Patient TeachingNurse can perform patient Teaching as and when required.This could be more fruitful if it is planned properly after the assessment, nurse understands the clients educational background, his perception about health , illness, his disease condition and overall his knowledge.Nurse should always be ready for incidental Health Teaching to the patient depending on the situation and the need and the incident.
Purposes of Patient Teaching• The three main purposes of patient education are1. To maintain and promote health2. Prevent illness, restore the patient’s health,3. Teach the patient how to cope with their condition.
• So in order to fulfill these goals, it is the responsibility of the nurse to educate the patient appropriately and successfully in order to receive understanding from the patient. To do so, there are some imperative (important) components the nurse needs to consider before following through with the teaching process.
Prerequisites(Preliminary assessment) of Patient Education1. Before even starting to educate the patient, the nurse must always assess the patient to see what type of environment will be most beneficial for them and factors that may interfere.2. Another component to consider about the environment is appropriate lighting, temperature, and furniture.
3. Along with comfort, it is important to always asses the patient for any pain before proceeding.Pain would interfere with my patient’s necessary level of strength in order to perform learned skills and distract them from the learning material. Also she should be well-rested in order to stay alert and fully engaged in discussions for maximum learning. The patient should always be assessed for coordination and sensory acuity as well in order for them to perform certain motor skills and receive and respond to messages being taught. Lastly, the nurse must take into consideration their condition and how it may interfere with the learning process.
Importance of Patient Teaching• Patient education enables patients to assume better responsibility for their own health care, improving patients’ ability to manage acute and chronic disorders.• Patient education provides opportunities to choose healthier lifestyles and practice preventive medicine.• Patient education attracts patients to the provider and increases patients’ satisfaction with their care, while at the same time decreasing the provider’s risk of liability.•
Importance of Patient Teaching conti..• Patient education promotes patient-centered care and as a result, patients’ active involvement in their plan of care.• Patient education increases adherence to medication and treatment regimens, leading to a more efficient and cost-effective health care delivery system.• Patient education ensures continuity of care and reduces the complications related to illness and incidence of disorder/disease.• Patient education maximizes the individual’s independence with home exercise programs and activities that promote independence in activities of daily living as well as continuity of care.
Process of Patient Teaching/EducationThe process of patient teaching refers to the steps you follow to provide teaching and to measure learning.The steps involved in the teaching-learning process are:1. Assessing learning needs2. Developing learning objectives3. Planning and implementing patient teaching4. Evaluating patient learning5. Documenting patient teaching and learning
1. Assessing the Learning needsLearning needs vary according to the patients health status every time during his stay in the hospital and even after the follow up visits.e.g. On admission the patient teaching would include the ?????Before starting of the treatment patient would want to know???Before the surgery or during any special treatment or investigation patient must understand it…….
2. Developing learning objectives• What you want to achieve at the end of the teaching should reflect in the learning objectives of the patient.• Objectives should be achievable and assessable.• Mention clearly what is expected form the patient in relation to his attitude, lifestyle, understanding etc.
Planning and implementing patient teaching Always be ready for patient teaching. P.T can be more fruitful if it is well planned and organised. Planning is done according to the need of the patient. Environment, Time of the P.T., patients health status has be taken into consideration. Good to take an appointment with the patient and fix the time of the P.T. and also tell the approximate time you are going to require. Use of charts, flash cards, posters can be useful. Introduce the topic and also don’t forget to tell the patient and the family that they may stop you anytime during the patient teaching to clear their doubt. Before ending the P.T. confirm that client understood the topic and also whether the objectives of the P.T. are achieved.
Evaluating the patient teaching• Check out the P.T. objectives.• Evaluate the P.T. according to the objectives met/unmet/needs more time to change the attitude of the patient.• Take feed back from the patient, family members, and other patients if at all they were attending the P.T.
Documenting the P.T.• Document the Patient Teaching, along with the Topic, Time, patients response and number of participants who attended the P.T. to avoid the repetition of the information for the patient and prevent health care professional from repeated works.• It is safe for the nurse because client may admit some time that he was unaware about the facts that created harmful situation for him or others(Oxygenation –safety precautions).
Role of Nurse in Patient Teachinga. When focusing in on my patients learning needs, before I begin the teaching process, I must ask a number of questions and perform specific assessments. This is important to determine her readiness and ability to learn.b. The very first thing that I must ask is if she is willing or able to accept the reality of her illness, which my patient states she is.c. So the next step I would need to do is introduce a teaching plan. In order to provide an effective teaching plan you must consider the developmental and physical factors of your patient. For my patient I assessed her to make sure she was able to read and write. This will make the learning process much easier, allowing her to understand and apply the things she is learning.
d. Another consideration I need to take is her age. Since my patient is an elder, the best teaching approach would be in short sessions and making sure she is involved in discussions. According to LeCroy (2009), “To decrease frustration in the learning process, information should be given in an easy-to-understand format since the learner’s attention can wane after only 10 minutes” (p 155).e. Next you have to consider their physical capability. This is an obstacle for my patient because she is morbidly obese and is limited in movement. So in order for her to learn, I think it would be more beneficial to use a cognitive or visual method rather than a psychomotor method.
f. Another consideration I need to take is her age. Since my patient is an elder, the best teaching approach would be in short sessions and making sure she is involved in discussions. According to LeCroy (2009), “To decrease frustration in the learning process, information should be given in an easy-to-understand format since the learner’s attention can wane after only 10 minutes” (p 155).g. Next you have to consider their physical capability. This is an obstacle for my patient because she is morbidly obese and is limited in movement. So in order for her to learn, I think it would be more beneficial to use a cognitive or visual method rather than a psychomotor method.
h. Finally after all these components are evaluated and you have taught your patient the material needed, you must evaluate what they have learned.i. As stated by Hohler (2004), “To assess what your patient has learned and determine whether he needs more teaching, ask open-ended questions or have him explain what he’s learned” (p. 32hn8). Then you can evaluate what the patient absorbed and what needs more work.
Integrating Teaching in the Nursing process.AssessingNursing DiagnosisPlanningImplentationEvaluation