|
1) After being discharged from the hospital, did you feel able to carry out the guidance given during their hospitalization? |
( ) yes
( ) no |
If yes: positive stimulus (“very good, now let’s remember some important information”).
If no: positive reinforcement (“okay then, now let’s remember some important information”). |
|
2) Are you having difficulties taking the oral anticoagulant as per guidance during discharge? |
( ) yes
( ) no |
If yes: inquire about the difficulty and then guide them how to properly take oral anticoagulants, according to medical prescription.
If no: positive stimulus (“very good”). |
|
3) Do you remember what you should do/how you should act when realizing that you have forgotten to take your medicine? |
( ) yes
( ) no |
If yes: if remembered on the same day, take the medicine right away at the prescribed dose. If remembered only the next day, do not take the dose from the previous day, only the dose for that day (“very good”).
If no: guide them according to the expected response. |
|
4) If you experience any disease, for example, flu or infection, can you tell me what kind of care you should have? |
( ) yes
( ) no |
If yes: do not take any medication without medical advice (“very good”).
If no: remind them about the medications that should be taken with caution (e.g., antibiotics, analgesics, anti-inflammatories and medicinal herbs). |
|
5) Another caution is about food, can you tell me with which foods this caution should be taken? |
( ) yes
( ) no |
If yes: caution with foods rich in fat, dark leafy greens, beets, etc. (“very good”).
If no: remind them about diet and ask questions about other foods. |
6) If you go to the dentist or another doctor, what is important to remind them?
|
( ) yes
( ) no |
If yes: making use of oral anticoagulants (“very good”).
If no: remind them about the importance of such information.
If they are women of childbearing age, reinforce the importance of going to the gynecologist especially in the 1st trimester to alter the oral anticoagulant to the injec type. |
|
7) If you travel, what kind of care should you take? |
( ) yes
( ) no |
If yes: you need to take an oral anticoagulant for every day of the trip (“very good”).
If no: remind them about the importance of such information. |
|
8) So, it is important to take the oral anticoagulant correctly. Can you tell me, how you are currently taking oral anticoagulants this week? |
( ) yes
( ) no |
If yes: Monday ( ); Tuesday ( ); Wednesday ( ); Thursday ( ); Friday ( ); Saturday ( ) and Sunday ( ) (“very good”).
If no: remind them about the importance of this information and if the participant reports another dose, ask about the reason for this change. |
|
9) If the anticoagulant dose is inadequate, can you recall what signs/symptoms you may present? |
( ) yes
( ) no |
If yes: bleeding gums, blood in urine, cuts that does not stop bleeding, dark or red stools, purple spots, severe headache, leg pain, swelling, throbbing, dizziness, malaise.
If no: remind them about the signs and symptoms of treatment complications and emphasize the importance of their observations. |
|
10) If they have any of these signs/symptoms, it is necessary to seek a health service and remember the INR value. Can you tell me what this value was on your last visit? |
( ) yes
( ) no |
If yes: value ( ) (“very good”).
If no: remind them about the importance of this information and if the participant reports another INR value, ask whether there was the need to perform the examination at another health service.
|
|
Closure: Would you like to ask me anything? Would you like me to pass some of this information on to your family? |
( ) yes
( ) no |
If yes: name of the family member ( ).
If no: thanks for your time.
|
Thumbnail
