Kamis, 10 April 2008

Are You Sometimes Confused by Written Medical Instructions?

by: Emily Clark

Now, imagine what it would be like if you were sick, scared and had only third grade reading skills. Your doctor tells you, "You've got to follow these instructions exactly, or you could die."

About 200 recent studies have shown the reading difficulty of most health related materials FAR exceeds the average reading abilities of the American adult. One of the biggest silent health problems today is the gap between health materials and reading skills.

In the United States, the average reading level is eighth grade. In 1992, the Educational Testing Service determined that half U.S. adults read at between first and eight grade level. That is about 148 million people. It gets worse. One quarter of Americans

read BELOW FOURTH GRADE level, meaning 74 million people would struggle with even the simplest, most well written health materials.

Does it matter? Do you remember the anthrax scare, when someone was putting deadly white powder into our mail system?

During that terrorist scare, the U.S. post office mailed millions of post cards to Americans. The post cards told people how to protect themselves from the deadly infection. They gave
instructions on how to handle and report suspicious mail. These post cards were written at between ninth and eleventh grade reading level.

More than half the people who got that mailing could not read it well enough to protect themselves and others. Does it matter? Do 148 million people matter? Will it matter the next time the terrorists strike?

Do you remember the mailing the Surgeon General sent out explaining how to avoid contracting HIV? He made every effort to see that it was written in clear, simple language. He got criticism for just how plain talking it was in places. A later evaluation of that document showed that it was written at between seventh and ninth grade level. Half the people receiving it read at a level BELOW what was required to read it. No wonder the infection keeps spreading.

Think about it. For millions of people, the problem is not just the tiny print on prescription bottles. The problem is the words themselves. What does "take on an empty stomach" mean exactly?

When should you "take four times a day"? Perhaps your doctor explained to you at the office. Do you remember what the doctor said a week later?

Have you ever read the instructions for testing and assessing blood sugar levels? Have you ever tried to fill out a Medicare form? Do you struggle with letters from your health insurance provider?

Only 45% of asthmatics with literacy problems knew that they should stay away from things they are allergic to even if they

WERE taking asthma medication. 89% of the people reading at high school level were clear about the same information. It's not a matter of intelligence. It's a matter of a missing skill which well-educated health providers presume is present in their readers when they sit down to write.

There are two parts to the problem: the writer and the reader.

Recently, the public health community has begun efforts to raise awareness. They are alerting the medical providers to the impact of health literacy issues. Some fledgling efforts are underway to provide clearer, simpler materials for the public. People are finding alternatives to reading for presenting the same information.

There is a long way to go. Sign up now with your local literacy program as a volunteer. Drop in on your elderly neighbor and help her learn to read the specialized health material so critical in her life. (You may want to ask her about her life first, to save embarrassment when you learn you're talking to a retired English teacher). Start with all those ridiculously obscure materials her doctor sent home with her about glaucoma. You can go on to that Medicare form she needs to send in tomorrow.

Do you want to know what eighth grade reading level is? You just read 700 words of it. 74 million Americans reading at below fourth grade level could have found it too hard for them to understand.
The information contained in this article is for educational purposes only and is not intended to medically diagnose, treat or cure any disease. Consult a health care practitioner before beginning any health care program.

About the author:
Emily Clark is editor at Lifestyle Health News and Medical Health News where you can find the most up-to-date advice and information on many medical, health and lifestyle topics.

Before You Look for Health Insurance

by: Richard Keir

Copyright 2005 Richard Keir

Shopping around for medical insurance can be a confusing business. You need to keep your wits about you and keep track of the benefits and costs of each policy and each type of policy. Too often we tend to look at the price first and the rest of the policy becomes a blur of fine print. And we're off to check the next policy.

Slow down. There some important things you should do before you start chasing around to get a policy. Doing these few things will make the whole process simpler and clearer - and you're much more likely to make a good decision.

You need to carefully consider your situation. Think about these questions and note your answers:

What's the general state of your health?

How old are you?

Do you have any serious medical problems currently or in your medical history?

Do you have any history of recurring or on-going medical needs?

Do you use tobacco? How much?

Do you drink? How much?

Are you over- or under-weight for your height, body-type and age?

Is your job hazardous?

Do you participate in any activities or sports that could affect your health?

Now this may be unpleasant but if there's any chance an insurance company could discover a history of drug or alcohol abuse or sexual behavior that might put you in a high risk group, you may want to be direct and upfront about it - especially if it's in the past. Having a claim denied later because you had failed to disclose medical information to the insurance company would be far more upsetting - and very expensive. The same goes for any significant medical condition. Insurance companies are in it to make a profit - at least most of them are. Paying large claims isn't their favorite activity, so they often do investigate.

If you're seeking a family policy you'll need to make the same analysis for everyone and consider carefully what kind of coverage you want.

Do you need dental, orthodontic, pregnancy, mental health, and/or drug coverage? Do you need long-term care coverage, either inpatient or in a nursing facility? Assisted living coverage? What about traveler's or international coverage?

If there's a possibility that you may require - or want - in-home care as opposed to a residential nursing or assisted living facility, be sure that coverage is included and be sure you understand exactly what you can expect to receive.

Think about deductibles and what you could afford pay to reduce your insurance costs. But be very careful here, because medical expenses tend to pile up quickly and reach nearly insane levels for complex treatments or inpatient stays. Many drugs in common use are ridiculously over-priced and depending on the specifics of your insurance you may not be able to use the least expensive sources.

If you will end up with multiple sources of coverage, be clear about how they fit together and what the rules are about overlapping or combined benefits.

Once you are clear on your current situation, your (and other family member's) medical history, and your projected needs, you can begin looking in a organized way with a better sense of where you're going and what will actually meet your needs. This may seem like a tedious process, but it will serve you well in finding appropriate and affordable health insurance and making sure your health care needs can be met by the medical insurance you choose.

Take some time to work through these questions. Write down your answers. Make a chart with your desired coverages and any special conditions the policy must meet. As you look at health insurance policies, note the rules, exclusions, information about pre-existing conditions, any limitations, the dollar amounts covered and especially any deductibles.

Don't try to do too much at once. If you hurry, it'll become confusing and tiring. You may hate it (I know I do), but you really do need to read all that fine print and understand it. That's not a task to rush through. You might as well face up to it, because it's a lot better to do it BEFORE you need medical services than after you get a bill for the uncovered portion that sends you into shock.

So is it an impossible job to find health insurance that works for you? Not at all. There's a world of resources on the internet to help you find the policy you need. Just be sure to do your homework first.

About the author:
Richard is a writer, educator and consultant providing services to medical, scientific and business professionals. For more on choosing a health insurance policy or finding the best medical plan for you, visit http://www.aboutinsurance.info/

exercise

by: Tim Frady

America is getting more obese every year. Even our children are becoming dangerously obese, even though we are more self conscious over our appearance. So what's the magic bullet to getting trim and fit. Well, I'll be honest, there isn't any. First, we are all limited by our heredity. If your father has a spare tire, you're probably going to be predisposed to have one yourself if your a man. If you're a woman, you are going to have fight off your mother's big hips. Today Americans have more money than they ever have before. No matter what people say about the economy, gradually over the years, Americans have become richer, and they eat to prove it. Even poor families eat more than middle class families of previous generations. Poor families often find it even harder to lose weight because junk food is cheaper, and they don't have enough money, or as much time to be active, other than working.

If your job requires you to sit all day, you are in a world of hurt as well. You are not going to burn very many calories sitting all day. Plus boredom tends to create a desire to eat more.

So what am I suggesting? Here are some thoughts you might want to consider. First of all, you really have to want to be in shape if you are going to have a prayer of losing weight. It's not easy. You've got to want it. Second, you have to make a decision in your life to live healthier. Eat moderately all the time. Don't starve yourself and set yourself up for failure later. Your metabolism is just going to slow down anyway.

Most of the time people just eat too large of portions. Keep your portions moderately sized, and eat more times a day. Stop eating when you are full. There is no need to stuff yourself every meal. And, contrary to what your mother may have taught you, you don't have to eat everything that is on your plate. The smaller your portions and the more times you eat the faster your metabolism is going to be. Here is the biggest thing people don't want to do. You have to exercise. Moderate exercise can bring you from obese to a much healthier size. Find activities you like to do, and do it. The more you enjoy it, the more you'll be able to stick with it.

No excuses. There really is no reason not to attempt to get into shape. I heard something from a preacher's sermon that really makes sense. He basically said that some men work half of their lives to make money, and then give away the same money the other half of their lives to try and regain the health they lost gaining the money in the first place. The idea is don't put work in front of health. Health costs are getting worse all the time. Unless your health insurance is great, you can't make enough money to overcome the health costs you are going to have if you don't take care of yourself now. If your excuse is that you are too out of shape to do anything, or you just can't cut back on your food because of depression, boredom, etc. Then see your doctor and ask what you can do to start heading towards physical fitness. You've got one life to live. So don't waste it.

The biggest problem we face in America today is laziness. Pure and simple. Did you know that working out helps you when you are depressed or having problems with anxiety. The more you lay around, the more discouraged you are going to get. It's a terrible cycle. People say they are too tired from working. I can understand that, but even 30 minutes a day can make a big difference. Work out during the commercials while you watch television. If you've got kids take them outside and play with them. Kids are doing nothing, but watching TV and playing video games. If you play with your kids your helping yourself and them at the same time.

It's a lot easier to keep it off than it is to lose it after you gain it. So even if you think you are in great shape, don't stop working out. It's a lot easier to keep up a steady routine than to have to burn off extra fat. Your body tends to fight you when your losing weight by giving you cravings for food. Just remember your body is more important than your big screen. Don't just sit back watching football all day. Go play some football. Live life don't just be a spectator.

About the author:
webmaster of several site and weight lifter. check out these health and fitness magazines for great exercise tips http://www.subscribe-to-magazines.us/health_fitness_magazine.htm

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