Health literacy p pt ds

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  • 1. Health Literacy By: Desiree M. Sebastian, RN BSN

2. Objectives O 1) To develop awareness of how lowliteracy impacts health literacy O 2) To develop awareness of how health literacy affects health outcomes O 3) Recognize those at risk for low health literacy O 4) Identify strategies to improve health literacy in personal practice 3. Video Link IOM Health Literacy Video Uploaded on Jun 29, 2007This video provides an overview of the findings from the 2003 IOM report on health literacy. http://www.youtube.com/watch?v=39A9oU-gOOA 4. What is Literacy? O Pre-Civil War: Read and write own name O 1940s (WWII era): Read at 4th gradereading level O 1960s: Completed 8th gradeKirsh (2013). 5. Literacy Today O National Adult Literacy Survey 2002:... The ability to use printed and written information to function in society, to achieve ones goals, and to develop ones knowledge and potential. (Kirsh, Jungeblut, Jenkins, & Kolstad, 2002, p. 2). 6. What is Health Literacy? O IOM, The Agency for Healthcare Researchand Quality ... The degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate decisions regarding their health. AHRQ (2007). 7. How does Low Literacy Impact Health Literacy? O Most health materials are written at the10th grade level or higher O IOM---Health LiteracyHalf of all adults in the US have difficulty understanding and using health informationKirsh (2013). 8. Populations at Risk O Older adults O Less than HS education/GED certification O Racial or ethnic minorities O Low income statusO People with compromised health status O English as second languageKirsh (2013). 9. Impact of Low Health Literacy on Health Outcomes O More likely to say they have poor health O Less use of preventative services O Higher incidence of chronic conditions O Higher rate of ED visits andhospitalizations O Higher healthcare costs Kirsh (2013). 10. How Can You Assess for Low Health Literacy? O Literacy Assessment Tools O REALM (Rapid Estimate of Adult Literacyin Medicine) AHRQ (2009). O TOFHLA (Test of Functional Health Literacy in Adults) Peppercorn (2013). 11. How can HCP improve Health Literacy? O Be more aware of potential for low literacy O Review Social History in chart O Ask how they prefer to receive information O Watch for Red Flags O I forgot my glasses O Ill bring this home and discuss with family O I dont feel well O I dont have time today Kirsh (2013). 12. More Red Flags O Incomplete registration forms O Frequently missed appointments O Lack of follow through for tests or referrals O Non-compliance O Medications O Tests O DM related O INR Levels Kirsh (2013). 13. Now What? O Encourage questions O SLOW DOWN O Address patient concerns O Use analogies O Arthritis is like a creaky hinge on a doorO Use plain language O Pain killer instead of analgesicO Use teach-back techniques Kirsh (2013). 14. OOO OOReferencesAHRQ. (2007). Health Literacy: Program Brief. Agency for Healthcare Research and Quality. Rockville, MD. Retrieved from http://www.ahrq.gov/research/findings/factsheets/literacy/healthlit/ AHRQ. (2009). Health Literacy Measurement Tools: Fact Sheet. Agency for Healthcare Research and Quality. Rockville, MD. Retrieved from http://www.ahrq.gov/professionals/quality-patient-safety/quality -resources/tools/literacy/index.html Kirsh, Debora (2013). Helping Your Patients Understand. Power Point Presentation. SUNY Upstate College of Nursing. Kirsh, I. S., Jungeblut, A., Jenkins, L.,Kolstad, A. (2002). Adult Literacy in America. A First Look at the Findings of the National Adult Literacy Survey. (3rd ed.). Washington, D.C.: Department of Education. Retrieved from http://nces.ed.gov/pubs93/93275.pdf Peppercorn. (2013). TOHFLA Teaching Version. Peppercorn Books. Retrieved from http://www.peppercornbooks.com/catalog/pdf/tofhla_eng_12pt_websmpl.pdf 15. Group Activity O As you watch the video, pay attention to thepatient incidents presented. O After video, we will break up into 4 groups. O Each group will have 10 minutes to: ODiscuss incident presented O Identify problem in the system that allowed incident to occur O Develop plan to correct identified problem in order to prevent future reoccurrence of incident. O Each Group will present problem and possiblesolution as determined by the group. 16. Video Link O http://www.youtube.com/watch?v=BgTuD7l7LG8

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