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Transcript of Patient Education
The degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions.
Teach Back Method
Keep in Mind
Use the teach back method with every patient, whether you think they need it or not
Teach back is not a test of the patient's learning but how well you explained the information
Before starting each session, assess the patient's health literacy level and current understanding of his/her condition
Choose a teaching strategy appropriate for each patient and modify as needed
Include family/caregivers when appropriate
"Tell me and I forget.
Teach me and I remember.
Involve me and I learn."
- Benjamin Franklin
How many of your patients possess this?
Increasing your awareness and sensitivity to health literacy can:
Did you know?
of medical information that patients receive is forgotten
of information patients retain is
Slow down. Make sure the patient doesn't feel rushed
Use 'living room language'
Use videos if appropriate
Limit to no more than 2 or 3 concepts at a time
We have gone over a lot of information. What have we discussed?
How will you make this work at home?
What will you tell your spouse about your condition?
Show me how you would___.
What will happen if you don't take___?
I want to make sure that I explained it correctly. Can you tell me in your own words how you understand the plan?
Modify explanation if needed to ensure patient understands information
* Patient education should begin on day of admission to allow plenty of time for clarification.
When patient comprehends information, there is a better chance for compliance and adherence to the plan of care which results in better long term outcomes.
Define health literacy
Define teach-back and its purpose
Describe how to use the teach-back method
Describe the relationship between health literacy and teach-back
What is the Teach-Back Method?
By having your patient re-state the information you have reviewed in his/her own words, you will be able to assess if your patient understands this information.
How can you tell your patient may be struggling with information?
Unable to give you information about medications
Give excuses why they can't read written material in front of you
No follow-through with labs or referrals
Fill out forms incorrectly
Don't ask questions
"How Nurses Can Use the Teach Back Method to Increase Family Caregiver and Patient Comprehension." (2013). Retrieved December, 2013 from http://campaignforaction.org/community-post/how-nurses-can-use-teach-back-method-increase-family-caregiver-and-patient
"Using Teach-back for Patient Education and Self-management." (2012). Retrieved December, 2013 from http://www.americannursetoday.com/article.aspx?id=8848
"Teach-Back - Mosby's Nursing Consult." (2013). Retrieved December, 2013 from http://www.nursingconsult.com/nursing/journals/0882-5963/full-text/PDF/s088259631200320x.pdf?issn=0882-5963&full_text=pdf&pdfName=s088259631200320x.pdf&spid=26483212&article_id=1161633
"Tool 5: The Teach Back Method." Retrieved December, 2013from http://www.nchealthliteracy.org/toolkit/tool5.pdf
Accessibility to care
Likelihood of lawsuits - even with unfavorable outcomes
Denise Bowers, BSN, RN, CRRN
Education gone terribly wrong...
One day I had to be the bearer of bad news when I told a wife that her husband had died of a massive myocardial infarct. Not more than 5 minutes later, I heard her reporting to the rest of the family that he had died of a 'massive internal fart'.
I had a lady report that she measured her baby's temperature by pre-heating the oven and putting one hand in front of it while her other hand was on the baby's forehead. She told the nurse that her baby's fever was 'about 250 degrees'.
During a patient's 2 week follow-up appointment with the cardiologist, he informed me, his MD, that he was having trouble with one of his medications. "Which one?" I asked. "The patch. The nurse told me to put a new one on every 6 hours & now I'm running out of places to put it!" The patient was covered with patches!
last but not least...
A patient complained to the pharmacist that the medication she was taking for cat allergies wasn't working (med was formulated as an inhaler). Turns out she was spraying the inhaler on her cat!
A newly diagnosed diabetic was given instructions on how to inject insulin using an orange. He returned to the ED after a week with uncontrolled sugars. When asked to demonstrate how he gives himself insulin, he asked for an orange. He drew up and injected the insulin correctly into the orange. He then said, 'And then I eat the orange.'
Let's try something...
Caritas Process #3 Cultivate Sensitivity, Caritas Process # 6 Creative Solution Finding, and Caritas Process # 7 Relational Teaching-Learning
By being sensitive to patients' understanding of their condition, learning styles, and goals, we can provide a caring and creative environment which promotes learning and ultimately better health outcomes.