UNIT VI: FUTURE DIRECTION FOR

CLIENT EDUCATION

MA. CORAZON RAGAMAT DULAY,

RN,RM,MATHED,MAN
DEPARTMENT OF NURSING
ST. PAUL COLLEGE OF ILOCOS SUR
 UNIT VI: FUTURE DIRECTION FOR CLIENT EDUCATION

Objectives:
1. Define client education/ Client teaching
3. Explain the importance, purposes and principles of
patient teaching.
4. Analyze the improtance of therapeutic communications
techniques to patient teaching.
5. Discus the guidelines of the therapeutic communication
techniques.
6. Discuss different ways of documenting patient teaching.
 UNIT VI: FUTURE DIRECTION FOR CLIENT EDUCATION

Patient Education
means the provision of information to the client and
significant others, either individually or in a group, concerning
alcohol and other drug abuse and available services and
resources.
process of influencing patient behaviour and producing the
changes in knowledge, attitudes, and skills necessary to maitain
or improve health through the provision of information and the
teaching of patients.
Patient teaching
defined by American Nurses Academy of family physicians,
is the process of influencing patient behavior and producing changes in
knowledge, attitudes and skills necessary in maintaining or improving
health.

is a holistic process with the goal of changing or affirming patient’s behavior

to benefit health status.
refers only to one component of patient education process which
giving the patient healthcare information.

is more than imparting information

Purpose of client teaching
1. Increase client awareness and knowledge of their health status
2. increase client satisfaction
3. improve quality of life
4. ensure continuity of care
5. decrease patient anxiety
6. increase self-reliant behavior
7. reduce effectively the incidence of complications of illness
8. Promote adherence to health care treatment plans
9. Maximize independence in the performance of activities of daily living
10. energize and empower consumers to become actively involved in the
planning of their care.
factors that influence clients’ learner
1. stage of development
developmental level determines the ability of the person to learn best
whether by reading printed materials, using computer-based applications,
watching videos, participating in group discussions, play or other method.

teenagers have different concerns from older adults

parents and grandparents - long term care, need more
information - not existed during their childhood years
2. cultural values
norms, tradition and cultural beliefs

3. Language used
ability of the client to understand the language of teaching determines
how much they learn.

4. physical environment
nurse consider privacy and confidentiality of information discussed
example: sexuality, drug addiction, or domestic violence
focus group discussions
5. previous experiences
client with past experiences similar with current health problem less
education

6. knowledge and skills of the teacher

know the object, develop a plan to meet the objectives, and gather all
necessary materials
determine the best methods
summarize all information
Principles of client teaching and learning
1. assess teachng needs of the client, or teaching that is required in a
particular situation.

2. assess readiness of the client to learn and the relevance of the

content must be considered in order for learning to occur.

3. assess what the client knows and begin from what she knows.

4. the nurse should consider language barriers, literacy, ethnic, or

cultural background,age and emotional status of the patient
5. interactive discussions increases learning.

6. demonstrate tasks to be done for active practice.

7. praises and positive feedback motivates learning,

8. role modeling is an effective method for demonstrating behavior

9. conflicts and frustration impede learning and should be recognized

by the nurse and resolved for learning to progress.
10. structured teaching and presentation of simple tasks must be done
before complex tasks in order to enhance learning.

11. A variety of teaching methods is necessary to illustrate concepts

and maintain interests of clients.

12. present information in small segments over a period of time for

better retention and appreciation.
 THERAPEUTIC COMMUNICATION

is a collection of techniques that prioritizs the physical,mental and emotional well-

being of patients.

must be purposeful, goal directed and focused

example: nurse communicates with other nurse while performing the tasks
ask patent if their concern or questions
through body language
PURPOSES:
1. to help clinicians build trust with patients
2. help clinician and patient to collaborate efficiently and effectively
toward the patient’s physical and emotional wellness,

two ypes of theapeutic communication:

1. verbal - is spoken with the patient
2. non verbal - pays attention to patient’s facial expression
therapeutic communication techniques
1. Using Silence - at times. it’s useful to not speak at all

2. accepting- just simply make eye contact

example: Yes I understand

3. giving recognition- acknoeldges a patient behavior without

giving an over beahavior
example: I notice you took all your medication
3. offering self- nurses offer their time to patient
example: stay for lunch, watch a tv show,or simply sit with
patients for a while

4. giving broad openings - patients direct the flow of

conversation and decide what to talk about
example:what’s on your mind today?
What you would like to talk about
5. active listening- use non verbal cues
example: nodding, I see..

6. seeking clarification - if something is confusing

example: I’m not sure I understand .
can you explained it to me?

7. placing the event in time or sequence

asking questions about when certain events can help
patients and the nurse get clearer sense of the whole picture
8. making observation
example: look tired , not eat
9. encouraging dscriptions of perception
for patient experiencing sensory issues or hallucination, ask about
them in an encouraging, non judgemental way.
What do you hear now?
10. encouraging comparisons
often, patients can draw upon experience to deal with current
problems
11. summarizing
the nurse summarizes what the patients have said after the fact
12. rerflecting
patients always ask nurses for advice about what they do about
particular subjector in specific situation.
12. focusing
sometimes during a conversation, patients mention something
particularly important the nurse focus on their statement

13. confronting
apply this after establish trust with the patient

14. voicing doubt

gentler way to call attention to the incorrect or delusional ideas
and perceptions of patients.
15. offering hope and humor
keep patients in a more positive state of mind
 Guidelines for therapeutic communication
1. A peaceful and calm environment provides privacy, reduces
distractions and minimizes interruptions.

2. Begin interactions by introducing oneself and nurse’s role

3. Therapeutic communication should be focused and directed

towards meeting the needs of clients
example: focusing interaction “how do you feel about te
treatment receivedtoday?
redirect conversations - thanks for showing me the beautiful
family pictures, i understand you are having a bit of trouble with your
kids.
4. communicate more powerful messages to the client through non-
verbal behaviors rather than spoken words.
example: *eye movement/facial expressions - means contradict
what is said
*repetitive hand gestures like tapping te fingers or twirling hair -
may indicate frustration
*body posture stabce and gait - may convey energy depression or
discomfort
*voice tune, pitch,rate and volume - joy, angry or fear
*grooming - also conveys messages about the nurses’self image
*talking to a young child may require that the nurse sit or squat
to get to the child’s level.
5. Active listening
requires the nurse toattend what is being said as well as to the
non verbal cues.
example: *eye contact - signals readiness to interact
*calm and relax posture, with the upper portion of the
body inclined toward the client.
*encouraging non verbal cues
example: nodding, smiling, and learning closer

verbal cues: “Go on, uh huh, tell me about that, “can

you give me an example”
*Touch
* clarifying communication - the nurse asks question if the
meaning of the statement is not clear
example: I’m not sure, I understand you
* emotions
* cultural differences
example: chinese/southeast - prolong eye contact
means confrontational
middle eastern/native americans - un
comfortable with touchdisturbed by
unsolicited touching
THERAPEUTIC COMMUNICATION TECHNIQUES
> involves responding as well as listening, and the nurse must learn
to use response that facilitate rather than block communications.

> focus on both content of the message and the feelings that
accompanies the message,
examples: clarifying, reflecting, being silent, questioning and
directing
examples of blocks to communication: lack of interests,
onveying sense of haste, closed posture - hands closed pver chest,
interrruptions, providing false reassurance, in appropriate self
disclosure, giving unsolicited advice and failure to acknowledge
comments or feelings.
DOCUMENTATION OF CLIENT TEACHING
CHARACTERISTICS
1. covers all aspect of patient care
2. critical for communication among team members
3. povides a legal records
4. supports quality assurance efforts
5. promotes continuity of care
6. facilitates reinforcement
GOOD DOCUMENTATION should REFLECTS THE FOLLOWING
1. initial assessment and reaasessment of pertinent data
2. nursing diagnosis and client learning needs
3. interventions provided
4. client’s response and outcomes of care
5. discharge plan of care
6. ability of the client and family to manage needs after discharge
COMPONENTS OF THE DOCUMENTATION SYSTEM
1. admission assessment
2. problem lists
3. care plan or critical path away
4. flow sheets ( optional)
5. progress notes
6. discharge summary
end