Concepts Patient Education, Holism, Fundamentals of
Nursing: Patient Education, Communication: Patient-
Nurse Communication, Holism, Caring, & Cultural
Diversity in Nursing, Nursing Concepts Patient Education
Module, NURSE 3101 - Exam 2, Culture- nurs... S
Purpose of Patient Education
-Maintain and promote health and illness prevention
-Restore their health
-Cope with impaired functions
Nurses Role in Patient Education is Key.Why?
Nurses have a responsibility to teach patients and their families:
-Nurse Practice Acts
-The Patient Care Partnership
-The Joint Commission
*health teaching needs to occur and pt can make informed decisions*
from The Joint Commission*
-Speak up if you have questions.
-Pay attention to the care you get.
-Educate yourself about your illness.
-Ask a trusted family member or friend to be your advocate.
-Know what medicines you take and why you take them.
-Use a hospital that has been checked out.
-Participate in all decisions about your treatment.
Learning consist of what?
-Domains of Learning
-Facilitating Factors
-Interfering Factors:
-Barriers
-Obstacles
**Demonstration
assimilation
understanding
doing**
Domains of Learning
Cognitive:THINKING....application*
Affective: FEELING (deals w/)
Psychomotor: ACTIVITY(doing)
Domains of Learning: Cognitive- simple to complex
,Knowledge
Comprehension
Application**
Analysis
Synthesis
Evaluation
Domains of Learning: Affective-simple to complex
Affective
Receiving
Responding
Valuing
Organizing
Characterizing
Domains of Learning: Psychomotor-simple to complex
Perception
Set
Guided response
Mechanism
Complex overt response
Adaptation
Origination
To achieve change in behavior; 2 things
-Value of change (teaching)
-Intelligence Capacity
Domains of Learning: teaching methods
Cognitive: discussion (one-on-one or group), lecture, question-and-answer session, role
play, discovery, independent project, field experience
Affective: role play, discussion (one-on-one or group)
Psychomotor: demonstration, practice, return demonstration, independent projects,
games
Factors that
Facilitate Learning
+Attentional Set
+Motivation
+Self-efficacy
+Adaption to Illness...HAVE GRIEVED*
+Actively participating
+Learning environment
+Learning style
Child Learner is who?
Infants - adolescent
Adult Learner is who?
young adult - older
*older; teach when rested & lecture should be short*
,Factors that Interfere
with Learning-Patient Factors:
Lack of time
Stress of the illness
Personal characteristics
Extent of behavioral changes needed
Lack of support
Denial of learning needs
Emotional Instability
Cognitive Disability
Physical Disability
Factors that Interfere
with Learning-Nursing/Health Care Environment:
Lack of time
Lack of competence.look at policy
Low priority
Environment
Inaccessibility and fragmentation of health care system
Absence of third-party reimbursement
Utility of patient education
Documentation
A client needs to learn how to use a walker. Acquisition of this skill require
learning in the:
a.Affective Domain
b.Cognitive Domain
c.Attentional Domain
d.Psychomotor Domain***
Nursing Process
1.Collect Data related to all areas
2.Identify Nursing Diagnosis
3.Develop a care plan
4.Perform nursing care therapies
5.Identify success in meeting outcomes and goals
Teaching Process
1.Gather Data related to learning needs
2.Identify learning needs
3.Establish learning objectives
4.Implement teaching methods
5.Determine outcomes of learning
What do you assess for assessment?
Assess the Learner
Assess the Environment
Assess learner needs
Determine critical information
Readiness to learn
Motivation
, Style of learning
Cognitive/Physical Ability
Language ability
Special needs
Instructional materials
Assess the learning environment
Confidentiality
Noise
Sufficient Time
Instructional Materials
A client needs to learn how to administer insulin. The nurse knows the client is
ready to learn when the client:
a.Can state what insulin is
b.Expresses the importance of learning the skill****VALUE
c.Can see and understand the markings on the syringe
d.Has the dexterity needed to prepare and inject the insulin
Nursing Diagnosis
Deficient Knowledge
Self-care deficit
Ineffective health maintenance
Impaired home maintenance
Ineffective therapeutic regimen
Non-compliance
Anxiety
Planning
Goals and Outcomes
Setting Priorities
Collaborative Care
Define goal and outcome of patient education.
-Goal of patient education indicates that the patient understands information provided
and is better able to manage illness.
-Outcome describes the patient's ability to do something upon completion of teaching
Setting Priorities
+Include the patient when determining needs
+Base priorities on immediate needs
+Determine the right time to teach the patient
-For the pt/family
-For the nurse
+Organize teaching materials
Collaborative Care
Patient may need referrals to other health care professionals
Nurse is responsible for obtaining a referral
Responsible for telling patients
about available resources
ex: call social worker**
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