Teaching and Counseling Flashcards
TEACH Acronym
T- Tune into the patient E- Edit patient information A- Act on every teaching moment C- Clarify often H- Honor the patient as partner in the education process
Cognitive Learning Domain
Storing and recalling of new knowledge in the brain
Teaching Strategy: Lecture, panel, discovery, written materials
Psychomotor Learning Domain
Learning a physical skill
Teaching Strategy: Demonstration, discovery printed materials
Affective Learning Domain
Changing attitudes, values and feelings
Teaching Strategy: Role modeling, discussion, audiovisual materials
Factors affecting patient learning
Age + Developmental level Family support networks Financial resources Cultural influences Language deficits Health Literacy level
Assessment Parameters
Knowledge, attitudes and skills needed to be independent
Readiness to learn
Ability to learn
Learning strengths
Promoting Compliance
Be certain that instructions are understandable and support patient goals
Include the patient and family as partners in the process
Utilize interactive teaching strategies
Develop interpersonal relationships with patients and their families
Culturally Competent patient education
Develop an understanding of the patient’s culture
Work with multicultural team
Be aware of personal assumptions, biases and prejudices
Understand the core cultural values of the patient or group
Develop written material in patient’s preferred language
Teaching plans for older adults
Identify Learning barriers Allow extra time Plan short teaching sessions Accommodate for sensory deficits Reduce environmental distractions Relate new information to familiar activities or information
Key Points to Effective Communication
Be sincere and honest
Avoid too much detail and stick to the basics
ask for questions
be a cheerleader for the patient
use simple vocabulary
vary the tone of voice
keep content clear and concise
listen and do not interrupt
Ensure the environment is conductive to learning and free of interruptions
be sensitive to the timing of teaching sessions
Learning occurs if…
The patient can demonstrate what the nurse taught!
Documentation of the teaching-learning process
Summary of the learning need
The Plan
the implementation of the plan
evaluation results
Short-term Counseling
Situational crisis; an immediate problem or concern of the patient or family.
Long Term Counseling
Developmental crisis (when a person is going through a developmental stage or passage); extends over a prolonged period. A patient might need the counsel of the nurse at daily weekly or monthly intervals.
Motivational Interviewing
An evidence based counseling approach that involves discussing feelings and incentives with the patient. Must have good rapport with patient in order to accomplish this; Patient states “I have nothing to live for” nurse would ask questions about why they feel that way etc
