Client Education

NUR 101 – Fall

Learning Domains

COGNITIVE AFFECTIVE PSYCHOMOTOR

Includes allintellectualbehaviors

and requires

thinking

Deals with expression of feelings and acceptance of attitudes, opinions, or values

Involves acquiring skills that require integration of mental and muscular activity

Teaching Methods Based on Learning Domains

COGNITIVE AFFECTIVE

PSYCHOMOTOR

- Discussions one-on-one or group- Lecture- Question-and-Answer session- Role play- Computer assisted instruction

-Discussions-Role play

-Demonstration-Practice-Return demo-Independent projects-Games

Steps NURSING PROCESS TEACHING PROCESS

Assessment Collect data about physical, psychological, social, developmental, and spiritual needs from client, family, andMedical record

Collect data about client’s learning needs, motivation, ability to learn, and teaching resources from client, family, and medical record

Nursing

Diagnosis

Identify appropriate nursing diagnoses based on assessment findings

Identify client’s learning needs on basis of three domains of learning

Planning Develop individualized care plan collaborating with client

Establish learning objectives, identify priorities and collaborate with client on teaching plan

Implementation

Perform nursing care therapies. Include client in care

Implement teaching methods. Actively involve client/family

Evaluation Identify success, alter interventions as needed

Determine outcomes of teaching-learning process. Reinforce/alter information as needed

Nursing and Teaching Processes

TEACHING PROCESS

Nurse will assess:-Current knowledge level of the drug Lasix (Furosemide)-Preferred learning style-Comprehension ability and reading level-Other factors that may affect learning of the drug for ex: sensory, cognitive, physical impairment, economic status, cultural influences, health beliefs and attitudes

Assessment

TEACHING PROCESS

Knowledge deficit (cognitive) related to new experience of managing hypertension with Lasix ( Furosemide).

Nursing Diagnosis

Cognitive Domain

Defines, Describes, Explains, Gives examples, Names, Labels, Prepares, States, Lists

Affective Domain

Answers, Chooses, Defends, Shares, Relates, Helps, Uses

Psychomotor Domain

Demonstrates, Shows, Starts, Works, Assembles, Changes, Organizes, Constructs, Creates

Writing Learner Goals/Outcomes

Cognitive Domain (knowledge)

Lecture, one-on-one instruction Discussion (factual questions and answers) Simulation (application of knowledge in

different context) Independent study Problem-solving (what if, discovery)

Planning Teaching Strategies

Affective Domain (values)

Discussion and value clarification

Role-playing

Simulation

Discussion (factual questions and answers)

Modeling

Planning Teaching Strategies

Psychomotor Domain (skill)

Skill demonstration

Talking the learner through the skill

Repeated practice

Planning Teaching Strategies

TEACHING PROCESS Examples of writing goals under different learning domains:

Planning

COGNITIVE AFFECTIVE PSYCHOMOTOR

-The client will give 5 examples of side effects of Lasix-The client will describe 3 indications of Lasix-The client will state how he plans to always have the drug available(…with 100% accuracy)(…by…the end of the teaching session; before discharge, etc)

-The client will share his/her feelings related to taking Lasix for hypertension-The client will share his/her intentions to make needed changes in lifestyle including seeking help from health professional when needed

-The client will practice new health-related behaviors regarding using of Lasix for example:Checking blood pressure and heart rate regularlyWeighing self-daily and monitoring intake and output.

TEACHING PROCESS

-Provide calm, quiet environment for learning to enable patient to process information regarding Lasix without distractions-If needed, limit length of each teaching session to avoid information overload-Establish environment of mutual trust and respect to enhance learning-Encourage patient to use memory aids such as alarms on watch and notepads to write questions regarding use of the drug-Involve caregiver in teaching session to reinforce information and ensure continuity of care-Encourage expressions of feeling related to use and side effects of the drug

Implementation

TEACHING PROCESS

Patient expresses increased understanding and is able to describe what was learned about Lasix medication. Examples:

-Patient states at least 5 side effects of Lasix and expresses understanding of how being aware of these side effects will help him/her take medication safely and efficiently.

-Patient describes at least 2 basic concepts relevant to the use of Lasix and its impact on activities of daily living. (Patient understands medication may cause dizziness and he/she will avoid driving or using machines; he/she understands that skin may become more sensitive to sunlight so sunscreen will be used when outdoors and use of tanning beds will be avoided).

Evaluation