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Communication Pearls: Collected Wisdom from Health Educators

Date: 04/2009
Author: Felicia Guest
Source: Southeast ATEC and Planned Parenthood of Maryland, Baltimore

Communication Pearls: Collected Wisdom from Health Educators PDF [15 KB]

Description:

Two-page fact sheet with tips on the exchange of information and skill building. See below for full text.

Communication Pearls: Collected wisdom from health educators

Education: exchange of factual information and skill building

dotThe learner learns from what the learner does, not from what the teacher does. Involve the patient in her/his own education as much as you can. Encourage patients to touch and handle medicines and supplies, to repeat instructions in their own words, and to "practice" anticipated conversations with partners or others.
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dotPeople absorb about three take-home messages in an educational session. Give your messages careful priority ranking and don't overload patients with information.
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dotRespect the patient's agenda. "How can we help you today?" is the most important question. Allow time for the patient's questions and concerns. There will almost certainly be questions you don't anticipate.
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dotAssess readiness for change. Behavior change is incremental. Key your interventions to the patient's readiness for change.
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dotAssess patient learning. You don't know what the patient has learned until you hear what she/he says. "I need to be sure I've done my job today. Can you tell me in your own words, as though you were talking to a friend, how you are going to use this medicine?"
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dotMany people read poorly or not at all. Screen all materials for reading level, and stay at or below sixth grade for most patient groups.
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dotEducation is ongoing. Few patients learn everything in one visit. Encourage callbacks, and give access information for dependable hotlines and web sites.
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dotPeople learn best when they feel safe and calm. A person on the way to a medical exam or procedure rarely feels safe and calm. Allow time afterwards for talk, and invite callbacks.
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dotInformation reassures some people and overwhelms others. Teach enough to be consistent with informed choice and consent practices. However, not all patients want to know everything! Ask, "Would you like me to tell you more about this?"
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dotTeens and adults may need different styles of education. Younger teens may need more concrete, oriented-to-the-present messages than adults because of their developmental status.
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Counseling: support for patient decision making in the context of both factual and emotional components of the issue

dotYou can do no harm if you do not make decisions for the patient. You may very well do harm if you are directive. A good response to, "What do you think I should do?" is, "That is a decision you must make for yourself. I can help you sort out your options, and look at the pros and cons of each, but the decision is up to you."
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dotListening is helpful. Almost always. All by itself. Often patients need to be heard and understood more than they need anything else.
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dotMost people are not fully adherent to health care instructions. Hold patients accountable for their actions when you are face to face, with compassion and with praise for their successes. Once they leave your clinic or office, let it go.
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dotAssume nothing. Forestall labelling, categorizing, and stereotyping. Just listen, and accept the patient where she/he is right now.
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dotUse culturally competent techniques. Educate yourself about the cultural groups represented in your patient population, and respect differences in health beliefs and communication styles.
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dotDenial and anger and common, normal responses to trouble. Reflect and discuss these feelings. Anger is usually a sane and healthy response to feelings of vulnerability and loss of control. Denial can be given up by the denier, but not taken away by the counselor.
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dotAssure patients you only want to know what they want to tell you. Reminding the patient that she/he is in control of disclosure often results in candid discussion.
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dotRespect the patient's agenda. Usually patients know what they want from us if we will just ask.
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dotBe open to a variety of healthy and effective coping styles. Your style will almost never be the only way. People solve their own problems.
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dotAvoid asking "why" questions. Reasons for feelings or actions can be murky and complex, and "why" questions are hard to answer. Patients may feel attacked or blamed.
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dotOffer the option of including others in counseling. Partners, parents, or best friends may be helpful in reducing anxiety for some patients. For others, privacy is essential. The choice belongs to the patient.
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dotAlways find something to praise. Patients need recognition for their positive health behavior steps. You can always say, "It's good you came in!"
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Method:

AETC Training Principles, Adult Learning, Principles of Adult Learning

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Resources

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Training Materials

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