s09: addressing the cognitive challenges in patient instruction to bridge the functional health...
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AddressingtheCognitiveAddressingtheCognitive
toBridgetheFunctionaltoBridgetheFunctionalHHealthealthLiteracyGapLiteracyGap
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ComprehensionComprehension
ExecutionExecution
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Accordingto
one
study,
patients,
on
average,
forget
half
According
to
one
study,
patients,
on
average,
forget
half
ofwhattheyweretoldbyadoctorwithin5minutesofofwhattheyweretoldbyadoctorwithin5minutesof
eav ngt eoutpat entconsu tat onroom. ayereav ngt eoutpat entconsu tat onroom. ayer
1990)1990)
ccor ngtoanot erstu y,on y37 o pat entscou ccor ngtoanot erstu y,on y37 o pat entscou
recalltheirdiagnosisandtreatmentandfollowrecalltheirdiagnosisandtreatmentandfollowupplanupplancorrectly,immediatelyafterbeingdischargefromtheEDcorrectly,immediatelyafterbeingdischargefromtheED
(LoganPD
1996).
(Logan
PD
1996).
Accordin toourownstud ,immediaterecallrateisaboutAccordin toourownstud ,immediaterecallrateisabout
44%anddelayedrecallis27%.(Zeng 2008)44%anddelayedrecallis27%.(Zeng 2008)
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SimplerlanguageSimplerlanguage
Actionable
informationActionable
information
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VocabularyVocabulary
Example:
Example:
ress g:ress g: quacequace w w er xer x over sover s
Dressing:CoverthewoundwithDressing:CoverthewoundwithAquacelAquacel AGwithaAGwithakerlixkerlixwrapchangeddailywrapchangeddaily
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Visual
SimilarityVisualSimilarity
ArbitraryConventionArbitraryConvention AbstractConventionAbstractConvention
ConcreteConventionConcreteConvention
TransposedConventionTransposedConvention
SemanticAssociationSemanticAssociation ComparisonorContrastComparisonorContrast
Exemplification:SingularExemplification:Singular
..
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Eas Difficult
Comprehension
You can drive in 2 days.n Easy The top number of your blood
pressure should be less than 1201.
Executi
ifficult Try to eat < 25 grams of fat every
day and < 10 grams of saturatedDiabetes Control: HbA1C less than7.0%3.
D a .
1 Comprehension: the concept of blood pressure is difficult because it involves several interrelated concepts such as normal and
abnormal ranges, measurement (mmHg), causes and consequences of hyper- and hypotension, among others.
2 Execution: difficult because it involves estimatin the amount of fat in each ortion of food eaten throu hout the da . Each meal
demands decisions regarding how much to consume based on the remaining amount of the daily allowance of fat.
3 Comprehension: the concept of glycated hemoglobin, its function, clinical meaning, and measurement is fairly difficult to grasp.
Execution: difficult because bringing down HBA1C involves continuous monitoring of blood sugar, diet, exercise, and medicationregimen.
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PreciseNoliftingmorethan10poundsfor1week.
Imprecise Dostrengthbuildingexercisesusinglightweightstoincreaseyour
strengt
an
musc e
tone.
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CompleteYouwillneedtowearthemonitoreverydayfor60days.
Incomplete Checkeverydayforsignsofinfection.
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ProperYoumaycall8015813949MondayFriday 8am4pm withany
uestions.
Improper Callyourdoctorifyougain23pounds overnightor
5
poun s n
a
wee .
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MetricYoushouldnoteatmorethan2000mgofsaltdaily.
U.S. Units Donotliftmorethan10poundsfor1week.
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AbstractDonotliftmorethan10poundsfor1week.
Concrete Donotliftmorethan10poundsfor1week.(Agallonofmilk=8
poun s.
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CalculationMakeafollowupappointmentin3month.
No MakeafollowupappointmentinJune.