Culture and Health Literacy Flashcards
1
Q
Culture
A
- Integrated patterns of human behavior, language, thoughts, communications, actions, customs, beliefs, values, and institutions of racial, ethnic, religious, or social groups
- CALC BT BC and I of RERS
2
Q
Listeneing…
A
Listening is different than hearing
3
Q
Questions to Elicit Health Beliefs (Kleinman)
A
- What do you call you problem? What name does it have?
- What do you think caused your problem?
- Why do you think it started when it did?
- What does you sickness do to you? How does it work?
- How severe is it? Will it have a short or long course?
- What do you fear most about your disorder?
- What are the chief problems that your sickness has caused for you?
- What kind of treatment do you think you should receive?
- What are the most important results you hope to receive from the treatment?
- Open ended questions
4
Q
Pharmacy Health Literacy
A
The degree to which individuals are able to obtain, process, and understand basic health and medication information and pharmacy services needed to make appropriate health decision
5
Q
IOM says: Health Literacy is Multifactorial
A
- Communication skills of patients and providers
- Reading, numeracy, language
- Knowledge
- Cause and treatment of disease
- Amount of data-TMI
- Culture & Language
- Demands of HC System
- Today’s HC places great demands on patients
6
Q
Who may be at most risk
A
- Older Adults (multiple meds)
- Minority Population
- Low Socioeconomic
- No high school GED
- Non-native English speaker
- Medically underserved
- Chronically ill or poor health
7
Q
Impact of Low Literacy
A
- Report poor health
- Higher rate of hospitalization
- Lack health insurance
- Skip important preventative measures
- Enter healthcare when sicker
- Less knowledge of illness and its management
- Hypertension, diabetes, asthma, HIV/AIDS
- Negative psychological effects
- Shame, hide difficulties to maintain dignity
8
Q
Patients with low health literacy may have difficult with
A
- Locating providers & services
- Filling out complex health forms
- Sharing medical history with providers
- Seeking preventative healthcare
- Connecting risky behaviors and health conditions
- Managing chronic health conditions
- Understanding directions on medications
9
Q
Why is Pharmacy Important to Health Literacy
A
- Pharmacists are responsible for making sure patients obtain maximum positive health outcomes from their medications
- Pharmacists are one of the most accessible health care providers
- Pharmacists care for patients with low to high education levels, low to high incomes, and multiple races of people; all of whom may have limited health literacy
- Medication errors are likely higher with patients with limited health literacy
- Studies document an association between low literacy and poor health outcomes
- Addressing literacy is an important quality improvement effort
10
Q
What the Pharmacist Can Do?
A
- OLASTCUPPI
- Observe closely
- Listen carefully
- Ask open-ended questions
- Speak clearly
- Term patients understand
- Check understanding
- Have patients summarize what s/he needs to do
- With handouts, make sure person knows where to look
- Ask person to read label to you, fill out a form, etc.
- Picture
- Props, non-verbals, gestures
- Interpreters-medically trained
11
Q
Meducation
A
- For translating
- Phrases
- Patients who don’t speak English
- Medication guides
12
Q
Communication Self-Assesment Tool
A
- Checklist with 11 points to highlight while counseling
- So patients know how to take medications
- confirming and holding medication
- Speak clearly, plain language, greet patient, repeat key point, verificiation
13
Q
Plain Language
A
- Plain language thesaraus
- Bolded important words
- Changed hard to understand words
14
Q
ASK Me3
A
- What is my main problem?
- What do I need to do?
- Why is it important for me to do this?
15
Q
USP Pictogram
A
- Sore someone who doesn’t speak English
- Miming and using pictograms
