Transcript Discharge Teaching, Making It Stick Daren Smith BSN

Discharge Teaching,
Making It Stick
Daren Smith BSN
Surgical Management Professionals
600 S. Cliff Ave
Sioux Falls, SD 57104
www.smpsd.com
Discharge Teaching,
Making It Stick
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Back to Basics
Adult Learning Theory
Visual Marketing Theory
Creative Solutions to a complex
problem
Discharge Teaching,
Making It Stick
“If telling were the same as
teaching, we’d all be so smart
we could hardly stand it.”
-Robert Mager
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Back to Basics
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Goals of Discharge Teaching
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Prevention of Complications
Self Care- Promote Healing
Risk Management
Provide and exceptional patient and family
experience
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Back to Basics
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5 W’s
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Who
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When
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Who need to be involved- Significant
other/Parent/Caregiver/Etc.
At first contact
Why
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Goes back to the Goals
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Back to Basics
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5 W’s
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What
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Diet
Activity
Wound/Dressing Care
Discharge Medications
Discharge follow-up
Instructions for follow-up sooner
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Back to Basics
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5 W’s
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Where
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Good learning environment
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Adult Learning Theory
Most influential work was done by
Malcolm Knowles in the early 70’s
Identified 6 principles of Adult learning
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6 Principles of Adult Learning
1.
Adults have a need to know why they
should learn something.
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Discharge teaching should include
rationale or reasons for learning.
The benefits of learning self care must be
clearly communicated.
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6 Principles of Adult Learning
2.
Self-Concept
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3.
Adults have a deep need to be seen by others
as being capable of caring for themselves.
Discharge instructions can be presented
preoperatively and reviewed at discharge.
Role of Experience
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Adults have a wealth of experiences, should
be used as a tool of engagement.
Find out about their experience
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6 Principles of Adult Learning
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Readiness to Learn
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Adults become ready to learn when they perceive a
need to know.
Be careful not to present information too early
Orientation to Learning
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Youth have a subject centered orientation, Adults have
problem centered orientation.
This is actually an advantage to discharge planning.
Adults learn with the intention of ”using it”
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6 Principles of Adult Learning
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Motivation to Learn
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Internal motivators (self esteem, power,
achievement, etc.) are more potent and
persistent in the Adult
See Principle #1- Adults may not be
motivated to learn unless they perceive a
need.
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Adult Learning Theory
In Summary:
The adult learner has need to understand
how the discharge instructions will
benefit them, how it fits with their
existing knowledge, and reinforces their
autonomy.
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Visual Marketing Theory
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Concept of Visual Marketing
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Tools of Visual Marketing
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The Rules Visual Marketing
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Do this:
Large high contrast color text in
sentence format with serif
style font
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Not This:
Small light over-stylized text IN ALL CAPS
with a scripted font
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The Rules Visual Marketing
Do this:
Use space to convey your Message
 Not This:
Needless graphics only distract
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The Rules Visual Marketing
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Use photographs instead of illustrations
and place at left with text on right.
Wash hands before
dressing change
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The Rules Visual Marketing
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Use of color
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Text should be Green, Red, Black, or
Navy Blue
Text on a white background is easiest to
read
Colors can evoke certain emotional
responses. Be aware of what you are
conveying.
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The Rules Visual Marketing
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Use of Language - Scripting
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Use of powerful language
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You, Money, Benefits, Why, Health, Love,
Proven, Safety, Results, etc.
Use of powerless language
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Nonverbal Hesitations (umm)
Verbal Hesitations (you know, like)
Formal Language (therefore, consequently)
Intensifiers (really really or very very)
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Creative Solutions
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Video Instructions
Instructions in text format
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Text reminders
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Dressing Change: DIY FTITM Wash Hands
b4 & aft 
www.ohdontforget.com
www.textreminders.net
What creative things have you seen?
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Discharge Teaching,
Making It Stick
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Back to Basics
Adult Learning Theory
Visual Marketing Theory
Creative Solutions to a complex
problem
Any Questions?
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Discharge Teaching,
Making It Stick
Daren Smith
[email protected]
Surgical Management Professionals
600 South Cliff Ave
Sioux Falls, SD 57104
www.smpsd.com
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