which of the following is a commonly misused word or phrase in written communication to a patient?

Tanti Al Zember

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27-12-2024

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Effective communication is paramount in healthcare. Misunderstandings between healthcare professionals and patients can lead to treatment non-compliance, dissatisfaction, and even adverse health outcomes. While many factors contribute to effective communication, the precise choice of language is critical. This article explores common misuses of words and phrases in written patient communication, drawing on research from scientific literature and offering practical strategies for improvement. We'll focus on clarity, empathy, and avoiding jargon to enhance patient understanding and trust.

The Problem of Jargon and Medical Terminology

A significant challenge lies in the use of medical jargon and overly technical language. While healthcare professionals understand these terms, patients often do not. This can lead to confusion, anxiety, and a sense of being excluded from their own care. A study by Levinson et al. (2000) highlighted the impact of communication failures in healthcare, emphasizing the crucial role of clear and understandable language in patient satisfaction and adherence to treatment plans. [1]

Question: What are some specific examples of commonly misused words or phrases in patient communications?

Answer: Based on research and common practice observations, several words and phrases frequently cause confusion:

• "Benign": While technically meaning "not harmful," patients may misinterpret "benign tumor" as "not serious" or "nothing to worry about." A more accurate description would emphasize the non-cancerous nature but acknowledge the need for monitoring or treatment, depending on the specific case.

• "Acute": This term signifies a sudden onset and short duration. However, patients might confuse it with "severe" or "critical." Using descriptive terms like "sudden onset" or "short-term illness" provides better clarity.

• "Chronic": Similar to "acute," "chronic" might be misunderstood. Instead of simply stating a condition is "chronic," explain its long-term nature and potential implications. For example, instead of "You have a chronic condition," say "This condition will require ongoing management."

• "Normal": This word is subjective and depends on the context. "Normal blood pressure" for a 20-year-old is different from that of a 70-year-old. Specifying the range or using phrases like "within the healthy range" is preferable.

• "Asymptomatic": This term refers to the absence of symptoms. Patients might misinterpret it as "nothing wrong." A clearer explanation would be: "You don't have any noticeable symptoms currently, but we are monitoring for any potential future issues."

• Passive Voice: Sentences written in the passive voice ("The medication was administered") can be less clear and engaging than active voice ("The nurse administered the medication"). Active voice increases clarity and promotes a sense of agency and accountability.

• Complex Sentences: Long, convoluted sentences filled with medical jargon are difficult to understand. Short, simple sentences using plain language are far more effective.

Practical Strategies for Improvement:

1. Plain Language: The use of plain language – clear, concise, and easy-to-understand language – is paramount. Avoid jargon, technical terms, and medical abbreviations unless explicitly defined.

2. Patient-Centered Language: Frame communication from the patient's perspective, focusing on their needs and concerns. Use "you" instead of "the patient." For example, instead of "The patient will need to follow a specific diet," use "You will need to follow this diet."

3. Visual Aids: Incorporate diagrams, charts, and other visual aids to supplement written information, making it easier to grasp complex concepts.

4. Chunking Information: Divide information into smaller, digestible chunks to prevent cognitive overload. Use headings, subheadings, and bullet points to improve readability.

5. Readability Tests: Use online readability tools (e.g., the Flesch-Kincaid readability test) to assess the complexity of your writing and make adjustments to improve comprehension.

6. Testing and Feedback: Before distributing written materials, test them with a representative sample of patients to gauge understanding and identify areas for improvement. Seek feedback on clarity and comprehension.

7. Cultural Sensitivity: Consider cultural differences in health literacy and communication styles when writing patient materials. Ensure the language is appropriate and culturally sensitive to your patient population.

Beyond Words: The Importance of Empathy and Context

Effective patient communication goes beyond the precise choice of words. Empathy, active listening, and a patient-centered approach are also essential. A study by Street et al. (2009) emphasized the importance of shared decision-making in enhancing patient satisfaction and adherence. [2] This involves actively involving the patient in the decision-making process, considering their preferences, values, and concerns.

Example: Instead of simply stating, "Your test results are abnormal," a more empathetic approach would involve explaining the results in a clear and understandable manner, addressing the patient's concerns, and collaboratively discussing treatment options. This includes acknowledging the patient's emotions and providing reassurance and support.

Conclusion:

The choice of words and phrases in patient communication significantly impacts patient understanding, satisfaction, and adherence to treatment. By avoiding jargon, using plain language, incorporating visual aids, and focusing on a patient-centered and empathetic approach, healthcare professionals can enhance communication and improve patient outcomes. Regularly evaluating and refining communication strategies is essential to ensure that patients receive the information they need to make informed decisions about their health. The ultimate goal is to foster a trusting relationship built on mutual understanding and respect.

References:

[1] Levinson, W., Roter, D. L., & Mullooly, J. P. (2000). Physician-patient communication: The relationship with malpractice claims. Archives of internal medicine, 160(7), 1087-1093.

[2] Street, Jr, R. L., Jr, Haidet, P., & Arora, N. K. (2009). Shared decision making and patient satisfaction. The Permanente journal, 13(2).

Note: This article provides general guidance. Specific word choices may vary depending on the context, patient population, and specific medical condition. Always consult with relevant healthcare professionals and review communication materials with patients to ensure clarity and effectiveness.