tag:blogger.com,1999:blog-4384692836709903146.post1865382280164459989..comments2024-03-27T09:55:23.143-07:00Comments on Dispatch from the Digital Health Frontier: Sharing Orders with PatientsJohn Halamkahttp://www.blogger.com/profile/04550236129132159307noreply@blogger.comBlogger3125tag:blogger.com,1999:blog-4384692836709903146.post-49366660174470272862013-01-03T14:27:16.112-08:002013-01-03T14:27:16.112-08:00When I make rounds I try to have a team present (r...When I make rounds I try to have a team present (residents, nurses, pharmacists and social worker). In addition, we review the Mar/EMAR in front of the patient to let them know what medications they are on and why, dosing, frequency, indications and side effects. Everyone also hears the overall treatment plan for the day. It can work in a military hospital but is more difficult in a busy fragmented civilian hospital. Patients are one of the most important members of the healthcare team.Bob Hoythttps://www.blogger.com/profile/11304632744944099581noreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-5638743707030453752013-01-03T14:10:33.047-08:002013-01-03T14:10:33.047-08:00This hits home with me as well. Recently my 70 yo ...This hits home with me as well. Recently my 70 yo mom took my 80yo dad to the E.R. suspecting a TIA which turned out to be dehydration and blood sugar issues. Upon discharge he was given "canned" instructions and some changes to amounts of meds. My mom recalled a past change in the one med. had caused problems before, but "since it was written" she maybe mentioned her thoughts, but did not take a proactive stance and challenge the discharge instructions. Sure enough, with the med. amount change, the same thing happened as before, and Dad spiraled down. It took over a week to get the amount corrected. If the health system had access to the previous occurrence, as well as reasons being provided for the med. chagne, I believe it would not have all been on my Mom's shoulders to figure this all out on her own (and fail!)Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-9011903259590229602013-01-03T04:35:48.385-08:002013-01-03T04:35:48.385-08:00My experience is that patients, especially "o...My experience is that patients, especially "older" patients, will read anything and everything that is given to them. They will hold on to it and eventually file it away where they can find it. Reading comprehension is generally greater than listening comprehension and written orders can be shared with family and other care providers.<br /><br />This works both ways. I bring printed lists (so I can give one to each person involved) of meds and medical conditions when I take a relative to the doctor's office or hospital. Healthcare professionals also have better reading comprehension than listening comprehension.typingtalkerhttps://www.blogger.com/profile/09572305719782041883noreply@blogger.com