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Presentation notes, activities, and handouts from a workshop aimed at helping individuals communicate effectively with healthcare professionals. The focus is on asking good questions to better understand health information and make informed decisions. Topics include finding and understanding health information, techniques for better communication, and the importance of asking questions during doctor visits.
Typology: Exercises
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Centers for Disease Control and Prevention Office of the Associate Director for Communication CS249605-A
Slide 6
describing health information to patients. ➤ In fact, only 1 in 10 Americans can really make sense of and use health information, like instructions you get when you leave the hospital. ✓ Research and Resources: 2003 National Assessment of Adult Literacy study (National Assessment of Adult Literacy) ➤ The problem goes beyond just not understanding information. Researchers now know that when people actively get involved during doctor visits, they are more likely to be satisfied, follow recommendations, and get better results. ➤ Also, people are more likely to manage their ongoing diseases, read labels correctly, take their medicine according to the directions, get care that prevents health problems, use the emergency room less and be hospitalized less than people who aren’t as involved in their health. ➤ So, people who ask their doctors and nurses questions and take an active role are happier with their care and see more improvement in their health than people who don’t. Slide 7
✓ How to find and understand health information ✓ Some simple techniques to make sure we better understand the information we get ✓ We’ll also do a brief activity Slide 8
for health information the last time you had a serious health issue?” Notice that other people such as health professionals and friends and family are common sources of information. And, as you may expect, the Internet is increasingly a source of health information for many people. But even when people find health information on the Internet, they often talk with people around them about what they find. ✓ Research and Resources : Pew Research Center Family Caregivers and Health Care Info Slide 9
other online sources to find health information? (invite discussion about their experiences) Presentation Notes
➤ People turn to other people to help them interpret, discuss and develop meaning from the information they find online. Specifically, 2 out of 3 “e-patients” talk with someone else about what they find online, most often a friend or spouse. ➤ Not everyone looks for information just for themselves. Half of all online health searches (52%) are for someone other than the person doing the search. Some of you may have children, parents, or older relatives or friends who rely on you to help them with health questions or problems. We may feel confident that we can get what we need from our complex healthcare system, but the people we care for may need extra support. ➤ How many of you have ever gone to a doctor’s appointment with a loved one? How many of you have shared health information with friends or family? ➤ Invite discussion ✓ Research and Resources: The Social Life of Health Information Slide 10
and increase our access to health information, doctors, nurses, and pharmacists continue to be the number one source of trusted health information. A good relationship between a patient and doctor can have a tremendous positive impact on your health. ➤ Let’s think about the doctor-patient relationship. On one side, you have the patient – that’s you or the person you’re caring for. No one knows you better than yourself! You know best what you eat, how much you exercise, and what medicines you take. Also, you are probably the one with greatest self-interest in trying to be healthy. On the other side is the doctor, or the nurse, or the pharmacist. They have years of education, experience and want you to be healthy. However, they are busy, see many patients and can only spend a limited amount of time with each person. There are things you can do to help your doctor do her job and maximize your understanding and chances of getting the help you want. ➤ Take, for example, medicine instructions. When a doctor prescribes medicine and you have to take it on your own at home (maybe you have a caregiver to help), you’re the one who has to make sure you take the medicine according to the directions. You or the caregiver also are responsible for reporting bad reactions, issues of cost, or confusing instructions to your doctor, nurse or pharmacist. You can help yourself by asking questions ahead of time and knowing who to contact if you have more questions so that you’re prepared when it’s time to take the medicine. Slide 11
doctor’s answers can help you make better decisions, receive better care, avoid medical mistakes, and feel better about your health care. Your questions can also lead to better results for your health. Presentation Notes
➤ The questions you may want to ask will depend on whether your doctor gives you a diagnosis; recommends a treatment, medical test, or surgery; or gives you a prescription for medicine. ✓ Questions to ask if your doctor gives you a diagnosis: ✓ What is my diagnosis? ✓ What are my treatment options? ✓ What are the benefits of each option? ✓ What are risks and side effects? ✓ Questions to ask if your doctor recommends a test or medicine: ✓ What is the test for? ✓ What happens during the test? ✓ Are there risks associated with this test? ✓ What will the results tell me? ✓ What will the medicine you are prescribing do? ✓ How do I take it? ✓ What side effects am I most likely to have? ✓ What do I do if the medicine causes problems or doesn’t seem to work? ➤ Other Questions: ✓ Do I need to change my daily routine? ➤ Surgery: ✓ Why do I need surgery? ✓ Are there other ways to treat my condition? ✓ How often do you perform this surgery? ✓ How might I feel after the surgery? ✓ What will I be able to do or not do after the surgery? Slide 16
keep your health on track. Presentation Notes
➤ Your doctor may have you fill a prescription or make another appointment for tests, lab work, or a follow-up visit. It is important for you to follow your doctor’s instructions. ➤ It also is important to call your doctor if you are unclear about any instructions or have more questions. Pharmacists can answer questions about your medicines too. ➤ Prioritize your questions, create a list of follow-up questions to ask, and call your doctor if appropriate. ➤ Call your doctor: ✓ If you experience any side effects or other problems with your medicines. ✓ If your symptoms get worse after seeing the doctor. ✓ If you receive any new prescriptions or start taking any over-the-counter medicines. ✓ To get results of any tests you’ve had. Don’t assume that no news is good news. ✓ To ask about test results you do not understand. Slide 17
that you can take with you to ✓ Get a checkup ✓ Talk about a problem or health condition ✓ Get a prescription ✓ Discuss a medical test or surgery ➤ Whatever the reason for your visit, it is important to be prepared. Slide 18
questions are, try going to this Question Builder online. Let’s take a look: Agency for Healthcare Research and Quality ➤ It is important to bring your questions with you. Your doctor may be more open to you asking questions if she sees that you have already prepared them. Slide 19
pharmacist, or mental health professionals such as your psychologist, psychiatrist, or counselor. ➤ Also, it is important to ask questions whenever you receive a medical exam or lab test results. Presentation Notes
✓ Will I need any more tests? ✓ How much does this treatment cost? ✓ Are there any side effects? ✓ What happens if I choose to not have treatment? ✓ What is the outlook for my future? Slide 23
patients asking good questions. A nurse practitioner shares a story from her own practice and encourages patients to come prepared, have their list of questions, and communicate with their providers. Slide 24
might have when trying to ask your doctor questions and ways you can overcome those problems. Also, consider your loved ones who may have these same problems and how they can work through these to make sure their health needs are truly met. ➤ Use the suggested list of questions on the slide to guide discussion. Slide 25
Your questions help your doctor and health care team learn more about you. Your doctor’s answers to your questions can help you make better decisions, receive a higher level of care, avoid medical harm, and feel better about your health care. Your questions can also lead to better results for your health. Before Your Appointment Time is limited during doctor visits. Prepare for your appointment by thinking about what you want to do during your next visit. Do you want to: ✓ Talk about a health problem? ✓ Get or change a medicine? ✓ Get medical tests? ✓ Talk about surgery or treatment options? Write down your questions to bring to your appointment. The answers can help you make better decisions, get good care, and feel better about your health care. During Your Appointment The questions you may want to ask during your appointment will depend on whether your doctor gives you a diagnosis; recommends a treatment, medical test, or surgery; or gives you a prescription for medicine. Questions could include: ✓ What is my diagnosis? ✓ What are my treatment options? What are the benefits of each option? What are the side effects? ✓ Will I need a test? What is the test for? Are there risks associated with this test? What will the results tell me? ✓ What will the medicine you are prescribing do? How do I take it? Are there any side effects? ✓ Why do I need surgery? Are there other ways to treat my condition? How often do you perform this surgery? ✓ Do I need to change my daily routine? Take-Home Handout
We would like to learn how valuable you feel this workshop has been to you. Please circle your response under each question below.
1. How important do you think it is to ask your health provider questions? Not at all important Somewhat important Important Very important 2. How helpful are the techniques you learned in this workshop? Not at all helpful Just a little helpful Helpful Very helpful 3. How likely are you to use the question-asking techniques you learned today at your next medical appointment? Not at all likely Somewhat likely Likely Very likely 4. How likely are you to share what you learned today with others, such as family members, friends, neighbors or co-workers? Not at all likely Somewhat likely Likely Very likely 5. How important do you think it is to have this workshop shared in places like community groups, places of worship, and parent-teacher associations? Not at all important Somewhat important Important Very important 6. How interested are you in leading your own workshop? Not at all interested Somewhat interested Interested Very interested 7. In your own words, what did you get out of the Good Questions for Good Health workshop? 8. How could this workshop be improved? 9. What else would you like to tell us about your experience today? Evaluation