Educating Patients: Creating Teaching Moments in Practice
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CASE STUDY: MR. KOLE
Mr. Kole is a 56-year-old Caucasian male who was admitted as an inpatient at an acute care facility with a myocardial infarction. Upon arrival to the emergency department, he immediately went to the cardiac catheterization lab and had a stent placement. Following his stent, he was admitted to the intensive care unit (ICU) and will be transferred to the medical stepdown cardiac unit. Medications in- clude metoprolol, aspirin, clopidogrel, rosuvastatin, and nitroglyc- erin. Mr. Kole will be following up with a cardiologist and will need cardiac rehab after discharge. His wife has been at the bedside, and she says she will be his primary caregiver at home. Question 1 : What are some educational needs that Mr. Kole will have in the hospital, at discharge, and as an outpatient? Commentary on question 1 : Mr. Kole will need education about his heart attack and his stent, even if he has already had some initial teaching. Teaching about his med- ications, including basics as to why he is taking them, side effects, the importance of medication compliance, and related considerations should be included. Discussion of how follow-up is essential, both with providers and cardiac rehab, is needed. Home management, lifestyle changes, and warning signs are also vital. Question 2 : What are some patient- and family-centered considerations when looking to provide education to Mr. Kole? Commentary on question 2 : In terms of patient- and family-centered care, educa- tional topics should be discussed with Mr. Kole before involving his family, including his wife. He may not agree with having her involved in his care. After determining the wish- es of Mr. Kole, if he wants his family involved, then they should participate in education as often as they are able. Conclusion
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Healthcare professionals are respon- sible for teaching within their scope of practice, and this is a factor in protecting the patient. Patient- and family-centered care considerations should be includ- ed with patient teaching and education. Studies have shown that appropriate, ef- fective communication and education can significantly improve patient health out - comes and patient satisfaction, as well as reduce readmission rates.
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