Patient Education Flashcards
What is a patients bill of rights
Recognizes education as a right of all patients
Joint commission in patient education
emphasizes ensuring that the patient understands the material taught
Illness related formal education
Are support groups, classes, pre-operative teachings
Informal patient nurse encounters
discharge teachings, wound care, medication teachings
Self directed patient care
magazines, journals, self-help book, literature, internet
Where can nurses teach
different environments
clinics, hospitals, homes, assisted living and long term care facilities
Ideal environment for teaching
Calm environment, Free of distractions, Stop and repeat if patient becomes confused, Return demonstration helps
When developing a teaching plan, what must be considered
Needs of the individual
Factors that influence the learning process such as readiness, motivation, comprehension level
Health history
Age and development level
Plus questions about health beliefs, culture, learning style, support groups, economic factors
Readiness to learn
A patient who is ready to learn will show interest, ask questions, read books and articles, talk to others to gather information
Physical readiness
The patient is free of pain, fatigue and immobility
Emotional readiness
The patient is not anxious, depressed or grieving over their health status
Cognitive readiness
The patient is able to think clearly, is not on medication or in anesthesia
How would you assess the motivation to learn
Relate the learning to something the patient likes
Adjust the material to meet their level of understanding
What patients are likely to experience limited literacy
Most often will be immigrants and refugees, patient with no high school diploma, low income/poverty level patients and non-native English speakers
What are the steps for establishing a teaching plan
Demonstrate priorities
-set these with patient
-Set learning outcomes,
State the patient’s behavior not the nurses
Reflect on measurable activity and conditions or modifiers
Include what when how the behavior will be performed including when the learning should occur
And choose contents based on accuracy, currentness and age/culture and literacy of the patients
What are some teaching strategies
Adjust teaching to the needs of the patient, if they are visual learner or hearing learner
Organize the learning, based on what the learner is concerned about or where they have anxiety and be able to schedule time for a review of information
Be flexible, patient may become tired and need a break and patient may also decide to spend more time watching before performing task
Patient contracting
Way to implement teaching plan
Helps encourage the patients independence and control over their health
Rewarded for adhering to the contract
Gives patient freedom, mutual responsibility and respect
Behavior modification
Desirable behavior is rewarded, undesirable behavior is ignored
If goals are reached they are praised, if not they are not criticized
Positive reinforcement
Teach-back method
Nurse provides teachings then the patient is asked to describe the main points in their own words
same as return demonstration except this requires showing understanding verbally instead of demonstration
Transcultural teaching
Use material in patients language
Use a translator
Use visual aids, pictures or charts
Avoid slang words, do not assume a nod is understanding
Provide time for questions
How is evaluating the learning conducted
The process is ongoing and final, direct observation of a patient and asking patients to restate information
What does documenting provide
Provide a legal record that teaching was done, includes all teaching strategies used and includes methods of evaluation
