Self care instructions
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Self Care Instructions. Exercise regularly Monitor your blood pressure Eat a healthful diet. Plain Words Exercise. Effective Communication. Introduces self and elicits introduction from patient Empathizes with and supports Uses effective non-verbal communication

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Self care instructions
Self Care Instructions

  • Exercise regularly

  • Monitor your blood pressure

  • Eat a healthful diet

Effective communication
Effective Communication

  • Introduces self and elicits introduction from patient

  • Empathizes with and supports

  • Uses effective non-verbal communication

  • Avoids the use of jargon *HL

  • Confirms the basic diagnosis

  • Explores the patients knowledge base of his/her diagnosis *HL

Effective communication1
Effective Communication

  • Prioritizes treatment options and educates patients to these choices *HL

  • Elicits patient’s preferences and commitment to a treatment plan

  • Reviews treatment plan and obtains mutual statement of commitment

  • Encourages patient to ask questions *HL

  • Responds appropriately to patient’s feelings and is not judgmental

Video 3a http www youtube com watch v 2xlf1oqzjqg
Video 3a

Clear communication
Clear Communication

  • Assess baseline understanding

  • Explain things clearly using plain language

  • Emphasize 1-3 points

  • Effectively encourage patients to ask questions

  • Use teach-back to confirm understanding

  • Write down important instructions

  • Provide useful educational materials


  • Break up into groups of 3

  • 1 person is the health care provider, 1 is the patient, 1 is an observer

  • The healthcare provider will select an instruction s/he is comfortable giving to patients and the patient will interact appropriately

  • The observer will observe with a list of strategies used in clear health communication. The observer will provide feedback.


  • Do not ask a patient, “Do you understand?”

  • Ask patients to explain or demonstrate

  • Ask questions that begin with “how” and “what,” rather than closed-ended yes/no questions

  • Organize information so that the most important points stand out and repeat this information

Teach back phrases
Teach-back phrases

  • “I want you to explain to me how you will take your medication, so I can be sure I have explained everything correctly,” or

  • “Please show me how you will use the asthma inhaler, so I can be sure I have given you clear instructions,” or

  • “When you get home your spouse will ask you what the doctor said—what will you tell your spouse?”

Assess and reassess
Assess and reassess

  • To assess the Health Literacy competency of healthcare professionals working in geriatric clinical settings.

  • To implement a training program to improve health literacy competence. To provide healthcare professionals with the tools necessary to effectively work with older adults.

  • To assess patient satisfaction of health information received using selected questions from the Interpersonal Processes of Care in Diverse Populations Questionnaire (IPC).

Interpersonal processes of care
Interpersonal Processes of Care

  • Hurried Communication

  • Elicited concerns, responded

  • Explained results, medications

  • Patient-centered decision making

  • Compassionate, respectful

  • Discrimination

  • Disrespectful office staff

Thanks for your attention gabe rios grios@uab edu
Thanks for your attention!Gabe Rios - [email protected]