Transcript Pharmacology and the Nursing Process, 4th ed. Lilley/Harrington

Chapter 6
Patient Education
and Drug Therapy
Copyright © 2014 by Mosby, an imprint of Elsevier Inc.
The Domains of Learning
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Cognitive domain
Affective domain
Psychomotor domain
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Patient Education:
Assessment
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Adaptation to any illness
Age
Barriers to learning
Cognitive abilities
Coping mechanisms
Cultural background
Developmental status
Education, including literacy level
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Patient Education:
Assessment (cont’d)
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Emotional status
Environment
Folk medicine, home remedies,
alternative/complementary therapies
Family relationships
Financial status
Health literacy
Psychosocial growth and development
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Patient Education:
Assessment (cont’d)
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Health beliefs
Information patient understands about past and
present medical conditions
Language(s) spoken
Level of knowledge about current medications
Misinformation about drug therapy
Limitations (physical, psychologic, cognitive,
motor)
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Patient Education:
Assessment (cont’d)
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Current medications, including over-the-counter
and herbal medications
Mobility
Motivation
Nutritional status
Past and present health behaviors
Past and present experience with drug regimens
and other therapies
Race and/or ethnicity
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Patient Education:
Assessment (cont’d)
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Readiness to learn
Religious beliefs
Self-care ability
Sensory status
Social support
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Classroom Response Question
The nurse is caring for an 85-year-old patient in the
hospital and teaching him how to use an inhaler. His 84year-old wife attends the teaching sessions, and their
daughter comes in to visit in the evenings. The patient is
having trouble remembering the steps. The nurse should
A. provide the package insert that comes with the medication
for the patient to read.
B. focus the teaching sessions on the patient’s wife.
C. provide small amounts of information at a time, repeating
information frequently.
D. wait until the daughter comes in and teach the daughter
instead.
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Patient Education:
Nursing Diagnoses
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Deficient knowledge
Impaired memory
Ineffective self-health management
Readiness for enhanced self-health
management
Noncompliance
Risk for falls
Risk for injury
Sleep deprivation
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Classroom Response Question
A patient with newly diagnosed type 1 diabetes mellitus has
completed a diabetes education program. One month later,
the patient confesses at a follow-up appointment that he
“just didn’t feel like” giving himself the insulin injections.
Which nursing diagnosis will the nurse assign the patient?
A.
B.
C.
D.
Deficient knowledge
Noncompliance
Impaired memory
Sleep deprivation
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Patient Education:
Planning
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Goals and Outcome Criteria
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Measurable
 Realistic
 Based on patient needs
 Stated in patient terms
 Time frame
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Patient Education:
Implementation
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Teaching-learning sessions
Consideration of age-related changes
Consideration of language barriers
Safe administration of medications at home
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Return demonstration with equipment
For adults, it is recommended that materials be
written at an 8th grade level
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Classroom Response Question
A nurse is providing patient teaching for a community
health center that serves a primarily Portuguese
population. The nurse would best serve this patient
population by
A. learning Portuguese.
B. always using interpreter services.
C. using the family member interpreter the patient
provides.
D. finding a job in a different setting.
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Patient Education:
Evaluation
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Validate whether learning has occurred
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Ask questions
Have the patient provide a return demonstration
Behavior, such as compliance and adherence to a
schedule
Occurrence of few or no complications
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Patient Education:
Evaluation (cont’d)
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Develop and implement new plan of teaching as
needed for:
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Noncompliance
Inadequate levels of learning
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Classroom Response Question
After providing education regarding medications to a
patient who has been newly diagnosed with type 2 diabetes
mellitus, the nurse would use which part of the nursing
process to assess whether the patient understands these
new instructions?
A.
B.
C.
D.
Assessment
Diagnosis
Implementation
Evaluation
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