Client Education
NUR 101 – Fall
Learning Domains
COGNITIVE AFFECTIVE PSYCHOMOTOR
Includes allintellectualbehaviors
and requires
thinking
Deals with expression of feelings and acceptance of attitudes, opinions, or values
Involves acquiring skills that require integration of mental and muscular activity
Teaching Methods Based on Learning Domains
COGNITIVE AFFECTIVE
PSYCHOMOTOR
- Discussions one-on-one or group- Lecture- Question-and-Answer session- Role play- Computer assisted instruction
-Discussions-Role play
-Demonstration-Practice-Return demo-Independent projects-Games
Steps NURSING PROCESS TEACHING PROCESS
Assessment Collect data about physical, psychological, social, developmental, and spiritual needs from client, family, andMedical record
Collect data about client’s learning needs, motivation, ability to learn, and teaching resources from client, family, and medical record
Nursing
Diagnosis
Identify appropriate nursing diagnoses based on assessment findings
Identify client’s learning needs on basis of three domains of learning
Planning Develop individualized care plan collaborating with client
Establish learning objectives, identify priorities and collaborate with client on teaching plan
Implementation
Perform nursing care therapies. Include client in care
Implement teaching methods. Actively involve client/family
Evaluation Identify success, alter interventions as needed
Determine outcomes of teaching-learning process. Reinforce/alter information as needed
Nursing and Teaching Processes
TEACHING PROCESS
Nurse will assess:-Current knowledge level of the drug Lasix (Furosemide)-Preferred learning style-Comprehension ability and reading level-Other factors that may affect learning of the drug for ex: sensory, cognitive, physical impairment, economic status, cultural influences, health beliefs and attitudes
Assessment
TEACHING PROCESS
Knowledge deficit (cognitive) related to new experience of managing hypertension with Lasix ( Furosemide).
Nursing Diagnosis
Cognitive Domain
Defines, Describes, Explains, Gives examples, Names, Labels, Prepares, States, Lists
Affective Domain
Answers, Chooses, Defends, Shares, Relates, Helps, Uses
Psychomotor Domain
Demonstrates, Shows, Starts, Works, Assembles, Changes, Organizes, Constructs, Creates
Writing Learner Goals/Outcomes
Cognitive Domain (knowledge)
Lecture, one-on-one instruction Discussion (factual questions and answers) Simulation (application of knowledge in
different context) Independent study Problem-solving (what if, discovery)
Planning Teaching Strategies
Affective Domain (values)
Discussion and value clarification
Role-playing
Simulation
Discussion (factual questions and answers)
Modeling
Planning Teaching Strategies
Psychomotor Domain (skill)
Skill demonstration
Talking the learner through the skill
Repeated practice
Planning Teaching Strategies
TEACHING PROCESS Examples of writing goals under different learning domains:
Planning
COGNITIVE AFFECTIVE PSYCHOMOTOR
-The client will give 5 examples of side effects of Lasix-The client will describe 3 indications of Lasix-The client will state how he plans to always have the drug available(…with 100% accuracy)(…by…the end of the teaching session; before discharge, etc)
-The client will share his/her feelings related to taking Lasix for hypertension-The client will share his/her intentions to make needed changes in lifestyle including seeking help from health professional when needed
-The client will practice new health-related behaviors regarding using of Lasix for example:Checking blood pressure and heart rate regularlyWeighing self-daily and monitoring intake and output.
TEACHING PROCESS
-Provide calm, quiet environment for learning to enable patient to process information regarding Lasix without distractions-If needed, limit length of each teaching session to avoid information overload-Establish environment of mutual trust and respect to enhance learning-Encourage patient to use memory aids such as alarms on watch and notepads to write questions regarding use of the drug-Involve caregiver in teaching session to reinforce information and ensure continuity of care-Encourage expressions of feeling related to use and side effects of the drug
Implementation
TEACHING PROCESS
Patient expresses increased understanding and is able to describe what was learned about Lasix medication. Examples:
-Patient states at least 5 side effects of Lasix and expresses understanding of how being aware of these side effects will help him/her take medication safely and efficiently.
-Patient describes at least 2 basic concepts relevant to the use of Lasix and its impact on activities of daily living. (Patient understands medication may cause dizziness and he/she will avoid driving or using machines; he/she understands that skin may become more sensitive to sunlight so sunscreen will be used when outdoors and use of tanning beds will be avoided).
Evaluation