Identifying "at-risk patients" and constantly making the case  that patients
are unable to acquire the knowledge needed to regain or maintain health
thwarts its own objectives. It  keeps the locus of control for health
(Wallston & Wallston, 1978) with the experts, and so fosters dependence and
creates expectations for receiving health, rather than producing it. Thus,
the deficit approach precludes systems goals of patient activation, patient
responsibility, and effective healthcare consumers. 
Sandra Smith, MPH, PhD

-----Original Message-----
From: healthliteracy-bounces at nifl.gov
[mailto:healthliteracy-bounces at nifl.gov] On Behalf Of Frances E. Robinson
Sent: Tuesday, November 03, 2009 7:20 AM
To: The Health and Literacy Discussion List
Subject: [HealthLiteracy 3673] Re: Simulated Hospital Patients

I agree completely that labeling seems inappropriate and often unkind.
Unfortunately, as long as we still need to constantly "make the case" to
disbelievers of the need for health literacy advocacy, we will still need to
identify the "at-risk" populations.  Evidence and statistics help to
convince the skeptics, but data needs to be "labeled."  If only we could
just say, "This makes sense for everyone..."

Fran Robinson
Patient Education Coordinator
Patient Education Services
Dartmouth-Hitchcock Medical Center
One Medical Center Drive
Lebanon, New Hampshire 03756
(603) 650-6439

--- You wrote:
I am missing why the patient needs to be labelled at all--everyone of us in
some situation has problems understanding because of our capacity (variable
over time and situation) and the demands placed on us.  These situations are
too common to even need to label the person.  

Connie Davis, MN, RN
Co-director, Health Literacy in Communities Prototype Collaborative
Senior Faculty
Impact BC

450 - 1385 West 8th Avenue
Vancouver, BC V6H 3V9

cell: 604 991-4563
Tel: 604 742-1772
Toll Free: 1 888 742-1772
Fax: 604 742-1773

Email: cdavis at impactbc.ca
Web: www.impactbc.ca
________________________________________
From: healthliteracy-bounces at nifl.gov [healthliteracy-bounces at nifl.gov] On
Behalf Of IHABRAMSON at aol.com [IHABRAMSON at aol.com]
Sent: Monday, November 02, 2009 2:29 PM
To: healthliteracy at nifl.gov
Subject: [HealthLiteracy 3666] Re: Simulated Hospital Patients

Rima,

Depending on the situation, I have used other terms such as  "undereducated
adults."  By the way, we once had a governor here in Michigan who shared the
sentiment you refer to [you had your chance] - and he promptly made cuts to
many adult education programs.

Ilene




In a message dated 11/2/2009 1:58:44 PM Eastern Standard Time,
rrudd at hsph.harvard.edu writes:
Ilene,
Yes, that is true but illiteracy is such a loaded word -- it has become a
label shaded by blame [you had your chance] and filled with shame and a
sense of disgrace.  I would not use it as a metaphor.
Rima....

Rima E. Rudd, ScD, MSPH
Department of Society, Human Development & Health
Harvard School of Public Health
677 Huntington Avenue
Boston MA 02115
Phone: 617 432 1135
fax:     617 432 3123
web:
www.hsph.harvard.edu/healthliteracy<http://www.hsph.harvard.edu/healthlitera
cy>
www.hsph.harvard.edu/sisterstogether<http://www.hsph.harvard.edu/sisterstoge
ther>


>>> <IHABRAMSON at aol.com> 11/1/2009 11:45 AM >>>

Thank you for your response, Rima.  A lot depends on how one defines
illiteracy.

Ilene

 In a message dated 11/1/2009 11:40:32 AM Eastern Standard Time,
rrudd at hsph.harvard.edu writes:
Please keep in mind that while many people may struggle with the written
word, very few people in the US are illiterate.
Rima

Rima E. Rudd, ScD, MSPH
Department of Society, Human Development & Health
Harvard School of Public Health
677 Huntington Avenue
Boston MA 02115
Phone: 617 432 1135
fax:     617 432 3123
web:
www.hsph.harvard.edu/healthliteracy<http://www.hsph.harvard.edu/healthlitera
cy>
www.hsph.harvard.edu/sisterstogether<http://www.hsph.harvard.edu/sisterstoge
ther>


>>> <IHABRAMSON at aol.com> 10/30/2009 2:13 PM >>>

Hello Everyone.

I am in the process of preparing a curriculum involving simulated hospital
patients, particularly those who might be illiterate, and was wondering if
anyone had sample material to share. Given all our tight schedules, it's
never great to re-invent the wheel. Thank you in advance.


Ilene

Ilene Abramson, Ph.D.
Member- Policy Committee
Michigan Board of Pharmacy (2009 - 2011)

Member - Rules Committee (2009-2012)
Michigan Board of Respiratory Care

ihabramson at aol.com<mailto:ihabramson at aol.com>
Tel:    248-926-0695
Fax:   248-926-9080



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