Dr. Zachary Winkleman is leading his students to provide Athletic Training services from a Patient-Centered Approach.
Consider the Social Support system –
Hey do you want me to talk to your family…or do you have someone you want me to call.
By doing everything for the patients you are enabling them and preventing them from owning their own health care.
Walk them through the process instead of doing it for them.
Do your patients understand what you are saying…or handing them?
The average reading level of America is 6th grade….So all of our forms need to be revised to that reading level
An affluent suburb may not appear to have health literacy issues, but you need to look at the support system and handle this individually.
Consent and assent are both important.
Set and agree upon goals in your patient centered approach
SMART goals – what do want to get out of the appointment today?
Sometimes they only want to know they are OK…not how to get better.
You can give them options.
1 – do exactly what I say
2 – part of what I say
3 – none of what I say
Your choice but the outcomes will be…for each
Coordination – our job is coordinating NOT EXECUTING
Making sure patients feel powerful and not powerless.
Fear and anxiety may not be more prevalent, but they are more willing to talk about it.
PHq9 and screen patients is a good tool
Communicate – What do you normally ask during your evaluation.
5 step interview – patient centered approach
- Welcome the patient
- Use their name
- Introduce yourself and ID your role
- Ensure patient readiness
- Remove barriers to communication (sit down) – removes the powerful struggle
- Ensure comfort and put the patient at ease
- A patient had been sexually assaulted in the prayer pose…therefore any sort of rehab in that pose triggered her.
- Indicate time available
- Forecast what you would like to happen during the visit
- Obtain list of all issues the patient wants to discuss
- Summarize and finalize
- Start with open-ended questions
- Use non-focused skills (silence and non-verbal encouragement)
- Echo the patient’s words back
- Elicit emotional story (allow them to tell you their story
- Check accuracy
- Indicate the style
- Ask permission to touch
The Golden rule does not really work…you are not the patient, their experiences are not yours.
Shift your mindset one piece at a time. Choose one thing to implement in your practice.
8% of athletes believe the AT could not make a health status decision without the coach.
Talk with parent and determine the goal and reasoning
Educate about the bigger picture
Discuss with patient
Do not put yourself on opposite teams as the patient/parent.
When we teach people
A common question we ask is “do you have any questions?” Try instead a teach-back method – repeat these steps back to me as you understand them.
Watch Patient Centered Care on Facebook
Dr. Zacahary Winkleman – WINKELZ@mailbox.sc.edu
Ray Olivo – firstname.lastname@example.org
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