medication.
medication.
Assessments needed to ensure Mr. Hernandez’s needs should start with a simple assessment of his literacy level. Patients with diabetes, show an increase in complications when they are unsure of what they are…
The patients with low health literacy have poor health outcomes including increased rates of hospitalization and reduced frequency of using preventive services, lack of health insurance, lack of knowledge about medical conditions and treatment, which these leading to increased healthcare costs. They also have problems to report their health status, and experience negative psychological effects.…
Class, In our first DQ, we discussed the various cultural barriers that we might see on a routine basis; however there are still many more barriers to effective communication. These might be more associated with physical and psychological barriers. Here are two real-world questions that we most of us will encounter throughout our health care career regularly... How might a provider communicate more effectively with a person who is hearing impaired? Also, how might a provider communicate more effectively with an adolescent versus an adult?…
In order to provide culturally competent care, it is important for the nurse to customize interventions for the individual patient. One method of intervention for a Vietnamese American patient is for the nurse to recognize language barriers and arrange for interpreter services as needed. The nurse should also inform any patient with limited English skills that interpreter services are available in healthcare settings. Another nursing intervention utilized in providing care to the Vietnamese American is to address knowledge deficits regarding health screening activities. The nurse should provide written materials in the patient’s preferred language (English, Vietnamese, or both), and make sure to employ the teach-back method of evaluation,…
Mayer, G., & Villaire, M. (2007). Health literacy in primary care: A clinician 's guide. New York: Springer Pub.…
This is not something that can be ignored. “ Forty-five million Americans speak a language other than English and of these 19 million speak it less than well-or are limited English proficient (Auerbach, et al, 2010). It is our job to see that these people receive the care that they are entitled to. There are many tools available we as nurses need to take it upon ourselves to familiarize ourselves with them, learn to use them, and vow to always take the time to make sure our patients have an understanding of their care.…
All written information could be prepared at a reading level appropriate for the general population. New packages for patient information prior to their first clinic visit could be very useful to them. Where there are language barriers, demonstrations could be effective teaching strategy if appropriate for the situation. Using multiple teaching strategies is a good option for patient education. Pictures and illustrations are also useful for enhancing printed materials for patients with low literacy skills. However, the illustrations should be non-ambiguous and should also be accompanied by a text written in simple language (Friedman, Boyko, Cosby, Hatton-Bauer, & Turnbull,…
According the text “[It is especially difficult to ensure that patients are fully informed concerning their medical options when the patients and their caregivers speak different languages. Nearly 25 million adults in the United States do not speak English proficiently (“Demographics,” 2002). Non-English speakers are less satisfied with medical care than are Caucasians or members of ethnic and racial minorities (Weech-Maldonado et al., 2003).At one inner-city hospital, more than one-fourth of Latino parents said language barriers discourage them from using medical facilities (Flores, Abreu, Olivar, & Kastner, 1998). These parents felt that the scarcity of Spanish-speaking physicians led to their children being misdiagnosed or given the wrong medicine. (Box 6.3 describes the experiences of a Spanish-speaking woman in a U.S. hospital.)]”Cultural different impact the communication barrier because of language difference has lead to so many misunderstandings between patient and physician; this can lead to serious problems if the correct diagnoses I not found for the patient. It can lead to non needed medication or treatment causing more harm than treating the health issue at…
During a clinical rotation we come into contact with many patients, from many different backgrounds, with many different disease processes which effect their systems. Each patient has their own manifestations, of signs and symptoms, along with courses of action which are taken to best meet their individual needs. One of the tools used when caring for a patient is education. CDC.gov states “A well-informed patient is more likely to cooperate if the patient understands” (Centers for Disease Control and Prevention, 2011). Educating a patient allows a patient to be more involved in their care, and there is a greater possibility for compliance once the…
Before providing information, the physician should find out what a patient already knows about his or her condition. Patients will come to the physician with preconceived notions about a particular condition, perhaps based on less than-authoritative sources. It is important, therefore, to determine what a patient already understands—or misunderstands—at the outset.…
With the population of adults 65 and over steadily climbing, medical professionals and the healthcare system are struggling to keep up. One major issue concerning the healthcare system is that it is not set up properly provide care for these older adults. The physicians today, who regularly see patients, focus mainly has been; diagnose—usually in a 15-20 minute office visit, treat, and cure. Many of these senior citizens have multiple chronic illnesses or diseases, which require time to manage and treat. The problem is that they may not be able to explain what the real problem to a doctor in that time.…
What drew me to enroll into the medical coding program is the fact that I find the health care world to be fascinating. I started my career in the legal field and dealt with worker’s compensation and tort cases which involved getting the medical records of the clients and reviewing them to make sure we received the medical records that pertained to the accident or injury. When my legal career ended, due to the lawyer I worked for becoming the Mayor of Haverhill, I found employment in the health care field, and I have been in the health care field for six years. I started out as a Care Team Coordinator, which is a position that deals with the scheduling for the clinicians, running reports to track paperwork, etc.…
This course offers the student engagement and interaction with the dynamic language of health care. Through comprehensive discussions and activities, the student will have the opportunity to be immersed in the words used in health care. This course requires a microphone and speakers or headphones for recording and listening to digital audio files.…
The Vietnamese Americans are one the minority populations who has disparities in health due to barriers to care. A large barrier to care is the extensive language barrier. As stated above, the new MANC facility will need to have staff members that not only can speak English proficiently, but also are fluent in Vietnamese. However, it does not just call for the staff being able to understand the spoken language but also all literature will need to be in Vietnamese as well. Many elder Vietnamese people have low health literacy in diabetes, cancer, hypertension, and mental health issue but to a shortage of available health literature in their language (Chu, 2011). To help solve this issue, and to better promote the new Vietnamese nursing home, Mary Ann partner with a primary care physician who works with many Vietnamese elderly patients. This can be used to help lessen the barrier to access health care services, and promote the new facility and its…
The realities of today's healthcare environment require solutions that are practical and effective. Low health literacy, cultural barriers, and limited English proficiency have been coined the "triple threat" to effective health communication by The Joint Commission (Schyve, 2007). Forms of communication are important in everyday life but can be crucial in regards to health care. In communication the health care team must first understand where that patient is from to what and how they can address the situation to start the process. This is called cultural awareness. The health team members must be careful. They can use verbal, nonverbal and visual cues to help educate the patient. Knowing she is upset at this point the best practice is to start off calm and call the translator. In the hospital setting do not use family or friends whenever possible due to them not possibly translating the correct medical information. In the English language some foreigners find it harder to read the English language so drawing pictures could help if appropriate. Visual tactics could also help like demonstrating a wound care or transfer. Becoming a Skilled Communicator has five factors that include: becoming aware of self-deception, and becoming reflective, authentic, mindful, and…