Patient Education Flashcards

1
Q

THE PROCESS OF INFORMING, EDUCATING, OR TRAINING
PATIENTS/CLIENTS, FAMILIES, SIGNIFICANT OTHERS, AND
CAREGIVERS, WHICH IS INTENDED TO PROMOTE AND OPTIMIZE
PHYSICAL THERAPY SERVICES

A

Patient/Client Instruction

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2
Q

Patient/Client Instruction involves

A
  1. The current condition
  2. Plan of Care
  3. Need for enhanced performance
  4. Need for health, wellness, or fitness programs
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3
Q

5 elements of patient/client management that lead to optimal outcomes

A
  1. Examination
  2. Evaluation
  3. Diagnosis
  4. Prognosis
  5. Intervention
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4
Q

This is a purposeful and skilled interaction of the physical therapist with the patient/client and, if appropriate, with other individuals involved in the care of the patient/client, using various
physical therapy procedures and techniques to produce changes in the consistent condition with the diagnosis and prognosis

A

Intervention

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5
Q

Why patient education is important?

A

To promote adherence to exercise programs, facilitate
changes in behaviors, and cultivate healthy lifestyles in our
patients

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6
Q

This is a criteria that mandates that patient
education be grounded in sound educational principles and
based on the patient’s needs and readiness to learn; it should
be ongoing, systematic, interactive, and individual ized to the
patient’s learning preferences and educational level

A

Joint Commission’s Educational criteria

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7
Q

Give me the checklist for Joint Commission’s Educational Criteria

A
  1. Assessing patient/ family needs
  2. Considering individual differences
  3. Having a written plan that addresses the needs of the
    patient
  4. Providing relevant information and skills
  5. Using a variety of educational tools
  6. Actively engaging the patient and caregiver in the process
  7. Evaluating the learning achieved
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8
Q

This includes information about diagnosis, treatment, safe
use of medications, drug interactions and reactions, nutrition counseling, diet, oral health, rehabilitation needs, and techniques to maximize in dependence, pain and pain management, community resources, and post discharge treatment.

A

Patient Education

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9
Q

Understanding Expectations, Rights, and Responsibilities

A

AHA Patient’s Bill of Rights–> Patient Care Partnership

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10
Q
  1. notes that it is the patient’s responsibility to be a partner in the
    decision-making process.
  2. patients must be informed about treatment and expected outcomes, including risks and benefits, sources of follow-up care, and training in self-help
A

AHA Patient’s Bill of Rights -> Patient Care Partnership:

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11
Q

It requires patient education to be part of the documented
plan of care, as does the Commission on Accreditation of Rehabilitation Facilities, currently known as CARF International

A

Medicare

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12
Q

Two major educational theories commonly used in patient
education:

A

Behaviorism
Constructivism

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13
Q

This theory believes that learning occurs through stimulus, response, and conditioning activities.

A

Behaviorism

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14
Q

This theory focuses on learning focus on observable human behaviors and seek to shape those behaviors by reinforcing effective behaviors and extinguishing effective behaviors.

A

Behaviorism

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15
Q

This theory focuses on breaking down the learning task into its parts (ie, small steps).Each small step is rein forced using positive reinforcement to facilitate learning or behavior change.

A

Behaviorism

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16
Q

This theory relies primarily on drill, practice, and reinforcement

A

Behaviorism

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17
Q

This theory focuses on learners actively make sense of their experiences based on their own values, beliefs, knowledge,
skills, and prior learning.

A

Constructivism

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18
Q

This theory believes that all tasks are context-dependent and that each task should be viewed as a whole.

A

Constructivism

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19
Q

True or False: In constructivism, tasks should be broken down into discrete components by the teacher to be mastered
individually by the learner; rather, the learner must actively engage in prob lem solving.

A

False- should not be broken…

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20
Q

True or False: In constructivism, instruction is learner- focused rather than teacher- directed. The role of the teacher is to
facilitate the learner’s own prob lem- solving ability

A

True

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21
Q

True or False: In constructivism, instruction teacher-directed rather than is learner-focused. The role of the teacher is to facilitate the learner’s own problem-solving ability.

A

False: Learner-focused than teacher-directed

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22
Q

True or False: Your role as the therapist is to set up an environment safe for experimentation and risk-taking. However, this approach requires the patient to be able to participate cognitively and physically in the problem-solving process

A

True

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23
Q

In selecting the appropriate educational approach, consider the ff:

A

Your patient’s cognitive, sensory, emotional, and physical capabilities–> the task itself–> the environment–> your patient’s exp., belief, knowledge, skill, and learning style.

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24
Q

This means that your patient is both emotionally and
physically able to participate in the teaching-learning situation

A

Readiness

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25
Your patient has some drive to act
Motivation
26
The pt. finds the activity personally valuable, interesting, and perhaps enjoyable.
Intrinsic Motivation
27
This is doing such activity because of guilt, coercion, and other outside pressure.
Extrinsic Motivation
28
Ryan and Deci suggest 3 major factors that may help our patients to develop intrinsic motivation. What are those?
1. Connectedness 2. Self-Efficacy 3. Autonomy
29
Which can come from a sense of being trusted, respected, and cared for by the therapist.
Connectedness
30
This is a feeling of competence that can occur when patients have sufficient knowledge and skill to perform the expected activities.
Self-efficacy
31
This can come from feeling that the activ ities are personally meaningful and valuable
Autonomy
32
This refers to a person choosing to do an activity because he or she values or enjoys doing it, it is important to ask a patient about specific activities that he or she enjoys doing.
Intrinsic Motivation: Autonomy
33
It grows out of success and feedback about strategies, outcomes, and effort. The focus of your feedback needs to be on these factors and on how to improve per for mance, and not on Generalities include, "good job, you’re doing much better today.”
Competence
34
The physical therapist needs to demonstrate respect and caring
Intentional sensitivity
35
1. intentional sensitivity - the physical therapist needs to demonstrate respect and caring 2. the learner/patient needs to feel supported, safe, and cared for, the environment should be organized, and we can consciously provide verbal and nonverbal feedback in a caring and empathic manner.
Connectedness
36
Negotiating Shared Meaning Through __________
Explanatory Models
37
Who developed the 8 questions to elicit explanatory models?
Kleinman
38
Elicit the 8 questions of Kleinman
1. What do you call the problem? 2. What do you think has caused the problem? 3. Why do you think it started when it did? 4. What do you think the illness does? How does it work? 5. How severe do you think your illness is? Do you believe that it will have a short or long course? 6. What kind of treatment do you think you need? What results do you expect from the treatment? 7. What major problems has this illness caused for you? 8. What do you fear most about the illness?
39
Psychologic factors that might suggest increased risk for persistent pain, poor recovery, and disability
Yellow Flags
40
Fear of pain that leads to hypervigilance and avoidance behaviors; belief that activity should be avoided
Fear Avoidance Behavior
41
Exaggerated, negative orientation to and interpretation of pain; catastrophic thoughts related to pain
Catastrophizing
42
Lacks confidence in ability to have some influence over the level of pain perceived
Low perceived control of pain
43
Lacks confidence in ability to continue to function despite pain; uses passive coping strategies, such as letting others help
Poor-self-efficacy
44
These are a springboard to help you begin to understand your patient’s illness experience
Critical Questions
45
Prochaska and DiClemente and Prochaska et al described the transtheoretical model of change, which has 5 stages individuals move through as they progress through the change process:
Pre-contemplative: No thought of change Contemplative: Thinking about changing Preparation: Preparing to change Action: Implementing the change Maintenance: Maintaining the change
46
: No thought of change
Pre-contemplative
47
Thinking about changing
Contemplative
48
Preparing to change
Preparation
49
Implementing the change
Action
50
Maintaining the change
Maintenance
51
A collaborative conversation style for strengthening a person’s own motivation and commitment to change
Motivational Interviewing
52
Patients may want to change, but, at the same time, do not want to do what it takes to make that change; there are definite pros and cons.
Ambivalence
53
1. This requires you to obtain and respect your patient’s perspective; It requires you to be nonjudgmental and to listen actively. 2. It requires you to be nonjudgmental and to listen actively
Empathy
54
It is a way for you to help your patient see the discrepancy between his or her future goals and his or her current behaviors
Developing discrepancy
55
If you try to coerce or push your patient to change, he or she will likely respond by giving you all of the reasons why he or she should not or cannot change. Instead, this is a time to be supportive, change strategies, and/or gain further perspective about your patient
Rolling with resistance
56
Those who have successfully used motivational inter viewing have identified several effective strategies in help ing their patients to resolve their ambivalence to change, including the following:
1. Using open- ended questions 2. Reflective listening 3. summaries 4. affirmations
57
This requires that you help your patient to explore the challenges with his or her current status, what your patient would most like to change about his or her current status, the advantages of changing, and what strengths he or she possesses to enable a change
Change Talk
58
Uses an important ruler to elicit change talk
Scaling
59
This strategy makes the discrepancy more explicit, helping the patient further recognize where his or her current behavior is relative to where he or she would like to be
Scaling Strategy
60
It is essentially a formative assessment strategy, which, by now, you know is critical to any educational process.
Teach Back Method
61
National Patient Safety Foundation advocates the use the use of Ask Me 3
1. What is my main problem? 2. What do I need to do? 3. Why is it important for me to do this?
62
5 A's of behavior change
1. Ask or Assess 2. Advise 3. Agree 4. Assist 5. Arrange
63
This is A's of behavior change, Each time your patient returns for therapy, you will want to ask him or her about his or her HEP
Ask or Assess
64
This is A's of behavior change, It will vary according to the stage of change or readiness of your patient
Advice
65
This is A's of behavior change, you will want to assist your patient in developing realistic goals tied to personally relevant and valued activities
Agree
66
This is A's of behavior change, discuss any potential barriers or obstacles your patient might perceive as problematic in being able to follow through on his or her HEP
Assist
67
This is A's of behavior change, for follow-up and to provide contact information in case your patient has additional questions or concerns before the next visit.
Arrange
68
The degree to which individuals have the capacity to obtain, process, and understand basic health information needed to make appropriate health decisions.”
Health Literacy
69
50-item reading comprehension and 17-item mathematical abilities test
Test of Functional Health Literacy in Adults (TOFHLA)
70
A valid screening instrument used to assess an adult’s ability to read common medical words and lay terms for body parts and illnesses
Rapid Estimate of Adult Literacy in Medicine (REALM)
71
It includes 21 questions on 5 scenarios related to health issues such as medi cation instructions, informed consent, self- care instructions, and nutrition labels
Newest Vital Sign (NVS)
72
It is to determine the educational level an individual would need to understand a given text.
SMOG - Simple Measure of Gobbledygook
73
It rates the degree of difficulty of reading passages on US school grade levels
Flesh-Kincaid Index
74
assess the readability of English writing
Gunning Fog Index
75
addresses the following 6 factors that affect the reader’s ability to understand the material presented:
Suitability Assessment of Materials
76
Including purpose, topics, summary, and review
Content
77
Including reading level, writing style (active voice), sentence construction, vocabulary, and advanced organizers (eg, headings, subheadings
Literacy Demand
78
Including cover picture, clarity of illustrations, the relevance of illustration, clear instructions, and captions for all graphics
Graphics
79
Including type and font size, organization of the layout, and chunk information using headers
Layout and Type
80
Including interactive application of the content through questions or problem-solving activities; content includes concrete examples not abstract principles; tasks are doable
Learning stimulation and motivation
81
Including materials that are culturally relevant and specific for the targeted audience
Cultural appropriateness
82
Suitability Assessment of Materials includes:
Content Literacy Demand Graphics Layout and Type Learning Stimulation and motivation Cultural Appropriateness