Chapter 55 patient education and long term care

Respiratory therapist (RTs) educated patients by providing information about what ?

- disease processes

- medications

- Treatment procedures

What else do RTS teach patients ?

- they teach patients how to perform diagnostic test like spirometry

- they educated patients about health promotion issues such as tobacco

Top 3 causes of death

Heart disease

cancer

Chronic lower respiratory disease

culture awareness

Behaviors , values and patterns of beliefs shared by a group

What is culture not limited to ?

Gender , socio economic status , racial back ground or ethnicity

Culture is learned and communicated by ?

From one generation to another

Health of a patient is influenced by what ?

Their cultural background , which determine the individual definition of health and how to deal with illness

YES or NO . Does a patients culture implants their willingness to seek healthcare?

Yes

True or False: Education is an essential component of patient care ?

True

Respiratory therapist frequently need to do what with their patient ?

Educate patients about their disease and the treatment ordered by the physician

For patients to assume of resume control of their health they must be what ?

Educated

performance objectives

Objectives are used to clarify the teaching strategies and content to be presented to the patient

Action Verb

Demonstrate , explain, list , describe

Condition

using what equipment ?

Standard

How fast , how accurate ?

Clues indicative of a lack of understanding

- Patient repeatedly is non compliant

- patient uses the excuse begin too busy , tired or sick to maintain attention

when given instructions

-Claims that the patient did not feel like reading the information , gave the information to a family member, or lost or forgot their glasses

- Insistence on taking the information home to read

- Demeonstrates nervousness and stress , confused about the material

- talks about something else and not on topic

- returns documents that are not complete or illegible

What are the 3 learning domains?

cognitive, affective, psychomotor

Cognitive Domain

The cognitive domain is probably the easiest to translate into learning objective because it involves the facts and concepts that the RT wants the patient to know and apply by the end of the education session

Objectives for the cognitive domain includes ?

1. List the indications for oxygen therapy

2. Discuss the importance of using the prescribed liter flow

3. Explain the relationship between oxygen and combustion

Psychomotor

The skills needed to be succesful

What is important what teaching a psychomotor skill ?

Repetition and active involvement

To confirm performance in the psychomotor domain what should you do ?

Have your patient provide a return demonstration

Affective Domain

the Attitude needed to succeed

Objectives in the affective domain ?

1. Express genuine concern for yourself by using your oxygen therapy correctly

2. Commit to learn by being an active participant in the program

3. Have the patient to verbalize willingness to use oxygen

What are some teaching Tips ?

- address the patient immediate concerns first

- create an optimal learning environment

- Get the patients involved as much as possible

-keep the sessions short and to the point

- Reapeat important information several times

-

What are some other ways you can improve your teaching skills?

By providing many opportunities for the patient to practice psychomotor skills

Be prepared

be organized

Demonstrate enthusiasm

Give helpful feedback ; use evaluation as learning tool

When teaching a adolescent and adult we need to remember what ?

- they have internal motivation factors and will learn quicker if they can easily see the intrinsic value of knowing more about their illness

What do we something refer internal motivating factor as ?

The 'WIIFM' what's in it for me

Learning difference between children ?

Children.

- Motivated by external factors like grades

-Directed by others

- Has limited experiences

Learning difference between Adults ?

-Motivated internally

- is self directed

- questions the teacher

How are toddles motivated ?

External factors

reward systems in place before learning can take place

Toddler Attention Span?

4 to 10 minutes

School aged children attention span ?

10 to 20 minutes

Adolescents and adults attention span ?

20 to 30 minutes

TRUe or FALSE : older adults have special consideration because of functional cognitive , and psychomotor changes that occur over time ?

TRUE

Why is evaluation important?

To determine if learning took place

How are cognitive objectives evaluated?

With written exams

Affective and psychomotor objectives are evaluated how ?

By using performance checklist

teach back method

allows patient to repeat back key concepts from teaching session to confirm understanding

Signs a patient doesn't understand ...

- asking a patient " Do you understand?" Will usually elicit a response of head nodding or an answer of "yes" and will communicate to the RT the patient actually lacks comprehension about the information

health education

Is the process of planned learning that is signed to enable individuals to make informed decisions and take responsibility for their health

What is the primary goal of health education ?

The primary goal of health education is change behavior

health promotion

Helps people change their lifestyle in variety of setting, from the home or school to the workplace or health care agency or institution.

How can the health education be effective ?

Must be combined with strategies for health

How are the top three causes of death preventable ?

By avoiding tobacco use, poor diet , physical inactivity

Current medical practice is designed to respond to what ?

Acute problems of patients by focusing on diagnosis and treatment of the presenting symptoms

disease management

Applies the best healthcare practices tp a population diagnosed with a chronic illness one person at a time

disease management attributes ?

- a populations -identification process ( for specific disease or condition)

- the use of evidence -based guidelines, protocols, and pathways

-collaborative and coordinated components of care

- active patient self management and education

-Quality improvement methods to include outcomes measurement and evaluation

- the use of information technology to create a routine reporting and feedback loop

What are the "5As " ?

- Ask about tobacco use

- Advice to quit

-Asses every tobacco user willingness to make a quit attempt ( ask every tobacco user if he or she is willing to make a quit attempt " are you willing to give quitting a try ")

-assist by providing counseling and medication

- arrange for follow up contacts, wither in person or via telephone

The five "Rs"

- Relevance ( encourage to quit )

- Risk ( heart attacks)

- Rewards (food)

- Roadbloacks (withdrawals)

- Repetition ( repeat information )

disease management goals ?

- improving the health of the person

- improving patient satisfaction

- reducing mortality

- improving quality of life

- ELIMINATION UNNECESSARY MEDICAL TREATMENT THAT REDUCES COST OF HEALTHCARE

health care institution

Wellness programs for staff and patients

work site

1.Pulmonary function screening : tobacco avoidance program

2 .developing and implementing stress management or nicotine intervention programs

3. Consulting on policies related to smoking and occupational or environmental exposure to foreign dust or noxious fumes

Home

RTs can perform a wide variety of services in the patients home , including oxygen therapy and mechanical ventilation on either a temporary or long term basis

Community

COPD support groups : CPR instruction

educational institutions

Cigarette smoking education