Chapter 3 Education and Engagement of Patients and Family Flashcards
(Competency Definition)
Patient education
- Process of influencing pt behavior and produce changes in KSA necessary to maintain or improve health
- Optimal health and independence in self-care.
(Competency Definition)
Health education
- Any combo of planned learning experiences based on sound theories that provide individuals, groups, and communities gain skills needed to make quality health decisions
(Competency Definition)
Engagement
- Actions pts must take to get the greatest benefit from the health care services available to them.
(Competency Definition)
Patient activation
- Understanding one’s own role in the care process and having the knowledge, skills, and confidence to take on that role
What are the 4 stages of patient activation?
- Belief you have a role in your health care
- Development of pt knowledge and confidence related to own health
- Initiation of healthy activities
- Maintenance of healthy activities over the long term
Engaging patients in their health care improves _______.
Outcomes
What is the first thing you should do to engage a patient in their health care?
1 Assess readiness for learning
Who is the expert of their health experience and who will identify what they want to know?
-under readiness for learning
Identify the audience, the patient/family/caregivers will identify what they want to know
Name 4 things that will inhibit learning?
-under readiness for learning
- Hearing loss
- Learning disabilities
- Depression/mental health illness
- Cognitive impairment
When is the “right” time for education?
When the pt/family is ready
Name alternate learning environments
Shared medical appts
Phone calls
Small group info seminars
Simple exercises for home, no gym
What is the 2nd thing you do to educate and engage patients and families after assessing readiness for learning?
2 Assess their knowledge and abilities
A. Health Literacy:
- ability to understand and act on info
- participate in health care decisions, make
changes to achieve healthy lifestyle
B. Literary assessment:
- comprehend written word?
- 9 out of 10 can’t handle their health
(what’s the best way to understand info
and his role?)
C. Culture:
- need knowledge of culture, use
interpreters
D. Social groups: generations; Moms, Tweens 9-12, Teens 12-17, Boomers born 1946-1962, Responsible Generation 64y-84y
E. Assess styles people learn:
- Visual, auditory, kinesthetic (hands on)
Use 1 or more
F. Assess pt/caregiver knowledge of health/disease
- risk factors for dx, sx, infection control practices, communication of errors/omissions, resources for disease, health and wellness
What is the 3rd thing you do to educate and engage patients and families?
After
1. Assessing readiness
2. Assessing knowledge and abilities
3 Methods to provide education - teach to meet the needs of your pts and caregivers
What is “universal precautions” method approach to provide education?
Assume all patients have trouble understanding
What is “active listening”?
- Watch body language, eye contact
- Listen for what is not said
- Reinforce when learning well
- Reiterate content missed, written instruct.
- Teach in short manageable sections
- Reinforce previously learned content
What is “teach-back”?
A method of teaching patients clear information, pt re-explain or reiterate info
What is “Ask Me 3”
- What is my main problem?
- What do I need to do?
- Why is it important for me to do this?
What does the acronym PREPARED stand for?
Presenting history HISTORY
Received therapies THERAPIES
Existing baseline BASELINE
Pending tests for f/u PENDING TESTS
Anticipated needs NEEDS anticipated
Records to be sent RECORDS needed
End of life preferences END OF LIFE pref
Discussion with family and provider
DISCUSSIONWhat is the 4th thing you do to educate and engage patients and families? After 1. Assessing readiness 2. Assessing knowledge and abilities 3. Methods to provide education
4. Collaboration and teamwork Identify with team members Identify literacy level Continue to reassess needs Evaluate understanding info already given Taylor msg to fit understanding Encourage best practice across team ID community resources Use team huddles and care conferences to optimize needs identification, plan of action and outcome evaluation
What is the 5th thing you do after you educate and engage patients and families? After 1. Assessing readiness 2. Assessing knowledge and abilities 3. Methods to provide education 4. Collaboration and teamwork
- Evaluation of learning
What questions do you ask pt to confirm understanding?
What will you do?
What is your greatest concern?
How can I help you better understand what to do?
What are some reasons pt does not understand? Find resources . .
1 Learning disabilities
- Hearing loss
- Cognitive impairment
- Depression
- Limited literacy, (cognitive decline, DD, autism, etc)
- Language skills
- Cultural
- Readiness to learn and adapt to change
What is teachback?
Confirm understanding by having the pt “teach back” in his own words
Why communicate teaching that has been done?
Put in record so pt and family land learn from the info already known and move on to new information
