Читать книгу Pathy's Principles and Practice of Geriatric Medicine - Группа авторов - Страница 240
Key points
ОглавлениеIndividuals with limited health literacy have less access to health knowledge, worse self‐management skills, less frequent use of preventive services, higher hospitalisation rates, and more premature mortality than individuals with adequate health literacy.
Medicine is a culture that is not easily understood by, and often intimidates, older adults.
Common areas of cultural conflict between provider and older adult that negatively impact health care delivery include misunderstandings about the role of the family in the patient’s care, lack of common verbal and non‐verbal communication styles, misconceptions about cultural norms, and ageism by both the older adult and the provider.
Health literacy in older adults can be improved by using written material that is in the primary language of the patient, is written at the sixth‐grade level or lower, uses pictures and illustration, is age‐appropriate, and presents a limited amount of information.
Health literacy in older adults can be improved using auditory material that is in the patient’s primary language, is spoken slowly, and is delivered one‐on‐one by a trusted individual.
Many resources are available on the Internet to assist with overcoming language barriers and developing culturally appropriate health promotion programs.
Examples of improving communication include simplifying communication; confirming comprehension for all patients to minimise the risk of miscommunication; using technology to assist with rapid communication, making the health care system easier to navigate; and supporting patients’ efforts to improve their health.