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Patient Advocacy and Promoting Health Literacy

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Patient Advocacy and Promoting Health Literacy Health Literacy Ability to understand health information and to use that information to make good decisions about ... – PowerPoint PPT presentation

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Title: Patient Advocacy and Promoting Health Literacy


1
(No Transcript)
2
Patient Advocacy and Promoting Health Literacy
  • Health Literacy
  • Ability to understand health information and to
    use that information to make good decisions about
    health and medical care
  • Ability to provide accurate and appropriate
    history, understand doctors instructions,
    directions on prescription bottles, making
    appointments, patient education brochures,
    consent forms
  • Ability to navigate complex health systems

3
The Teach-Back Method
  • Studies have shown that 40-80 percent of the
    medical information patients receive is forgotten
    immediately and nearly half of the information
    retained is incorrect.
  • One of the easiest ways to close the gap of
    communication between clinician and patient is to
    employ the teach-back method, aka the show-me
    method or closing the loop.
  • Teach-back is a way to confirm that you have
    explained to the patient what they need to know
    in a manner that the patient understands.
  • Patient understanding is confirmed when they
    explain it back to you.

4
Keep in mind
  • This is not a test of the patient's knowledge.
    This is a test of how well you explained the
    concept.
  • Use with everyone Use teach-back when you think
    the person understands and when you think someone
    is struggling with your directions.
  • Teach to all staff all members of the clinic
    staff can use it to make sure their communication
    is clear.

5
Approaches When Using Teach-back
  • I want to be sure that I explained your
    medication correctly. Can you tell me how you are
    going to take this medicine?
  • We covered a lot today about your diabetes, and
    I want to make sure that I explained everything
    clearly. So lets review what we discussed. What
    are three things that will help you control your
    diabetes?
  • What are you going to do when you get home?

6
Health Literacy Universal Precautions Toolkit
  • nchealthliteracy.org
  • Prepared for
  • Agency for Healthcare Research and Quality
  • U.S. Department of Health and Human Services
  • by
  • North Carolina Network Consortium
  • The Cecil G. Sheps Center for Health Services
    Research
  • The University of North Carolina at Chapel Hill

7
Patient advocacy
  • Know your patient
  • Know the resources
  • Find out how to link your pts to the resources

8
Case 1
  • You are working at UCIOC at Lestonnac Free Clinic
    and you see a pt with DM out of control who needs
    to be on insulin. The pt is uninsured and
    unemployed. She tells you that she doesnt want
    to use insulin, and its too expensive anyway.
    How do you help her?

9
Case 2
  • You see a 16 year old teen who came in to clinic
    with her mom for a sports physical. She confides
    to you that she recently became sexually active.
    She doesnt want mom to know, and she doesnt
    want to get pregnant. What do you do?
  • Mom wants you to do a drug test on the pt because
    she suspects drug use. What do you do?

10
Case 3
  • You see a 42 year old man with schizophrenia who
    tells you that he is hearing voices that tell him
    to kill himself. He has been prescribed psych
    meds, but he hasnt been taking them because he
    doesnt think he needs them. What do you do?

11
Case 4
  • You see a homeless man at a mobile clinic. He
    has been skin popping heroin, and has an obvious
    infection on his leg. How do you treat his
    infection? How do you help him in general?

12
Case 5
  • You see a woman who started working at a
    restaurant cutting vegetables 5 months ago. She
    comes into clinic complaining of numbness and
    tingling in her right hand for the past 3 weeks.
    What do you advise her?

13
Resources
  • CHDP
  • Family PACT
  • Every Woman Counts
  • Susan Komen Funding
  • Emergency MediCal
  • MediCal (CalOptima)
  • PRUCOL
  • Centralized Assessment Team (psych)
  • Patient assistance programs
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