Patient Education

Question 1

What does patient education encompass

Answer 1

• Exercise instructions
• Education about health & specific pathologies

Question 2

Define a behaviorist

Answer 2

• Human behavior can be described by stimulus, response, & conditioning
• Structured, detailed learning plans
• Drill/practice task components

Question 3

Define a constructivist

Answer 3

• Learner-centered: learner actively explores to identify best solution for that individual/situation
• Tasks should not be broken down
• Teacher more of a guide than an expert

Question 4

What does readiness pertain to

Answer 4

• Mental & physical ability to participate in learning

Question 5

What does motivation pertain to

Answer 5

• Willingness to learn
• Intrinsic vs extrinsic (intrinsic is the best way for memory/has better outcomes for memory)

Question 6

Factors that help improve intrinsic motivation

Answer 6

• Connectedness
• Self-efficacy
• Autonomy

Question 7

Psychological factors associated with pain

Answer 7

• Fear avoidance behaviors
• Catastrophizing
• Low perceived control of pain
• Poor self-efficacy
• Distressed affect
• Poor expectations of outcomes

Question 8

What beliefs must be in place before one can contemplate change

Answer 8

• You are susceptible to the disease
• The disease has significant consequences
• Change can reduce the threat of the disease
• The beliefs of change outweigh the costs
• You have the ability to change

Question 9

What are the stages of change

Answer 9

• Pre-contemplative
• Contemplative
• Preparation
• Action
• Maintenance

Question 10

What are the 2 strategies for encouraging behavior change

Answer 10

• Core tenants: empathy, developing discrepancies, avoid arguments & roll with resistance, and facilitate self-efficacy
• The 5 Rs: relevance, risks, rewards, roadblocks, repetition

Question 11

What does RULE stand for

Answer 11

• Resist the need to fix it
• Understand your patient’s perspective
• Listen with empathy
• Empower your patient

Question 12

Define compliance/adherence

Answer 12

• Degree of participation in self-managed care

Question 13

Strategies for optimizing adherence

Answer 13

• Identify/assess prior experiences
• Identify personal & environmental assets/liabilities
• Ask for a “teach-back” to reinforce the learning
• Individualize the exercise program (work into patient’s ADLs)
• Use a daily log
• Engage family or community members
• Use memory aids

Question 14

Once begun maintain behavior change by

Answer 14

• Ask: demos or progress reports
• Advise: modifications/progressions
• Agree on SMART goals
• Assist in navigating potential barriers
• Arrange to follow-up

Question 15

How to identify if information is trustworthy

Answer 15

• Look at the source
• Evaluate the quality
• Be skeptical
• Check the evidence
• Check the currency of the information
• Consider bias
• Keep their private information private
• Always ask a trusted healthcare provider for advice