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2012 fall pp_ch_25.ppt_audio

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  • 1. Chapter 25-Patient Education• Important role: RN identifies client’s learning needs and uses most appropriate teaching strategies. – Examples - Pre-natal care, immunizations, follow- up care, dressing changes, medication regimen.• Well designed education plan can – decrease healthcare costs, improve quality of care, achieve optimal wellness and increase independence.• Consumer wants to know and client has right to be informed of their dx, prognosis, available rx.• JCAHO – educational efforts must take into consideration the client’s psychosocial, spiritual, and cultural values, as well as the desire to actively participate in the educational process. 1
  • 2. Purposes of Patient Education• Teaching = Interactive process that promotes learning• Goal is to: – Gain new knowledge – Change attitudes – Adopt new behaviors – Perform new skills• Learning = Purposeful acquisition of new knowledge, attitudes, behaviors or skill. 2
  • 3. Role of RN in Teaching Learning • To be effective RN needs to determine what client needs to know & when they are ready to learn. – Provide accurate, complete and relevant information to meet the client needs. – Should anticipate client needs based on physical condition or treatment plan. – Clarifies information provided by MD & other healthcare providers. 3
  • 4. Domains of LearningCognitive – includes Affective – Psychomotor –all intellectual expression of acquiring of skillsbehavior and feelings & that require therequires thinking. acceptance of integration of mentalExample: attitude, opinion or & muscular activity.Client has new values. Example:medication and is Example: Ability to walk, useable to describe its Female expresses eating utensils.purpose and concern of how chestpotential side effects. will appear after breast removal for cancer. 4
  • 5. Basic Learning Principles Motivation to Learn•Person’s desire to learn•Willingness to learn. RN Utilizes Nursing Process Ability to Learn Assessment•Developmental ability Nurse Dx•Physical ability Planning Implementation Evaluation Learning Environment•Privacy, room temperature, lighting,noise, furniture, ventilation 5
  • 6. Nursing Process AssessmentExpectations of Motivation to LearnLearningLearning Needs Ability to Learn Resources to LearnLearningEnvironment 6
  • 7. Nursing ProcessNurse Dx: Planning:• Deficient Knowledge Establish Goals & Outcomes: (psychomotor) regarding use • Cl will perform three-point of crutches crutch gait as evidence by:Defining Characteristics: Set Priorities:• Rec’d no info on use of • All other acute care needs crutches. met now time for rehab.• Asks questions about Continuity of Care: crutches. • Physical therapist.Related to: • Home care.• Lack of exposure 7
  • 8. Nursing ProcessPlanning Cont’d: • How are you going to teach? (1:1, group, demonstration• What are the learning objectives? • Teaching environment?• What are the priorities? – Quiet• Timing? – Private• Type of teaching materials? – Temp comfort (printed, video, drawing) – Timing• How will you maintain – No distractions attention and participation? – Make plan with client• Does client have existing knowledge? 8
  • 9. Nursing ProcessInstructional Implementation TeachingMethods Approaches•1:1 discussions •Telling•Group •Sellinginstruction •Participating•Preparatory •Entrustinginstruction •Reinforcing•Demonstrations•Analogies Incorporating with Nursing Care•Simulation •Tell why you are hanging blood.•Role Playing •Tell why you are t&p every 2 hrs. 9
  • 10. Nursing Process Illiteracy & Other Disabilities:Implementation •5th grade reading level cont’d •Clients don’t understand medical jargon. •Sensory Deficits (visual, hearing) Speak in Client’s Language: •Enlist others in cultural group to assist with teaching. Teaching Tools Needs of Children & Older Adults: •Children – developmental stages •Older adults – address visual and hearing deficits. Eg. Larger print for visually impaired, speak to client on the “good” ear. 10
  • 11. Nursing ProcessEvaluation:• Was the plan of care effective?• Was you goal/outcome met?Goal: Cl will perform three-point crutch gait as evidenced by:1. Being motivated to perform. YES / NO2. Describing task to RN. YES / NO3. Performed task appropriately. YES / NOEvaluation = Yes / No 11