HLT-306V | Advanced Patient Care

Course Description

This course offers an advanced approach to patient care, patient education, and patient management within the health care facility and the outpatient clinic. It considers more than the patients’ physical needs and addresses the patient as a part of the treatment or diagnostic plan. Upon completion of the course, the student should be able to demonstrate communication skills with different patient populations, such as various cultures, religions, ages, and levels of ability, to participate and discuss the approaches the health care professional should use to best interact with each of these groups.

Instructor Contact Information

HLT-306V Discussion Forum for Instructors

Effective Patient Education: A Guide to Increased Adherence

Falvo, D. R. (2011). Effective patient education: A guide to increased adherence (4th ed.). Boston, MA: Jones & Bartlett. ISBN: 9780763766252

HLT-306V Related Electronic Resources

HLT-306V Course Revision History

 

Topic 1: Patient Compliance and Patient Education

Objectives:

1. Explain the concept of patient compliance and why it is important.
2. List the factors involved in documentation and evaluation of patient learning.
3. Define patient compliance as it applies to this field.
4. Discuss the role health care professionals play in compliance and noncompliance.
5. List examples of interventions that could increase compliance.
6. Discuss the concept of compliance as collaboration.
7. Discuss patient education as it was in the past and as it is today.
8. Explain why professional commitment is essential to patient education.
9. Discuss the categories of learning and give examples of how they could be used in the field.
10. Explain the problems that may arise in patient education and how to solve them.

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Resources

Effective Patient Education: A Guide to Increased Adherence

How to Facilitate Better Patient Compliance

Read “How to Facilitate Better Patient Compliance,” by Rothenberg, from Podiatry Today (2003). http://www.podiatrytoday.com/article/1612

Should We Consider Non-Compliance a Medical Error?

Read “Should We Consider Non-Compliance a Medical Error?”  by Barber, from  Quality & Safety in Health Care (2002).

https://lopes.idm.oclc.org/login?url=http://search.proquest.com.lopes.idm.oclc.org/docview/206796490?

accountid=7374

Assessments

Class Introductions

 

Take a moment to explore your new classroom and introduce yourself to your fellow classmates. What are you excited about learning? What do you think will be most challenging?

Homework Topic One

 

Write a short (50-100-word) paragraph response for each question. This assignment is to be submitted as a Microsoft Word document.

1. Define patient compliance and explain its importance in your field.
2. Identify the health care professionals’ role in compliance and give examples of ways in which the health care professional may actually contribute to noncompliance.
3. Compare compliance and collaboration.
4. Compare and contrast patient education in the past with that practiced today.
5. Explain the importance of professional commitment in developing patient education as a clinical skill.
6. Explain the three categories of learning and how they can be used in patient education.
7. List three problems that may arise in patient education and how they would be solved?
8. List some methods of documentation of patient education.

Topic 1 DQ 1

 

Alma Faulkenberger is an 85-year-old female outpatient sitting in the waiting room awaiting an invasive pelvic procedure. The health care professional who will assist in her procedure enters the room and calls “Alma.” There is no reply so the professional retreats to the work area. Fifteen minutes later the professional returns and calls “Alma Frankenberg.” Still no reply, so he leaves again. Another 15 minutes pass and the professional approaches Alma and shouts in her ear, “Are you Alma Frankenberg?” She replies, “No I am not, and I am not deaf either, and when you get my name correct I will answer you.”

Using the Topic 1 Resources, develop a plan to help Alma be compliant with the procedure and post-treatment medication. Also, describe the approach you would take to patient education in this case.

Topic 1 DQ 2

How would you use collaboration to assist in compliance with a patient as difficult as Alma?

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Topic 1 Participation

Topic 2: Psychosocial Factors and Patient Education

Objectives:

1. Give examples of psychosocial factors that arise in patient education.
2. Define the role of the family in patient education.
3. Explain how the family structure or lifestyle may influence patient education.
4. Describe the health professional’s role in communicating with the family.
5. Define the different personality styles and explain how they should be addressed in health care.
6. Explain how knowledge of patients’ self-perception can influence patient teaching.
7. Discuss the patients’ reaction to illness and ways they cope or adapt.
8. List the factors that influence teaching and learning.
9. List the stages of development in the life cycle.
10. Discuss how each of these stages influences the ability to understand when practicing patient education.
11. Explain the process of patient education as it is adapted to each life stage.
12. Define the term life-cycled-centered approach.

Resources

Effective Patient Education: A Guide to Increased Adherence

Adults: Age-Specific Care

Watch:  Adults: Age-Specific Care (25:00)

Medical care focused on adults must take into account a wide variety of cultural, physiological, and administrative challenges. The good news is that a patient who has matured and become self-reliant is now ready to act as a partner in his or her own health care decisions. This program explores the requirements of adult care, from the college-level years to retirement and the final phases of life. Reminding viewers that the focus now shifts away from growth and into long-term health maintenance, the video offers guidance on the following topics: heart disease, cancer, maternity, childbirth, parenting, child care, aging, diminishing strength and agility, elder and institutional care, Alzheimer’s and dementia, and the need to retain and maximize quality of life. The dilemma of the “sandwich generation” is also discussed. A part of the series Age-Specific Care: A Guide for Health Care Professionals. (25 minutes) © 2008

https://lopes.idm.oclc.org/login?url=http://digital.films.com.lopes.idm.oclc.org/PortalPlaylists.aspx?

aid=12129&xtid=47445

Assessments

Stages of Life Essay and Interview

 

Write a 500-750-word essay on the Stages-of-Life and the influence of age in health care from a patient’s perspective. Interview a friend or family member about that person’s experiences with the health care system.

You may develop your own list of questions.

Suggested questions:

1. Do you feel that your stage-of-life had any effect on your interaction with health care professionals?
2. Which areas of the hospital or clinic were most concerned with your well-being and feelings?
3. Was your family with you during this hospital stay or outpatient visit?
4. Was your family included in your treatment, such as post-procedure instructions?

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Homework Topic 2

 

Write a short (50-100-word) paragraph response for each question. This assignment is to be submitted as a Microsoft Word document.

1. Give examples of psychosocial factors that affect the health care professional and the effect those factors could have on patient education.
2. Give examples of psychosocial factors that affect the patient and the effect those factors could have on patient education.
3. Explain what is meant by personality styles and give examples of approaches that could be used to help the patient. Include self-perception as a factor.
4. List the steps in adjustment to illness and how the patient copes with each step.
5. Explain the health professional’s role in teaching the patient at different life stages.
6. Define the role of the family in patient education.
7. How might the family influence the compliance of the patient and what measures can the health care professional use in communication with the family?

Topic 2 DQ 1

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Sister Mary is a patient in Level 2 Emergency Department. She must have a neural examination, physical assessment, radiographs of her facial bones, and a computed tomography scan of the head. Taking into consideration that she is a Roman Catholic nun, what would be the ideal course of patient education as this woman progresses from department to department?

Topic 2 DQ 2

 

What possible reservations could a health care professional have in working with Sister Mary? (Discuss the psychosocial responses the professional might have.)

Topic 2 Participation

Topic 3: Multicultural Patient Education, Illiteracy, and Effective Communication

Objectives:

1. Discuss the historical perspective of multicultural communication.
2. Explain how a health care professional can assess literacy skills and readability of materials.
3. List the ways a health care professional can establish effective communication.
4. Discuss nonverbal behavior in this field.
5. List ways a health care professional can help a patient remember instructions.
6. Define and discuss culture, ethnicity, and acculturation.
7. Describe how cultural and religious differences affect the health care professional.
8. Give examples of some communication issues that arise in cross-cultural patient education.
9. Explain the family issues that are involved in cultural diversity and patient education.
10. List approaches to religion and cultural diversity that the health care professional can use.
11. List the types of illiteracy.
12. Explain how illiteracy can be a disability.
13. Discuss the myths about illiteracy.

Resources

Effective Patient Education: A Guide to Increased Adherence

Assessments

Homework Topic 3

Write a 650-1300 word response to the following questions:

1. Explain multicultural communication and its origins.
2. Compare and contrast culture, ethnicity, and acculturation.
3. Explain how cultural and religious differences affect the health care professional and the issues that can arise in cross-cultural communications.
4. Discuss family culture and its effect on patient education.
5. List some approaches the health care professional can use to address religious and cultural diversity.
6. List the types of illiteracy.
7. Discuss illiteracy as a disability.
8. Give examples of some myths about illiteracy.
9. Explain how to assess literacy skills and evaluate written material for readability.
10. Identify ways a health care professional may establish effective communication.
11. Suggest ways the health care professional can help a patient remember instructions. This assignment is to be submitted as a Microsoft Word document.

Topic 3 DQ 1

Discuss a patient of another culture. How can the health care professional communicate in presenting patient education? Consider language, family, cultural differences, and method of communication.

Topic 3 DQ 2

 

Compare and contrast culture, ethnicity, and acculturation.

Topic 3 Participation

Topic 4: Collaboration in Patient Education and Compliance With Older Adults

Objectives:

1. Define the Art of Negotiation and explain how it applies to the field.
2. Describe methods of effective patient education of the elderly.
3. List some religious and cultural differences in beliefs about death and dying.
4. Explain why it is important to discuss death and dying with the patient and family.
5. Describe how to teach patients with life-threatening illnesses.
6. Explain the impact end-of-life teaching is believed to have.
7. Explain how the change in patient status changes the approach to patient education.
8. Discuss negotiation and what to do when it fails.
9. Give an example of the conditions written in a patient contract.
10. Define old age in relation to demographics and stereotypes.
11. Discuss ageism in health care.
12. Explain how generational, religious, and cultural differences affect communication with the elderly.
13. List the barriers to patient education of the elderly.
14. Give examples of special teaching needs of the elderly and when to have third-party involvement.

Resources

Communicating with Aged-Care Residents

Watch: Communicating with Aged-Care Residents (28:18)

 

Effective communication with elderly people living in residential care is key to the delivery of high-quality treatment that not only meets the physical needs of patients, but also their mental, emotional, social, and spiritual needs. This program examines the basic elements of communication and how they can be adapted to older people who are living with hearing, vision, speech, and cognitive losses. The video also looks at effective communication methods for those from culturally diverse backgrounds. Viewable/printable educational resources are available online. A part of the series Aged Care.

https://lopes.idm.oclc.org/login?url=http://digital.films.com.lopes.idm.oclc.org/PortalPlaylists.aspx? aid=12129&xtid=40256

Effective Patient Education: A Guide to Increased Adherence

Assessments

Homework Topic 4

Write a short (50-100-word) paragraph response for each question. This assignment is to be submitted as a Microsoft Word document.

1. Define negotiation as it applies to patient education.
2. Explain how the change in the patient’s status through the years has affected patient education.
3. List the pros and cons of negotiation.
4. Describe the general conditions that would be included in a patient contract.
5. Discuss old age and the baby boomer.
6. List several generational, religious, and cultural differences between the 30-year-old health care professional and the elderly patient.
7. Explain some of the barriers to patient education of the elderly and discuss their special needs.
8. List ways to best approach patient education of the elderly.
9. Discuss some cultural and religious beliefs about death that you have encountered.
10. Explain why it is important to discuss death and dying with the elderly patient and what the impact is on all involved.
11. Explain how to teach a patient with a life-threatening illness.

Older Adults Patient Education Issues Essay and Interview

 

Write a 500-750-word essay on the influence patient education has in health care using the experiences of a patient. Interview a friend or family member about that person’s experiences with the health care system. You may develop your own list of questions.

Suggested interview questions:

1. Did a patient education representative give you instructions on how to care for yourself after your illness or operation?
2. Did a health care professional, pharmacist, nurse, doctor, or elder counselor advise you on your medication, diet, or exercise?
3. Who assisted you at home after your illness or operation?
4. Do you know of any assistance services, i.e., food, transportation, medication, that would help you stay in your home as you get older?

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Topic 4 DQ 1

How has the patient’s control over his own health care changed?

Topic 4 DQ 2

What part does negotiation play in patient education?

Topic 4 Quiz

Topic 4 Participation

Topic 5: CAM, Patient Education Ethics, and Informed Consent

Objectives:

1. Define complementary and alternative medicine (CAM).
2. Explain who obtains patient consent and how to assess the patient’s ability to give consent.
3. Discuss the communication process used when obtaining informed consent from the patient and family.
4. Describe the patient who uses CAM for religious and other reasons and some of the misconceptions involved.
5. Explain the patient’s motivation for using CAM and how the medical professional can discuss this in patient education.
6. Discuss the safety factors regarding CAM.
7. Define ethical theories, ethical principles, and values.
8. Identify ethical issues in patient education and patient compliance.
9. Give examples of ethical patient education practices.
10. Define and discuss the functions of informed consent.
11. Discuss the process of obtaining informed consent.

Resources

Complementary, Alternative, or Integrative Health: What’s In a Name?

Read “Complementary, Alternative, or Integrative Health: What’s In a Name?” located on the National Center for Complementary and Integrative Health website.

https://www.nccih.nih.gov/health/complementary-alternative-or-integrative-health-whats-in-a-name

Effective Patient Education: A Guide to Increased Adherence

Assessments

Homework Topic 5

Write a short (50-100-word) paragraph response for each question posed below. Submit this assignment as a Microsoft Word document.

1. Define CAM.
2. Describe the patient who uses CAM the most.
3. List some common misconceptions about CAM.
4. Identify methods of including the use of CAM in patient education.
5. Discuss the safe use of CAM.
6. List ways in which conventional medicine and CAM can be integrated.
7. Define ethical theories, ethical principles, and values.
8. Provide examples of ethical issues in patient education and compliance, and describe ways in which an effective professional/patient relationship and a poor health professional/patient relationship can impact these issues.
9. Explain what is meant by “ethical patient education practices”.
10. Explain the purpose of informed consent.
11. Discuss what factors determine the patient’s ability to give informed consent.
12. Compose a sample informed consent form. .
13. Discuss the process of communication to use with the patient and the family when obtaining informed consent.

 

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