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Whаt is the mаin fоcus оf Jаnice’s care team? Suppоrting her mental and emotional health and screening for depression Improving her quality of life by reducing pain and improving hand function Curing the disease Assisting her in finding a job where she won’t have to use her hands Janice is a 29 year-old female recently diagnosed with Rheumatoid Arthritis. This is an inflammatory condition that affects the joints of the hands with there is no known cure, but there are treatments that can help reduce symptoms and slow progression. Janice will need to follow her treatment schedule closely and return to the clinic for regular monitoring. Dr. Zimmer introduces Janice to his entire team. He explains that they have a great deal of experience treating rheumatoid arthritis and have very good outcomes with their patients. He emphasizes the importance of a strong relationship between patient and the health care team because this will be a long-term relationship. He asks Janice a lot of questions to get a sense of her wishes and goals. He listens very carefully and asks thoughtful follow up questions. Dr. Zimmer talks with Janice and explains her condition. He recommends a monthly injection to help control her rheumatoid arthritis. He hands Janice a small packet of paper that goes over the risks and benefits of this treatment option and also outlines alternative treatments if she were to prefer a different medication. Janice asks Dr. Zimmer to read the paperwork to her. Dr. Zimmer thought she might ask this because the front desk staff told him that Janice had asked them to read the intake forms out loud when she arrived for her appointment. Dr. Zimmer is running behind for his next appointment and doesn’t have time to read the whole packet out loud. He tells Janice “I’m not able to read to packet to you but I think this injection is the best option for you. I always prescribe this injection for patients with your condition, in your age bracket and with your active lifestyle. This packet goes over a bunch of information. You should know this: The injection I’m prescribing is very effective, doesn’t have very many side effects and if we need to change to a different medication, we can do that at a future visit. Please sign that form and hand it to the front desk staff. They will schedule you for your next appointment so we can perform the injection.” Janice feels confused, but she decides to go ahead and sign the form and schedule her next visit at Dr. Zimmer has requested.
Ernest is а 79-yeаr-оld mаle diagnоsed with pancreatic cancer. Garrisоn is Ernest’s oncologist (physician who specializes in treating cancer). Those diagnosed with pancreatic cancer often receive their diagnosis after the cancer has metastasized (spread to other regions of the body) because pancreatic cancer tends not to cause many symptoms early on. Ernest’s cancer has metastasized, and Dr. Garrison estimates he has about 2 months to live without treatment and possibly 4 months with aggressive chemotherapy and radiation. It is very important that Dr. Garrison demonstrates veracity by telling Ernest the truth about his short life expectancy even if he chooses aggressive treatment. When discussing Ernest’s diagnosis, life expectancy and potential treatment plans, Dr. Garrison pays special attention to Ernest’s understanding of this information. She recognizes that this information can be complex and challenging to understand even on the best of days, but she’ll be communicating to a patient who has just learned he only has a few months to live. She must communicate in a manner that supports Ernest’s health literacy. Which of the following options is true of health literacy? Choose 2 (2pts) Patient intelligence indicates their level of health literacy It is a shared responsibility between patient and provider It involves 3 components: communication skills of health professional; communication skills of patient and/or family; complexity of the message itself Written descriptions are best for patients because they can take the material home and take as much time as they need to read and understand it