Pointers midterm

1.Health Education Team

A.Role of the Nurse as a Health Educator

•Nurses as educators play a key role in improving the health of the nation.

•They serve as role models and provides leadership to the learners to implement evidence-based
practice.

•For nurses to be an educator considering patients, members of the family, students or other people in
the community as his or her audiences, one must have a solid background and foundation in the distinct
strategies and principles of teaching and learning.

•The nurse, using health education principles, can assists people in achieving their health goals in a way
that is consistent with their personal lifestyles, values, and beliefs.

1.Giver of information

•The role of the educator has shifted from the traditional “giver of information” position to that of a
process designer and manager.

•This role alteration requires skill in needs assessment as well as the ability to involve learners in
planning, link learners to learning resources, and encourage learner initiative. •Nurses should take the
time to explain to the patient including their family what to do and what to expect when they are about
to leave the hospital.

•They also must ensure that the patient feels supported and has knowledge where to find additional
information. Instead of the teacher teaching, the new educational paradigm focuses on the learner
learning. •That is, the teacher becomes “the guide on the side,” assisting the learner in his or her effort
to determine objectives and goals for learning, with both parties being active partners in decision
making throughout the learning process.

•If learners are to be able to comprehend, recall, and apply information, they must be actively involved
in the learning experience.

2.Facilitator of Learning

•The nurse should act as a facilitator, creating an environment conducive to learning—one that
motivates individuals to want to learn and makes it possible for them to learn.

•The assessment of learning needs, the planning and designing of a teaching program, the
implementation of instructional methods and materials, and the evaluation of teaching and learning
should involve both the educator and the learner.
•In the case of patient education, an approach that is more in keeping with ideals of self-care would be
to transfer the responsibility for learning from the nurse to the patient. Thus, the emphasis should be on
the facilitation of learning from a non-directive rather than a didactic teaching approach.

•A facilitator will assist the students to develop the knowledge, attitudes and skills necessary for practice
within the clinical environment as a beginning level registered nurse.

3.Coordinator of teaching

•By ensuring consistency of information, nurses can support the patients and family members in their
efforts to achieve the goal of optimal health. •Consult with patients and family members to discuss their
health problems.

•Educate patients about their condition, medication, and give them specific instructions.

•Develop a care plan to address their personal health care needs. •Check-in on the patient regularly and
evaluate and document their progress.

•Provide oversight of patient schedules, evaluating priorities, directing staff, and adjust when conditions
change.

•Registered nurses, they have to work with other health care professionals and may also conduct patient
education programs.

•One should be part and responsible for selecting education materials, scheduling clinical training
sessions and keeping records of personnel. They have to work with other health care professionals and
may also conduct patient education programs.

•One should be part and responsible for selecting education materials, scheduling clinical training
sessions and keeping records of personnel. They also collaborate with clinical nurse educators and other
staff members to determine training needs and provide materials and scheduling to meet those needs.

4.Advocate for the client

•Someone who pleads the cause of another (Merriam Webster).

•A nurse advocates defined as nurse who works on behalf of patients to maintain quality of care and
protect patients' rights.

•The role of the nurse is to advocate for the best interests of the patient and to maintain the patient’s
dignity throughout treatment and care.

•This may include making suggestions in the treatment plan of patients, in collaboration with other
health professionals.

•They intervene when there is a care concern, and following the proper channels, work to resolve any
patient care issues.

•A person who helps guide a patient through the healthcare system. This includes help going through
the screening, diagnosis, treatment, and follow- up of a medical condition, such as cancer
OTHER ROLE OF NURSE

A. Communicator- This nurse communication skill is at the heart of nursing, and one of your key
responsibilities. You must be able to explain disease processes, medications, treatments and self-care
techniques to patients and their families. (Educating patients)

B. Care Provider- A healthcare provider is a person or entity that provides medical care or treatment.

C. Change agent- is an individual who has formal or informal legitimate power and whose purpose is to
direct and guide change (Sullivan, 2012). This person identifies a vision and rationale for the change and
is a role model for nurses and other health care personnel

D. Manager- Nurse managers supervise nursing staff in a hospital or clinical settings. They oversee
patient care, make management and budgetary decisions, set work schedules, coordinate meetings, and
make personnel decisions.

E. Nurse generalist- A nurse generalist knows a lot about many things; in some ways, you could call a
nurse generalist a polymath. Generalists matter as much as specialists, and they serve in various
functions and roles. Licensed practical or vocational nurses are usually considered generalists.

F. Nurse Practitioner- This role was created in response to a nationwide shortage of doctors. Much like
doctors, nurse practitioners can examine patients and diagnose and treat illnesses. They interpret lab
results and X-rays, prescribe medications, and provide health teaching and counseling to support the
overall wellness of their patients.

G. Nurse Clinician- A Nurse Clinician has clinical expertise in a specialised field of nursing, with the core
responsibility of providing patient care through clinical leadership in nursing practice.

H. Nurse Specialist- are focused on the prevention of specific illnesses, considering things like risk factors
and behaviors among individuals, families, groups, and communities.

B.Role of the other members of the health Team

•DOCTORS Medical diagnosis and determining therapy, general/primary/family care or specialties

•EMT emergency medical personnel, assist, treat, and transport clients in medical emergency

•PHARMACIST dispenses, monitors, and evaluates pharmaceuticals, their actions and effects on clients.
Found in hospital and the community

•DIAGNOSTIC

•Physical Therapist: must be licensed, usually a Master’s degree, assists clients with musculoskeletal
needs. Assesses mobility, strength, provide therapy

•Respiratory Therapist: Associates degree. Skilled in providing respiratory care to clients with unique
respiratory needs.

•Social Worker: Counsels on finances, marital problems, adoption, referrals, and community support.
Can work in hospitals as case managers.

•Occupational Therapy: Assists clients to regain skills to perform ADL’s

•Sometimes the family members need more information than the patient to compensate for any sensory
deficits or cognitive limitations the patient may be having. The family can be the educator's greatest ally
in preparing the patient for discharge and in helping the patient to become independent in self-care. The
patient's family is perhaps the single most significant determinant of the success or failure of the
education plan and achievement of success. Patient and family education serves as a foundation for
assessing the family profile to determine the family members' understanding of the actual or potential
health problems, the resources available to them, their ways of functioning, and their educational
backgrounds, lifestyles, and beliefs.

2.Future Directions for client Education

•Patient education facilitates the maintenance and promotion of self-care behavior through voluntary
behavioral change activities. This usually occurred at the bedside, in clinic waiting rooms, or in groups on
the hospital premises

A.Greater emphasis on wellness

•it is expected for us to have a greater emphasis on wellness, which shifts from a care system that
focuses on illness to one that focuses on wellness emphasis on illness prevention and health promotion

•Wellness – state of complete physical, mental, and social well-being, and not merely the absence of
disease or infirmity

8 dimensions of wellness

1.  intellectual wellness
2.  physical wellness
3.  environmental wellness
4.  occupational wellness
5.  emotional wellness - encourages autonomy
6.  financial wellness
 wellness of an individual will be put into much focus and attention through careful and
convenient tracking and monitoring of individuals habits daily activities and lifestyle- nurses and
health educators will have more opportunities to apply empirical, aesthetic expressions,
creativity, personal and ethical wellness knowledge to their patients because of technology- the
role of the nurse would come in (in terms of giving info and caring to prevent further illness

B.Increased Third-party Reimbursement

•Reimbursement – a sum paid to cover money that has been spent for health care

•it is expected to increase as the cost-benefit ratios establish the cost-effectiveness of customer
education (Abruzzesse), as this helps in accomplishment of payment for home health and allow
educators and social workers to work and assist their clients commendably- organizes the flow of money
and payment
•REIMBURSEMENT ASSITANCE (in the Philippines)- provides enough finances to run health care
organizations- ensures that there is enough funding to take care of short-term health care expenses and
also long-term expenses. PhilHealth - a mandatory national health insurance program for employed
Filipinos, which provides basic health care services

 PhilHealth- sss, gsis procedure

 Pt- provide evidence for insurance, and pay partial of the expense The rising costs associated with
illness and resulting overuse of the healthcare system have resulted in increased interest on the public
and health care providers to control costs. Today, more emphasis is given to health promotion, health
maintenance, and disease prevention. The push for healthcare reform in this country has resulted in
widespread efforts targeted toward the concept of managed cared

Recommended amount of physical activity for adults, as per the World Health Organization (WHO) 2.5
hours per week

Medicare is a unique third-party payer for drug reimbursement, because It covers more than all the
other third-party payers

Government payer model has been the main model in U.S. health care