Patient Teaching Flow Sheet: Nursing 311
Los Angeles Harbor College
Teachers Name (student): ______Learners Name (partner):______
Participants In InstructionPatient Learning Needs
_ _Patient_ _Disease Process _ _Rehabilitation
___Family_ _Diet _ _Psychosocial
___Other_ _Activity_ _Signs and Symptoms _ _Medications _ _Diagnostic Tests
Problems Affecting Learning_ _Preventative Health Practices
Communication Skills:Language Spoken:_ _Special Care Procedures
_ Reading___Hearing_ _English___Other
___Vision___Writing___Other (Specify) _
Other Impairments (Mental/Physical)______
Assessment of Readiness to Learn
Comprehensive Ability:Exhibits[ ] HighAbility to understand concepts and respond to questions
[ ] Medium
[ ] Low
Motivation Level:[ ] Asks questions[ ] Eager to learn[ ] Extremely anxious
[ ] Uncooperative[ ] Seems uninterested[ ] Denies need for education
Knowledge Level:Exhibits[ ] MinimalKnowledge about his/her primary health problems and how to deal with them.
[ ] Moderate
[ ] Sufficient
Factors that Affect Teaching:
Language Barrier[ ] No[ ]Yes Explain: ______
Hearing Deficit[ ] No[ ]Yes Explain: ______
Vision Impairment[ ] No[ ]Yes Explain: ______
Memory deficit[ ] No[ ]Yes Explain: ______
Physical Limitation[ ] No[ ]Yes Explain: ______
Emotional barriers[ ] No[ ]YesExplain: ______
Cultural/Religious beliefs[ ] No[ ]YesExplain: ______
Financial/Socioeconomic issues[ ] No[ ]Yes Explain: ______
Age/Development level:[ ] No[ ]Yes Explain: ______
Other:______
Nursing diagnosis:______
Learning objective (include behavior and time frame): ______
______
Description of technique to be taught: ______
______
Cite source: ______
Negative health effects of stress on the body:______
______
Physiology of relaxation/stress management techniques:______
______
Documentation (focus note): ______
Peer Evaluation
Complement______
______Question, Comment or Suggestion for improvement______
______
______
TEACHING-LEARNING ASSIGNMENT
(20 points)
1. The health care provider has ordered teaching on relaxation techniques/stress reduction for your patient twice daily.
2. Research an evidence-based relaxation or stress management technique.
3. Prepare a 10-15 minute teaching/learning experience. Practice your teaching of the selected relaxation/stress-management technique and prepare to teach your peer this technique in class.
Research and teach:
a.) The potential physiologic negative health effects of stress on the body
b.) Physiology of relaxation techniques (how relaxation techniques physiologically affect the nervous system)
c). The evidence-based relaxation technique
4. Review the form “Patient Teaching Flow Sheet” above and be prepared to complete this form in class on the day of teaching. Fill in what you can from the preparation phase before class. You can make up the assessment data with your partner with the goal of familiarizing yourself with the document.
5. You will be responsible to complete a focus note on your teaching. Please research the definition of a focus note and samples if you are not familiar with this documentation style (DAR, AIE, etc.).
6. Prepare for a peer evaluation. You will need to describe strengths in the teaching process as well as suggestions for improvement. Remember this is a learning process. You do not need to be perfect. Gentle and helpful constructive criticism can be of great benefit during this process.
7. Submit your “Patient Teaching Documentation” for credit. You are the “teacher” and your partner is the “learner”.