Module 7: Patient Education

Learning Objectives
‡ Explain the importance of patient education during the TB treatment process ‡ Describe the District TB coordinator¶s role for encouraging effective patient education at health facilities ‡ Learn to identify signs of inadequate pt. education ‡ Identify effective communication skills useful for health education ‡ List TB topics that health care workers should inform patients about throughout treatment

Introduction to Patient Education ‡ Critical part of treating TB ‡ All HCWs who diagnosis. register. and/or treat TB patients should know about effective communication ‡ HCWs must communicate with patient clearly and supportively throughout ± diagnosis ± long treatment process ‡ Information and support should also be given to patient¶s family .

Importance of Patient Education and Good Communication Skills ‡ Teaching patients and families about TB and its treatment helps patients ±understand the problem ±better adhere to treatment ‡ Critical for encouraging patients to return for the next treatment visit ‡ One of the main reasons for patient default is the attitude of the health worker .

District TB Coordinators¶ Role in Patient Education and Resources .

Trainings ‡ Emphasize importance of educating the patient ‡ Emphasize support role of family ± ± ± ± adherence Side effects Communicating with HCWs Family should NOT do ³DOT´ ‡ Explain effective communication skills .

During Supervisory Visits ‡ Assess HCWs communication skills by ± observing patient interaction ± talking to patient to determine if they understand treatment process ‡ Review facility treatment indicators ± high default rates may indicate a need for more effective patient education ‡ Determine if health facilities are in need of patient education materials Image Source: World Lung Foundation .

Effective Communication Skills .

Effective Communication Skills Effective communication skills for HCWs ‡ Ask questions and listen (use open-ended questions) ‡ Make interaction with the patient a positive experience ‡ Speak clearly and simply ‡ Encourage patient to ask questions ‡ Ask checking questions to determine understanding .

Ask Questions and Listen ‡ To understand the patient¶s medical history ‡ To understand the patient¶s current knowledge about TB ‡ Identify and help to solve any problems the patient may have with treatment ‡ Use open-ended questions .

.Ask Questions and Listen: Open-Ended Questions ‡ Cannot be answered with ³yes´ or ³no´ ‡ Usually start with: ± What? ± Why? ± Who? ± When? ± How? ± Explain or describe to me«. .

Close-Ended vs. Open-Ended ‡ Do you know anything about TB? ± What do you know about TB? ‡ Do you live alone? ± Who else do you live with? .

respectful attitude ± ± ± ± ± actions words body language tone of voice eye contact ‡ Praise and encourage patient ‡ Motivate the patient to continue treatment ‡ Be non-judgmental if patients¶ views or lifestyles differ from your own .Make Interaction with the Patients a Positive Experience ‡ Demonstrate a caring.

Speak Clearly and Simply (1) ‡ Use simple non-medical terms ‡ Use words that are familiar to the patient Image source: WHO ‡ Use appropriate language level and visual cues ‡ Repeat important information .

Speak Clearly and Simply (2) Example: Diffcult to understand ³This drug. isoniazid is a bactericidal agent that is highly active against Mycobacterium tuberculosis´ Simple to understand ³This isoniazid pill will help fight TB and help you get better´ .

Encourage Patient to Ask Questions ‡ Ask patients ³Do you have any questions´ ‡ Praise patients for asking questions ± ³I am glad that you asked that question«´ ± ³Good question«´ ‡ Answer all questions thoughtfully and carefully .

Ask Checking Questions ‡ Ask patient questions ± to understand the patient¶s current knowledge about TB ± to ensure that the patient knows exactly what to do next Examples ³When will you cough up sputum?´ ³What container will you use?´ .

Topics to Discuss .

Patient Education Throughout Treatment ‡ Patient education is a continuous process throughout treatment ‡ Important to emphasize different health education messages at different times during treatment ‡ At each encounter with the patient. the HCW can choose some appropriate messages to teach or reinforce .

First Patient Visit ‡ Topics for Discussion ‡ What is TB ‡ How TB spreads and how to prevent it ± Importance of examining contacts ‡ Symptoms of TB ‡ TB can be cured± even among HIV+ patients ‡ Treatment of TB ± duration. importance of adherence and completion . where to receive.

First Patient Visit ‡ Directly Observed Therapy ‡ What to expect. what to do next ± the need to minimize travel (i. to cattle posts) until after completion of treatment ‡ Emphasize importance of knowing HIV status ‡ Reinforcement of HIV prevention messages .e.

World Lung Foundation ‡ Treatment during continuation phase ‡ Importance of adherence ‡ Importance of good nutrition and abstaining from smoking and alcohol ‡ Frequency and importance of sputum collection Image source: Pierre Virot.Additional Topics to Discuss Throughout Treatment ‡ Description of treatment drugs (show pills) ± amount and frequency of drugs ± possible side-effects of drugs Image source: Gary Hampton. World Lung Foundation .

Resources .

org .Patient IEC Resources ‡ Use IEC materials to support patient education ± leaflets ± posters ± videos ‡ Acquire IEC materials from ± BNTP ± TB Training and Education Resource Website www.findtbresources.

ORG Website includes ‡ TB training and education materials from around the world ‡ Many materials can be adapted to local Botswana needs .FINDTBRESOURCES.WWW.

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