NUTRITION FOR INFANTS, CHILDREN AND 婴幼儿的营养.pptVIP

Positioning the Interpreter Interpreter Patient Physician Position the interpreter behind and slightly next to the patient. Make eye contact with the patient not the interpreter. Considerations Remember, while this patient may look different from you, you look very different from them. Recognize that you have an explanatory model that is different from your patient and therefore, you need to investigate their system of healing as well. Can you help me understand what this condition means to you? How is this kind of condition treated in your family? Who makes the medical decisions in your family? What do you fear most about your sickness? Health Literacy Issues 25% of U.S. population cannot understand basic written material. The Institute of Medicine found that 40 million Americans have trouble linking dosage information on a medication bottle with instructions from their physician. Patients with low literacy are more susceptible to hospitalizations, many due to medication errors.  500,000 people in Philadelphia have low literacy levels. Source: Carroll N. Health Literacy: A Prescription to End Confusion. Institute of Medicine, National Academies Press. Washington, DC. 2004. Indicators of Low Literacy Registration forms filled out incorrectly or are illegible Health questionnaires not completed Appointments frequently missed Frequent medication errors Lack of f/u with referrals, imaging and lab tests Patients may respond: “I forgot my glasses” Weiss B.D., Mays M.Z., Martz W., et al. Quick assessment of literacy in primary care: the newest vital sign. Ann Fam Med 2005;3(6):514-22. Williams M.V., Davis T., Parker R.M., Weiss B.D. The role of health literacy in patient-physician communication. Fam Med 2002;34(5):383-9. Wilson J.F. The crucial link between literacy and health. Ann Intern Med 2003;139:1. Mary, a 2-y/o Caucasian girl, comes with her mother (Ms. Jones) to see Dr. Robinson for a well-child visit. This is her 6th visit with this pediatricia