When can I counsel?

Getting the message across to your patients about folic acid is very simple and takes only a few minutes to communicate.

Consider delivering the message by:

·         Developing open communication with your patients, and being perceptive towards instances in conversation where the folic acid message might be appropriate.

- For example, if a woman mentions thoughts about having a baby, let her know       that folic acid is important to prepare for pregnancy.

• Speaking with parents about their need for folic acid during school eye exams

• Reminding patients of the benefits of folic acid to general health, and pregnancy in particular when they ask about vitamins to protect/improve their eyesight.

• Encouraging your staff to promote folic acid to your patients by providing informative materials for them to refer to while counseling patients.

• Being a resource to your patients. Develop a confidential rapport, so that they will feel comfortable approaching you for information about their health concerns.

• Knowing when to refer your patients.

      - For example, if a woman in your practice is at high risk for an NTD-affected pregnancy, make every effort to connect her with a primary care physician or nutritionist who can help her to prepare for any planned or unexpected pregnancy.  If the woman does not have health insurance, she may be able to qualify for Medicaid or other publicly sponsored health insurance.  Contact your local health department for information on county clinic services and availability in your area.

• Having a “Healthwise” area in the waiting room, and provide folic acid brochures or other information to your waiting patients.

By making folic acid counseling a part of a routine eye exam, you play another important role in your patients’ health and the prevention of disease.