This website has some great possibilities... I tried copying and pasting one to a WORD document and then fooled around with it to see if I could enlarge/shrink it ... and YES you can .. these could be used in a lot of ways for ESL learners and patient literaure.  I trust we are at liberty to use them that way without infringing on copy rights.  They could be used on an enlarged version of the pill card, which I think is a wonderful tool!
 
Mikal Steinbacher
Instructor, ABE/ESL/English
Lake Washington Technical College

________________________________

From: healthliteracy-bounces at nifl.gov on behalf of Horton, Kathleen
Sent: Thu 2/28/2008 11:34 AM
To: The Health and Literacy Discussion List
Subject: [HealthLiteracy 1799] Re: pill card



To follow this thread, I am currently looking for good international pictograms related to health and medications as we plan are working on emergency preparedness. 

I came across these and wonder if others have used these. 
http://www.usp.org/audiences/consumers/pictograms/ 

Also, does anyone know a good source for pictograms and international symbols? 
Kathleen 

Kathleen Horton 
Design & Marketing Coordinator 
Vermont Department of Health 
108 Cherry Street 
PO Box 70 
Burlington, VT 05402-0070 
(802) 951-5154 
khorton at vdh.state.vt.us 



	---------- 
	From:   healthliteracy-bounces at nifl.gov on behalf of Dickerson, Robert 
	Reply To:       The Health and Literacy Discussion List 
	Sent:   Thursday, February 28, 2008 1:21 PM 
	To:     The Health and Literacy Discussion List 
	Subject:        [HealthLiteracy 1798] Re: pill card 

	While this tool appears to be a step in the right direction I also agree 
	with and share the concerns of both Laurie Anson and Marcia. Some of the 
	other graphics I saw on the site I would not necessarily equate with the 
	terms they are supposed to signify. For example the graphic that I 
	believe is supposed be a bag of sugar to represent diabetes did not 
	connect for me until I realized is was supposed to represent a bag of 
	sugar. I just saw a bag of something??? 

	Of course making the connection between the graphic and intended meaning 
	may be influenced by context and the patient's medical conditions (the 
	sugar bag may make more sense to a diabetic than a non-diabetic). I'm 
	curious if there are truly universal graphics, symbols, pictures or 
	visuals that are understood by a majority of people. Of course unique 
	cultural difference may make even "universal" graphics meaningless in 
	some cases. In this event alternatives should be made available. 

	I'm also curious if the graphics in this application were used because 
	they are conveniently available clip art or if they have truly been 
	studied and shown effective for a variety of patient populations. 

	Thanks, 
	Bob Dickerson, MSHSA, RRT 
	Quality Improvement Coordinator, Clinical Quality 
	Iowa Health - Des Moines 
	Des Moines, Iowa 
	Phone: (515) 263-5792 
	Fax: (515) 263-5415 
	E-mail: DICKERR2 at ihs.org 
	Website: www.ihsdesmoines.org 


	-----Original Message----- 
	From: healthliteracy-bounces at nifl.gov 
	[mailto:healthliteracy-bounces at nifl.gov] On Behalf Of Trenter, Marcia L 
	Sent: Wednesday, February 27, 2008 5:11 PM 
	To: The Health and Literacy Discussion List 
	Subject: [HealthLiteracy 1795] Re: pill card 


	I agree with Ms. Anson. Considering culture/understanding ethnicity will 
	help us understand others' interpretations of graphics. We live in a 
	multi-cultural society. We need to accept that "one size does not fit 
	all"; one presentation will rarely be interpreted universally. Thus, 
	strategic targeting of visuals, cultural awareness, focus testing, and 
	hopefully teach-back orientation.  Here's a graphic challenge for all. 

	What graphic(s) would depict the following. 

	3x daily without food. 

	Graphics for:   Morning 
	                        Mid-afternoon 
	                        Bedtime 

	3x daily with food. 

	Graphics for:   Breakfast 
	                        Lunch 
	                        Dinner 

	We used a rising sun with a rooster to depict "morning" and several 
	focus participants thought it meant, "breakfast with chicken". 

	I will be very interested to hear your response and grateful. 

	Thanks, 
	Marcia 

	___________________ 
	Marcia L. Trenter 
	Special Assistant to the Office Director Office of Training and 
	Communications Center for Drug Evaluation and Research U.S. Food and 
	Drug Administration Rm 2436, Bldg. 51 
	10903 New Hampshire Avenue 
	Silver Spring, MD 20993-0002 
	301-796-3172 
	Fax 301-847-8718 
	E-mail marcia.trenter at fda.hhs.gov 
	______________________ 


	-----Original Message----- 
	From: healthliteracy-bounces at nifl.gov 
	[mailto:healthliteracy-bounces at nifl.gov] On Behalf Of Laurie Anson 
	Sent: Wednesday, February 27, 2008 5:03 PM 
	To: The Health and Literacy Discussion List 
	Subject: [HealthLiteracy 1794] pill card 

	To the List - 

	As an RN, I recall having heard of the use of pill cards similar to the 
	one shown. As I remember, there were some difficulties with the symbols 
	used (sunrise, sunset, moon) across cultural lines. I think the use of 
	pill cards is an excellent idea, as long as great care is taken to 
	explain the symbols to the client. For instance, if there is no "sunset" 
	to compare to "sunrise", then there might be some confusion about the 
	significance of that particular symbol. 


	Laurie Anson 
	ansons at epix.net 



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