1. Chapter 25-Patient Education Important role: RN identifies clients learning needsand uses most appropriate teaching strategies. Examples - Pre-natal care, immunizations, follow- up care, dressing changes, medication regimen. Well designed education plan can decreasehealthcare costs, improve quality of care, achieveoptimal wellness and increase independence. Consumer wants to know and client has right to beinformed of their dx, prognosis, available rx. JCAHO educational efforts must take intoconsideration the clients psychosocial, spiritual, andcultural values, as well as the desire to activelyparticipate in the educational process.1

2. Purposes of Patient Education Teaching = Interactive process that promotes learning Goal is to: Gain new knowledge Change attitudes Adopt new behaviors Perform new skills Learning = Purposeful acquisition of newknowledge, attitudes, behaviors or skill.2 3. Role of RN in Teaching Learning To be effective RN needs to determine what client needs to know & when they are ready to learn. Provide accurate, complete andrelevant information to meet the clientneeds. Should anticipate client needs basedon physical condition or treatmentplan. Clarifies information provided by MD& other healthcare providers.3 4. Domains of LearningCognitive includesAffective Psychomotor all intellectualexpression ofacquiring of skillsbehavior andfeelings & that require therequires thinking.acceptance ofintegration of mentalExample:attitude, opinion or & muscular activity.Client has newvalues.Example:medication and is Example: Ability to walk, useable to describe itsFemale expresses eating utensils.purpose and concern of how chestpotential side effects. will appear afterbreast removal forcancer. 4 5. Basic Learning Principles Motivation to LearnPersons desire to learnWillingness to learn.RN UtilizesNursing Process Ability to Learn AssessmentDevelopmental ability Nurse DxPhysical abilityPlanningImplementationEvaluation Learning EnvironmentPrivacy, room temperature, lighting,noise, furniture, ventilation5 6. Nursing Process AssessmentExpectations of Motivation to LearnLearningLearning NeedsAbility to LearnResources to LearnLearningEnvironment6 7. Nursing ProcessNurse Dx: Planning: Deficient Knowledge Establish Goals & Outcomes:(psychomotor) regarding use Cl will perform three-pointof crutches crutch gait as evidence by:Defining Characteristics: Set Priorities: Recd no info on use of All other acute care needscrutches. met now time for rehab. Asks questions aboutContinuity of Care:crutches. Physical therapist.Related to: Home care. Lack of exposure7 8. Nursing ProcessPlanning Contd: How are you going to teach? (1:1, group, demonstration What are the learningobjectives? Teaching environment? What are the priorities? Quiet Timing? Private Type of teaching materials? Temp comfort(printed, video, drawing) Timing How will you maintain No distractionsattention and participation? Make plan with client Does client have existingknowledge? 8 9. Nursing ProcessInstructionalImplementationTeachingMethodsApproaches1:1 discussions TellingGroup SellinginstructionParticipatingPreparatory EntrustinginstructionReinforcingDemonstrationsAnalogiesIncorporating with Nursing CareSimulationTell why you are hanging blood.Role PlayingTell why you are t&p every 2 hrs. 9 10. Nursing Process Illiteracy & Other Disabilities:Implementation 5th grade reading levelcontd Clients dont understand medical jargon. Sensory Deficits (visual, hearing) Speak in Clients Language: Enlist others in cultural group to assist with teaching. Teaching Tools Needs of Children & Older Adults: Children developmental stages Older adults address visual and hearing deficits. Eg. Larger print for visually impaired, speak to client on the good ear.10 11. Nursing ProcessEvaluation: Was the plan of care effective? Was you goal/outcome met?Goal: Cl will perform three-point crutch gait as evidenced by:1. Being motivated to perform. YES / NO2. Describing task to RN. YES / NO3. Performed task appropriately. YES / NOEvaluation = Yes / No11