Preparing for Medical Visits

因为去诊所的沙巴足球体育平台很短(大约15分钟), preparing can help you make the most of your time with your health care team. 俄亥俄州立大学的研究人员开发了 PACE Guide Sheet to give you an easy way to organize your feelings, questions and concerns before your visit. PACE stands for:

  • 提供你感觉如何的信息.
  • 如果你没有足够的信息，就问问题.
  • C = Clarify what you hear.
  • 表达你可能有的任何顾虑.

以下是如何使用PACE表:

  • A day or two before your health care visit, answer the questions on the sheet. If you're not having problems or concerns, leave blank spaces on the form.
  • Show the sheet to your health care professional at the start of the visit. During the visit, use the sheet to remember what you wanted to discuss.

经唐纳德·J·肯尼迪许可使用. Cegala, PhD, Emeritus Professor of Communication and Family Medicine at Ohio State University

PACE: Learn more

提供你感觉如何的信息.

写下你的症状、担忧或问题. If you've noticed changes in how you're feeling, make a note of when the change started.

用这些问题来帮助你描述你的症状和担忧:

How you feel

  • Do you have pain (such as chest pain)? If so, where?
  • 疼痛是持续的，还是来了又走?
  • Is it a sharp pain, a dull ache, tightness, pressure or a burning feeling?
  • 你注意到它的沙巴足球体育平台和频率? For example, 是在饭前还是饭后, when you get up in the morning, when you are resting, or after physical activity?
  • 持续多长沙巴足球体育平台——几秒钟还是几分钟?
  • 运动时症状会加重吗? 如果是这样，哪些活动会让情况变得更糟?

What you do for your symptoms

  • 你会吃药让自己感觉好点吗? 什么药物(如硝酸甘油治疗胸痛)? 何时服药，如何服药?
  • Does the medication help?
  • 你用其他治疗方法来帮助你吗, such as vitamins, herbs, dietary supplements, over-the-counter medications, physical therapy, acupuncture or other treatments?
  • Does avoiding certain things, such as specific activities, foods or medications, help this condition? 如果是这样，有什么帮助呢?
  • 关于这种情况，你见过其他医疗保健专业人员吗? 如果有，你的病情是如何治疗的?

Your symptoms

  • Do you think your symptoms might be affected by problems, worries or stress? (如果是这样，向你的医生解释一下.)
  • Are you concerned that these symptoms could be a sign that your heart condition is getting worse?

你的医疗保健专业人员如何帮助你?

Think about what you hope your health care professional can do for you. 如果你有一个想法，你可以把它写在PACE表格上. 

如果你没有足够的信息，就问问题.

在你去看医生之前想好你的问题. Write your questions on your PACE sheet or a notecard so you don't forget them. 如果你有三个以上的问题, mark the most important ones with a star so you'll be sure to ask them first.

Use these sample questions to think about more information you'd like to know about your condition, medications, tests and other treatments.

关于你的情况的样题

  • What is coronary artery disease, or CAD, and why do I have it?
  • How bad is my CAD? Will I recover? Remain the same? Get worse?
  • 这种疾病会影响我的正常活动吗? If so, how?
  • 这种病的治疗需要多长沙巴足球体育平台?
  • 我怎么知道我的冠心病是否恶化了?
  • Are there programs or support groups to help me take care of and cope with my condition? 

Sample questions about tests or procedures (such as electrocardiogram or angiogram)

  • What is the purpose of this test or procedure? 它能告诉我们我的情况吗?
  • 做这个检查或手术有什么风险吗?
  • What does the test involve? For example:
    • Is the test painful?
    • How long does it take?
    • Will I be awake or asleep?
    • 我需要带人一起去吗?
    • Is the test covered by insurance?

关于药物的例题

  • 为什么我需要吃药? What does it do?
  • What side effects should I watch for and report to my health care professional?
  • 你们有样品让我试一下吗?
  • 这种药有通用的形式吗?
  • 我吃了这种药会感觉好些吗? How long until I feel better?
  • How should I take the medication, and what should I do if I miss a dose?
  • 我需要吃多长沙巴足球体育平台的药?

Sample questions about other treatments (such as dietary changes and physical activity)

  • What do I need to do?
  • How often?
  • 我需要多长沙巴足球体育平台的治疗?
  • When will I see results?
  • 这种治疗有风险吗?

C = Clarify what you hear.

When you talk to your health care team, you may hear things that are hard to understand. 或者你可能会混淆，因为你听到太多的东西. 即使你认为你知道医生, nurse, 药剂师或其他医疗专业人员告诉你, 把你听到的说清楚是个好主意.

当你澄清你听到的内容时，你:

  • Ask the professional to explain.
  • 重复专业人士的指示.
  • Review what you heard.

请专业医护人员解释一下

If you don't understand something, ask the health care professional to repeat what they. If you don't understand a word, ask them to use a simpler word that you will understand. 确保你知道他们想让你做什么，以及为什么你应该这样做.

Try these phrases:

  • "I don't understand. 你能用不同的或更简单的词再说一遍吗?"
  • "Can you clarify?"
  • 你能重复一下最后一部分吗?"
  • What does that word mean?"
  • Please spell that word for me."

重复卫生保健专业人员的指示

医疗专业人员给出了很多指示, 比如什么时候吃药, 要注意什么以及如何照顾自己. 这些说明很重要. 确保你理解了说明, repeat them back, using your own words, 然后询问医疗保健专业人员你的理解是否正确.

Try these phrases:

  • “我想你是在告诉我……”
  • “你想让我……我说得对吗?”
  • “在我下次拜访之前，我会……”
  • “You want me to call you if …”

Review what you heard

At the end of a phone call, telehealth visit or office visit, review what you've heard. Repeat the things on which you and your health care professional agreed. 如果你觉得你可能会忘记什么, write it down or ask them to write it down for you or email you the information.

下面是回顾你听到的内容的一个例子:

Patient: "I understand that my cholesterol is still high and that you want me to take this new medication. You think my exercise is helping and that I can increase my walking to 35 minutes a day. 最后，你认为我的头痛和我的心脏状况无关. Is that correct?" Health care professional: "Yes, and we also agreed you would eat at least five servings of fruit and vegetables every day." Patient: "That's right. 你能帮我写下来吗? Have I missed anything else?"

Try these phrases:

  • “我听到你告诉我这三件事……”
  • "We decided that …"
  • “你想让我试一种新药，因为……”
  • “你认为我做得很好，除了……”
  • “你能把你想让我记住的事情写下来吗??"

Tips

Bring your cellphone or another recording device and ask your health care professional if it's OK to record your visit. If they would prefer not to record the whole visit, ask them to record any instructions for you.

Bring someone with you to help ask questions and write down important instructions and information for you.

Ask your health care professional to spell medical words or draw pictures to help you understand a procedure or instruction.

表达你可能有的任何顾虑.

你可能会担心自己的病情和治疗方法, including procedures, tests, medications, 饮食改变和体育锻炼建议. It's important to speak up and talk to your health care professionals about your concerns. Make sure you understand why they are prescribing a certain treatment and how it will help your condition. You'll find it easier to follow a treatment plan when you know how important it is to your health.

You can make your condition worse if you don't follow your health care team's instructions. 如果你不能遵循你的治疗计划, 诚实地和你的健康护理专家谈谈. They may be able to recommend another treatment that will meet your needs better. For example, if one of your medications has unpleasant side effects, don't just stop taking it. Tell your health care professional about the problem and ask if there's another medication that will help your condition without the side effect.

Use the PACE Sheet to note your questions or concerns to review with your health care professionals. 写下你想要改变什么以及为什么.

记住，你是你的医疗团队中最重要的一员. It's up to you to carry out the professionals' advice to make yourself healthier. 你需要有人回答你的担忧和问题, 这样你就能理解并遵循你的治疗计划.

Written by American Heart Association editorial staff and reviewed by science and medicine advisors.

请参阅我们的编辑政策和员工.

Last Reviewed: Apr 26, 2024