Discharge Summary vs. Tips and Instructions
Posted on Monday, April 29, 2013 at 11:45 PM
The importance of what it says and how it says it.
By
Jan V. White
First they carved up and rebuilt my knee. Then
they rehabbed me, and now they were sending me home. Of course I was
happy, but I woozy and fuzzy in the mind and a bit terrified. Then,
paperwork signed, pushing the chair, the nice nurse slipped a letter in
the plastic belongings bag.
In that mental and emotional state, I
was just a drugged guy who was scared and pooped. The last thing I felt
like was reading. No thinking, let alone technical terms. I glanced at
the headline: "Discharge Summary." OMG! What sort of fluid would I
discharge and where?
Later, when I came to after a good snooze, I
found what was actually a very useful list of practical suggestions that
nurses had prepared for what to do next. Unfortunately, it only works if
and when you are fully compos mentis, ready for concentrated study and
translation into normal people's English that most patients find
daunting. It is not for you and me as little individuals. It is typical
semi-abstract global tone. The language is medspeak; its writing is
officialese. The thing is like a frightening report with all those
bullets. It looks as grey and foggy as the minds are at that worrying
time. Moreover, its unfriendly appearance asks to be put aside for
"later," and what inevitably happens to whatever is to be studied
"later"? Mind you, it isn't all that bad. It is just such a regrettably
mediocre waste.
Here is what the nurse gave me. It is the
"before" of the "after." You have to read both to make the comparison.
It is a blend of what it says and how it says it and why it makes better
sense, what the intentions are and what the actual wording is, what its
whole purpose is, whom it is for, and how it works when you see what you
have at last pulled out of your plastic bag of laundry and other stuff.
This Is Before...
This Is After...
Remember your targets
are not at their best, and they are disinterested, anyway.
What
are the changes in the text to contact and help them more effectively?
1:
"Tips and Instructions" is useful to the target, so it
catches them.
"Discharge Summary" is just a theoretical
identifier.
2: "Now ... later ... at home ... soon ...
always" is an immediately understandable structure.
3:
You need merely read the "now" bit and skip the reader-friendly rest.
4:
Logical groups of meaning are signaled visually by separation.
5:
Regular/vs/bold for emphasis of meanings both individually and in groups.
6:
Short, self-contained sentences, intimate wording.
7: No bullets
-- those meaningless, off-putting clichés.
8: Flush-left
alignment to create the neat left-hand edge of the texts.
9:
Left-hand text edge allows heads to "hang" outside for maximal
noticeability.
All the techniques of geometrical alignments and
spacings make sense by clarifying the elements. Why is that useful?
Because people like short bits and resent big ones. So here is a good
example of such an organized set of deliberately short bits. It
is the antithesis of an essay format. That is usually the start of
anything: a "report". Then the essay is disintegrated into various
elements, a bunch of bullets are inserted, and your "list" is done. No,
it ain't.
All right, non-visual editors: What about those big,
black, bold blobs of paralellipipidons. Those solid squares are not
decorative superficial embellishments that disturb the clarity of your
thoughts?
10: The black squares reinforce the blackness of the
heads that look weak without it.
11: The black squares add
sparkle that creates first-glance curiosity.
First-glance
curiosity is vital, because your effort is wasted unless potential
readers are interested. So we must use visual salesmanship to play up
elements, make them noticeable, and thus user-friendly. Specially for
old ones with lousy knees.
Jan White lectures worldwide on the
relationship of editing to design. He tries to persuade word people to
think visually and visual people to think verbally. He is the author of
Editing by Design, 3rd ed., and a dozen books on publishing techniques.
Contact him at janvw2@aol.com.
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