7.0 Patient Education

8/6/2019 7.0 Patient Education

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Module 7:

Patient Education


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Learning Objectives

Explain the importance of patient education duringthe TB treatment process

Describe the District TB coordinators role for

encouraging effective patient education at healthfacilities

Learn to identify signs of inadequate pt. education

Identify effective communication skills useful forhealth education

List TB topics that health care workers shouldinform patients about throughout treatment


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Introduction to Patient Education

Critical part of treating TB

All HCWs who diagnosis, register, and/ortreat TB patients should know about effective

communication

HCWs must communicate with patient clearlyand supportively throughout

diagnosis

long treatment process

Information and support should also begiven to patients family


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Teaching patients and families about TB and

its treatment helps patients

understand the problem

better adhere to treatment

Critical for encouraging patients to return for

the next treatment visit

One of the main reasons for patient default is

the attitude of the health worker

Importance of Patient Education

and Good Communication Skills


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District TB Coordinators

Role in Patient Education and

Resources


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Trainings

Emphasize importance of

educating the patient

Emphasize support role of family

adherence

Side effects

Communicating with HCWs

Family should NOT do DOT

Explain effective communication

skills


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During Supervisory Visits

Assess HCWs communicationskills by

observing patient interaction

talking to patient todetermine if they understandtreatment process

Review facility treatmentindicators

high default rates mayindicate a need for moreeffective patient education

Determine if health facilities arein need of patient educationmaterials

Image Source: World Lung Foundation


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Effective Communication Skills


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Effective Communication Skills

Ask questions and listen (use open-ended

questions) Make interaction with the patient a positive

experience

Speak clearly and simply

Encourage patient to ask questions

Ask checking questions to determine

understanding

Effective communication skills for HCWs


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Ask Questions and Listen

To understand the patients medical

history

To understand the patients current

knowledge about TB

Identify and help to solve any problems

the patient may have with treatment Use open-ended questions


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Cannot be answered withyes or no

Usually start with: What?

Why?

Who?

When? How?

Explain or describe to me..

Ask Questions and Listen:

Open-Ended Questions


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Close-Ended vs. Open-Ended

Do you know anything about TB?

What do you know about TB?

Do you live alone?

Who else do you live with?


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Demonstrate a caring, respectful attitude actions

words

body language tone of voice

eye contact

Praise and encourage patient

Motivate the patient to continue treatment Be non-judgmental if patients views or

lifestyles differ from your own

Make Interaction with the

Patients a Positive Experience


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Speak Clearly and Simply (1)

Use simple non-medicalterms

Use words that arefamiliar to the patient

Use appropriate languagelevel and visual cues

Repeat importantinformation

Image source: WHO


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Speak Clearly and Simply (2)

Example:

Diffcult to understandThis drug, isoniazid is a bactericidal agent

that is highly active against Mycobacteriumtuberculosis

Simple to understand

This isoniazid pill will help fight TB and helpyou get better


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Topics to Discuss


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Patient Education

Throughout Treatment

Patient education is a continuous

process throughout treatment

Important to emphasize different healtheducation messages at different times

during treatment

At each encounter with the patient, the

HCW can choose some appropriate

messages to teach or reinforce


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First Patient Visit

Topics for Discussion

What is TB

How TB spreads and how to prevent it Importance of examining contacts

Symptoms of TB

TB can be cured even among HIV+ patients

Treatment of TB

duration; where to receive; importance of

adherence and completion


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Additional Topics to Discuss

Throughout Treatment

Description of treatment drugs (showpills)

amount and frequency of drugs

possible side-effects of drugs

Treatment during continuation phase

Importance of adherence

Importance of good nutrition andabstaining from smoking and alcohol

Frequency and importance of sputumcollection

Image source: Gary Hampton, World Lung Foundation

Image source: Pierre Virot, World Lung Foundation


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Resources


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WWW.FINDTBRESOURCES.ORG

Website includes

TB training and

education materialsfrom around the

world

Many materials canbe adapted to local

Botswana needs

7.0 Patient Education

Documents

Transcript of 7.0 Patient Education