Patient Education

when does the formation/documentation of goals begin during a PT session

when does the formation/documentation of goals begin during a PT session

immediately, during the initial interview

does prognosis affect goals?

yes

performed by the therapist following completion of the evaluation

assesment

what is included in the assessment?

connections b/w exam findings, relationship b/w impairments and functional deficits, how deficits impact participation, movement system diagnosis

why do we set goals?

communicate purpose of plan of care, manage patient progression, determine efficacy of intervention, satisfy reimbursement requirements

how long would typical short and long term goals be in an outpatient setting

1-2 weeks, 2-8 weeks

when should long-term goals be accomplished

the end of the plan of care

how long would typical short and long term goals be in an acute care setting

a few days

goals should be _________ centered and focus on __________

patient, function

why is there a focus on patient centered functional goals

meaningful to patients, healthcare policy, reinbursement

2 most used goal writing formats

ABCDE and SMART

what does ABCDE goal stand for?

Audience, behavior, condition, degree of mastery, expected time frame

what does SMART goal stand for?

specific, measurable, achievable, relevant, time bound

what 3 domains can a goal be a part of?

cognitive, psychomotor, affective

hierarchy of acquiring info in the cognitive domain

knowledge, comprehension, application, analysis, synthesis , evaluation

hierarchy of acquiring info in the psychomotor domain

perception, set, guided response, mechanism, complex overt response, adaptation, orginization

hierarchy of acquiring info in the affective domain

Receive, respond, value, organization, characterization

what are some barriers/factors influencing patient learning

age/generation, kolb’s wheel (learning style), literacy, language, sensory status, cognition, motivation

According to kolb’s wheel you should address which 4 things to teach around the wheel

scientist, professor, friend, inventor

the confidence one has about their capability to produce certain results

self efficacy

focuses on simple tasks, shapes behavior through rewards and punishment

behavioral learning

encourages reflection and connections, included experimental problem-based learning

cognitive learning

learning as a cognitive and social experience, peer interaction and community based

experiential/sociocultural learning

teaching methods will vary based on the ____________

target domain

what teaching method has the highest retention rate?

teaching others

what active learning principles can be used to help teach patients?

learners work with content, include reflection and interaction, help the learner do the learning, follow content delivery with interaction time

what active learning strategies can be used to help teach patients?

reciprocal teaching, action learning, role plays, debriefing

what should the assessment be matched to when teaching a patient?

the domain of the skill they are trying to learn

used to learn and structure patient education, a way to assess student skills in patient education

checklists and frameworks

what does the SEGUE framework stand for?

set the stage, elicit info, give info, understand patient perspective, end the encounter