6 - Communicating Effectively With Patients Flashcards

1
Q

What is health literacy?

A

degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What factors is health literacy dependent on?

A

Individual and systemic factors:
* Communication skills of lay persons and professionals;
* Knowledge of health topics;
* Culture;
* Demands of the healthcare and public health systems;
* Demands of the situation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What does health literacy affect peoples ability to do?

A
  • Navigate the healthcare system, including filling out complex forms and
    locating providers and services;
  • Share personal information, such as health history, with providers;
  • Engage in self-care and chronic-disease management;
  • Understand mathematical concepts such as probability and risk.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is plain language?

A

strategy for making written and oral information easier to
understand. It is one important tool for improving health literacy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

How is plain language beneficial?

A

communication that users can understand the first time they read or
hear it. With reasonable time and effort, a plain language document is one in which people can find what they need, understand what they find, and act appropriately on
that understanding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are key elements of plain language?

A
  • Organizing information so that the most important points come first;
  • Breaking complex information into understandable chunks;
  • Using simple language and defining technical terms;
  • Using the active voice
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Should you or should you not use jargon when using plain language?

A

DO NOT
Don’t refer to a crown as a cap and complete denture as plates

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is cultural competence?

A

ability of health organizations and practitioners to
recognize the cultural beliefs, values, attitudes, traditions, language
preferences, and health practices of diverse populations, and to apply that knowledge to produce a positive health outcome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What do healthcare workers adopt that may not be beneficial for patients?

A

“Culture of medicine” and the language of their specialty as a result of training and environment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

How should health information for people with limited english proficiency (LEP) need to be communicated?

A

Plainly in their primary language, using words and examples that make the information understandable

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Who are patients most at risk to low health literacy?

A
  • older adults;
  • people with less than a high school degree or GED certificate;
  • people with low income levels;
  • non-native speakers of English;
  • people with compromised health status
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are the 5 factors that affect a person’s health literacy skills?

A
  1. Education
  2. Language
  3. Culture
  4. Access to resources
  5. Age
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Who is primarily responsible for improving health litearcy?

A

Public health professionals and the healthcare/public health systems

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are tips for presenting tx plans to pts?

A
  • Sit facing the patient at eye level. Never have the patient in a reclining position.
  • Use language the patient can understand, for example bone loss around the tooth
    as opposed to a three walled bony pocket.
  • Avoid using threatening or anxiety-producing terms.
  • Talk to the patient, don’t preach
  • Be mindful of your body language;
  • Don’t overwhelm the patient with minute details unless the patient specifically asks;
  • Ask the patient to repeat back to you the information to confirm understanding of the
    treatment plan;
  • Use models, wax-ups, photos, radiographs, etc. to emphasize key points.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is informed consent?

A

moral and legal premise of patient autonomy: You
as the patient have the right to make decisions about your own health and medical conditions.
- “process” for getting permission before conducting a healthcare intervention on a person

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are elements of informed consent?

A
  • Communication between doctor and patient
  • Full understanding of treatment to be provided
  • Expected risks and benefits
  • Alternatives
  • Opportunity to ask questions
  • Discuss the patient’s choice
  • Time to reflect
  • Provide clear indication of patient’s decision
17
Q

What must the dentist describe and discuss for the pt to make an informed decision?

A

Diagnosis and problems. treatment alternatives and the advantages and disadvantages of each alternative

18
Q

When do you begin the Informed Consent?
Is it at the Treatment Plan Presentation?
Is it at the Diagnosis?
Is it right before Treatment is Initiated?

A

All of the above

19
Q

What is general informed consent?

A
  • Parental Custody Issues
  • Workers Compensation Cases
  • Open and Report procedures
  • Fearful Patients
20
Q

What is complete dentures informed consent?

A
  • The newly edentulous patient
  • The experience denture patient
  • Patient expectations for a denture
  • Implant supported Denture
21
Q

What is endodontics informed consent?

A
  • Alternative Treatments
  • Is an endodontically treated tooth permanently restored
  • Painful tooth during or following treatment
22
Q

What is perio surgery informed consent?

A
  • Description of the procedure in detail
  • Appearance of tissue following procedure
  • Sensitivity of teeth
  • Can pathology return and why
23
Q

What is implant surgery informed consent?

A
  • Proper discussion of alternatives
  • Failures of implants
  • Not the same shape of a natural tooth
24
Q

What are informed consent forms?

A

HIPPA
Financial Considerations
- pt sign and understand financial obligations
Initial appt
- what happens
- what needs to be diagnosed (radiographs, charting)

25
Q

What should you document for informed consent?

A

Every conversation, discussion, interaction