Question

community low level of literacy nursing care plan

Answer 1

#. Nursing diagnosis - Deficit knowledge related to specific topic

#. Nursing interventions :-

Provide physical comfort for the learner. This allows patient to concentrate on what is being discussed or demonstrated. According to Maslow’s theory, basic physiological needs must be addressed before patient education.

Provide a quiet atmosphere without interruption. This allows patient to concentrate more completely.

Provide an atmosphere of respect, openness, trust, and collaboration. This is especially important when providing education to patients with different values and beliefs about health and illness.

Establish objectives and goals for learning at the beginning of the session. This allows learner to know what will be discussed and expected during the session. Adults tend to focus on here-and-now, problem-centered education.

Allow learner to identify what is most important to him or her. This clarifies learner expectations and helps the nurse match the information to be presented to the individual’s needs. Adult learning is problem-oriented. Determine priorities (i.e., what the patient needs to know now versus later). Patients may want to focus only on self-care techniques that facilitate discharge from the hospital or enhance survival at home (e.g., how to take medications, emergency side effects, suctioning a tracheal tube) and are less interested in specifics of the disease process.

Explore attitudes and feelings about changes. This assists the nurse in understanding how learner may respond to the information and possibly how successful the patient may be with the expected changes.

Allow for and support self-directed, self-designed learning. Adults learn when they feel they are personally involved in the learning process. Patients know what difficulties will be encountered in their own environments, and must be encouraged to approach learning activities from their priority needs.

Assist the learner in integrating information into daily life. This helps learner make adjustments in daily life that will result in the desired change in behavior (or learning).

Allow adequate time for integration that is in direct conflict with existing values or beliefs. Information that is in direct conflict with what is already held to be true forces a reevaluation of the old material and is thus integrated more slowly.

Give clear, thorough explanations and demonstrations.

Provide information using various mediums (e.g., explanations, discussions, demonstrations, pictures, written instructions, computer-assisted programs, and videotapes). Different people take in information in different ways. Match the learning style with the educational approach.

Ensure that required supplies or equipment are available so that the environment is conducive to learning. This is especially important when teaching in the home setting.

When presenting material, move from familiar, simple, and concrete information to less familiar, complex, or more abstract concepts. This provides patient with the opportunity to understand new material in relation to familiar material.

* Focus teaching sessions on a single concept or idea. This allows the learner to concentrate more completely on material being discussed. Highly anxious and elderly patients have reduced short-term memory and benefit from mastery of one concept at a time.

Pace the instruction and keep sessions short. This prevents fatigue. Learning requires energy.

Encourage questions. Learners often feel shy or embarrassed about asking questions and often want permission to ask them.

* Allow learner to practice new skills; provide immediate feedback on performance. This allows patient to use new information immediately, thus enhancing retention. Immediate feedback allows learner to make corrections rather than practicing the skill incorrectly.

Encourage repetition of information or new skill. This assists in remembering.

Provide positive, constructive reinforcement of learning. A positive approach allows learner to feel good about learning accomplishments, gain confidence, and maintain self-esteem.