PowerPoint Week 2 Flashcards
What are the goals of patient teaching and providing health education?
- Affect the well-being of patients
- Maintaining & promoting health and preventing illness
- Preventing diseases
- Assist patients to restore health
- Optimizing quality of life with impaired functioning
- Inform and assist patients to make appropriate selection for care and treatment options
A nurse is planning to teach a patient after cardiac surgery about appropriate diet and exercise, and medications and their side effects. Of what is this teaching plan an example?
Restoring Health
What is an interactive process that promotes learning?
Teaching
When does teaching and learning begin?
When a person identifies a knowledge or skill deficit
Teaching is most effective when?
It addresses the learners needs, learning style, and capacity
What are the roles of nurses for providing patient teaching and education?
In patient education:
1. Create an environment to facilitate learning
2. use a patient centered approach
3. Assess the learning needs of the patient
4. Use the most appropriate educational strategy
To be taught:
- Information needed by the patient and family to make informed decisions regarding their care.
Listen empathetically, observe astutely, speak clearly are all attributes that make what?
A good teacher
Name 4 important factors to consider when teaching your client?
- Motivation- encouraging participation
- Readiness
- Active involvement
- Relevance
- Feedback
- Nonjudgmental support
- Organizing material from simple to complex
- Repetition
- Timing
- Environment
- Emotions
- Physiologic events & culture
- Psychomotor ability
What are the domains of learning?
- Cognitive
- Affective
- Psychomotor
What domain of learning includes all intellectual behaviors and requires thinking?
Cognitive
What domain of leaning includes expression of feelings and acceptance of attitudes, opinions, or values?
Affective
What domain of learning includes involves acquiring skills that require integration of mental and muscular activity?
Psychomotor
The ability to learn new information and to retrieve knowledge from long-term memory is an example of what domain of learning?
Cognitive
The willingness to attend another persons works and active participation through listening and reacting verbally and nonverbally are examples of what domain of learning?
Affective
Awareness of objects or qualities through the use of sense organs is an example of what domain of learning?
Psychomotor
What three things does learning depend on?
- Learning environment
- Ability to learn
- Developmental stage
Needs, attitude, beliefs, stimulations and reinforcement as well as stages of behavioral change are examples of motivation for what?
Adult learners
What are some motives that motivate learning?
- Social motives ( need to connect, self-esteem, need for approval)
- Task mastery motives (desire to achieve)
- Physical motives ( Desire to improve health)
Changing peoples attitude or values and self- efficacy- belief that they can be successful (praise, positive reinforcement) describe what theory?
Motivation and social learning theory
The motivation and transtheoretical model of change focuses on what?
Involve changes in behavior- strategies to match stage of change
What does the patient-centered approach LEARNS model stand for?
L - Listen to patient needs
E- Establish therapeutic partnership relationships
A- Adopt an intentional approach to every learning encounter
R- Reinforce health literacy
N- Name new knowledge via teach-back
S- Strengthen self-management via links to community resources
What are some barriers/challenges that nurses experience when teaching clients?
Lack of time
Lack of resources
Lack of knowledge
The teaching process abbreviation is what?
ADPIE
What does ADPIE stand for?
A- Assessment
D- Diagnoses
P- Planning
I- Implementation
E- Evaluation
What should a nursing assessment as it relates to teaching imclude?
- Ability to learn
- Learning needs
- Motivation to learn
- Teaching environment
- Resources for learning
Identifying your clients potential barrier to learning new information is done as what stage of ADPIE?
Assessment
Figuring out what you need to know about your client to provide health teaching and education is done at what stage of ADPIE?
Assessment
The client has a n acute illness why is this a barrier for teaching and what should the nursing implication be?
- The client requires all resources and energy to cope with illness.
- Defer teaching until the client is less ill, focus teaching on coping with symptoms
The client is in pain at time of teaching how does this affect teaching and what should the nursing implication be?
- Pain decreases clients ability to concentrate
- Nurse should asses and control pain before teaching
Client has a prognosis, how does this affect teaching and what should nurse implication be?
- Client can be preoccupied with illness and unable to concentrate on new information
- Nurse should defer teaching to a different time and focus on teaching coping strategies
Client has biorhythms how does this affect teaching and what are the nursing implications?
- Ventral and physical performances have a circadian rhythm
- Nurse should adapt the time of teaching to suit the client
Client is highly emotional (anxiety, depression, grief etc.) How does this affect teaching and what are the nursing implications?
- the clients energy is being directed toward the emotions
- The nurse should deal with the emotional responses to learning and possible misinformation first. provide repetition of content
The client does not speak the same language as the nurse what should the nursing implication be?
- Obtain the services of a interpreter or a nurse with appropriate language skills. Increase teaching time
What barriers involve older adults and what are the nursing implications?
- Vision, hearing, and motor control can be impaired
- Nurse must consider sensory and motor deficits in the teaching plan
What barriers involve children and what are the nursing implications?
- Shorter attention spans and vocabulary limitations
- Nurses must plan shorter and more active learning episodes
When their are cultural or religious limitations or restrictions what are the nursing implicaions?
- Nurse must asses the clients cultural or religious needs when planning learning activities
When a client has a physical disability what should the nursing implications be?
Nurse musty plan teaching activities appropriate to learners physical abilities
When the client has a mental disability what should the nursing implications be?
- Nurse must asses the patients capacity for learning and teaching activities to complement the clients ability & plan more complex learning for the clients caregivers.
What are the steps involved in the planning stage of ADPIE?
- Develops a teaching plan
- Sets goals and expected outcomes
- Works with the patient to select a teaching method
- Developing leaning objectives
- Setting priorities
- Timing
- Organizing teaching material
- Maintaining attention and promoting participation
- Selecting teaching methods
- Selecting resources
- Writing teaching plans
What are the 5 teaching approaches used in the implementation stage of ADPIE?
- Telling
- Selling
- Participating
- Entrusting
- Reinforcing
One-on-one discussion
Group Instruction
Preparatory instruction
Demonstrations
Analogies
Role playing
Stimulation
These are all examples of what?
Implementation teaching methods/strategies
What must be done at every step/stage of the teaching process?
Documentation
