An average patient would have difficulty understanding this educational material. According to the U.S. Department of Education and the National Literacy Institute, 32 million adults cannot read, or 14 percent of the population. In the United States, 21% of adults read below a 5th grade level (www.huffingtonpost.com, 2014). While the average reading level of American adults is around 5th grade, I have found that this educational material is not understandable to the average American. This Patient Educational Material (PEM) should be written for a 5th grade reading level. Name 2 changes you would make if you were able. This PEM used some abbreviations such as UV, SPF, melanoma, dermatologist, etc., which may be difficult for the public to understand. It should explain what UV is, like ultraviolet light from the sun. SPF, which is a sun protection factor and its range from 10 to 30. Best explanation of skin cancer such as: Skin cancer is a disease in which malignant cells (cancer) form in the tissues of the skin. skin. Skin cancer called nomlanoma is the most common cancer in the United States. Exposure to ultraviolet rays can increase the risk of skin cancer. People are at greater risk of developing skin cancer, such as fair skin that freckles and burns easily, does not tan or tans poorly, blue or green eyes, or other light colors. Red or blonde hair, etc. Use a few pictures to complain about what skin cancer looks like and what to compare it to. Thus, the patient can visualize the differences and become aware of them. This educational material addressed and covered some information but not all. Just by reading, one can receive some information, but perhaps not all. The educational plan can be added with the images and diagram of how sunlight affects the skin.