Communicating Effectively with Patients Flashcards

1
Q

What is health literacy?

A

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

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2
Q

Health literacy is dependent on individual and systemic factors such as…

A
  • Communication skills of lay persons and professionals;
  • Knowledge of health topics;
  • Culture;
  • Demands of the healthcare and public health systems;
  • Demands of the situation.
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3
Q

Health literacy affects people’s ability to:

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.
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4
Q

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

A

Plain language

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5
Q

Key elements of plain language include:

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.
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6
Q

_______ affects how people communicate, understand, and respond to health information

A

Culture

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7
Q

What is cultural competence?

A

Cultural competence is the 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

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8
Q

For many individuals with ___________________________, the inability to communicate in English is the primary barrier to accessing health informationand services

A

limited English proficiency (LEP)

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9
Q

Populations most likely to experience low health literacy are…

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
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10
Q

Who is responsible for improving health literacy?

A

public health professionals and the healthcare and public health systems

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11
Q

What are some tips for presenting treatment plans to patients

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
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12
Q

What is informed consent?

A

Informed consent is based on the moral and legal premise of patient autonomy: Youas the patient have the right to make decisions about your own health and medical conditions.

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13
Q

Informed consent is a ________ for getting permission before conducting a healthcare intervention on a person.

A

process

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14
Q

What are the 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
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15
Q

What is the history/court case for informed consent?

A
  • First case that established Informed Consent in U.S. Legal History/precedent
  • Schloendorff v. Society of New York Hospital 1914
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16
Q

As a pure legal issue, forcing treatment on an unwilling person is no different from attacking that person with a knife. The legal term for a harmful or offensive touching without permission is _________.

A

battery

17
Q

What are the facts behind Salgo v. Leland Stanford Jr. University Board of Trustees (1957)?

A

Patient got paralyzed from a new treatment and said that the doctor had not warnedhim that there was a risk for paralysis; this added the word ‘informed’ to ‘consent’; said that ‘Physicians have the duty to disclose any facts which are necessary to form thebasis of an intelligent consent by the patient to proposed treatment

18
Q

What are the facts behind Natanson v. Kline, St Francis Hospital and School of Nursing (1960); Kansas Supreme Court Decision?

A

A landmark case in which for the first time the issue of informed consent was brought into court, giving medical and legal currency to the “reasonable practitioner” standard—i.e., what a reasonable practitioner in the same jurisdiction would disclose to a patient. Mrs Natanson, the plaintiff, suffered severe radiation burns after her post-mastectomy radiation therapy and claimed that the radiologist had not adequately warned her about the risks of treatment before she gave her consent.
* Changed the offense from criminal medical battery to civil medical negligence.

19
Q

It was notuntil the early _____ that most medical and legal professionals began to recognize that malpractice liability could attach to a physician’s failure to properly inform a patient of the risks and benefits of proposed clinical treatment.

A

1960’s

20
Q

In the late _________, a nationwide discussion about healthcare providers obligations to disclose the financial incentives guiding their treatment decisions.

A

1980’s and 1990’s

21
Q

What is informed consent today?

A

For the patient to make an informed decision regarding treatment the dentist must describe and discuss any diagnosis and problems, treatment alternatives and the advantages and disadvantages of each alternative.

22
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

23
Q

What informed consent do you need in general in dentistry?

A
  • Parental Custody Issues
  • Workers Compensation Cases
  • Open and Report procedures
  • Fearful Patients
24
Q

What informed consent do you need for complete dentures?

A
  • The newly edentulous patient
  • The experience denture patient
  • Patient expectations for a denture
  • Implant supported Denture
25
Q

What informed consent do you need for endodontics?

A
  • Alternative Treatments
  • Is an endodontically treated tooth permanently restored
  • Painful tooth during or following treatment
26
Q

What informed consent do you need for periodontal surgery?

A
  • Description of the procedure in detail
  • Appearance of tissue following procedure
  • Sensitivity of teeth
  • Can pathology return and why
27
Q

What informed consent do you need for implant surgery?

A
  • Proper discussion of alternatives
  • Failures of implants
  • Not the same shape of a natural tooth
28
Q

What are the informed consent documents?

A
  • HIPPA
  • Financial Considerations
    —Patients signs they understand the financial obligation
  • Initial appointment
    —What happens during appt
    —What dentist needs to diagnose (Radiographs, Charting, etc.)