Giving the Best Patient Education

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Outline

Overview

  1. Patient education
    1. Bridge the gap
      1. Knowledge vs. need to know
      2. Provides options and resources
    2. Improves compliance
      1. Better outcomes
      2. Increases accountability
    3. Avoid medical jargon
    4. Teach in small “doses”
    5. Teach on 4th grade reading level
  2. Providing education
    1. Prioritize educational needs
      1. What do they know?
        1. Health literacy
          1. Capacity to learn
          2. Make decisions
      2. Identify learning style
        1. VARK
          1. Visual
          2. Auditory
          3. Reading/writing
          4. Kinesthetic
      3. Identify barriers
        1. Physical impairment
        2. Mental impairment
        3. Learning disabilities
        4. Cultural considerations
        5. Readiness to learn
        6. Support system
    2. Choosing appropriate education
      1. Specific patient concerns
      2. Details vs Basic information
      3. Include family/caregiver
    3. Education formats
      1. One on one training
      2. Demonstration
      3. Brochures
      4. PowerPoint
      5. Models
  3. Evaluating education
    1. Teach back method
      1. Ask patient to explain
        1. In their own words
        2. Clarify any misunderstanding
        3. Reassess
      2. Tests teacher ability
        1. Not patient knowledge
      3. Allows for clarification
      4. Avoids close ended answers
    2. Return demonstration
      1. Patient shows what they learned
      2. Works for new skills
      3. Patient or family member

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Transcript

Today we’re going to be talking about how to give the best patient education.

Before we provide patient education, it’s important to know the reason we are providing it. Patient education helps us bridge the gap between the patient’s current knowledge of their situation versus what they need to know about their situation. It allows us as healthcare professionals to provide options and resources to each patient and their family members to further assist them in the decision-making process. This improves compliance which yields better outcomes, and it also holds patients accountable for their own health. When giving patient education, it’s important to avoid medical jargon. It’s easy to turn off when someone is throwing words you don’t understand at you. For this reason, you should try to educate patients and families on a 4th grade reading level in small amounts. This is to minimize confusion and teaching in doses allows you to gauge exactly how much is understood by taking breaks in between sections of information.

When preparing to educate a patient, prioritizing his or her needs is a must. What they know is the first thing we need to address. We want to know what their capacity to learn and make decisions about their health looks like. We also want to know how they learn best. The four main learning styles are visual, auditory, reading/writing, and kinesthetic. Understanding which way the patient learns makes the process way easier and less painful. We need to know their barriers to learning new information. Mental and physical impairments are the more obvious barriers, but there are also cultural considerations, the presence or absence of a support system, and most importantly, are they even ready or willing to learn what you are attempting to teach.

We’ve performed a needs analysis of sorts. Now we have to decide WHAT to teach. Find out what the patient’s specific concerns are and whether or not they do better with lots of details or just the basics. FYI, sometimes it’s best to cut to the chase, for attention purposes. Also, find out whether or not your patient wants a family member or caregiver present for support. Maybe it’s not the patient at all who is going to be using the information provided.

When we are talking about education there’s more to it than what you might consider “formal” teaching. Sometimes we need to get creative. Base your teaching on everything we’ve already discussed in this lesson. Once you’ve gathered all the information, you can choose one of these methods, or some combination of them. Whatever is going to fit the needs of your patient, do it. Now not everything we’ve discussed has to be in a specific order or all at the same time.  Remember, there’s always more than one way to skin a cat!

There are two ways to determine whether or not you’ve hit the mark with the education you’ve provided. You can choose to use them both if the situation allows, or you can pick one. Let’s explore these a little further.

The teach back method is the time for the person receiving the education to explain what you said in their own words. We do this not really as a test of their knowledge, but to test your ability to provide information clearly and accurately. They are telling you what they understood. Be sure to take the time to clear up anything they got wrong and ask them to repeat it again. If they still don’t get it, you may need to evaluate or change the teaching method. This method is great because it allows for clarification and avoids the typical yes or no answers because you’re not asking those close ended questions. What does that do? Understanding increases compliance!

Return demonstration may not always be possible, but when it is, definitely use it. Particularly if you are using demonstration as a teaching method. This is the time for the patient to show you what they learned. We use this for new skills like ostomy care or glucose testing; things that require hands on assistance. Again, this can be a patient or family member, or it can be for everyone involved. Whoever is performing the specific care should do this.

We love you guys! Go out and be your best self today! And as always, Happy Nursing!

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Transitions HESI Prep

Concepts Covered:

  • Documentation and Communication
  • Preoperative Nursing
  • Legal and Ethical Issues
  • Communication
  • Studying
  • Prioritization
  • Postoperative Nursing
  • Fundamentals of Emergency Nursing
  • Intraoperative Nursing
  • Emergency Care of the Cardiac Patient
  • Delegation
  • Perioperative Nursing Roles
  • Community Health Overview
  • Factors Influencing Community Health
  • Integumentary Disorders
  • Concepts of Mental Health
  • Neurological Emergencies
  • Test Taking Strategies
  • Basics of NCLEX

Study Plan Lessons

Admissions, Discharges, and Transfers
Advance Directives
Advocating For Your Patient
Barriers to Health Assessment
Caring Licensed Practical Nurse Nursing Mnemonic (CLPN)
Charge Nurse
Climbing the Clinical Ladder
Collaboration for Progressive Care Certified Nurse (PCCN)
Communicating with Family Members
Communicating with Other Departments
Communicating with Other Nurses
Communicating With Other nurses
Communicating with Patients
Communicating With Pharmacy, RT, OT, PT
Communicating with Providers
Communicating With Providers
Communicating with UAPs
Communication Course Introduction
Communication of Patient Outcomes (Continuum of Care) for Certified Perioperative Nurse (CNOR)
Confidence Building as a New Grad Nurse
Confidence in Communication
Confidence in Communication – Live Tutoring Archive
Conflict Management (Patient, Perioperative Team, Family) for Certified Perioperative Nurse (CNOR)
CRNA
Daily Charting
Day in the Life of a Community Health Nurse
Day in the Life of a Labor Nurse
Day in the Life of a Med-surg Nurse
Day in the Life of a Mental Health Nurse
Day in the Life of a NICU Nurse
Day in the Life of a Peds (Pediatric) Nurse
Day in the Life of a Postpartum Nurse
Day in the Life of an ICU (Intensive Care Unit) Nurse
Day in the Life of an Operating Room Nurse
Delegation
Delegation and Personnel Management for Certified Perioperative Nurse (CNOR)
Delegation of Tasks to Assistive Personnel for Certified Emergency Nursing (CEN)
Documentation Basics
Documentation Course Introduction
Documentation Pro Tips
Documenting Escalation (Chain of Command)
Ethical and Professional Standards for Certified Perioperative Nurse (CNOR)
Facilitation of Learning for Progressive Care Certified Nurse (PCCN)
Fall and Injury Prevention
Finding Your First Nursing Job as a New Grad
Fire and Electrical Safety
First Year in Nursing Course Introduction
Flight Nurse
Forensic Nurse
Function Within Scope of Practice for Certified Perioperative Nurse (CNOR)
Fundamentals Course Introduction
Giving Handoff Report
Giving the Best Patient Education
Handling Job Rejection
Handoff Report
HCIR Management (Healthcare Industry Representative) for Certified Perioperative Nurse (CNOR)
Healthcare Team Member Supervision and Education for Certified Perioperative Nurse (CNOR)
HIPAA
How to Give a Perfect Nursing Report (plus report sheet)
How to Take Nursing Report
How to Write A Nursing Progress Note
ICU Nurse Report to Floor Nurses
Impaired or Disruptive Behavior Reporting (Interdisciplinary Healthcare Team) for Certified Perioperative Nurse (CNOR)
Implant Records and Tracking for Certified Perioperative Nurse (CNOR)
Interdisciplinary Healthcare Team Collaboration for Certified Perioperative Nurse (CNOR)
Interdisciplinary Team Member Functions for Certified Perioperative Nurse (CNOR)
Interdisciplinary Team Participation for Certified Perioperative Nurse (CNOR)
Interviewing with Behavioral Questions
Interviewing with Nurse Manager
Introduction to the Electronic Medical Record (EMR)
Invoicing Process
Joint Commission
Legal Aspects of Documentation
Legal Considerations
Legalities of Charting
License Maintenance
Linen Change
Live Bedside Report OB and PACU
Live Bedside Report Medsurg (Medical surgical)
MSN (Masters) vs. DNP (Doctorate)
Networking 101
NRSNG Live | From Student to Real Nurse
NRSNG Live | Avoiding Legal Issues as a Nurse
NRSNG Live | So You Want to be a Surgical Nurse?
NRSNG Live | The Successful State of Mind
Nurse Educator
Nurse-Patient Relationship
Nursing Care Delivery Models
Nursing Interviews & Resumes Course Introduction
Nursing Report & Communication Course Introduction
Nursing Skills (Clinical) Safety Video
Nursing Skills Course Introduction
OB (Labor) Nurse Report to OB (Postpartum) Nurses
Oncology nurse
Patient and Family Teaching (Per Procedure) for Certified Perioperative Nurse (CNOR)
Patient Communication Techniques for Certified Perioperative Nurse (CNOR)
Patient Confidentiality for Certified Perioperative Nurse (CNOR)
Patient Consent for Treatment for Certified Emergency Nursing (CEN)
Patient Education
Patient Privacy and Dignity Maintenance for Certified Perioperative Nurse (CNOR)
Patient Records and Care Documentation for Certified Perioperative Nurse (CNOR)
Patient Rights Advocacy for Certified Perioperative Nurse (CNOR)
Patient Satisfaction for Certified Emergency Nursing (CEN)
Patient Status Communication for Certified Perioperative Nurse (CNOR)
Patient Status Evaluation (Transfer of Care) for Certified Perioperative Nurse (CNOR)
Patients with Communication Difficulties
Portfolio
Precepting a New Nurse
Precepting a Student
Prioritization
Prioritization
Prioritizing Assessments
Professional Organization Participation for Certified Perioperative Nurse (CNOR)
Provider Phone Calls
Radiation Safety for Nurses
Remaining Calm
Safety Checks
SBAR and How to Give Handoff Report like a BOSS – Live Tutoring Archive
SBAR Communication
SBAR Communication Nursing Mnemonic (SBAR)
SBAR Practice Scenarios
The Top 5 Things You Need To Know About Documentation 1 – Live Tutoring Archive
The Top 5 Things You Need To Know About Documentation 2 – Live Tutoring Archive
Therapeutic Communication
Time Management
Transition To Practice
Transition to Practice Course Introduction
Trusting your Gut
Why CEs (Continuing education) matter