• hospital stays are very short
• Costs are higher for hospiutal stays

• Clients can make informed decisions
• Increase in long term illness
• Ensure continuity of care
• Decrease health care costs
• Increase quality of care
• Help clients gain independence
• DECREASE LAW SUITS ( law suits jack up the price of health insurance)

Purpose of client teaching

• Maintenance of health and illness
• Restoation of health
• Coping with impaired functioning

• An interactive process between a teacher and one or more learners.
• A deliberate set of actions that help individuals gain knowledge or perform new skils

• NEVER STOPS
• is dynamic and fluid as well as a shared lifelong event
• to Aquire knowledge or skills through reinforced practice and experience

• Teach information that the client and families need
• Help the client understand their response to illness
• Engage client in learning by:
• Deterining what the client needs to know
• Find the time when they are ready to learn

THE GOAL IS TO CHANGE THE CLIENT'S BEHAVIOR AND TO MAINTAIN OR IMPROVE THE CLIENT'S HEALTH

• Referent
• Sender
• Message
• Channels
• Reciever
• Feedback

• Cognitive
• Affective Learing
• Psychomotor

• understanding
• includes all intellectual behaviors and requires thinking

•Knowledge

•Comprehension

•Application

•Analysis

•Synthesis

•Evaluation

Cognitive learing includes....

• Learning new facts or information and being able to recall them

 deals with expression of feelings and acceptance of attitudes, opinions, or values.

•Receiving

•Responding

•Valuing

•Organizing

•Characterizing

 Being willing to attend to another person's words

• •Responding

 Active participation through listening and reacting verbally and nonverbally

• Valuing

 Attaching worth to an object or behavior demonstrated by the learner's behavior

• Organizing

 Developing a value system by identifying and organizing values and resolving conflicts

• Characterizing

•  Acting and responding with a consistent value system

who dicatates nurses must teach?

Also approves or disapproves hospitals

 involves acquiring skills that require the integration of mental and muscular activity such as the ability to walk or use an eating utensil.

Areas include:

• Perception
• Set
• Guided response
• Mechanism
• Complex overt response
• Adaptation
• Origination

• Motivation to learn
• Ability to learn
• Learning enviroment

• Use role play, imitation, and play to make learning fun.
• Encourage questions and offer explanations. Use simple explanations and demonstrations.
• Encourage children to learn together through pictures and short stories about how to perform hygiene.

• Use play to teach procedure or activity (e.g., handling examination equipment, applying bandage to doll).
• Offer picture books that describe story of children in hospital or clinic.
•  Use simple words such as cut instead of laceration to promote understanding.

• Keep routines (e.g., feeding, bathing) consistent.
• Hold infant firmly while smiling and speaking softly to convey sense of trust.
• Have infant touch different textures (e.g., soft fabric, hard plastic).

• Attentional set ( assess verbal and non verbal feedback are they paying attention or not?)
• Motivation
• Psychosocial Adaptation to illness
• Active Participation

• Social
• Task mastery
• Physical knowledge
• Compliance

• Developmental capacity
• Physical Capabillity

• Number of people to teach
• Need for privacy
• Temperature
•  Lighting
• Noise
• Ventilation
• Furniture

During this stage of the nursing process the nurse finds out :

• Learning needs
• Motivation to learn
• Ability to learn
• Teaching enviroment
• Resources for learning 

• Set priorities
• Timing
• Organizing material
• Promote learner attention and parcipitation
• Build on learner's knowledge
• Choose appropriate teahcing methods
• Write teaching plan 

• Telling
• Selling
• Participating
• Entrusting
• Reinforcing 

• One-on-one discussion
• Group instruction
• Preparatory instruction
• Demonstrations
• Analogies
• Role play
• Simulation

Teaching tips

• Speak the patient's language
• can the patient read?
• what is the cultural background of the patient?
• use teaching tools
• children and elderly have special teaching needs. 

• Be specific
• Describe the teaching method
• Chart evidence outcomes only
• Provides continuity of care
• Meets JACO standards
• NURSES ARE LEGALLY OBLIGATED TO DO IT