Patient Education Flashcards
What are the trans-theoretical model stages of change? (6)
- pre-contemplation
2.contemplation/preparation - determination
- action
- maintenance
- relapse/termination
what is the contemplation/preparation stage?
joining the gym
what is the pre-contemplation stage?
not even thinking about about change yet
what is the action phase?
going to the gym
what is the maintenance phase?
habits have been formed
does the relapse/termination phase have to happen?
no
what are the key techniques in motivational interviewing?
-avoid arguing
-express empathy
-roll with resistance
-develop discrepancy
-support self efficacy
the stages of change model requires that you enter at the _______ stage and exit at the __________ stage?
you can exit and enter at any stage
what is motivational interviewing?
a patient-centered approach to promote healthy behavior change
encourage someone to make a change. get the pt. to believe in the change
what is developing discrepancy related to motivational interviewing?
help the pt. see the difference in what they do and believe
descibe the affective domain of learning
feelings
need to change diet but really like what they are eating
what are the three domains of learning?
cognitive
affective
psychomotor
describe the cognitive domain of learning
memorization
counting calories
describe the psychomotor domain of learning
action/doing
skills
what are the adult teaching-learning principles
-independent and self directed
-must perceive need to learn
-past experiences enhance learning
-more motivated if learning used immediately
-want to be partner in process
what are the 5 rights of teaching?
- right time
- right context
- right goal
- right content
- right method
is there ever a perfect time to teach or learn?
no, there is no perfect time. take any opportunity
what are some barriers for the teacher?
workload (lack of time)
environment (no privacy)
lack of resources/prep
not a priority (not rembursed)
lack of coordination among staff
what are some barriers for the learner?
language barrier,
cognitive deficit
anxiety
pain
lack of sleep
what is a barrier to technology based learning
no internet
what are some positive factors that affect patient learning (7)
motivation
readiness to learn
timing
active involvement
feedback given
repetition
learning priorities
what is health literacy?
how much ppl know about their own bodies and health
if scheduling a teaching session is difficult what is the suggestion?
teach in blocks based on time available
if a patients pain is interfering with teaching what is the suggestion?
medicate first
what are two types of learning priorities?
- need to know (ex: glucose testing)
-want to know (ex ask pt. what they are most interested in)
Suppose you are the nurse planning discharge teaching to a frail elderly man who suffered a stroke. He will be cared for at home by his daughter.
What is the best approach for planning discharge teaching?
How might the nurse show caring for this patient?
Teach patient and caregiver
Is the house safe? physical therapy and occupational therapy
Empathy speak directly to patient
What are some (8) typical teaching topics in the hospital?
- Hospital environment
- Basic anatomy and physiology
- Signs and symptoms of concern
- Illness manifestations
- Prognosis/goals of treatment
- Diagnostic tests
- Procedures
- Medications
Nurses must possess the knowledge and skills needed for a patient teaching so that….._________
They can promote the health, safety and rights of patients through education
The patient needs to be taught how to find and check his radial pulse. The nurse will complete this teaching:
- Only if the patient asked her to do so to avoid causing stress
- When the patient recognizes the need to learn the skill
- Before take medication is administered when the patient is alert
- Right before the patient is discharged so he could remember the scale
Number two. Is the most ideal option because the patient recognizes the need to learn.
Three is a poor choice because patient is in pain
What is an example of a return demonstration as a teaching strategy?
Accu Chek
Swaddling
What are some examples of teaching supplements?
-Apps
- audiovisual
-models
-printed materials (should be fifth grade level)
What are some (6) teaching strategies that can be implemented?
- Demonstration and return demonstration
- Teach back
- Discussion
- Lecture
- Roll modeling
- Teaching supplements
What is an example of teach back as a teaching strategy?
you teach that they repeat it back
What are some ways to evaluate if the patient has learned?
Teach back
Return demonstration
Oral test
What are the three things we document regarding patient teaching?
- The subject has been taught
- Barriers to learning
- Patient response
what are some potentially negative factors that affect patient learning?
Scheduling of the session is difficult
Amount and complexity of content
Teacher/learner communication
Special populations
Developmental stage
Language barriers
Health literacy
Anxiety and stress
Illness/ pain
