Question

In: Nursing

Mrs. Walker is an 87 year old widow recently discharged from the hospital following an incident...

Mrs. Walker is an 87 year old widow recently discharged from the hospital following an incident of high blood glucose related to a chronic diagnosis of Type 2 Diabetes. She has returned for a follow up visit with her physician who asked you to join him/her during the examination as part of the health care team. Mrs. Walker lives alone and has a daughter who lives 30 miles away and visits once or twice a week. She no longer drives but does have a church family to help her attend religious events weekly. She tells the health care team that she has been “a little dizzy sometimes” but did read the pamphlet about how to manage her diabetes after she was discharged from the hospital 4 days ago and thinks she is doing “ok”. She brought her medications with her and it was noted during medication reconciliation that she has not taken her blood pressure medication since she was discharged from the hospital. When asked about her medications she answered that she was “not sure if that was the blue one or the big white one”. Her insulin pen is also full although she states that she is injecting herself “at least 4 times a day”.

Answer the following questions fully:

  1. What are the health literacy issues present in this case study? Explain each fully.
  2. What is the impact of poor communication on Mrs. Walker’s situation? How could this have been prevented?
  3. How could communication be improved to result in better outcomes?
  4. What open-ended questions would be valuable to obtain accurate information?
  5. What technique would assure you that Mrs. Walker was able to test her blood glucose and administer her insulin correctly?
  6. What alternate methods of communication would be helpful?
  7. Address each of the parts of health literacy outlined on the Lecture 4 presentation as they relate to Mrs. Walker.

Solutions

Expert Solution

Health literacy issues associated with higher mortality. health education intervention and followup adherence help for post-hospital followup adherence for the patient. lack of health literacy causes poor health outcome. Patients with limited health literacy have trouble reading and understanding food lables, measuring medication, identifying medication and slef care instruction. it causes underutilization of preventive resources that cause health disparities. when family lives for away from the older people and the older people lives alone they can not come for a followup visit and they can not adhere to followup medications. health literacy screening in clinical care
benefit older adults that improve health literacy, improved health care decisions, and improve health status.
patient-centered communication, clear communication technique, using education materials, medication clear labeling, self-management support programs improve health outcomes that prevent health literacy issues.
patient low health literacy cause less familiar with medical concepts and vocabulary and the patient will ask fewer questions. low understanding of medical instructions from physician cause poor health literacy and make negative health outcomes. clear communication and effective strategic for teaching about health literacy raise their awareness about health literacy. educators should empower their trainees how to teach them and communicate clearly with patients.
Assess the patient's understand before providing information and explain clearly using plain language.
avoid medical terms, vague terms and medical jargon, and other lay terms in health literacy, explain the key points, and make important. use an open ended approach. instruct the patient to repeat the sentence and informaiton.
open ended question will be valauble to obtain accurate informaiton "what questions do you have?", "what problems broght you to the hospital today?"


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