Unit 1 Flashcards
(28 cards)
60% of adults in Canada are unable to:
-obtain, understand and act upon health information and services
- make appropriate health decisions on their own
Seniors, immigrants and unemployed people have, on average:
lower levels of health literacy skills
Factors affecting health literacy
Access, Comprehend, Evaluate, Communicate
- influenced by education, culture, social economic status, developmental stage and life experiences
What is Access
ability to access information on health - socioeconomic status
What is comprehend
Ability to understand health information and derive meaning
- those who have a lower literacy level of 4th grade may not understand health literacy
What is Evaluate
ability to interpret and evaluate health information
- the ability to evaluate and comprehend what health risks come with making important decisions
What is Communicate
Ability to make informed decisions about health issues
World health organization, facets of health literacy
- community health literacy (knowledge, accessibility, embedded in society)
- health literacy development (way health systems workers, policy makers, build knowledge, confidence and comfort who are using that health care)
- health literacy of an individual (individuals are not as important than the community)
- health literacy responsiveness (extend to which health care workers recognize and accommodate the health literacy)
Low health literacy is connected to:
-poorer overall health
- misuse of medication
- misunderstanding of health information
- preventable use of ER (when to go to ER vs walk in clinic/family dr)
- wait longer to seek medical attention - crisis state
What are some possible signs of low health literacy?
- pt may not follow instructions of recommendations for self care
- high frequency of visits or missing scheduled appointments
- unable to self-manage condition even after being provided instruction over several visits
- may not look at pamphlets or information provided ,or may say no when they are offered
- when given forms, may decline “i left my reading glasses at home”
- may bring family member to visits and defer to them to answer questions
- noticeable language barrier
- observing non-verbal signs of lack of understanding (nod and agree)
Consider the social determinants of health - what are they and how could they affect health literacy?
- income, housing, education, food/food insecurity
- affects overall health outcomes, income security, education, and employment
Residents who lived in the 6 low income vs affluent neighborhoods are:
- 1458% more likely to attempt suicide
- 1186% more likely to be hospitalized for diabetes
- 3360% more likely to have Hep C
- 1549% more likely to have a teen birth
- 448% more likely to have an infant die in the first year
What percent of low income neighborhoods are fully immunized compared to high income neighborhoods?
- full immunization 46% low income vs 95% high incomes
in comparison to higher educated residents, Sask residents from the low income neighbourhoods with less than high school graduation are:
- 55% more likely to have diabetes
- 30% more likely to have suicidal ideation
- 141$ more likely to have heart disease
- 40% more likely to be daily smokers
Employment - in comparison to adults that work, sask adults from the 6-resource poor neighbourhoods that are Not working are…
- 132% more likely to have diabetes
- 272% more likely to have heart disease
- 133% more likely to have high BP
Health promotion is defined as …
the process of enabling people to increase control over, and to improve their health
empowerment:
cannot be given - only gained by…
those who seek it
empowerment is an outcome of what?
health promotion activity, enhanced literacy, and health literacy
what is our environmental goal?
creating a supportive and respectful environment
what is the patient education hierarchy
- tool to help prioritize pt’s knowledge needs
- moving up the pyramid means more mastery and self determination = more control over health care
- safety needs met first
- RN’s approach/interactions directly influence how a pt will move through the stages
What are the levels of the pt education hierarchy?
safety> understanding disease pathology > treatment : general specific > problem solving > unity with personal life > self determination
What are the shared knowledge domains?
- client is expert on self
- provider is an expert on health
- the provider and client are both working within the healthcare system
- the intersection of provider and client is where knowledge should merge
- focus on this shaded area to build a foundation for partnership on which to plan care and build understanding
What are three barriers?
Generational differences, personality differences, technology
What are the 5 steps of health promotion and health education from the role of the RN
- minimize health disparities
- work towards conditions that promote equity and social justice
- support people in gaining control over their health care experience
- provide health information
- teach in a way that meets the needs of the individual
