be sure I have explained everything correctly,” or • “Please show me how you will use the asthma inhaler, so I can be sure I have given you clear instructions,” or • “When you get home your spouse will ask you what the doctor said—what will you tell your spouse?”
Assess and reassess • To assess the Health Literacy competency of healthcare professionals working in geriatric clinical settings. • To implement a training program to improve health literacy competence. To provide healthcare professionals with the tools necessary to effectively work with older adults. • To assess patient satisfaction of health information received using selected questions from the Interpersonal Processes of Care in Diverse Populations Questionnaire (IPC).
Interpersonal Processes of Care • Hurried Communication • Elicited concerns, responded • Explained results, medications • Patient-centered decision making • Compassionate, respectful • Discrimination • Disrespectful office staff
