to help patients and families develop self-care abilities to maximize functioning and quality of life. Or have a dignified death. (Maintain & promote health, Prevent illness,Restoring health, Facilitating coping)
Maintain & promote health
-teach pt to value health & develop health practice to promote wellness. -Examples: nutrition, exercise and hygiene teaching
-teach clients how to prevent disease & early detection of disease. -Examples: immunization and blood pressure or mammogram screening
-once pt is ill, teaching & counseling focus on developing self-care practices that promote quick recovery and prevention of complications. -Examples: self-care for administering medication, wound or colostomy care
-work with pt and families to help them come to terms with illness & lifestyle changes. Many may have to cope with permanent health alterations. -Examples: stress management and grief counseling
-Teaching -Learning -Clients right to make informed decisions -Info must be: accurate, complete, relevant -nurse & client work together
-3 domains influence the teaching & evaluation strategies the nurse selects. -Effective teaching often involves behaviors in all 3 domains. -Cognitive, Affective, Psychomotor)
-storing & recalling new knowledge in brain -including knowledge, comprehension, application (using abstract ideas in concrete situations), analysis (relating ideas in an organized way), synthesis, & evaluation.
feelings, opinions and attitudes.
skills such as injections, ROM, dressing change, etc.
The COPE model (helping family members to become effective problem solvers & support the nurse's teaching efforts)
-Creativity -Optimism -Planning -Expert information
Maximize Effectiveness of Teaching TEACH
T: tune into the patient E: edit patient information A: act on every teaching moment C: clarify often H: honor patient as a partner in education process
Begin with initial nursing assessment -Includes client and family -Client needs -Home environment -Family and community resources
Evaluating (for a teaching/learning plan)
-Cognitive :oral questioning -Affective: patient's response/comments & observation -Psychomotor :observation of return demonstration -Revise as needed—change approach or teaching strategy
The Nurse As Counselor
-Helps patients make decisions that promote their overall well-being -Assists & guides patient to solve problems -Uses interpersonal skills: -Warmth, friendliness, openness, empathy, caring -Listens carefully -Uses therapeutic communication techniques -Makes referrals as needed
5 Rights of Delegation
Right Task Right Circumstances Right Person Right Direction/Communication Right Supervision