chapter 29

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chapter 29
2012-09-25 23:05:47
chapter 29

chapter 29
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  1. using "teaching moments" by
    keeping information relevant to the patient , communicating clearly, being aware of learning factors, and being flexible with the teaching plan
  2. appropriate patient education reflects the patient
    bill of rights emphasis on confidentiality and informed consent
  3. emotional effect of the disease
    Is the patient in shock and denial?

    how will his emotional reaction to the diagnosis affect his response to patient education efforts?
  4. social impact
    how will his family and employer respond to the demands of the diagnosis?

    does he have a support system that will assist him in making healthy lifestyle choices?
  5. intellectual impact
    is he able to understand the complexities of the disease and treatment recommendations?
  6. economic impact
    can he afford the treatment

    does he have health insurance to cover the cost or will he need assistance in paying for ongoing diagnostic and treatment recommendations?
  7. spiritual impact
    what is his spiritual response to his diagnosis
  8. when considering the impact of a patient diagnosis the medical assistant should keep in mind these factors
    emotional effect of the disease

    social impact

    intellectual impact

    economic impact
  9. perceived susceptibility
    definition: patient's opinion on the chances of getting a disorder

    supply information on the risk level

    individual risk is based on health habits and family history
  10. perceived severity
    patient's opinion on the seriousness of the condition and its health risks

    outiline the potential complications of the disease
  11. perceived benefits
    patient's belief in the value of altering lifestyle factors and complying with treatment

    emphasize the positive results that can occur if the patient complies with healthcare recommedndations
  12. perceived barriers
    patient's opinion on the financial and psychological costs of compliance

    indentify patient barriers and work to reduce them through patient education, family outreach, and use of community resources
  13. cues to action
    methods developed to activate patient compliance

    one on one education interventions, detailed handouts, family involvement in eduation efforts

    follow up at subsequent office visits

    referral to community resources
  14. self-efficacy
    patient has the confidence to take action to achieve a healthier state

    ongoing education and support
  15. five stages of greif are
    denial and isolation




  16. denial and isolation
    the patient denies the existence of the disease

    unwilling to accept the reality of the situation
  17. anger
    the patient may be very angry and hostile when forced to discuss the condition
  18. bargaining
    the patient tries to bargain for privileges or time
  19. depression
    the patient grieve the loss of health
  20. acceptance
    the patient finally gets to the point where he or she accepts the diagnosis and is ready to make the best of it
  21. summary of the patient teaching plan
    . perform an assessment

    . determine the patient's immediate and long-term needs

    . maintain an adequate pace while teaching (not to fast)

    . repeatedly ask for patient feedback to confirm understanding

    . summarize the material learned or skill mastered at the end of each teaching interaction

    . outline a plan for the next meeting

    . evaluate the teaching plan

    . document the teaching intervention
  22. it helps to ___ , ___ ,_____ the material to make sure the patient understands the process
    • restate
    • repeat
    • rephase
  23. material should be written in lay language at a ____ to ____ grade level to promote general patient understanding
    sixth to eight
  24. an excellent comprehensive internet site operated by the U.S national library of medicine and the national institutes of the health is
    mediline Plus. gov
  25. barrier to patient learning
    • individual learning style
    • age and developmental level
    • use of defense mechanisms
    • language
    • motivation to learn
    • physical limitations or disabilities
    • background
    • pain
    • time
  26. guidelines for patient education that can affect the patient's overall wellness
    • family and education
    • ownership of the education process
    • promoting safe use of medications and treatment
    • encouraging healthy behaviors
    • providing information on how to access community resources