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Patient Education Program

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Definition of Patient Education Program
How to make a Patient Education Program

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Patient Education Program

  1. 1. PATIENT EDUCATION PROGRAM LOSINADA, JOHN CARLO University of the Philippines Manila College of Nursing
  2. 2. PATIENT EDUCATION PROGRAM “Make what you teach relevant.” - Ann Haggard
  3. 3. PATIENT EDUCATION PROGRAM OBJECTIVES 1.Define Patient Education Program 2.Differentiate Patient Education and Patient Teaching 3.Identify some of the problems in Patient Education Program
  4. 4. PATIENT EDUCATION PROGRAM 4. Identify the roles of staff nurses in Patient Education Program 5. Differentiate the job description of Patient Education Coordinator and the Bedside Nurse 6. Identify steps in developing a patient education program
  5. 5. PATIENT EDUCATION PROGRAM 7. Identify the relevance of Patient Education Programs in Nursing Administration
  6. 6. PATIENT EDUCATION PROGRAM OUTLINE: I. Definition of Patient Education Program II.Patient Education and Patient Teaching III.Some Problems in Patient Education IV.The Staff Nurse and the Patient Education Coordinator V.Steps in Developing a Patient Education Program
  7. 7. PATIENT EDUCATION PROGRAM I. Definition of Patient Education Program
  8. 8. PATIENT EDUCATION PROGRAM Patient Education – (Bartlett) is a planned learning experience using a combination of methods such as teaching, counselling, and behaviour modification techniques that influence patients’ knowledge and health behaviour.
  9. 9. PATIENT EDUCATION PROGRAM Program – (Merriam-Webster) is a plan or system under which action may be taken toward a goal
  10. 10. PATIENT EDUCATION PROGRAM Patient Education Program – (Planned Educational Activities by Kate Lorig) is a system of planned learning experience intended to influence patients’ knowledge and health behaviour
  11. 11. PATIENT EDUCATION PROGRAM II. Patient Education and Patient Teaching
  12. 12. PATIENT EDUCATION PROGRAM Patient Teaching – (Rankin) is the actual impartation of knowledge and is only a part of patient education
  13. 13. PATIENT EDUCATION PROGRAM • Patient Education’s Purpose: (Kate Lorig) - To maintain or improve health, or in some cases, to slow deterioration • Patient Teaching’s Purpose: - To improve knowledge
  14. 14. PATIENT EDUCATION PROGRAM III. Some Problems in Patient Education
  15. 15. PATIENT EDUCATION PROGRAM 1. Patient’s Noncompliance
  16. 16. PATIENT EDUCATION PROGRAM 2. Fiscal Health Implications
  17. 17. PATIENT EDUCATION PROGRAM Cost savings - result when hospital stays are shortened or the utilization of services decreases. Cost recovery - occurs when someone, third-party payer or the patient, pays a fee for services.
  18. 18. PATIENT EDUCATION PROGRAM 3. Who should perform the education required for patients to function effectively at home?
  19. 19. PATIENT EDUCATION PROGRAM 4. Coordination and Collaboration with Physicians
  20. 20. PATIENT EDUCATION PROGRAM (Boyd) 3 Primary factors that causes this conflict: • Physicians’ beliefs about the physician-patient relationship; • Nurses’ beliefs about independent nursing functions; • Poor inter-professional communication
  21. 21. PATIENT EDUCATION PROGRAM (Kriewall and Trier) 3 strategies for facilitating Physician cooperation and support: • Easy access to patient education • Physician endorsement • High program visibility
  22. 22. PATIENT EDUCATION PROGRAM IV. The Staff Nurse and The Patient Education Coordinator
  23. 23. PATIENT EDUCATION PROGRAM Functions of Patient Education Coordinator: • One person is responsible for all the education of patients (When all are responsible, no one is). • The coordinator can keep up with new developments in the field.
  24. 24. PATIENT EDUCATION PROGRAM • The coordinator can provide workshops and in-services for the staff. • New materials and audiovisual software can be screened, purchased, and developed by the coordinator. • Required documentation and records can be centralized.
  25. 25. PATIENT EDUCATION PROGRAM • Individual patients and the program can be evaluated in a centralized, organized way. • The coordinator can be hired with specialized skills in education.
  26. 26. PATIENT EDUCATION PROGRAM Disadvantages of Patient Education Coordinator Position: • Staff nurses may decide that they have no responsibility for teaching patients. • Teaching may not be done when the coordinator is ill or on vacation.
  27. 27. PATIENT EDUCATION PROGRAM • A hiring mistake could have serious impact on the quality of patient education in the institution.
  28. 28. PATIENT EDUCATION PROGRAM Roles and Responsibilities of the Patient Education Coordinator and the Staff Nurse for Patient Teaching
  29. 29. PATIENT EDUCATION PROGRAM Patient Education Coordinator Staff Nurse Visit patient in response to staff request Identify problems requiring education Assess learning needs and barriers Consult with educator on teaching plan Devise and record teaching plan
  30. 30. PATIENT EDUCATION PROGRAM Patient Education Coordinator Staff Nurse Communicate plan to all concerned Initiate teaching activities and provide learning materials Assess patient learning, correct misunderstandings, reinforce learning Document teaching done and patient reactions to teaching
  31. 31. PATIENT EDUCATION PROGRAM Patient Education Coordinator Staff Nurse Communicate progress Encourage patient to demonstrate skills Encourage patient to carry out self-care activities in daily care Evaluate patient education activities and results
  32. 32. PATIENT EDUCATION PROGRAM V. Steps in Developing a Patient Education Program
  33. 33. PATIENT EDUCATION PROGRAM (From Nemchik R: Developing an Education Program. In Guthrie DW, Guthrie RA, editors: Nursing Management of Diabetes Mellitus, St. Louis, 1977, Mosby-Year Book.) 1.Assess Program Need. 2.Obtain administrative and professional support.
  34. 34. PATIENT EDUCATION PROGRAM 3. Determine potential clients, sources of referral, and subsequent follow-up. 4. Plan program content with an interdisciplinary team (committee). 5. Determine program goals, objectives, and evaluative procedures.
  35. 35. PATIENT EDUCATION PROGRAM 6. Select learning strategies. 7. Determine and use available resources. 8. Recruit, motivate, train, and retrain teaching personnel. 9. Implement the program.
  36. 36. PATIENT EDUCATION PROGRAM 10. Document teaching. 11. Do follow-up. 12. Evaluate teaching and program. 13. Revise program.
  37. 37. PATIENT EDUCATION PROGRAM PROGRAM PLANNING (Kate Lorig) 1. Set Priorities • Listing Behaviours • Determine the effect of each behaviour • Determine which behaviours are relatively easy to change
  38. 38. PATIENT EDUCATION PROGRAM 2. Refine Your Content 3. Set Objectives a. Process Objectives b. Outcome Objectives 4. Process 5. Put It All Together
  39. 39. PATIENT EDUCATION PROGRAM • Write your objectives and be sure that what you are teaching is designed to meet these objectives • Look at your resources – time, personal, money, space • Make sure that you vary your activities
  40. 40. PATIENT EDUCATION PROGRAM • No matter what intervention you choose, do not waste the first few minutes • If at all possible, build on activities over several weeks • Try to use the same instructor or facilitator for every session
  41. 41. PATIENT EDUCATION PROGRAM • Consider using a Sesame Street approach • Use ritual • Frame your teaching around patient needs and beliefs • Do not try to change patient beliefs or practices unless they are causing harm.
  42. 42. PATIENT EDUCATION PROGRAM • Be consistent with your messages. • Remember that patients always have choices. • Do not try to crowd everything into whatever time you have • Give attention for taking positive action
  43. 43. PATIENT EDUCATION PROGRAM 6. Document What You Teach
  44. 44. PATIENT EDUCATION PROGRAM Some Examples of Patient Education Programs
  45. 45. PATIENT EDUCATION PROGRAM 12 STEPS OF ALCOHOLIC ANONYMOUS (AA)
  46. 46. PATIENT EDUCATION PROGRAM 1. We admitted we were powerless over alcohol - that our lives had become unmanageable. 2. Came to believe that a Power greater than ourselves could restore us to sanity. 3. Made a decision to turn our will and our lives over to the care of God as we understood Him.
  47. 47. PATIENT EDUCATION PROGRAM 4. Made a searching and fearless moral inventory of ourselves. 5. Admitted to God, to ourselves and to another human being the exact nature of our wrongs. 6. Were entirely ready to have God remove all these defects of character.
  48. 48. PATIENT EDUCATION PROGRAM 7. Humbly asked Him to remove our shortcomings. 8. Made a list of all persons we had harmed, and became willing to make amends to them all. 9. Made direct amends to such people wherever possible, except when to do so would injure them or others.
  49. 49. PATIENT EDUCATION PROGRAM 10. Continued to take personal inventory and when we were wrong promptly admitted it. 11. Sought through prayer and meditation to improve our conscious contact with God as we understood Him, praying only for knowledge of His will for us and the power to carry that out.
  50. 50. PATIENT EDUCATION PROGRAM 12. Having had a spiritual awakening as the result of these steps, we tried to carry this message to alcoholics and to practice these principles in all our affairs.
  51. 51. PATIENT EDUCATION PROGRAM “It always seems impossible until it’s done.” - Nelson Mandela
  52. 52. PATIENT EDUCATION PROGRAM References
  53. 53. PATIENT EDUCATION PROGRAM Haggard, Ann. Handbook of Patient Education. Rockville, Maryland: Aspen Publishers, Inc. 1989 Lorig, Kate. Patient Education: A Practical Approach (Second Edition). Thousand Oaks, California: SAGE Publications, Inc. 1996
  54. 54. PATIENT EDUCATION PROGRAM Rankin, S. H., & Stallings, K. D. Patient Education: Issues, Principles, and Practices (Second Edition). Philadelphia, Pennsylvania: J. B. Lippincott Company. 1990 Redman, Barbara. The Process of Patient Education (Seventh Edition). St. Louis, Missouri: Mosby-Yearbook, Inc. 1993
  55. 55. PATIENT EDUCATION PROGRAM THANK YOU FOR LISTENING!

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