Chapter 3 Education and Engagement of Patients and Family Flashcards

1
Q

(Competency Definition)

Patient education

A
  • Process of influencing pt behavior and produce changes in KSA necessary to maintain or improve health
  • Optimal health and independence in self-care.
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2
Q

(Competency Definition)

Health education

A
  • Any combo of planned learning experiences based on sound theories that provide individuals, groups, and communities gain skills needed to make quality health decisions
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3
Q

(Competency Definition)

Engagement

A
  • Actions pts must take to get the greatest benefit from the health care services available to them.
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4
Q

(Competency Definition)

Patient activation

A
  • Understanding one’s own role in the care process and having the knowledge, skills, and confidence to take on that role
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5
Q

What are the 4 stages of patient activation?

A
  1. Belief you have a role in your health care
  2. Development of pt knowledge and confidence related to own health
  3. Initiation of healthy activities
  4. Maintenance of healthy activities over the long term
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6
Q

Engaging patients in their health care improves _______.

A

Outcomes

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7
Q

What is the first thing you should do to engage a patient in their health care?

A

1 Assess readiness for learning

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8
Q

Who is the expert of their health experience and who will identify what they want to know?
-under readiness for learning

A

Identify the audience, the patient/family/caregivers will identify what they want to know

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9
Q

Name 4 things that will inhibit learning?

-under readiness for learning

A
  1. Hearing loss
  2. Learning disabilities
  3. Depression/mental health illness
  4. Cognitive impairment
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10
Q

When is the “right” time for education?

A

When the pt/family is ready

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11
Q

Name alternate learning environments

A

Shared medical appts
Phone calls
Small group info seminars
Simple exercises for home, no gym

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12
Q

What is the 2nd thing you do to educate and engage patients and families after assessing readiness for learning?

A

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

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13
Q

What is the 3rd thing you do to educate and engage patients and families?
After
1. Assessing readiness
2. Assessing knowledge and abilities

A

3 Methods to provide education - teach to meet the needs of your pts and caregivers

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14
Q

What is “universal precautions” method approach to provide education?

A

Assume all patients have trouble understanding

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15
Q

What is “active listening”?

A
  • 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
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16
Q

What is “teach-back”?

A

A method of teaching patients clear information, pt re-explain or reiterate info

17
Q

What is “Ask Me 3”

A
  1. What is my main problem?
  2. What do I need to do?
  3. Why is it important for me to do this?
18
Q

What does the acronym PREPARED stand for?

A
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 
                                       DISCUSSION
19
Q
What 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
A
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
20
Q
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
A
  1. Evaluation of learning
21
Q

What questions do you ask pt to confirm understanding?

A

What will you do?
What is your greatest concern?
How can I help you better understand what to do?

22
Q

What are some reasons pt does not understand? Find resources . .

A

1 Learning disabilities

  1. Hearing loss
  2. Cognitive impairment
  3. Depression
  4. Limited literacy, (cognitive decline, DD, autism, etc)
  5. Language skills
  6. Cultural
  7. Readiness to learn and adapt to change
23
Q

What is teachback?

A

Confirm understanding by having the pt “teach back” in his own words

24
Q

Why communicate teaching that has been done?

A

Put in record so pt and family land learn from the info already known and move on to new information

25
Q
What is the 6th 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
5. Evaluation of learning
A
  1. Assessing and Evaluating Reliable Health Information
    These do not sway anyone . . ..gov
    .edu and .mil (military agency)

.org (nonprofit organization)
.com and .net (websites)

How current is info, date of posted info
Is it fact based on evidence/research? References cited?
Is intent clear? nonbiased info?
Is website reliable? Med Library Association
or Heath on the Net Foundation provides ID of reliable health information on internet

26
Q
What is the 7th 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
5. Assess and evaluate health care info
A
  1. Engagement
  2. ID roles of pt, family, caregiver, team members, offer examples of how diff members address diff needs
    CM organizes pt info
  3. Self-care, manage health over time

Review meds and treatments

27
Q

What are Five Core Self-Management Skills?

A
  1. Problem solving
  2. Decision making
  3. Utilization of resources
  4. Partner with providers
  5. Taking action - perform tasks for wellness and stability