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Patient Education
Aka: Patient Education, Dispelling Health Misinformation
- See Also
- Patient Communication
- Emergency Department Patient Satisfaction
- Motivational Interviewing (Five Rs Technique)
- Health Risk Behavior Counseling (Five As Technique)
- Breaking Bad News
- Discussing Terminal Illness
- Expressing Empathy
- Approach
- Patient Education effectiveness relies on the rapport and trust built from the patient-clinician relationship
- Sit down during the patient encounter
- Use open ended, non-judgmental questions
- Assist patients with reliable information they may use in making decisions based on their values
- Avoid prescriptive and paternalistic approach
- Provide information in small parts and reassess for understanding ("chunking")
- Employ anonymized patient stories and clinician experiences where appropriate
- Discuss both risks and benefits of recommended testing and treatment
- Precautions: Health Misinformation and Disinformation
- Definitions
- Misinformation
- False information not delivered with malice
- Disinformation
- False information delivered as a deliberate attempt at deception
- Patient Education remains an important strategy in primary, secondary and tertiary prevention
- As clinicians, we bring an added credibilty and patient trust to Patient Education
- U.S. medical certification boards and licensing organizations emphasize reliable information
- Clinician spread of misinformation counter to standard of care may result in loss of license, certification
- Health disinformation and misinformation risks serious outcomes and death
- Covid19 misinformation in 2020-2022 resulted in under-Vaccination and mask resistance
- Estimated 163,000 excess covid deaths preventable with Vaccination U.S. June to November 2021
- https://www.healthsystemtracker.org/brief/covid19-and-other-leading-causes-of-death-in-the-us/
- FAD Diets and supplements of the late 1900s-2000s
- https://quackwatch.org/
- Anti-Vaccination movements (from Smallpox to Measles)
- https://www.historyofvaccines.org/content/articles/history-anti-vaccination-movements
- Medicine shows of the 1800s (e.g. snake oil)
- https://en.wikipedia.org/wiki/Medicine_show
- Resources
- U.S. Surgeon General Statement regarding health misinformation
- https://www.hhs.gov/sites/default/files/surgeon-general-misinformation-advisory.pdf
- Debunking Misinformation as "Science" (Hemmer, CNN)
- https://www.cnn.com/2021/09/28/opinions/covid-history-of-spreading-medical-misinformation-hemmer/index.html
- Resources
- Healthfinder
- http://www.healthfinder.gov
- Mayo Clinic
- http://www.mayoclinic.com/
- JAMA Patient Page
- https://jamanetwork.com/collections/6258/patient-information
- Family Doctor (AAFP)
- http://www.familydoctor.org/
- Medline Plus
- https://medlineplus.gov/healthtopics.html
- References
- Barnes, Aust and Leaf (2022) Crit Dec Emerg Med 36(1): 21-25