hlst320 Athabasca Flashcards
Health education is an essential element of because…
Enhances knowledge &promotes continuity of care
Health education process
- Medical& nursing diagnosis
focusing on functional problems and daily management - Plan for care
outline priorities short&long term goaksv
3.implementation
How to implement mutually established goals
4.Evaluation
We’re goals met
JCAHO Goals of patient education
Promote interactive communication pt&nurse
Improve pt understanding, options, risks, and benefits of tx
Encourage pt participation in decision making and continuing care
Increase chance of compliance with tx and ability to cope
Maximize pt self care skills
Promote healthy lifestyles
Inform of financial responsibilities when known
Four ways to include education in pt care when time is limited
- evaluate pt readiness and willingness
- encorporate cognitive, affective and psychomotor teaching while providing care
- set priorities
- Evaluate
Two theoretical models, used to asses and stimulate motivation
Health belief model
*a pts personal belief to their health condition
If a pt has no belief as to the susceptibility of the severity of a condition,
** first step is to provide reality info to make them open to prevention and reduction strategies
Health promotion model
- focusses on a plan of action and immediate competing demands
- evaluation of pt commitment to plan is key
Health belief model
6factors
- Pt perception of severity of illness
- Pt perception of consequences of illness
- Value of to benefits ( do the costs outweigh disease consequence)
- Barriers to tx ( support, expense)
- Cost of tx physically and emotionally
- Clues that stimulate taking action towards treatment ( similar illness in family, media or tv coverage, health pamphlets)
Three Theories of learning
Behavioural
Cognitive
Social cognitive
Behavioural learning theory
Key principle?
Key concept?
Key principle- behaviour changes according to its immediate consequences
Key concept - reinforcement, extinction, punishment, shaping, randomness
Cognitive Learning theory
Key principle and concept?
Key principle - learning is development of insights that provide a guide for behaviour
Key - learner schemata, mental modes, levels of learning
Social Cognitive theory
Key principle and concept
Includes elements of behavioral and cognitive learning theory
Key principle - people respond primarily to cognitive representations of the environment rather than the environment itself
Key concepts - observation leads to learning, modeled action, cognitive rehearsals, expectations, extrinsic reward, self-evaluation
10 ways to design a learning environment that motivates learning
- frame teaching to pt perception
- Inform pt of purpose and expected effects
- Suggest Small changes rather than large
- Be specific, explain rationale
- Add new behaviours ( sometimes easier than eliminating old )
- Link new behaviour to old ones ( ie taking meds when brushing teeth)
- Use the power of profession, to make statements ( smoking is the worst thing for health )
8 get pt commitment
9 quiet safe environment
10 mutual respect
Locations health teaching occurs
Hospital
Acute
Medical
Community
Offices
Home
Residential care
The klienman model
Nurse versus unfamiliar culture
8questions that reveals pt illness perspective
What do you call the problem? Why did it start? Cause? Process? Severity? Prognosis?tx? Chief problems? Fear?
Define learning
Process involving interaction with environment, and change of behaviour as a result of practice
Teaching
The process of sharing information and evaluating the outcome
