within the usa, eighteen percentage of girls, six percentage of fellows, and 4 percentage of kids be afflicted by migraine complications. All races are affected, even if, for purposes that are unknown, whites are much more likely than African americans to be with the situation, and Asian americans are least frequently migraine victims.
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Extra resources for Explaining illness: research, theory, and strategies
Silver (1979) noted, "one patient thought that being on a low-salt diet was bad enough. Then, in the hospital, she discovered to her dismay that she was also put on a low-sodium diet" (p. 4). " In one case "for" means to reduce and in the other to cause. Such ambiguity can prove confusing. 's (1996) study of patients with low literacy skills found that the phrase "fat in diet" meant anything fattening, including bread, potatoes, and rice to some patients. Other patients did not know what "orally" or "3 times a day" meant.
Few physicians discussed cost. No doctor initiated discussion of alternative treatment or drug interactions, repeated information, or provided written instructions. Note that this is in striking contrast to the recommendations available in the literature regarding such communication. These trends are also reported in Smith, Cunningham, and Hale's (1994) examination of communication between care providers and the ambulatory elderly as it relates to medication. Smith et al. found that physicians provide more explanations about prescription drugs, whereas pharmacists are more active in discussion of over-the-counter medications.
P. 227) Medical Terminology Moving beyond a lack of explanation, the most commonly cited problem with the nature of explanations is provider reliance on medical terminology or jargon. As Shuy (1983) argued, jargon is an acceptable and useful tool in the group that knows it. Scott and Weiner (1984) noted that, after having worked hard to acquire a highly specialized vocabulary, care providers are understandably proud of their expertise but frequently lose contact with patients as a result. Jargon is even more problematic because different health care providers may use different terms for the same thing (Gelman, 1980; Swenson, 1984).