Plan-based Diet and Uprooting the Leading Causes of Death - by Michael Greger, M.D. (video), a lecture and Q&A session at Tompkins County Public Library, Ithaca, NY:
- naming the feeling - communicating understanding, respect, and support - exploring the patient's illness experience and emotions
Before and after a diagnosis
Before revealing a new diagnosis, the patient's prior knowledge and preferences for the depth of information desired should be assessed.
After disclosing a diagnosis, physicians should explore the patient's emotional response.
Treatment options
Shared decision making empowers patients by inviting them to consider:
- pros and cons of different treatment options - no treatment
Instead of overwhelming the patient with medical information, small chunks of data should be provided using repeated cycles of the "ask-tell-ask" approach. Using "tell-tell-tell" does not engage patients.
Example:
1. Ask permission to start a conversation 3. Ask what the patient thinks about their health 4. Ask questions to find out what the patient already knows 5. Tell the patient information in a way that is easy to understand 6. Gauge the patient’s understanding by asking questions after you tell
The percentage of U.S. residents with up-to-date screening for colorectal cancer has not increased appreciably since 2010 and remains at approximately 60%. To achieve the highest level of adherence to colorectal cancer screening, it may be best to provide participants a choice, because the “best” strategy is the one that they will adhere to consistently.
