One of my
old time sayings (both to students and to myself) has always been “an educated
patient is the best kind of patient” for my practice this has been a big
revelation, when people understand what they have their treatment goes great,
they are more compliant with treatment even if it takes a long time or a really complicated schedule, their
time for recovery is less than other patients and they seem to be more aware of
their own behavior if that is the cause of their disease (diabetes makes a good example).
Of course
the time in each consultation increases but as I have seen only for first time
patients, the follow ups are easy and fast, and at the beginning of this idea I
also doubted it because it involved me talking more and taking more time with
each patient on an already busy day, with time it balances itself, when you
have quick follow ups you recover the time invested and so on, this way I’m
having almost the same amount of time in my office as before, the real
difference is my relation with patients and a better outcome.
What I also
discovered is that by explaining all you can, you develop a different relation
with your patients their attitude towards you is better; you find them more
open to discuss their behavior and trusting more your opinion. Each day is
better and also I find it easier to get along with patients while feeling more
satisfied with my work.
When you
think about the best way to make a patient compliant with their treatment, a
way to make them more involved in their healing process and a way to improve
trust issues within a doctor-patient relation one of the best ways to go is
patient education and there is something more here, people really want to know
what they have so they are really listening when they step into your office.
Explain them in their own words.
One of the
first thing to have in mind is that normal people doesn’t really understand
medical terms, even if they have an idea of what something means it might be
the case that they have some other meaning for it so it’s important to explain
what they have in the most simple terms you can find.
Try and use
analogies, sometimes people understand better a concept when you use some other
concept that helps get the idea more comprehensive, like explaining circulatory
problems with faucets or plumbing, the idea is to make a patient more
comfortable with a concept and make them understand their disease. Once a
patient understands his/her disease explain them their options as well with
details of how they work and what you expect as outcome for each line of
treatment.
Also
important is to explain anatomical parts in a way they can really understand.
Again using analogies or models can help them understand pathology.
Check for comprehension.
Something
important to keep in mind is to ask your patient about what you just explained
them, try and ask them if they understood your explanation and see if they have
the proper idea for that concept, sometimes it happens that patients understand
things differently and you need to make another explanation or clarify their
misunderstandings.
Ask them
for doubts, sometimes people don’t ask because of what you might think of them,
you have to give patients a level of confidence to make them trust you with
their own ideas and opinions, you will be surprised to see how many patients
don’t get it and still remain silent, check always for comprehension and any
type of doubts, especially for treatment it’s really important to have a clear
communication.
Helps them make informed decisions.
A patient
that understand better a condition and his/her options for treatment can make a
better decision and become more compliant with the treatment he/she decided,
this is something that is more common in chronic diseases and long term
treatments, and it is quite logical that you make better decisions about
something you understand that say ordering in a foreign language.
People need
to be informed to understand what you are doing with them, also important to
keep a clear idea of what the treatment is going to do, what each medicine
does, how do they work, and especially for procedures what you are going to do,
how, if it hurts, why is important to make it etc.
Don’t trust me try it yourself.
All in all
the strategy can help your patient outcomes if you try it, at first it may be
a little hard since you have to think of how to explain each disease and
treatment with practice it becomes really natural for you to explain your
patients what they have, what you will be doing for them, what the results will
be, and how long will it take, using images or models can increase
comprehension and save you some time, but as any other part of your practice it
doesn’t work if you don’t try it, you will see the results and then decide if
you keep it or continue in antoher direction.
Also look
for aids to help you teach your patients currently there are a lot of online
services for patient education, AMA has some resources you can check http://www.ama-assn.org/ama/pub/physician-resources/patient-education-materials/atlas-of-human-body.page
but also there are other companies dedicated to patient education you can check
to help you increase your quality of service and reduce the chance of
misunderstandings with your patients.
Again let
me thank you for reading our blog and don’t forget to check our website www.usmleprepguide.com if you have any
comments leave them below.
