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The Busy PT's Guide to Finding Balance

Bringing Balance to our Communication

Published February 24, 2009 11:51 AM by Janey Goude
What PT can't relate to being overwhelmed with terminology?!  Even if you're not a PT, you'll relate to this post.

In her blog, Lisa Catenacci wrote:  I've been reviewing my notes, trying to remember pathologies and how to write my documentation...I was reviewing my notes...when we were learning how to write notes and do SOAP note documentation." (01-06-09)

As a student, I wondered how I would ever be able to keep all of those abbreviations straight.  Every clinical seemed to have invented their own nomenclature-a never ending flow of alphabet soup!

Now, without even thinking, I use those once-foreign words and abbreviations in conversation with colleagues, patients, anyone!  At some point I realized that if patients were going to understand what I was saying, I'd have to stop speaking in medical terms and return to terms I had been comfortable with BPTS (Before PT School).

Regardless of your career, you encounter field-specific terminology.  Do you use that terminology to the detriment of your clientele?  Do you forget that they haven't had the education you have?  Have you forgotten how confusing your occupational words and abbreviations were B F-I-T-B S (Before fill-in-the-blank School)?

Even for parents!  There are times my husband or I will be talking to our kids and they'll stop us with, "Dad/Mom, I don't even know what that word means!"  We have the kind of kids that ask, usually.  But sometimes they don't.  I need to remember my daughter may not yet know what precocious means...even if she is!  I want to increase their vocabulary skills, but first I need to lay a foundation of understanding. 

Are your clients the type to ask when they don't understand?  Do you assume their lack of questions implies understanding?  Many people will remain ignorant because they fear their questions will make them look "stupid." 

I just finished editing a book on communication.  One of the recommendations is good for everyone:  If you want someone to understand you, use short sentences.  Preferably, short sentences with little words.  And a little repetition never hurts either! 

Think:  Run, Spot, Run!  That sentence may not make for enthralling reading, but Spot knows what you expect from him!  Too often our children and clients hear, "Scuttle, Soupçon, Scuttle," when they need to hear, "Run, Spot, Run!"

5 comments

Debbie's story takes the cake.  That is soooooo funny!!!  And with parents who don't hear to well anymore, I know that those things happen all the time!!!

Ju March 2, 2009 2:51 PM

I appreciate everyone's great input and examples!

Thanks!

Jane Goude March 2, 2009 10:05 AM

Janey,

Watchig body language and facial expressions offers us tons of clues as to whether a person understands as well.  Often I will follow up an explaination with, "Does that make sense?"

Most of the time it doesn't so I explain it a different way.  Ju is right, most people read and understand at a lower educational level.  

And true enough if we want to others to understand something use the KISS method. (Keep It Simple, Stupid)

Keep up the great work!!

Jason March 2, 2009 12:55 AM

If people don't know what a word means and are not comfortable asking, sometimes they guess or make something up, which you might not necessarily want them to do.   My friend, a nurse, tells a story about a patient's widow who was absolutely convinced, based on what the doctor told her, that her husband had died from a "massive internal fart."    Not such a stretch from "myocardial infarction" if you don't know what that is, but she really would have benefited from someone mentioning the words "heart attack" somewhere along the way...

Debbie , MT February 25, 2009 8:45 AM

This is so true.  Probably the only thing that saves me is I have a small mind so I like to keep things simple, thus my vocabulary!!    When writing something for print, my employer requires that it read on a 7th grade level and no higher.  Even though that sounds like it's easy, some folks don't read or write well, even though they may have a GED or high school diploma.  So the 7th grade level may be challenging for them too.   Trying to be simple sometimes is tough depending on the audience and the purpose of the content.  Some things just SOUND more important and ominous, esecially in the medical field.   I notice that if a word slips out that sounds "big" to me (we used to call them 50 cent words or "college words") I try to follow up with a word that means close to the same thing, but is more simple.  For example, if I tell a patient that he can go to Kinesiotherapy  then I say, that's our ridiculous word for working out at the gym.  And although that is oversimplified it gives folks something to grasp.  Sometimes working form both levels helps people  learn the more difficult vocabulary.

Ju February 24, 2009 12:46 PM

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