147 Teach-back of discharge instructions in the ED CHAPTER 6 3 8. Do you understand the reason for you visit to the emergency department and the treatment you received? o Yes [Can you explain it to me in your own words?] o No, because… [repeat the given instructions] Concordance ED diagnosis and treatment: o Complete o Partial o Minimal o None o Not applicable 9. Do you understand the information given to you about your medication? [Mind: change of dose, newly prescribed medication, medication stopped, picking up the medication at the pharmacy] o Yes [Can you explain it to me in your own words?] o No, because… [repeat the given instructions] Concordance medication: o Complete o Partial o Minimal o None o Not applicable 10. Do you understand the other instructions that have been given to you at the emergency department? [Mind: lifestyle rules, mobilisation, wound care, cast/bandage, return precautions] o Yes [Can you explain it to me in your own words?] o No, because… [repeat the given instructions] Concordance post-ED care: o Complete o Partial o Minimal o None o Not applicable Concordance return precautions: o Complete o Partial o Minimal o None o Not applicable 11. Do you have further questions about your appointments? [Mind: clinical, GP] o Yes [Can you explain it to me in your own words?] o No, because… [repeat the given instructions] Concordance follow-up appointments: o Complete o Partial o Minimal o None o Not applicable 12. Do you have further questions? o Yes, ……. o No 13. Does this phone call helped you to better understand your discharge instructions? o Yes o No IMPORTANT! 1. Are you concerned about a patient’s wellbeing because: - The patient doesn’t understand the instructions after several times repeating them to him/her. - You have the impression the patient will not manage the health care by himself at home. - The patient appears to be very ill? → Consult with the emergency physician on duty! 2. Does the patient have questions, you cannot answer yourself? → Write down patient details and consult with the emergency physician on duty. BMJ Publishing Group Limited (BMJ) disclaims all liability and responsibility arising from any reliance Supplemental material placed on this supplemental material which has been supplied by the author(s) Emerg Med J doi: 10.1136/emermed-2020-210168 –8. 2021;0:1 Emerg Med J , et al. Hesselink G
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