The difference between a successful discharge and an avoidable readmission comes down many times to poor care coordination on
acutely ill patients. The nurse should allow the family to observe care and explain the
Although, many studies have identified circumstances affecting the increasing rate of readmissions in adults, there is little evidence on the preventative actions for pediatric patients.
Friedman, A. J., Boyko, S., Cosby, R., Hatton-Bauer, J., & Turnbull, G. (2009). Effective Teaching Strategies and Methods of Delivery for Patient Education. 37.
Ensuring that all people that come in contact with patients is informed on the topic could help a patient or family when they are facing a difficult time. Patients and families come in contact with many caregivers and may feel comfortable with someone other than their nurse. This is why I have decided that all staff members need to be educated.
high risk for readmission and have high-risk factors for high utilization to the healthcare system
Today I was assigned with the wound care nurse. She taught about the importance of repositioning patients at least every two hours to prevent pressure sores from happening. She also taught me how to do dressing while explaining what type of dressing should be applied to a specific wound. We did a lot of patient care teachings regarding pressure sore prevention such as offloading the patient’s feet when they’re lying supine. We used therapeutic communication when explaining to the nursing assistants the effective ways to promote a good circulation to patient’s extremities as
To be able to come up with the best nursing care plan, I need to know what is happening currently. I need have an understanding of how the family and the son are
Tina’s foot injury is what brought her to the hospital. Tina has diabetes and stated that she only watched what she ate and drinks diet sodas. She needs education concerning her diabetes and an understanding that fluctuations in her blood sugar can cause serious health problems. The first objective is to teach Tina to properly care for and maintain healing of her right foot abrasion. The second objective would be for Tina to recognize signs and symptoms of hypoglycemia and hyperglycemia and understand what she needs to do to remedy these states of her diabetes. Instructional methods chosen would be a combination of both one-on-one and demonstration and return demonstration. Patient hospitalize for four days allows the opportunity to find many teaching moments that allows discharge instructions to be a review of material, knowledge and hands on of the various moments of teaching. I prefer one-on one instruction because it allows
The learning needs assessment performed by the RN indicates that the patient is lacking sufficient understanding related to his disease. The patient completed a copy of the VARK questionnaire. The information obtained from this assessment indicated the patient’s primary preferred learning style was visual with kinesthetic secondary. The nurse and the patient together discuss the issues and agree that the patient needs additional information and teaching in specific areas and set the learning objectives noted in the Teaching Plan (see Table I.). Redman (2007) states the following:
The family can be most satisfied by the nurse communicating with them about things such as when the doctor would come and talk to them, or when a test would be expected. I was responsible for notifying the physician of patient and family questions, concerns and wishes. After working with the patient and family for several hours I had a better understanding from listening and observing them as to what their goals of care were (Heylan et al.,
Just as Group education visual teaching is also considered to be a cost-effective method of teaching patients who do not speak the predominant language. In addition to the use of Interactive multimedia strategies which incorporates in-line exercises to detect any knowledge deficits, provided prompt feedback, and confirmed patient understanding in real time. (Zeena Engelke, 2016) Lecturing is another strategy use within the clinical setting and is an efficient way to share subject matter with a large audience, and certainly has a long tradition and continued relevance in nursing education. This strategy goes hand in hand with the cognitive learning
Offering the educational material in different ways for our patients is a must. Providing education to patients in a manner that is meaningful, in simple terms, and at a reading level that suits them will help patients retain the knowledge longer. By giving patients a large amount of material at one time is not an effective way of learning. To learn and maintain this knowledge the information will need to be provided in stages and at the time the patient
We as health care providers need to make sure the patients are completely understanding of the condition they are in. They need to know the possible preventable measures, multiple treatment options (if any) and alterative measures. I have found that having family members in the room can allow for more people t understand what we as health care providers as explaining. I often bring in reading materials, draw pictures, and constantly ask the patient if they are following what I am saying, if I need to go back and explain anything, or if they need me to stop so they can absorb the information and I can continue later on if I provided too much information for them at that
According to (Bennett et al., 2012) many studies carried out, presented each individual to have a unique way of processing information. Visual learners prefer to use pictures and images, auditory learners prefer to hear information or instruction given and kinesthetic learners would physically need to do the skill/task (Bennett et al, 2012). The nurse should use a variety of techniques such as, one-to-one discussion, families and group discussions, computer-aided teaching and written material. Therefore, at the start of an educational session with Mr. Brown, the nurse should establish the appropriate learning style and strategy to