Evaluation for NHM 483 Patient Counseling - T2DM, HTN, Weight loss sumone ida uid sue 28 Aly» i Points T Point 2 Points General Does not Wentifies sdf and | Tdentifies self and : identify self patient with corms] patient with : Intraduetion | 9D and/or patient performance. weleoming and enthusiasm and : confidence, Displays effective nonverbal Needs work, too ‘Average Exceflent patient | behaviors throughout (eye much looking conversational interaction, with | contact, body language, 2 down at paper, | onverbal,er more | only occasional ‘netive listening.) projecting low luoking down at glance at paper, i self-confidence. | psper, professional | warm, confident . oe butless confident. | and professional. ‘Speakers ul appropriate >2"big words” | Explains most medical Explains all | “health literacy tevet 2. undefined OR | terms appropriately medical terms nrultiple times | OR repeats something | appropriately. repeating what the patient bas Does not “talk pationt already | already stated heishe | down” to patient. _. knows. knows. Ends abruptly | Provides no summary | Emphasizes key ortapersoff | atend, buthasa — | points, opportunity with aquestion | closing statement | for addiional 2 of what else to questions, contact do info for follow-up Handout Does not Provides ahandout, | Provides an ! 2 providea | butitisdifficultto | appropriate I handout | read or contains bandeut information not related ¢o education‘Assessment A ‘Questions to assess patient ‘Only T appropriate questions | All appropriate understanding of condition. appropriate without reading, or had | questions without question without | to look some at script; 1- | reading; all open- ID thokoee ecg looking at script | tiple | closed-ended questions. ‘Questions to assess patient's diet ‘Does not ak | Does not ask about 12 ‘Asks about history about >2 of the of the following: breakfast, lunch, i supper, beverages, ‘A meal, snacks, and snacks. Asks beverages, portions | about postion si sizes, frequences and frequencies. portions sizes, frequences ‘Questions to assess patient's Did not ask details | Asked specifically lcohol intake about aleohol, but it was | about alcohol 2 Noquestions | included in what the ‘Questions to assess patient's ‘Asked only about ‘Asked about both medicine preseription meds, or_| prescription meds No questions only about and vitamin/mineral, vitamin/mineral, or and herbal herbalsupplements | supplements ‘Questions to assess physical activity level ‘Does not ask | Does notask about type | Asks about physical about physical | or frequency; asks a | activity level, type, ‘Questions fo assess patient's ability to count CHO Does not assess | Ask patienteither to | Ask patient either to patient’s CHO | state how much CHOis | state how much CHO counting ability | in 1 food or to state how | isin 2-3 foods or to much insulin taken for 1 | state how mach specific food in diet | insulin taken for 23 specific foods in diet history. 9 activity closed-ended question | and frequencyEducation o T = Discussed the role of vodium in Does wotdiscuss | Explaius that high- | Explains that bigh- bteod pressure contrel sodiuen sodium diets are ‘sodium diets are associated with HTN, | associated with HTN | 4. scsi | Svinte I relate sodium 1 satt OR | of sodium other than ‘oly lists salty foods as | salt? 7 . high in vadium i 4 Discusses the medications wud Doct notdiseuss | Discusses but not a | Gives spectiic times food intake (ie. 30 minutes 2 specific detait for medications 16 be beforemests) __| * _. taken. ‘States (or has patient state) the Ne Discusses only one Yes oset perk, and duration | 2 smsulin cach insulin {if on inselia} _ ‘Beatcs (or Dns patieac state) the ist O'groups | Listsoaly lor 2 of the | Lists starches, fruits, food groups that contain CHO 2 ‘group: ‘mille & yogurt, ‘Gives examples of CHO foods | Does not give Gives examuples, but ‘Uses patient's dict Z__ | rtmitessfctto | does aot saat then | Bistory to give ne | foods | patient’s own diet, ‘examples, and also 1 | gives other examples. “Gives examples af servings of +” Does not give ‘Gives examples of Gives examples of | fonds with 18 g of CHO examples of | servings oly by stating | servings hy bot I \ servingsizes ‘the scrving size. saying the serving ' sive and i i demonstrating, | ‘Discusies umount of CHO per | Docs uot discusy | States that CHO should Recommends | meal OR matched with insulin | CHO per meat | be limited but gives no} amount of CHO per 2? ORinsulin& | specific amount OR meal OR uses ‘cHo ves not eetate CHO ta | patient's diet history insulin dose. to discuss amount of m a sulla needed. ‘Verifies patient understanding Bazely there only | Fartial (neiuaea oly | Complete and (Just to be sure.,..Will sou go contact info, or | some ofthe elements at | effective (included alt {ever bow you are going to only closed-ended | side), final verification | three elements (snoprove your dict ard quality of 2 “do you have poorly performed. | mentioned atside), Iife...2) more questions?” Final verification, does wot perform sensitive to fioad verification, presentation. ‘Evaluator Tr ag | ef TOTAL SCORE