Tools and Strategies for SuccessMarjorie ReillySenior PracticumSUNY DelhiNURS 403, 11070Cheryle Levitt
In the United States Thereare over 25 million people with diabetes (diagnosed) Thereare over 79 presently undiagnosed people with diabetes Diabetes and its costs over 218 billion dollars annually
Over40 percent of newly-diagnosed diabetics are over 65 years old. Onein five Americans read below the fifth grade level. Manyilliterate individuals have either normal, or above normal intelligence. Theseare among the many challenges one may face in patient teaching,
Anxiety with initial diagnosis May have misconceptions influencing anxiety Assess what your patient already knows Begin teaching immediately
Askyour patient about their learning preferences Use teach-back methods in order to assess understanding
Watch for verbal and non-verbal clues Visual learners: - phrases like “ I see what you’re saying” - May look up and away when listening or considering something new.
Watch for verbal and non-verbal clues Auditory learners: - phrases like “ Doesn’t sound right to me, or I hear what you’re saying” - May look off to the side when listening or considering something new.
Watch for verbal and non-verbal clues Kinesthetic learners - Phrases like “Just doesn’t feel right” - Used hand gestures when speaking - May look down when listening or considering something new.
Use pictures, graphs, videos and other visual aids Flash cards Encourage patient to take notes Conversation Map
Use visualtools likethisgraphicwhenteachinginjectionsites
Teach the patient with a verbal narrative. Audio/Visual presentations. Read printed materials aloud. Group(family) instruction with discussion and brainstorming. Question and answer format.
National Diabetes Education Program: Healthy Eating with Diabetes:http://ndep.nih.gov/resources/ResourceDetai l.aspx?ResId=380
Format with both video and transcript. Graphic representations Good for all learners, especially visual and auditory. How Diabetes Affects Your Blood Sugar:http://www.mayoclinic.com/health/blood- sugar/MM00641
Quiet, uncluttered environment.http://www.youtube.com/watch?v=xrAIGLkS Mls Well-rested, snack if needed for energy. Take frequent breaks (every 20 minutes) http://www.youtube.com/watch?v=xrAIGLkS Mls
Demonstration with models that can be touched. Allowpatient to manipulate supplies, especially with insulin administration . Usea multi-sensory approach (seeing, touching, doing).
Encourage use of these tools:Facebook: http://www.facebook.com/home.php#!/Am ericanDiabetesAssociation
Encourage use of these tools: American Diabetes Association Message Boards: http://community.diabetes.org/
The American Diabetes AssociationResources and community tailored to specific target groups: African American Latino Asian/Pacific Islander Native American http://www.diabetes.org/in-my- community/programs/
Problems Time Constraints Limited Resources Health Literacy Limitations Solutions Start Patient Teaching Early Be Creative Enlist Family Members Use “Teach Back” method to ensure understanding
ReferencesAmerican Diabetes Association. (2012a). Diabetes statistics. Retrieved from http://www.diabetes.org/diabetes-basics/diabetes- statistics/Curry, A. (2011). Visual aids for diabetes education: Can teaching tools help people retain their lessons? Retrieved from http://forecast. diabetes.org/magazine/your-ada/visual-aids-diabetes-educationDille, B. (2007). Learning style Inventory. Retrieved from http://www.odessa.edu/dept/govt/dille/brian/courses/ 1100Orientation/LearningStyleInventory_survey.pdfHuizinga, M., Elasy, T., Wallston, K., Cavanaugh, K., Davis, D., Gregory, R., Fuchs, L., … Rothman, R. (2008). DNT sample questions. Retrieved from http://www.biomedcentral.com/1472- 6963/8/96/figure/F2?highres=yMayo Clinic. (2011). Video: How diabetes affects your blood sugar. Retrieved from http://www.mayoclinic.com/health/blood- sugar/MM00641
ReferencesNational Diabetes Education Program. (n.d.). Healthy eating with diabetes. Retrieved from http://ndep.nih.gov/resources/ ResourceDetail.aspx?ResId=380Redman, B. (2007). The practice of patient education: A case study approach (10th ed.). St. Louis, MI: Mosby-Elsevier.Smart Nurse. (2011). Locating subcutaneous injection sites. Retrieved fromhttp://smart-nurse.blogspot.com/2011/05/locating- Subcutaneous-injection-sites.htmlSmeltzer, S., Bare, B., Hinkle, J., & Cheever, K. (2008). Brunner & suddarth’s textbook of medical-surgical nursing (11th ed.). Philadelphia, PA: LippincottWilliams & Wilkins.