Unit 2 Edelman Chp 10
Edelman Chp 10
1. Nursing and health education
a. Health education
i. Any combination of planned learning experiences based on sound theories
that provide individuals, groups, and communities the opportunity to
acquire the info and the skills needed to make quality health decisions
ii. Involves providing relevant info and facilitating health-related behavior
change
iii. Involves use of teaching-learning strategies, the learners maintaining
voluntary control over decision to make changes in their actions, and
focusing on behavior changes that have been found to improve health
status
iv. The nurse can assist in achieving their health goals so that they are
consistent with personal lifestyles, values, and beliefs
v. Health education encourages self-care, self-empowerment, and, ultimately,
less dependence on the health care system
vi. Use behavioral theory and social cognitive theory to develop health
knowledge
b. Health teaching and health promotion are primary nursing responsibilities
i. Educating about healthy lifestyles, risk reduction, developmental needs,
activities of daily living, and preventive self-care
c. Nurse provides health teaching and counseling based on individual interests and
decisions to enable individuals to make informed decisions about their health
d. Goals
i. Help individuals, families, and communities to achieve, through their own
actions, optimal states of health
ii. Health literacy
1. Degree to which individuals have capacity to obtain, process, and
understand health info and services needed to make appropriate
health decisions
, 2. Includes ability to read, write, speak, listen, compute, and
comprehend, and to apply those skills to health situations
iii. Strategies to promote health literacy:
1. Create a shame-free environment
a. Encourage questions
b. Show respect, helpfulness, and caring attitude
c. Provide handout and review
d. Convey empathy and reassurance
e. Assist in form completion
f. Speak slowly and distinctly
g. Ensure privacy
h. Ask for patient to share info and clarify
i. Invite family member or friend
j. Be positive and supportive
2. Use clear, purposeful communication
a. Speak clearly and distinctly
b. Use plain, everyday language
c. Avoid medical terms
d. Limit key points
e. Face person
f. Be specific and concrete
g. Define new words
h. Conclude with summary
3. Communicate in a person-centered manner
a. Identify person’s personal motivators
b. Asses unique interests and activities
c. Address person’s main concern
d. Link info to past experiences
4. Reinforce spoken word
a. Use photos, audio, drawings, etc
b. Select highly readable info
, iv. Health disparities
1. Systematic, potentially avoidable health differences that adversely
affect socially disadvantaged groups
2. Addressing health literacy and providing culturally sensitive health
education are critical to reducing health disparities
v. How to facilitate learning
1. Stimulate variety of senses
2. Involve person actively
3. Establish comfortable learning environment
4. Assess readiness of learner, which may be affected by physical,
social, emotional, and financial factors
5. Make info relevant
6. Use repetition
7. Make learning positive
8. Start with what’s known/simple to what’s unknown/complex
9. Apply to several settings
10. Pace learning appropriately
e. Health behavior change
i. Use of health belief model to analyze probability that person will make
changes to improve health or prevent disease, the application of the social
cognitive theory to clarify environmental and social factors that affect
learning of new health behaviors, and the use of stages of change, or
transtheoretical model in planning health teaching
ii. Health behavior- any activities that an individual undertakes to enhance
health, prevent disease, and detect and control symptoms of disease
iii. Health belief model
1. Used to predict and explain health behavior
2. Developed to describe why people failed to participate in programs
to detect or prevent disease
3. Explains responses to symptoms, disease, prescribed treatments,
and potential health problems
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