Preparing a client for a Defense Medical Exam (DME) is a vital part of the process. A savvy LNC will take the time to walk the client through that process ahead of time.
The DME process can be complex and intimidating for clients, but with the right preparation, they can navigate it successfully.
In this post, I outline seven key steps that LNCs can take to prepare their clients for a DME exam, helping them understand the process, provide accurate information, and increase the likelihood of a fair assessment of their medical condition.
Preparing a client for a Defense Medical Exam (DME)
Educate the client about the purpose of the exam
Explain that a DME is a medical evaluation requested by the opposing party in a legal case to assess the client’s medical condition and the validity of their claims. Emphasize the importance of providing accurate and truthful information during the exam to avoid any potential legal implications.
Review the client’s medical records
If available, thoroughly review the client’s medical history and records to ensure they understand their medical background. This can help the client recall essential details during the exam and provide a more accurate picture of their medical condition.
Explain the process of the exam
Describe in detail what the client can expect during the exam, including the types of questions that may be asked and the physical or mental assessments that may be conducted. Provide examples of common questions and assessments to help the client feel more prepared.
Discuss the importance of honesty and accuracy
Emphasize that the client should be honest and accurate when answering questions and describing their symptoms. Advise against exaggerating or downplaying their condition, as this could negatively impact the outcome of the exam.
Prepare the client for potential challenges
Discuss potential challenges the client may face during the exam, such as aggressive questioning or attempts to discredit their claims. Provide strategies for remaining calm and composed, such as taking deep breaths and focusing on providing clear and concise answers.
Discuss the role of the examiner
Explain that the examiner is not their treating physician but a supposedly neutral person hired to assess their medical condition. Encourage the client to be polite and cooperative during the exam, as this can help ensure a more positive experience.
Provide emotional support
Acknowledge that the DME can be a stressful experience and offer emotional support to help the client cope with any anxiety or fear they may be experiencing.
Encourage the client to reach out if they have any questions or concerns leading up to the exam.
By following these seven simple steps, you can help prepare your client for a DME exam and to encourage them to present themselves accurately and confidently.
Conclusion
Preparing a client for a Defense Medical Exam (DME) is a multifaceted process that requires careful attention to detail and thorough communication.
Your involvement is critical by educating clients about the purpose of the exam, explaining the exam process, emphasizing honesty and accuracy, preparing them for potential challenges, discussing the role of the examiner, and providing emotional support,
You can help your clients navigate the DME process with confidence. This can ultimately lead to a more positive experience for clients and a more accurate assessment of their medical condition.
Join us in our live course, Defense Medical Examinations Made Easy, taking place starting in April 2024. if you see this post after the course, invest in the recordings.
Get my new book co-authored with Silvia Aninye RN, AS, FCM, CLNC. called ‘Defense Medical Exams Made Easy: A Painless Guide for LNCs’.
‘The Defense Medical Examinations Made Easy’ book provides a strong framework for the LNC setting out to witness a defense medical examination.
You will know exactly what you need from the attorney, how to prepare your patient-client and so much more.
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Pat Iyer is president of The Pat Iyer Group, which develops resources to assist LNCs in obtaining more clients, making more money, and achieving their business goals and dreams.
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