Bookmark the RN Journal
in your Favorites File for easy
reference!
|
Clinical Recommendations -
Both the American Medical Association and with full support of the American Nursing Association have recommended by the Council on Scientific Affairs, adopted policy at the AMA Annual Meeting back in June of 2000.[24]ʹ[25] The following statements were recommended by the AMA and shared with the ANA for a complete impact within the US: · Recognition that limited patient literacy is a barrier to effective medical diagnosis and treatments.
· Work with members of the Federation (i.e., specialty, state, and local medical societies), and other relevant
medical and nonmedical organizations to make the health care community aware that over one fourth of the adult
population has limited and/or difficulty understanding both oral and written health care information.
· The AMA encourages development of both the undergraduate, medical and graduates, in continuing medical
education programs that train physicians to communicate with patients who have limited literacy skills.
· The Associations encourages that the US Dept. of Education to include questions regarding health status,
health behaviors, and difficulties communicating with health care professionals in the National Adult Literacy
Survey.
· The Associations encourages the allocation of federal and private funding for research on ongoing health
literacy issues.
Conclusion -
The patients’ understanding with knowledge can be improved, at least at the individual level. Patients with primary and or secondary HT with DM health problems benefit when they are involved in their care. Either in the home or at the clinic, evidence suggests that this participation can lead to a better use of resources. Shared decision-making and self-management are mutually supportive approaches, which should be given equal importance. Preliminary studies indicate inadequate health literacy may increase the risk of frequent hospitalization. [26] Professional and public awareness of the health literacy issues must be increased, beginning with education of medical students and physicians plus improved patient-physician communication skills. The nursing institutions have seen a need for this out-reach from the community within. The continued support from the ANA will only enhance the nursing skills from student to graduates. This support is what the author would like to call the “art of medicine.” Further Readings on Current Research in Essential and Idiopathic Hypertension with Diabetes: · Dr’s Colombani, AL, Careiro L, Benani A, Galinier A, Jaillard T, Duparc T, Offer G, Lorsigno A, Magnan C, Casteilla L, Pe´nicaud L, and Leliup C. ‘Enhanced Hypothalamic Glucose Sensing in Obesity: Alteration of Redox Signaling’ Diabetes Care, Oct. (2009), 58: 2189-2197; published ahead of print on July 6, 2009, doi: 10.2337/db09-0110 full abstract.
· Dr’s Vella A, Rizza RA. ‘Application of Isotopic Techniques Using Constant Specific Activity or Enrichment to
the Study of Carbohydrate Metabolism’ Diabetes Care, Oct. (2009), 58: 2168-2174, doi: 10.2337/dbo0-0318 full
abstract.
· Nath C, PhD, ‘Literacy and Diabetes Self-Management’ Amer. J. Nur. (06/2007) 107(6): 43-49.
· Masor D, PhD, ‘Promoting Health Literacy’ Amer. J. Nur. (02/2007) Vol. 101 Issue 2-p7.
----------------------------------------------------------------------
[1] National Library of Medicine Current Bibliographies in Medicine: Health Literacy (2000). NLM Pub. No. CBM
200-1, Selden CR, Zorn M, Ratzan SC, Parker RM, Eds. Bethesda, MD: The National Institutes of Health, US Dep.
of Health and Human Services.
[2] Nielsen-Bohlman L, Panzer AM, Kindig DA, Eds. Health Literacy (2006) rev. ed. “A Prescription to End
Confusion.” Washington, DC: National Academies Press.
[3] Grueninger, UJ, Arterial hypertension: lessons from patient education (2006). Patient Educ. Couns. 2006;
27: 37-52. Also, cited in Pub. Med. Arch. Internal Medicine, 1999; 158: 166-172. Full Text.
[4] Leichter S, Nieman J, Moore R, Collins P, Rhodes A. Readability of self-care instructional pamphlets for
diabetic patients. Diabetes Care. 1991; 4:627-630. American Diabetes Association Foundation founded in 1978.
[5] Davis T, Crouch M, Wills G, Miller S, Abdehou D. The gap between patient reading comprehension and the
readability of patient education materials. Journal Family Practice 1990; 31: 533-538. Also, cited in Arch.
Intern. Med. 2002.
[6] Boyd M, Citro K, Cardiac patient education literature: can patient read what we give them? Journal of Card.
Rehab. 2000; 6: 513-517.
[7] Dixon E, Park R. Do patients understand written health information? Nursing Outlook. 2000; 48: 378-381.
Also, cited in Arch. Intern. Med. Relationship of Functional Health Literacy 2009. http://archinte.ama-assn.org
[8] Jenkins L, Kolstad A Adult Literacy in America: A Revised Look at the Results of the National Adult
Literacy Survey. Washington, DC: National Center for Education Statistics, US Dept. of Education; 2008.
[9] Schillinger D, Grumbach K, Piette J, et al. Association of health literacy with diabetes outcomes. Journal
of American Medical Association (2004); 288(4) 475-82.
[10] Weiss BD. ‘Epidemiology of low health literacy.’ In Schwartzberg JG, Van Geest JB, Wang CC, eds.
Understanding Health Literacy: Implications for Medicine and Public Health. Chicago, IL: AMA Press; (2008 rev.
ed.) 27-43.
[11] US Dept. of Health and Human Services. Clear and Simple: Developing Effective Print Materials for Low
|
|
|
|