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Learning. Acquisition of a skill or knowledge by practice, study, or instructionWays to learnMemoryIntuitivelySimple to complexKnowledge base to build onPrior knowledge or experience. Learning Approached. PedagogyTraditional classroom instructions for childrenTeacher in controlDetermines what to teach, methods, motivation of studentsLearner is in a passive role.
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1. Patient Education George Ann Daniels, MS, RN Slide Wit and WisdomSlide Wit and Wisdom
2. Learning Acquisition of a skill or knowledge by practice, study, or instruction
Ways to learn
Memory
Intuitively
Simple to complex
Knowledge base to build on
Prior knowledge or experience
3. Learning Approached Pedagogy
Traditional classroom instructions for children
Teacher in control
Determines what to teach, methods, motivation of students
Learner is in a passive role Ped-o-gogyPed-o-gogy
4. Andragogy
Adult learning
Based on individual need to know
Developmental task
Social role
Adults learn better when information R/T their lives or problems
Focus is on needs and personal goals An-dra-go-gyAn-dra-go-gy
5. Learning Domains Blooms Taxonomy, 1956
Learning encompasses three domains
Cognitive Domain
Thinking
Facts, conclusions, decisions
Simple to complex
Basic facts leads to application of the learning process EG- Teaching a newly diagnosed breast Cancer patient about the different treatment options.EG- Teaching a newly diagnosed breast Cancer patient about the different treatment options.
6. Affective Domain
Learning based on emotions or feelings
Changes beliefs, attitudes, values
Psychomotor
Muscular movements resulting from learning skills and task
Best gage of psychomotor learning
Return demonstration.
Affective- exploring surgical options for breast CA lumpectomy vs mastectomy
Psychomotor- teaching BSE Motor skillsAffective- exploring surgical options for breast CA lumpectomy vs mastectomy
Psychomotor- teaching BSE Motor skills
7. The client must go through all learning domains for learning to happen
EG: BSE=detection of lump=information on treatment=decision regarding management Why do we teach clients? Reduces cost, clients demand it, focus on self careWhy do we teach clients? Reduces cost, clients demand it, focus on self care
8. Purpose of Patient Teaching Wellness promotion
Optimum health and function
Change unhealthy habit
Prevent bad habits from forming
Disease Prevention
Knowledge or skills used for early detection or prevention of disease Restoration
Disruption of health yielding limited disability or function
Promotion of coping
Ability to cope with new or frightening procedure
Adjust to new life style
Body image change Disease prevention: BSE, testicular exams
Restoration- Rehab, TCDB, pain scale, splinting
Coping- new procedure- giving insulin injections
Adjustment- learning a new diet for DM
body image- Mastectomy or amputeeDisease prevention: BSE, testicular exams
Restoration- Rehab, TCDB, pain scale, splinting
Coping- new procedure- giving insulin injections
Adjustment- learning a new diet for DM
body image- Mastectomy or amputee
9. Learning Readiness Motivation
The drive or incentive to learn
Recognizes the need to know the information
Things that effect motivation
Assess what the client values
Compliance
Compliant
Follow the recommended treatment plan
Non-compliant
Does not follow recommended treatment plan
Not linked with lack of knowledge Readiness- willing and ready to learn
Active involvement in the planning and this leads to retention of material
Physical ability to focus on teaching, IE pain, fatigue, immobility
Emotional- anxious, depressed, or grieving
Cognitive- think clearly. Ie analgesia or anesthesia, dementia, alz.
Client values:Pregnant women quits smoking to protect her unborn child
Compliance- follow diet, medicine, and exercise triangle for DM
Non-compliant-takes medication only does not do the rest
Feedback- relates to the clients performanceReadiness- willing and ready to learn
Active involvement in the planning and this leads to retention of material
Physical ability to focus on teaching, IE pain, fatigue, immobility
Emotional- anxious, depressed, or grieving
Cognitive- think clearly. Ie analgesia or anesthesia, dementia, alz.
Client values:Pregnant women quits smoking to protect her unborn child
Compliance- follow diet, medicine, and exercise triangle for DM
Non-compliant-takes medication only does not do the rest
Feedback- relates to the clients performance
10. Sensory and Physical State
Vision, hearing
Arthritis
Decreased concentration
Literacy level
Illiteracy- inability to read or write
Assess your clients level Decreased concentration-medicated for pain or fatigue
Literacy- 1 out of 5 are below 5th grade level
Does the client pleasure read
Have the client read something-menuDecreased concentration-medicated for pain or fatigue
Literacy- 1 out of 5 are below 5th grade level
Does the client pleasure read
Have the client read something-menu
11. Types of Learners Age
Developmental status that assist the teaching approach
Understanding of current health
ID misinformation/ knowledge deficit
Health beliefs/practices
Old time remedy
Cultural factors
Economic factors
Financially unable to maintain proper care
Learning styles
Visual auditory, tactile
Support System
Assistance with maintenance of skills and/or life-style change Age- 2yr old vs 20 yr old, older adults need good explanation and written material
Cultural factors- clients beliefs and practices r/t diet life style and illness. EG indian girl and medicine women
Economic- unable to buy medicineAge- 2yr old vs 20 yr old, older adults need good explanation and written material
Cultural factors- clients beliefs and practices r/t diet life style and illness. EG indian girl and medicine women
Economic- unable to buy medicine
12. Teaching Strategies Assess learning style
Visual
Auditory
Hands on
Simple to complex
Repetition Visual- pamphlets, role playing
Auditory- tapes
Hands on= demonstration
Simple to complex- Builds on previous knowledge, provides a sense of accomplishment, Eg: reading a syringe prior to drawing up the solution
Repetition- the more often you do this the better you getVisual- pamphlets, role playing
Auditory- tapes
Hands on= demonstration
Simple to complex- Builds on previous knowledge, provides a sense of accomplishment, Eg: reading a syringe prior to drawing up the solution
Repetition- the more often you do this the better you get
13. Developmental/Health Concerns Cognitive Ability
Think, reason, and use language.
Age may or may not reflect cognitive ability
Unable to read
14. Psychomotor ability
Muscular strength
Motor coordination
Energy
Sensory acuity Muscular strength- unable to lift self out of bath tub
Motor Coordination- gross motor- walking, fine motor- using utensils, writing
Energy- limited energy- COPD client
Sensory- Visual impairment
Muscular strength- unable to lift self out of bath tub
Motor Coordination- gross motor- walking, fine motor- using utensils, writing
Energy- limited energy- COPD client
Sensory- Visual impairment
15. Optimum Teaching Client
Rested
Comfortable
Family/caregivers
Timed without interruptions
Good timing
20-30 minutes
Not before major event Comfortable- no pain
Interruptions- not around meals, visiting hours
Timing not after newly informed client of having CAComfortable- no pain
Interruptions- not around meals, visiting hours
Timing not after newly informed client of having CA
16. Learning barriers Anxiety, worry, fear
Pain
Language/beliefs
17. Education through the life span Newborn/infants
Learn by interactions with their environment
Stimulated environment fosters cognitive learning
Teaching is directed to the parents/caregivers
18. Toddler
Learn through play
Trust
Answer questions immediately in language they understand
Special words for certain body parts Dont lie to the toddler, if it hurts,it hurtsDont lie to the toddler, if it hurts,it hurts
19. Preschoolers
Limit teaching to 10 minutes
Restless
Learn by doing
Let the child handle the equipment
School aged children
Understand cause and effect
Limit teaching to20 minutes
Color books and written materials
Reward learning
Cause and effect- I have to keep my cast dry in order for my fracture to mendCause and effect- I have to keep my cast dry in order for my fracture to mend
20. Adolescents
Open and honest teaching
Keep confidences
If necessary to break, explain why
Include goals/planning
Independence
45-50 minute sessions
21. Adults
Motivation by teaching that enhances or maintains self-esteem
Straight forward teaching
Younger adults eager to learn
Middle adults more aware of health problems and do not take health for granted
Involved in all aspects of teaching
1 hour sessions Practice in privatePractice in private
22. Older adults Motivation
Relate learned knowledge to improvement of quality of life
New knowledge will improve independence
Assess physiologic changes
Short term memory loss
Teaching the older adult Craven 467