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Patient Teaching
             Unit IV FON

Ajay Magar
M.Sc.(N)
Definition of Patient Teaching
“The process of informing a patient about
  a health matter to secure informed
  consent, patient cooperation, and a high
                   Patient Teaching
  level of patient compliance.”


(Mosby's Dental Dictionary, 2nd edition. © 2008 Elsevier, Inc.)
Patient Teaching
Nurse 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
  are
1. To maintain and promote health
2. 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
               Education
1. 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/Education
The 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 needs
2. Developing learning objectives
3. Planning and implementing patient teaching
4. Evaluating patient learning
5. Documenting patient teaching and learning
1. Assessing the Learning needs
Learning 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 Teaching
a. 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.
Assessing
Nursing Diagnosis
Planning
Implentation
Evaluation
Thanks
Patient teaching
Patient teaching
Patient teaching
Patient teaching
Patient teaching
Patient teaching
Patient teaching
Patient teaching
Patient teaching

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Patient teaching

  • 1. Patient Teaching Unit IV FON Ajay Magar M.Sc.(N)
  • 2. Definition of Patient Teaching “The process of informing a patient about a health matter to secure informed consent, patient cooperation, and a high Patient Teaching level of patient compliance.” (Mosby's Dental Dictionary, 2nd edition. © 2008 Elsevier, Inc.)
  • 3. Patient Teaching Nurse 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.
  • 4. Purposes of Patient Teaching • The three main purposes of patient education are 1. To maintain and promote health 2. Prevent illness, restore the patient’s health, 3. Teach the patient how to cope with their condition.
  • 5. • 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.
  • 6. Prerequisites(Preliminary assessment) of Patient Education 1. 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.
  • 7. 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.
  • 8. 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. •
  • 9. 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.
  • 10. Process of Patient Teaching/Education The 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 needs 2. Developing learning objectives 3. Planning and implementing patient teaching 4. Evaluating patient learning 5. Documenting patient teaching and learning
  • 11. 1. Assessing the Learning needs Learning 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…….
  • 12. 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.
  • 13. 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.
  • 14. 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.
  • 15. 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).
  • 16. Role of Nurse in Patient Teaching a. 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.
  • 17. 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.
  • 18. 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.
  • 19. 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.
  • 20. Integrating Teaching in the Nursing process. Assessing Nursing Diagnosis Planning Implentation Evaluation