Discharge Teaching, Making It Stick Daren Smith BSN

Discharge Teaching,Making It Stick

Daren Smith BSN

Surgical Management Professionals600 S. Cliff AveSioux Falls, SD 57104www.smpsd.com


Back to Basics Adult Learning Theory Visual Marketing Theory Creative Solutions to a complex

problem


“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

Goals of Discharge Teaching Prevention of Complications Self Care- Promote Healing Risk Management Provide and exceptional patient and

family experience

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Back to Basics

5 W’s Who

Who need to be involved- Significant other/Parent/Caregiver/Etc.

When At first contact

Why Goes back to the Goals

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Back to Basics

5 W’s What

Diet Activity Wound/Dressing Care Discharge Medications Discharge follow-up Instructions for follow-up sooner

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Back to Basics

5 W’s Where

Good learning environment

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Adult Learning Theory

Most influential work was done byMalcolm 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.

Discharge teaching should include rationale or reasons for learning.

The benefits of learning self care must be clearly communicated.

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2. Self-Concept 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.

3. Role of Experience Adults have a wealth of experiences, should be

used as a tool of engagement. Find out about their experience

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4. Readiness to Learn Adults become ready to learn when they perceive

a need to know. Be careful not to present information too early

5. Orientation to Learning 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. Motivation to Learn 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

Concept of Visual Marketing

Tools of Visual Marketing

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The Rules Visual Marketing

Do this:

Large high contrast color text in sentence format with serif style font

Not This:Small light over-stylized text IN ALL CAPS with a scripted font

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Do this:Use space to convey your Message Not This: Needless graphics only distract


Use photographs instead of illustrations and place at left with text on right.

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Wash hands before dressing change


Use of color 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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Use of Language - Scripting Use of powerful language

You, Money, Benefits, Why, Health, Love, Proven, Safety, Results, etc.

Use of powerless language Nonverbal Hesitations (umm) Verbal Hesitations (you know, like) Formal Language (therefore, consequently) Intensifiers (really really or very very)

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Creative Solutions

Video Instructions Instructions in text format

Dressing Change: DIY FTITM Wash Hands b4 & aft

Text reminders www.ohdontforget.com www.textreminders.net

What creative things have you seen?20


Back to Basics Adult Learning Theory Visual Marketing Theory Creative Solutions to a complex

problem

Any Questions?21


Daren [email protected]

Surgical Management Professionals600 South Cliff Ave

Sioux Falls, SD 57104www.smpsd.com

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Documents

Discharge Teaching, Making It Stick Daren Smith BSN