Y khoa, y dược - Chapter 10: Patient education

Chapter 10Patient Education© 2012 The McGraw-Hill Companies, Inc. All rights reserved.McGraw-HillChapter 10 Content10.1 Patients’ rights and nurses’ responsibilities related to education10.2 Accreditation requirements for patient education10.3 Patients’ learning needs10.4 Nursing diagnoses, outcomes, and interventions for patient education10.5 Implementation, evaluation, and documentation of patient education10.1 Patients’ Rights and Nurses’ Responsibilities10-310.1 Patients’ Rights and Nurses’ ResponsibilitiesPatient EducationProcessProvide information to patients, families, and communities Ideally results in enhanced ability toActively participate in health promotion and health maintenance ORCope with alterations in health or ability.10.1 Patients’ Rights and Nurses’ ResponsibilitiesPatients’ RightsPatient Bill of RightsHealthcare professionals & patients must collaboratePatients need knowledge for active involvement Patient Self-Determination Act (PSDA)Right to active decision making in careRight to consent or refuse10.1 Patients’ Rights and Nurses’ ResponsibilitiesNurses’ ResponsibilitiesProfessionalStandards of practiceEthicalCode of Ethics10.1 Patients’ Rights and Nurses’ ResponsibilitiesNational StandardsOffice of Minority HealthStandards on Culturally and Linguistically Appropriate Services (CLAS)10.2 Accreditation Requirements for Patient Education10.2 Accreditation Requirements for Patient EducationAccreditationEvaluation based on adherence to quality standards, including patient educationThe Joint Commission (TJC)Most widely recognized accrediting bodyGeneral patient education requirementsDisease-specific patient education requirements10.2 Accreditation Requirements for Patient EducationTJC RequirementsAssessment before educationEducational topics for all patientsMedicationsEquipmentProceduresHygieneNutrition Orientation to hospital roomEvaluation of patient understanding10.2 Accreditation Requirements for Patient EducationDisease-Specific EducationCore measuresDeveloped by CMS, NQF and TJCIdentify specific educational requirements for diseasesCHFSmoking cessationMedicationsNutritionDaily weight10.2 Accreditation Requirements for Patient EducationNational Patient Safety Goals (NPSG)Developed by TJCActions to prevent medical errorsRevised annuallyInclude multiple patient education requirementsAnticoagulant therapyPrevention of drug-resistant infectionsPrevention of central line associated infectionsPreventing surgical site infectionsDischarge medicationsFall reductionReporting safety concernsAsking for assistance if patient condition deteriorating10.3 Patients’ Learning Needs10.3 Patients’ Learning NeedsAssessmentLearning needsReadiness to learnAbility to learnHealth literacyBarriers to learningPainAnxietyLanguagePoor hearing/visionPreferred method of learning10.4 Nursing Diagnoses, Outcomes, and Interventions for Patient Education10.4 Nursing Diagnoses, Outcomes, and InterventionsNursing DxExamples:Knowledge, deficient Noncompliance Therapeutic regimen: ineffective managementSpecific details about the patient’s learning need should be included in the nursing diagnosis10.4 Nursing Diagnoses, Outcomes, and InterventionsNursing OutcomesKnowledge outcomes May include knowledge of 30 different topics such asBreast feedingCardiac disease managementDiabetes managementDietDisease processMedicationDischarge readinessFall prevention behaviorRisk control10.4 Nursing Diagnoses, Outcomes, and InterventionsNursing InterventionsExamples:Generic health education Parent education interventionsTeaching interventions specific to disease processPreoperative teachingPrescribed dietMedications10.5 Implementation, Evaluation, and Documentation of Patient Education10.5 Implementation, Evaluation, and DocumentationTeaching MethodsVerbalDrug information sheetsVideosBookletsComputer programsDemonstrationsGroup discussions Educational television programming10.5 Implementation, Evaluation, and DocumentationEvaluation of EducationMethod depends on contentTeach-backReturn demonstrationQuestioningMastery of content or need for remediation should be documented If outcomes not met:Re-evaluate the patient for barriers to learningConsider alternate educational formats