2. E-NOOHI1

3. 2 نقشهاي مختلف پرستاردر عرصه بهداشت ودرمان: 1- نقش مراقبتي 2-نقش محافطتي 3- نقش درماني 4- نقش حمايت كننده 5- نقش هماهنگ كننده 6-نقش آموزشي

4. E-NOOHI3 Teacher / Counselor یکی از نقشهای اصلی پرستار: آموزش مددجویان است

5. E-NOOHI4 communicator Manager Researcher Advocate Decision maker Care Giver Comforter Teacher/Counselor Roles of Nursing:

6. E-NOOHI5 اصول آموزش بيمار

7. 6 Patient teaching

8. E-NOOHI7 ا هداف مهم آموزش بيمار: 1-حفط سلامتي و پيشگيري از بيماري 2-اعاده سلامتي 3- سازگاري با ناتواني و عوارض بيماري 4- بهبود كيفيت مراقبت 5- تداوم مراقبت در بيمارستان و جامعه 6- تشويق بيمار به پذيرش مسئوليت بيشتر براي بهبود وضعيت سلامتي خود

9. E-NOOHI8 سه هدف مهم آموزش بیمار  1- حفظ سلامتی و پیشگیری از بیماری (پیشگیری نوع اول) Health Maintenance  2- اعاده سلامتی (پیشگیری نوع دوم ) Restoration of Health  3- سازگاری با ناتوانی ها و عوارض بیماری(پیشگیری نوع سوم ) Coping with impaired function

10. E-NOOHI9 Goals of patient education: Health maintenance and illness prevention Restoration of Health Coping with impaired function

11. E-NOOHI10 Categories of learning Domain: Cognitive Domain Psychomotor Domain Affective Domain

12. E-NOOHI11 comparison of the Nursing process and the teaching Activities Nursing Basic Steps: 1-Assessment 1-Assessment 2-Diagnosis 2-Diagnosis3-planing 4-Implementation 4-Implementation 5-Evaluation 5-Evaluation

13. E-NOOHI12 Basic Steps teaching Activities Nursing 1-Assessment 1-Assessment 2-Diagnosis 2-Diagnosis3-planing4-Implementation5-Evaluation :

14. E-NOOHI13 Patient teaching process: 1- Assessment: Identify Ability to learn, willingness to learn. Nursing history, clients learning needs 2- Diagnosis: Identify clients learning needs on the basis Of the three domains of learning 3- Planning: Establish learning objectives, …… 4-implementation: -implement teaching methods, … 5-Evaluation:Determine outcomes of teaching learning process,..

15. E-NOOHI14 آموزش بیمار: تجربه یادگیری از قبل طراحی شده ای است که در آن ترکیبی از روشهای مختلف یاددادن ، مشاوره ، تکنیکهای اصلاح رفتار بکار گرفته می شود که بر روی دانش و رفتارهای بهداشتی بیمار اثر می گذارد و فرایند متقابلی است که به شرکت فعال بیماران در مراقبت از خودکمک میکند

16. E-NOOHI15 Assessment Identify the client's learning needs willingness to learn, ability to learn and teaching resources,sources of data are the client. resources,sources of data are the client. Family, learning environment. Family, learning environment. Medical record, nursing history, and literature.

17. E-NOOHI16 در مرحله بررسی:  اصول اساسی یادگیری Basic learning principles  اصول آمادگی برای یادگیری the reading to learn  توانایی یادگیری The ability to learn

18. E-NOOHI17 Diagnosis Identify client's, learning needs on the basis of the three domains of learning Establish Establish (Cognitive, Affective, Psychomotor)

19. E-NOOHI18 EXAMPES OF NURSING DIAGNOSES RELATED TO CLIENTS LEARNING NEEDS NANDA – APPROVED NURSING DIAGOSES. Knowledge deficit: Cognitive, related to newly Diagnosed disease Newly prescribed therapy Poor understanding of therapies. Knowledge deficit: affective. Related to: Altered affective Knowledge. Impaired social interaction Misunderstanding of prognosis Knowledge deficit :Psychomotor,related to: Need for crutch Walking Need to learn self – injections Alteration in health maintenance related to: Lack of fine motor skills ADDITIONAL Nursing DIAGNOSIS Reduced attention span related to: FatiguePain

20. E-NOOHI19 Teaching and Learning  Potential LEARNING PROBLEMS ASSOCIATED WITH INTELLECTUAL SKILLS  Math calculation. Computing drug dosages :  Measuring liquid or solid food allotment  Reading a thermometer or syringe calibration  Reading directors and instructions  In teaching booklets and in medication Labs.  Problem Solving.Leaning how to regulate insulin dosages on the basis of sings and symptoms.  Comprehension and Application.  Understanding physical restrictions imposed by illness:  Following direction s in performing self – care in accordance With limitations

21. E-NOOHI20 Topics for health teaching  Health promotion /Illness prevention  First aid  Avoidance of risk factors: smoking, alcohol  Growth and development  Hygiene  Immunizations  Normal childbearing  Nutrition  Exercise  Safety (in home and hospital)

22. E-NOOHI21 Restoration of Heath  Clients disease or condition @Anatomy and physiology of body system affected @Anatomy and physiology of body system affected @Cause of disease @Cause of disease @Origin of symptoms @Origin of symptoms @Expected effects on other body systems @Expected effects on other body systems @Prognosis @Prognosis

23. E-NOOHI22 Rational for treatment  @Medications  @Tests and therapies

24. E-NOOHI23 Restoration of Health  Rational of treatment @ Nursing measures @ Nursing measures @Surgical intervention @Surgical intervention  Expected duration of care  Hospital/Clinic environment  Hospital/Clinic staff  Methods for client participation

25. E-NOOHI24 Coping With Impaired Function  Home care  @Medication  @Diet  @Activity  @Self-help devices

26. E-NOOHI25 Rehabilitation of remaining function  Physical therapy  Occupational therapy

27. E-NOOHI26 Prevention of Complications  Knowledge of risk factors  Implication of noncompliance with therapy

28. E-NOOHI27 Planning  Teaching plan. learning objectives stated in behavioral terms.identify priorities  identify type of teaching method to use

29. E-NOOHI28 Plan Table GIO : Evaluation Out come MediaMethodTeachingTimeKAPSOB Educational Needs Nurse educator: Patient & Family

30. E-NOOHI29 SUMMERY OUTLINE 1- GIO 1- GIO 2- SOB 2- SOB Performance Objectives Performance Objectives

31. E-NOOHI30 MEDIA SELECTION Visual Format Audio Format Audiovisual or MultiMedia Audiovisual or MultiMedia

32. E-NOOHI31 Implementation Implement teaching methods. Actively Involve client in learning activates Actively Involve client in learning activates Include family participation as apron desired outcomes of nursing care desired outcomes of nursing care

33. E-NOOHI32 Evaluation Determine outcomes of teaching& learning process.Measure client's ability

34. E-NOOHI33 Evaluation Methods 1- indirect observation Oral Exam True - False 2- Direct observation

35. E-NOOHI34 بررسی عوامل موثر بر یادگیری  رشد وتکامل  سطح تحصیلات  تجربیات گذشته  وضع جسمانی بیمار  سلامت حواس پنجگانه  سلامت خلقی  ثبات اجتمایی اقتصادی  مسئولیت پذیری بیمار  تصور ذهنی فرد از جسم خود  علاقه به یادگیری  انگیزه یادگیری  زمینه فرهنگی  مهارت برقراری ارتباط  زبان

36. E-NOOHI35  آمادگی ذهنی Mental readiness  آمادگ جسمانی readiness Physical  آمادگی عاطفی Affective readiness  آمادگی تجربی Experimental readiness

37. E-NOOHI36 What are cognitive levels? Cognitive levels describe the extent and depth of knowledge. Perhaps the most well-known description is Bloom’s Taxonomy of 6 Cognitive Levels: 1. Knowledge 2. Comprehension 3. Application 4. Analysis 5. Synthesis 6. Evaluation

38. E-NOOHI37 Cognitive Domain اطلاعات و دانش نظري است كه انتظار ميرود در طول برنامة درسي يادگيرنده كسب نمايد. حيطة شناختي داراي 6 طبقه است كه از ساده به مشكل تغيير ميكند Knowledge comprehension Application Analysis Synthesis Evaluation

39. E-NOOHI38

40. E-NOOHI39 Affective Domain مربوط به اهدافي است كه سبب تغيير نگرش ويا تعيير تفكر ميشود. بطور كلي اين حيطه ارزشها را در بر دارد. ٌ Receiving Responding Valuing Organizing Characterization

41. E-NOOHI40 Psychomotor Domain توانمندي عملي ومهارتي است كه يادگيرنده كسب مي كند. Readiness Independent Performance Acceleration & Accuracy Coordination of Action Normality

42. E-NOOHI41 Basic Steps Nursing process 1-Assessment 1-Assessment 2-Diagnosis 2-Diagnosis3-planing4-Implementation5-Evaluation

43. E-NOOHI42 Assessment identify the clients physical,psychosocial client's identify the Ecological, social, cultural Potential And spiritual needs Sources of data are the client, Family.diagnostic tests,medical Record, Nursing history, and literature

44. E-NOOHI43 Diagnosis Identify appropriate nursing – Diagnoses

45. E-NOOHI44 Planning  Develop an individualized plan of Care.  set diagnosis priorities on The basis of client's immediate Needs. Nurse and client collator- rate on plan of care Nurse and client collator- rate on plan of care

46. E-NOOHI45 Implementation perform nursing care therapies In – Clued client as an active portico Pant in care. Involve family in client's care as meeting desired outcomes of nursing care

47. E-NOOHI46 Evaluation desired outcomes of nursing care

48. E-NOOHI47