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1 June 1996 | Volume 124 Issue 11 | Page 1017
Dr. Gillick's argument for broader advance medical planning correctly states that part of the problem is poor physician-patient communication, especially among geriatric patients with hearing or mentation deficits. Dr. Gillick further reminds us that the presence of a family member during an office visit can be, but is not always, helpful [1]. Two other inexpensive communication techniques can improve patient understanding and promote more informed advance planning decisions.
First, patients can make their own audiotapes of important physician visits that can be replayed later, under more relaxed conditions, while advance planning matters are being discussed with family members.
Second, a concise (no more than one 8" x 11" page) problem-oriented medical record—constructed, updated, and kept by patients or family members—can be helpful to patients and physicians. It should list active and inactive problems, allergies, and current treatment. A copy of the record can be taken to office or hospital visits, during which physicians can assess the patient's true comprehension of his or her health status.
1. Gillick MG. A broader role for advance medical planning. Ann Intern Med. 1995; 123:621-4. About Letters
The Editors welcome submissions for possible publication in the Letters section. Authors of letters should:
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Advance Medical Planning
TO THE EDITOR:
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Paoli Memorial Hospital; Paoli, PA 19301
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