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Objectives

Teach Back – a tool to improve Health Literacy Bunny Pounds, MSN, FNP, BC, Quality Nurse Specialist III Rose Ann Simmons, MPH- Director, Patient Education & Health Literacy. Objectives. Define health literacy Define teach back Discuss tips & cautions when using teach back

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Objectives

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  1. Teach Back – a tool to improve Health LiteracyBunny Pounds, MSN, FNP, BC, Quality Nurse Specialist IIIRose Ann Simmons, MPH- Director, Patient Education & Health Literacy

  2. Objectives Define health literacy Define teach back Discuss tips & cautions when using teach back Share a provider’s perspective

  3. Health Literacy Overview • Definition- Health Literacy is the degree to which we obtain, process, and understand basic health information and services needed to make appropriate health decisions. • https://www.youtube.com/watch?v=ubPkdpGHWAQ • All of us are at risk of misunderstanding information about our health.

  4. Teach Back (what, who, when, where, how) What is teach back? • An interactive communication method • A way to check how well you did explaining health information to the patient or caregiver. • Asking the patient or caregiver to repeat in their own words what they need to know or do, in a non-shaming way • Teach Back is not a test for the patient!

  5. Teach Back (what, who, when, where, how) Who do I use teach back with? • Every patient When do I use teach back? • Every encounter Where do I use teach back? • Every setting of care

  6. Teach Back (what, who, when, where, how) How do I use teach back? • Use a loop process • Introduce the concept, ask patient to teach back, clarify / tailor another explanation if needed, ask patient to teach it back again • Use open ended questions • avoid asking “Do you understand?” • Always chunk and check • Summarize throughout, do not wait until the end

  7. Teach back –Open Ended Questions What are the signs and symptoms of low blood sugar that you want to watch for? We covered a lot today. Can you tell me what your next steps are when you get home? I want to be sure I explained your medication correctly. Can you show/tell me how you are going to take this medicine and what you take it for? Your doctor would like you to see the specialist. When your daughter asks why you need to go what will you tell her? Tell me in your own words how this medicine helps your condition.

  8. A Provider’s Perspective

  9. Teach Back Chunk & Check • Organize your messages in chunks • Easy to understand • A strategy for organizing your thoughts is the Ask Me 3 framework. • Your main problem is… • The next step in your care is for you to…. • It’s important for you to do this because… • Check how well you explained each concept

  10. Your Experience / Questions What is your experience using teach back? How did it go? Have you ever experienced someone using teach back with you when you were the patient? What questions do you have?

  11. Teach Back Resources • Health Literacy Universal Precautions at: http://nchealthliteracy.org/toolkit/ • www.alwaysuseteachback.com • The Teach Back Technique, Communicating Effectively with Patients, Merck Bunny.pounds@vidanthealth.com rsimmons@vidanthealth.com

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