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Flashcards in L3 Patient Education Deck (8)
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What is the shotput approach for message delivery?

Well designed and delivered message is transmitted out. (one way)


What is the frisbee approach for message delivery?

Communication loop ensures the message is received
and understood (back and forth)


Why don’t patients just ask?

“research has clearly shown that the commonly expressed assumption that working-class patients do not want a full explanation of their illness seems to derive from the hesitancy of patients to ask questions rather than from any actual disinterest in information.” (Waitzkin 1985)

The more you tell them the less they remember is false
They should improve the way we engage patients



Improve the way they education patients!!!
Compare strategies for educating individuals
○ Education in practice
○ Twelve education skills
○ Application


What are the Twelve education skills? (1-3)
Provide the correct amount and type of information

1. Assess patient's starting point
○ "How much do you know about ibuprofen already? It would be helpful for me to understand what you know and fill in the gaps."

2. Asks patients what info would be useful
(Least used skill usually and from our class)
○ What else would you like to know?

3. Chunk and check
○ Give a piece of info then ask. "Does that make sense?"
○ Give explanation at appropriate times
○ Now i will show you how do this part
○ Don’t do too many teach backs
○Don’t talk at once for too long

■ avoid premature advice or reassurance


What are the Twelve education skills? (4-8)
Aiding Accurate Understanding

4. Organizes explanation
○ Uses explicit categorization or signposting

5. Uses repetition and summarizing

6. Language
○ no jargon. Be clear e.g., “for fluid retention”....still that is not plain language. “For extra water in the body”

Use visual methods of conveying information
8. Check patients understanding (teach back)


What are the Twelve education skills? (9-12)
Incorporates patient's perspective

9. Relates explanations to pt's illness framework
○ “I can see why you thought this was an allergy. I think it may be an side effect and let me explain..”
○ Pt understand conditions and drugs differently

10. Provide opportunities and encourages participation
○ “I am glad you asked”

11. Picks up and responds to verbal and nonverbal
○ "You look unhappy-is that about the new pill?"

12. Elicits patient's beliefs, reactions, and feelings
○ "How that news has left you feeling...."


what methods c an be helpful for an explanation

- Ability to stimulate interest and engage their audience
- Ability to relate a complex topic to familiar or simple aspect of life and demonstrate importance
- Use of anecdotes, metaphors, parallels, questions about familiar related topics
- Building of progressive structure of understanding, from simple to complex
- Active involvement of audience in building the structure and anticipating the next stages
- Enthusiasm and humour