I am writing to underscore the crucial role each of you plays in patient communication, a role that can significantly impact patient satisfaction and outcomes following BPPV treatment.
The Three Possibilities After BPPV Treatment & Post-Treatment Assessment Terminology
It is imperative that we thoroughly educate ALL BPPV patients about the three potential outcomes they may experience within the first 72 hours post-treatment:
Better: Symptoms significantly improve or completely resolve.
Same: Symptoms remain essentially unchanged.
Worse: Symptoms temporarily worsen.
However, during the post-treatment assessment, we will use slightly different terminology to avoid alarming the patient:
Gone: Symptoms have entirely resolved (previously "Better").
Same: Symptoms remain unchanged.
Different: Symptoms have changed, but not necessarily for the better (previously "Worse").
Why This Matters
Prevents Misunderstandings: Patients may be surprised or alarmed if their symptoms do not improve immediately or worsen. By explaining all three possibilities up front and using appropriate terminology during reassessment, we can avoid misunderstandings or negative perceptions of the clinic or the clinician.
Reduces Anxiety: Many patients experience anxiety about their symptoms and the treatment process. By providing comprehensive information and reassuring language, such as 'This is a standard part of the recovery process, and many patients have successfully managed it, 'we can alleviate their concerns and ensure they feel informed and empowered.
Promotes Adherence: Patients are more likely to adhere to their home exercise program and follow-up appointments when they know what to expect and feel confident in their care.
How to Communicate
Before treatment, explain all three possible outcomes using a visual aid, such as a bar graph. Emphasize that each is a normal response to treatment and that their individual experience may vary.
During Reassessment, use the "Gone, Same, Different" terminology to describe changes in symptoms. If the patient's symptoms are "Different," explain that this can be a regular part of the recovery process and that their brain may need time to adjust.
Reassurance: Assure patients that you are available to address any concerns they may have throughout their recovery, regardless of the outcome.
Follow-Up
Schedule a follow-up appointment within a few days to reassess symptoms and, if necessary, adjust the treatment plan. This appointment is crucial in monitoring the patient's progress and ensuring their expectations align with the recovery process. By taking a proactive approach to this issue, using visual aids, and employing appropriate terminology during reassessment, we can ensure that our patients have a positive treatment experience, feel confident in their care, and avoid misunderstandings that could negatively affect their perception of our clinic and our care.
Thank you for your unwavering dedication to providing exceptional patient care. Your efforts are genuinely appreciated.