Most older patients want to understand their medical conditions and are interested in learning how to manage them. Likewise, family members and other caregivers want this information. Physicians typically underestimate how much patients want to know and overestimate how long they spend giving information to patients. Devoting more attention to educating patients may seem like a luxury, but in the long run it can improve patients’
adherence to treatment, increase patients’ well-being, and save you time.
The following tips can help you inform patients and their caregivers about medical conditions and their treatment.
l Doctors’ advice generally receives greatest credence, so the doctor should introduce treatment plans. Other medical team members have an important role, including building on the original instructions.
l Let your patient know you welcome questions. Indicate whom on your staff he or she can call to have questions answered later.
l Remember that some patients won’t ask questions even if they want more information. Be aware of this tendency and think about making information available even if it is not requested.
l Provide information through more than one channel. In addition to talking to the patient, you can use fact sheets, drawings, models, videotapes, or audiotapes. In many cases, referrals to websites and support groups can be helpful.
supporting patients with chronic conditions 37
l Encourage the patient or caregiver to take notes. It’s helpful to offer a pad and pencil. Active involvement in recording information may promote your patient’s retention and adherence.
l Repeat key points about the health problem and treatment at every office visit.
l Check that the patient and his or her caregivers understand what you say.
One good approach is to ask that they repeat the main message in their own words.
l Provide encouragement. Call attention to strengths and ideas for improvement. Remember to provide continued reinforcement for new treatment or lifestyle changes.