Transcript Assignment StrokeEducation

Stroke Patient Education
USING CLINICAL PRACTICE GUIDELINES
Stroke Patient
Education Resources
Healthport—Quick Links—Patient Education
Harvey Cushing Institute of
Neuroscience-NSUH
Look for “Health Literacy” & “Teach Back”
Health Literacy (Ask Me Three™)
Teach Back
Stroke Patient Education
Ask Me Three™
Teach Back
1)What is my main problem?
2) What do I need to do?
3) Why is it important for me to
do this?
Teach back is a method where
caregivers ask patients to repeat
information in their own words.
This method allows the caregiver
to check if the patient understood
their health care instructions.
Education Packet Must Include
•Stroke Community Resources
•Stroke*
•Stroke Risk Factors*
•Common Questions about Stroke*
•Stroke Support Group
*Spanish version available
DOCUMENTATION DON’Ts
Not acceptable; modify row label
“stroke packet given to family”
Not acceptable; only
documenting in the first cell
of the column
Don’t add a CPG if you aren’t
going to document on it. The
Coping CPG was never
documented on by RN since
admission thru July 10, 2012
DOCUMENTATION DO’s
Best Practice: On admission,
RN begins educating family.
Best Practice: Acronym
expansion works in these
text boxes.
Best Practice: Document
specifics for medication
education. Use “Teach Back”
Best Practice: Document using “Ask
me Three” and “Teach Back”
Best Practice: Document under
“Literature/Video Given” that
Stroke Booklet was given.
Best Practice: Another example
of “Best Practice”.
Stroke Patient Education
Stroke/Transient Ischemic Attack
Brain Anatomy/ Physiology related to stroke event: Document any basic
neuroanatomy/physiology concepts that you discussed with the patient/family/friends.
Stroke pathophysiology and potential causes: When you talk to the patient/family/friends
about what caused this stroke.
Stroke Recovery Process: When you talk to the patient/family/friends about therapy for
mobility, communication, strength, rehab needs and psychological counseling.
Rehabilitation Techniques for Self Care/Functional Independence: When you teach about
aspiration precautions, repositioning, splint usage, providing rest periods for the patient.
Risk Factors for secondary stroke and plan to decrease risk factors: When you teach about
the risk factors or secondary complications specific to this stroke (i.e. dysphagia, DVT,
diabetes, hypertension, smoking).
Potential physiological problems/ signs & symptoms, prevention, follow–up: When you teach
about the 5 items in the discharge summary (i.e. risk factors, warning signs, prescribed
medications, need for follow-up after discharge, calling 911).
Lifestyle Alterations, present and future: When you teach about support groups, coping skills.
Additional CPGs to Consider
Critical Care Only (documentation requirement - every shift)
Mechanical ventilation
Critical Care Patient/Family
Critical Care & Med-Surg (documentation requirement - daily)
Artificial Airway
Diabetes (Type I & II)
Enteral Nutrition
Pressure Ulcer
Thrombolytic Therapy
Venus Thromboembolic Disease
Coping/Ineffective Individual or Family
Dysphagia
Verbal Communication Impaired
Test Questions
1.
What are the three questions of Ask Me Three™?
1. _________________
2. _________________
3. _________________
2.
Where are the patient education materials located on Healthport?
1. ________________________________________________
3.
Which teaching method ensures that the patient and/or family understands the stroke patient education
materials?
1. _______________________
4.
Patient Education Documentation is every day? (circle the correct response)
1. True
2. False
5.
Acronym expansion can be used in any free text box. (circle the correct response)
1. True
2. False
6.
Where do you document that you gave the patient the stroke education booklet?
1.
_________________________________________________
Print Name: _____________________
Signature: _____________________
Date: ______