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Facilitating Client Centered Learning based on a new best practice. CEUs are available for this class at https://www.allceus.com/member/cart/i... #adultlearning #addictioncounseling #addictionexam Unlimited CEUs $59 at http://allceus.com *View the New Harbinger Catalog and get your 25% discount on their products by entering coupon code: 1168SNIPES when you check out* Objectives Explain why client-centered learning is important Differentiate traditional teaching methods from client centered Define the LEARNS model Identify ways to create a safe environment Explore different learning preferences and teaching methods Discuss ways to evaluate the effectiveness of client centered learning practices Why is it important? Medication errors Decreased ability to interpret labels and health messages Increased hospitalization Greater use of emergency services An earlier discharge from hospitals Understanding complicated treatment plans Making informed decisions Maintaining a healthy lifestyle Communicating their perspective, needs and values Living within difficult socio-economic conditions Managing chronic conditions Accessing community resources Interacting with many healthcare professionals Learning Theory Comparison Traditional Expert Model Teacher decides what is taught, how and when New information is distinct and not linked Client takes new information and implements it All information is given at once Health messages are one-size fits all Learning is cognitive Client-Partnership Model Client and Teacher identify learning goals and methods New information is linked to prior learning Client undergoes an unlearning process before new information is implemented Information is given over time Information is tailored to the diverse needs of the individual Learning is affective, cognitive, social and behavioral LEARNS Model Listen to client Strengths, Needs, Attitudes and Preferences Establish a therapeutic partnership Adopt an intentional approach to every encounter Reinforce health literacy and curiosity Name new knowledge via teach-back Strengthen self-management via links to community resources Learning is : Affective (Motivation-Caring and Empowerment) Behavioral (Motivation-Acting) Cognitive (Comprehension and Learning style) Social (Support, Motivation, Observational Learning) Create a safe environment Clients feel comfortable asking questions Clients are able to bring someone with them to appointments Professionals are aware that some clients are ashamed or anxious when they do not understand Professionals are aware of the client's knowledge and beliefs about their condition(s) Professionals understand how clients perceive the condition or treatment may impact their family Barriers to a safe environment Too much information Jargon Complicated forms and brochures Relying on just words Failing to periodically check for understanding Difficult to navigate systems Lack of reinforcement and support Universal precautions approach Decrease the complexity of the information provided Use concrete example Limit the number of topics covered in one session Use teach-back to ensure comprehension Focus on critical behaviors Example --Nutritional Counseling Motivational (scare) tactics Lack of focus on a few critical behaviors No concrete examples Lack of teach back Example --Nutritional Counseling Decreased complexity Identified three critical behaviors Had the patient give an example of what she may do Assess client learning needs How are you feeling right now Can you tell me what you know about . . . ASK-TELL-ASK What questions or concerns do you have How do you like to learn new things? What helps you to learn new things? Techniques Tailor your approach and educational design by collaborating with the client and the interprofessional team Engage in more structured and intentional approaches when facilitating client centered learning. Use plain language, pictures and illustrations to promote health literacy. Effective educational strategies Printed and/or Online Materials Reading/comprehension Pictograms (medication compliance, exercises) Interaction (workbook, diaries, charts) Telephone Support Groups Observational learning Role play More techniques Audiotapes To learn new material To facilitate client behavior (Relaxation) Video (injections, fitness, relaxation, cooking...) Computer-based technology Assess Client Learning Occurs over time Things to assess Literacy level Understanding What three things will you do over the next week to help you achieve this goal? What risks do you see What will be hardest for you What support do you need Assessment cont... Things to assess cont... Learning preferences Family role in the treatment process Effectiveness of interventions over time Tell me what you did to.... since our last visit What benefits do you see How is this helping you