L10: Patient Education Flashcards
What are 2 things that the 10 CPGs recommends?
- Encourage
- Inform/reassure patients about the condition or management (eg. prognosis and psychosocial aspects)
In all CPGs, education/information was recommended as part of a _______ alongside other treatments and a number of CPGs emphasised the need for _____ to be______ based on patient _____.
package of care; education; individualised; need
- Might be day 1 as a priority but it needs to be combined
What are the 2 reasons why patient education is important?
- Patients are better informed about how to manage their shoulder condition
- Patients may take a more active role in their care
- Shifting away from passive treatment –> self managed, active is more effective (esp. Chronic conditions)
What are 5 benefits of patient advice and education?
- less anxiety and fear
- greater compliance
- better satisfaction with care
- better outcomes (e.g. pain, function)
- less healthcare utilisation
What is advice in advice and education?
an opinion that someone (e.g. physiotherapist) offers about what an individual (e.g. patient) should do or how they should act in a particular situation…one-way approach
What is education in advice and education?
The process of teaching (e.g. by the physiotherapist) or learning (e.g. by the patient), or the knowledge that is gained from this … two-way approach
- Do you understand what I have said?
Health education comprises consciously constructed opportunities for learning involving some form of ______ designed to improve health literacy, including improving ______ , and developing life skills which are conducive to individual and community health.
Health education is not only concerned with the communication of information, but also with fostering the _____, ______ and ______ (____) necessary to take action to improve health.
communication; knowledge; motivation; skills; confidence; self-efficacy
Can give hand out of condition (does not give opportunity to apply knowledge –> delivered so they can take concrete steps)
What are the 3 stpes involved in patient education?
What are 3 features in “assess the patient’s individual needs”?
- Understanding
- Concerns
- Expectations
What are 3 features of understanding in “assess the patient’s individual needs”?
- can you tell me about what you know or understand about your condition or what might be happening?
- what have you been told previously? (e.g. other health professionals, Dr Google)
- why do you think your pain started / hasn’t improved / hasn’t resolved?
What are 2 features of concerns in “assess the patient’s individual needs”?
- is there anything in particular that you are concerned about?
- do you have any particular concerns that you would like to discuss today?
What are 2 features of expectations in “assess the patient’s individual needs”?
- what are you hoping to find out today?
- what expectations do you have for treatment (e.g. timelines- How quickly, outcomes- level of improvement)
What are 8 priorities in “tailor education”?
- address the patient’s concerns (identified in the patient interview)
- effectively explain the patient’s condition in a way that they understand and is evidence-based, without causing alarm
- provide reassurance
- …But we also know that it does resolve
- evidence-based prognostic information (where appropriate), highlighting the factors that may affect outcomes and timelines (e.g. adherence with exercises for instability)
- Do not be so definite –> this is the expected time but there are a couple of factors that could affect this like if you don’t do your exercise program (adherence) or any circumstances (eg. falls)
- provide appropriate information to challenge negative thoughts
- outline the management plan and the patient’s role, and how this maps to their goals
- Always try conservative treatment first
- provide skills or tools to self-manage their condition
- Eg. avoid certain positions until settle down, modify activities, ice, analgesics,
- provide only a few key concepts to learn at one time
What are 5 priorities in “evaluate learning”?
- Use demonstration
- Seek input from family or caregivers
- Re-assess objective changes at follow-up
- Assess action with a ‘predicted challenge’
- if you are at work this week and you notice your shoulder pain getting worse when working at your computer, how will you manage that?
- Body position, environmental changes
- can you show me how will you position your computer mouse at work?
- tell me about the action you will take if you are in a position where your shoulder feels like it’s slipping. how might you cope with that?
- if you are at work this week and you notice your shoulder pain getting worse when working at your computer, how will you manage that?
- Teach-back approach
- just so I can be sure that I’ve given a clear explanation of what you need to do, can you tell me what you are going to do for the next few days?
- just so I can be sure that I’ve given a clear explanation of what is happening, can you tell me what you understand?
What are 6 general tips for patient education?
- Give the patient the time and space to answer your questions in sufficient detail, and don’t interrupt
- Use questions to clarify any information (e.g. ‘so just to confirm, what you are concerned about is…’)
- Avoid using language that might be perceived negatively by the patient (e.g. ‘massive tear’, ‘bone on bone’, ‘bad posture’, ‘unstable’, ‘avoid’)
- Instability –> is okay to use as this is very common in shoulder
- Use try not to reach too much (just for the time being —> use other hand or partner/child/another person)
- Focus on function and goals instead of pain
- Pain =/ tissue damage
- Encourage patients to remain as active as possible (within precautions e.g. post-surgical rotator cuff repair)
- If there is a misunderstanding when you re-assess, try explaining things using a different approach
