Chapter 22 - Teacher and Counselor Flashcards
Aims of Patient Education
- promoting health
- preventing illness
- restoring health
- facilitating coping
Nurse Caregiver Teaching Outcomes
- high-level wellness and related self-care practices
- disease prevention or early detection
- quick recovery from trauma or illness with minimal or no complications
- enhanced ability to adjust to developmental life changes
3 Critical Areas of Patient Education
- Preparation for receiving care
- Preparation before discharge from healthcare facility
- Documentation of patient education activity
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 partners in the education process
Learning Domains
Cognitive - storing and recalling new knowledge
Psychomotor-learning a physical skill
Affective-changing attitudes, values, feelings
Steps of the Teaching - Learning Process
- Assess learning needs and learning readiness
- Diagnose the patient’s learning needs
- Develop learning outcomes
- Develop a teaching plan
- Implement teaching plan and strategies
- Evaluate learning
Factors Affecting Patient Learning
- age and developmental level
- family support networks and financial resources
- cultural influences
- language deficits
- literacy level (6 grade level)
- readiness to learn: emotional, experiential, intelligence
- ability to learn
- learning strengths
- compliance
Successful Patient Teaching
- forming contractual agreements
- considering time constraints
- scheduling
- group versus individual teaching
- formal versus informal teaching
- manipulating the physical environment
Culturally Competent Patient Education
- develop an understanding of the patient’s culture
- work with multicultural team
- be aware of personal assumptions, biases, and prejudices
- understanding the core cultural values of the patient or group
- develop written material in native language of the patient
- use testimonials of persons with same cultural background as the patient
Motivation is Enhanced When…
- patients view themselves as susceptible to the disease in question
- patients view the disease as a serious threat
- patients believe there are actions they can take to reduce the probability of contracting the disease
- patients believe the threat of taking these actions is not as great as the disease itself
Effective Communication Techniques
- sincere, honest, show genuine interest
- stick to the basics
- ask if patient has questions
- avoid lecturing
- use simple words
- vary tone of voice
- keep the content clear
- active listening
Teaching Plans for Older Adults
- allow extra time
- plan short teaching sessions
- accommodate for sensory deficits
- reduce environmental distractions
The Nurse Counselor
-make everyone feel comfortable in the situation and surroundings
-interpersonal skills of warmth, friendliness, openness, and empathy
-basic component of nurses’ practice
may include family members
-combine teaching and counseling roles
-caring is fundamental in the counseling role
Types of Counseling
- short term: focus on immediate problem, situational crisis
- long term: prolonged period, developmental crisis
- motivational
Referrals
- simple: community resources
- specialized: case management
