{"id":2206,"date":"2020-06-03T20:19:00","date_gmt":"2020-06-03T20:19:00","guid":{"rendered":"https:\/\/www.osmosis.org\/blog\/?p=2206"},"modified":"2024-09-25T12:21:17","modified_gmt":"2024-09-25T12:21:17","slug":"the-approach-formula-accommodating-patients-with-disabilities-on-the-spot","status":"publish","type":"post","link":"https:\/\/www.osmosis.org\/blog\/the-approach-formula-accommodating-patients-with-disabilities-on-the-spot","title":{"rendered":"The Approach Formula: Accommodating Patients with Disabilities on the Spot"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_80 ez-toc-wrap-center counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">In This Article<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.osmosis.org\/blog\/the-approach-formula-accommodating-patients-with-disabilities-on-the-spot\/#The_Approach_Formula\" >The Approach Formula<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.osmosis.org\/blog\/the-approach-formula-accommodating-patients-with-disabilities-on-the-spot\/#Attention\" >Attention<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.osmosis.org\/blog\/the-approach-formula-accommodating-patients-with-disabilities-on-the-spot\/#Adjust\" >Adjust<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.osmosis.org\/blog\/the-approach-formula-accommodating-patients-with-disabilities-on-the-spot\/#Absorb\" >Absorb<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.osmosis.org\/blog\/the-approach-formula-accommodating-patients-with-disabilities-on-the-spot\/#Applying_the_Approach_Formula_on_the_spot\" >Applying the Approach Formula on the spot<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/www.osmosis.org\/blog\/the-approach-formula-accommodating-patients-with-disabilities-on-the-spot\/#Intensified_Communication_Barriers\" >Intensified Communication Barriers<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/www.osmosis.org\/blog\/the-approach-formula-accommodating-patients-with-disabilities-on-the-spot\/#The_focal_point_of_the_Approach_Formula\" >The focal point of the Approach Formula<\/a><\/li><\/ul><\/nav><\/div>\n\n<p class=\"wp-block-paragraph\"><strong><em>In response to the novel coronavirus pandemic, an ideal on-the-spot approach in accommodating patients with disabilities is being shared. All-inclusive communications strategies can be used right now when interacting with a person, no matter the background nor (dis)ability. In this article, Dr. Sarah Elizabeth Moreman discusses the Approach Formula and how it can improve communication across the board.<\/em><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">COVID-19-imposed chaos has fundamentally shifted how health professionals care for their patients. The question of how to meet the needs of people with disabilities in these new circumstances makes it clear how marginalized this demographic can be. The sobering fact is that the ratio of people with a disability to people without is significantly small. According to the CDC,&nbsp;<a href=\"https:\/\/www.cdc.gov\/ncbddd\/disabilityandhealth\/disability.html\" target=\"_blank\" rel=\"noreferrer noopener\">1 in 4 adults in the United States have some type of a disabling condition<\/a>, and the ratio is likely to be similar in other countries. Now is the time to remind current and future health professionals about&nbsp;<a href=\"https:\/\/www.ada.gov\/ada_title_III.htm\" target=\"_blank\" rel=\"noreferrer noopener\">the efforts<\/a>&nbsp;and laws already in place to&nbsp;<a href=\"https:\/\/www.ada.gov\/ada_title_II.htm\" target=\"_blank\" rel=\"noreferrer noopener\">protect the civil rights of people with disabilities<\/a>.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Most people are at least vaguely aware of these laws and efforts, but that simply isn\u2019t enough. We need to be acutely aware of how the healthcare needs of people with disabilities may be overlooked while the healthcare industry undergoes an abrupt, yet necessary transformation in response to COVID-19. Even before the outbreak, figuring out how to communicate with each individual with a disability could be exhausting and overwhelming, especially for people experiencing communication barriers.&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"701\" height=\"468\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/healthcare-needs-pwd.png\" alt=\"\" class=\"wp-image-2210\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/healthcare-needs-pwd.png 701w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/healthcare-needs-pwd.png?resize=300,200 300w\" sizes=\"auto, (max-width: 701px) 100vw, 701px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"The_Approach_Formula\"><\/span>The Approach Formula<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">When it comes to figuring out how to communicate with any person, no matter the background or ability of that person, the important thing is to&nbsp;<a href=\"https:\/\/youtu.be\/O1EF7XYSEJk\" target=\"_blank\" rel=\"noreferrer noopener\">focus on relating with the person first before relating with the disability or issue the person may have<\/a>. In other words, the crucial first step of establishing a connection with any patient with a disability is to acknowledge the person first and the disability second.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Considering the unlimited range of disabling conditions and personalities of each person, a communications strategy that promotes connection within the practitioner-patient relationship is necessary. In pursuit of the seemingly unrealistic goal of developing an all-inclusive communications strategy, Dr. Sarah Elizabeth Moreman created a simple visual using three words:&nbsp;<strong>Attention\u2014Adjust\u2014Absorb<\/strong>. These words are meant to be a quick reference for medical professionals to remember and apply on the spot when communicating with persons with disabilities.&nbsp;<a href=\"https:\/\/www.drsarahelizabethmoreman.com\/approach-formula\" target=\"_blank\" rel=\"noreferrer noopener\">This three-step formula in the form of an upside down triangle<\/a>&nbsp;illustrates the importance of narrowing one\u2019s focus down to the needs of the person by giving attention and adjusting communication styles before absorbing the most beneficial communication strategy with the other person.&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"701\" height=\"468\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/crucial-first-step.png\" alt=\"\" class=\"wp-image-2211\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/crucial-first-step.png 701w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/crucial-first-step.png?resize=300,200 300w\" sizes=\"auto, (max-width: 701px) 100vw, 701px\" \/><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Attention\"><\/span>Attention<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Preconceived notions about people with disabilities are discouraged, as they hinder the relationship-building aspect of getting to know the patient as a person first. For instance, medical professionals should not immediately assume that a person with hearing loss uses sign language to communicate, nor does a person who is visually impaired necessarily use braille. When starting a conversation or entering into any type of interaction with a person with a disability, it is safe\u2014and recommended\u2014to do these two things first:&nbsp;<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Maintain eye contact.<\/li>\n\n\n\n<li>Speak normally.<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">In addition to maintaining eye contact and speaking normally, pay attention to the other person\u2019s body language and reactions.&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Adjust\"><\/span>Adjust<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Adjustment happens when the medical professional allows the interaction with the patient with a disability to evolve while looking out for audible or verbal cues the patient might rely on. &nbsp;A person with visual impairment may want to be given audible cues to identify who is talking, whereas a person with hearing impairment may want to be given visual cues, like facial expressions, to understand the context of the conversation. &nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Absorb\"><\/span>Absorb<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">After recognizing the medical professional\u2019s efforts to connect while communicating, the patient will feel validated and understood. At this point in the interaction, the medical professional and patient have connected by reaching a mutually beneficial communication strategy.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Applying_the_Approach_Formula_on_the_spot\"><\/span>Applying the Approach Formula on the spot<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">This Approach Formula serves as a quick, simple visual to help medical professionals discern how to empathize with feelings of uncertainty and self-conscious thinking in the patient. This is particularly useful during the time of COVID-19, which is anxiety-inducing and can easily fluster any person, especially those with communication barriers. It is crucial to help maintain the dignity of the person with disability. &nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Using the<a href=\"https:\/\/www.drsarahelizabethmoreman.com\/the-accommodation-etiquette\" target=\"_blank\" rel=\"noreferrer noopener\">&nbsp;traffic light concept<\/a>, we must exercise caution when offering assistance to any person with a disability. The first step is to be cautious about offering assistance, rather than immediately foisting the proffered assistance upon the person. What if that person with a disability does not want assistance? Or, for whatever reason it may be, what if that specific offer of assistance offends that person?&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If the person says \u201cno,\u201d the medical professional may need time to process what kind of assistance will best fit that person\u2019s needs. In other words, the person with the disability now takes the responsibility to request assistance. Once the person either accepts the offer for assistance or requests it, we can then ask for instructions and listen. &nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/www.osmosis.org\/plans\" target=\"_blank\" rel=\"noreferrer noopener\"><img loading=\"lazy\" decoding=\"async\" width=\"700\" height=\"250\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/08\/powerful-platform-for-learning.png?w=700\" alt=\"The most powerful platform for learning medicine and the health sciences Try it now button.\" class=\"wp-image-341\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/08\/powerful-platform-for-learning.png 700w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/08\/powerful-platform-for-learning.png?resize=300,107 300w\" sizes=\"auto, (max-width: 700px) 100vw, 700px\" \/><\/a><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Intensified_Communication_Barriers\"><\/span>Intensified Communication Barriers<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Shelter-in-place and mask-wearing protocols exist to help flatten the curve so medical professionals can provide adequate healthcare during the pandemic. However, these protocols also intensify communication barriers, especially for those who rely on lipreading, touching, and sign language. Some\u2014not all\u2014people with disabilities have smartphones with at least one or&nbsp;<a href=\"https:\/\/youtu.be\/L_ub-W2aKhY\" target=\"_blank\" rel=\"noreferrer noopener\">two automatic speech recognition apps<\/a>&nbsp;downloaded to help with the practitioner-patient interaction. Yet there are others who may not have smartphones or any other assistive technology when they enter the hospital or private practice. Apart from smartphones, iPads, and even laptops, medical professionals can still proactively&nbsp;<a href=\"https:\/\/www.ada.gov\/ada_title_III.htm\" target=\"_blank\" rel=\"noreferrer noopener\">provide technological assistance<\/a>, like updating their websites with accessible instructional pages, ensuring that SmartTVs in reception areas display voice guidelines, and lowering music to help those who rely on audible cues.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In situations where technology cannot be used to overcome the communication barriers, medical professionals can still use the Approach Formula to foster connection with patients and\/or colleagues, even while wearing a face mask. Non-technological techniques include but are not limited to the following:&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Eye contact<\/li>\n\n\n\n<li>Paper and pen<\/li>\n\n\n\n<li>Questions (asking and listening)<\/li>\n\n\n\n<li>Purposeful talk (some hearing devices help people better recognize words when spoken clearly)<\/li>\n\n\n\n<li>Universal-friendly body language and gestures (not necessarily formal sign language)<\/li>\n\n\n\n<li>Facial expressions (smiling does make a difference behind the face mask and helps with being approachable!)<\/li>\n\n\n\n<li>Pictures\/safety signage \u00a0<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"701\" height=\"468\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/green-nurse.png\" alt=\"\" class=\"wp-image-2213\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/green-nurse.png 701w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/green-nurse.png?resize=300,200 300w\" sizes=\"auto, (max-width: 701px) 100vw, 701px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"The_focal_point_of_the_Approach_Formula\"><\/span>The focal point of the Approach Formula<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The Approach Formula can be applied in any situation and is not limited to patients. The main takeaway from using the Approach Formula is to acknowledge the needs of the other person no matter what background and\/or (dis)ability, especially in the area of preferred communication methods. This creative communications strategy serves as a reminder that we need to slow down by adjusting our communication methods to connect with others rather than defaulting to our typical communication standards. &nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>About Dr. Moreman<\/strong>&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><em>As Creative Communications Consultant, Dr. Sarah Elizabeth Moreman, originally of Auburn, Alabama, shares her expertise on matters of creative communication strategies, disability awareness, compliance, DEI training, student-teacher interaction, and writing. Dr. Moreman serves as English Instructor at&nbsp;<\/em><em><a href=\"https:\/\/www.jeffersonstate.edu\/\" target=\"_blank\" rel=\"noreferrer noopener\">Jefferson State Community College of Birmingham<\/a><\/em><em>, Alabama. When not teaching, public speaking, consulting, or doing marketing projects, she enjoys traveling to reconnect with friends and family, along with keeping healthy and fit taking Pure Barre and dancing classes. More information can be found via her&nbsp;<\/em><em><a href=\"https:\/\/www.drsarahelizabethmoreman.com\/\" target=\"_blank\" rel=\"noreferrer noopener\">website<\/a>.<\/em><em>&nbsp;<\/em><\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/www.osmosis.org\/plans\"><img loading=\"lazy\" decoding=\"async\" width=\"700\" height=\"250\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/learn-more-robot-left-side.png?w=700\" alt=\"\" class=\"wp-image-1156\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/learn-more-robot-left-side.png 700w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/learn-more-robot-left-side.png?resize=300,107 300w\" sizes=\"auto, (max-width: 700px) 100vw, 700px\" \/><\/a><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><em><strong><em>Try Osmosis today! Access your\u00a0<a href=\"https:\/\/www.osmosis.org\/login?type=create\" target=\"_blank\" rel=\"noreferrer noopener\">free trial<\/a>\u00a0and find out why millions of clinicians and caregivers love learning with us.<\/em><\/strong><\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>In response to the novel coronavirus pandemic, an ideal on-the-spot approach in accommodating patients with disabilities is being shared. All-inclusive communications strategies can be used right now when interacting with a person, no matter the background nor (dis)ability. In this article, Dr. Sarah Elizabeth Moreman discusses the Approach Formula and how it can improve communication [&hellip;]<\/p>\n","protected":false},"author":55,"featured_media":2207,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[27,10,18],"tags":[],"class_list":["post-2206","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-medicine","category-clinical-skills","category-equity-diversity-and-inclusion"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>The Approach Formula: Accommodating Patients with Disabilities on the Spot - Osmosis Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.osmosis.org\/blog\/the-approach-formula-accommodating-patients-with-disabilities-on-the-spot\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"The Approach Formula: Accommodating Patients with Disabilities on the Spot - Osmosis Blog\" \/>\n<meta property=\"og:description\" content=\"In response to the novel coronavirus pandemic, an ideal on-the-spot approach in accommodating patients with disabilities is being shared. 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