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21 Cards in this Set
- Front
- Back
Aims of Teaching and Counseling
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• Maintaining and promoting health
• Preventing illness • Restoring health • Facilitating coping |
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Teaching Outcomes
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• 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 and acute, chronic, and terminal illness • Family acceptance of lifestyle necessitated by illness or disability |
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Focus of Patient Education
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• Preparation for receiving care
• Preparation before discharge from healthcare facility • Documentation of patient education activity |
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Teaching Acronym
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• 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 |
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Three Learning Domains
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• Cognitive—storing and recalling of new knowledge in the brain
• Psychomotor—learning a physical skill • Affective—changing attitudes, values, and feelings |
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Factors Affecting Patient Learning
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• Age and developmental level
• Family support networks • Financial resources • Cultural influences • Language deficits • Literacy level |
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Critical Development Areas
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• Physical maturation and abilities
• Psychosocial development • Cognitive capacity • Emotional maturity • Moral and spiritual development |
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Teaching Plans for Older Adults
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• Identify learning barriers.
• Allow extra time. • Plan short teaching sessions. • Accommodate for sensory deficits. • Reduce environmental distractions. |
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Cope Model
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• C – creativity
• O – optimism • P – planning • E – expert information |
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Assessment Parameters
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• Knowledge, attitudes, and skills needed to be independent
• Readiness to learn • Ability to learn • Learning strengths |
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Promoting Compliance
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• Be certain that instructions are understandable and support patient goals.
• Include the patient and family as partners in process. • Utilize interactive teaching strategies. • Develop interpersonal relationships with patients and their families. |
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Providing Culturally Competent Patient Education
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• 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 native language of the patient. • Use testimonials of persons with same cultural background as the patient |
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Sample Teaching Strategies
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• Cognitive domain—lecture, panel, discovery, written materials
• Affective domain—role modeling, discussion, audiovisual materials • Psychomotor domain—demonstration, discovery, printed materials |
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Teaching Strategies
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• Lecture
• Discussion • Panel discussion • Demonstration • Discovery • Role playing • Audiovisual materials • Printed materials • Programmed instruction • Web-based instruction |
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Key Points to Effective Communication
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• 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. • Listen and do not interrupt. |
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Sources of Information
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• Primary—patient
• Secondary—medical records, patient family |
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Considerations for Successful Patient Teaching
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• Forming contractual agreements
• Considering time constraints • Scheduling • Group vs. individual teaching • Formal vs. informal teaching • Manipulating the physical environment |
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Obtaining Feedback About Learning
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• Reinforcing and celebrating learning
• Evaluating teaching • Revising the plan |
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Documentation of the Teaching-Learning Process
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• Summary of the learning need
• The plan • The implementation of the plan • Evaluation results |
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Guidelines to Patient Counseling
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• Make everyone feel comfortable in the situation and surroundings
• Counseling may be formal or informal • Use interpersonal skills of warmth, friendliness, openness, and empathy • Caring is fundamental in the counseling role |
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Types of Counseling
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• Short-term
– Situational crisis • Long-term – Developmental crisis • Motivational interviewing |