Comments and constructive cricitism

Evidence based paper and must use peer reviewed article of not more than 5 years old
to support the comments.
Comments and constructive criticism
Article 1
The writer presents succinct and coherent information regarding the changes needed in the
healthcare facility that she works at. The challenges identified in this healthcare facility are
the need to improve health literacy among the service users. According to this article, the
main cause of readmissions and recurrent infections is due to medication non adherence,
which is associated with low health literacy (Narang, Sen, & Shukla, 2013).
The article findings are congruent with the evidence based research, that health literacy has a
vital role in promoting and sustaining health in the USA. Approximately 50% of the USA
adult population have difficulties in understanding their health complication and ways to
manage it. Evidence based practice proposes the application of teach back method, as it
enables bridge the loop that exists between the healthcare providers and the service users.
These empowers the patient retrieve and understand the basic information that is required to
make basic decisions that are related to the patient health and also follow treatment
instructions irrespective of patient gender, age, cultural and ethnic background (Hunter &
Franken, 2012).
References
Hunter, J., & Franken, M. (2012). Health Literacy as a Complex Practice. Literacy And
Numeracy Studies, 20(1). http://dx.doi.org/10.5130/lns.v20i1.2618
Narang, S., Sen, B., & Shukla, A. (2013). Information Literacy, Health Literacy, Health
Information Literacy-What are they about?. Lib. Her., 51(4), 323.
http://dx.doi.org/10.5958/j.0976-2469.51.4.007
Article 2
This article is also informative and coherent. The health challenge identified in this healthcare
facility is the identification of patients with elevated cholesterol. The proposed solution is the

Comments and constructive criticism
integration of telehealth care to screen for patient risk for elevated cholesterol i.e. familial
hypercholesterolemia such as ASCVD Risk estimator used to estimate risk for atherosclerotic
cardiovascular disease (ASCVD), to guide the healthcare providers when doing an estimation
of when to start treating the patients with cholesterol (Thorpe, Barrett & Goodwin, 2014)
Despite the benefits associated with the risk estimator and its ability to reshape the delivery
of quality care, I cannot not help but wonder the cost implication associated with the risk
estimator device? How does it eliminate errors when calculating patient risk? Does it specify
the main issue that must be addressed, or is the information derived produce a general
impression of patient risk? I believe, a more evidence based practice research should be
conducted to weigh the pros and cons of the proposed change (Van Dyk, 2014).
References
Thorpe, J., Barrett, D., & Goodwin, N. (2014). Examining perspectives on telecare: factors
influencing adoption, implementation, and usage. Smart Homecare Technology And

Van Dyk, L. (2014). A Review of Telehealth Service Implementation Frameworks.
International Journal Of Environmental Research

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