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Module 7:
Patient Education
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Learning Objectives
Explain the importance of patient education duringthe TB treatment process
Describe the District TB coordinators role for
encouraging effective patient education at healthfacilities
Learn to identify signs of inadequate pt. education
Identify effective communication skills useful forhealth education
List TB topics that health care workers shouldinform patients about throughout treatment
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Introduction to Patient Education
Critical part of treating TB
All HCWs who diagnosis, register, and/ortreat TB patients should know about effective
communication
HCWs must communicate with patient clearlyand supportively throughout
diagnosis
long treatment process
Information and support should also begiven to patients family
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Teaching patients and families about TB and
its treatment helps patients
understand the problem
better adhere to treatment
Critical for encouraging patients to return for
the next treatment visit
One of the main reasons for patient default is
the attitude of the health worker
Importance of Patient Education
and Good Communication Skills
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District TB Coordinators
Role in Patient Education and
Resources
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Trainings
Emphasize importance of
educating the patient
Emphasize support role of family
adherence
Side effects
Communicating with HCWs
Family should NOT do DOT
Explain effective communication
skills
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During Supervisory Visits
Assess HCWs communicationskills by
observing patient interaction
talking to patient todetermine if they understandtreatment process
Review facility treatmentindicators
high default rates mayindicate a need for moreeffective patient education
Determine if health facilities arein need of patient educationmaterials
Image Source: World Lung Foundation
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Effective Communication Skills
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Effective Communication Skills
Ask questions and listen (use open-ended
questions) Make interaction with the patient a positive
experience
Speak clearly and simply
Encourage patient to ask questions
Ask checking questions to determine
understanding
Effective communication skills for HCWs
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Ask Questions and Listen
To understand the patients medical
history
To understand the patients current
knowledge about TB
Identify and help to solve any problems
the patient may have with treatment Use open-ended questions
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Cannot be answered withyes or no
Usually start with: What?
Why?
Who?
When? How?
Explain or describe to me..
Ask Questions and Listen:
Open-Ended Questions
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Close-Ended vs. Open-Ended
Do you know anything about TB?
What do you know about TB?
Do you live alone?
Who else do you live with?
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Demonstrate a caring, respectful attitude actions
words
body language tone of voice
eye contact
Praise and encourage patient
Motivate the patient to continue treatment Be non-judgmental if patients views or
lifestyles differ from your own
Make Interaction with the
Patients a Positive Experience
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Speak Clearly and Simply (1)
Use simple non-medicalterms
Use words that arefamiliar to the patient
Use appropriate languagelevel and visual cues
Repeat importantinformation
Image source: WHO
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Speak Clearly and Simply (2)
Example:
Diffcult to understandThis drug, isoniazid is a bactericidal agent
that is highly active against Mycobacteriumtuberculosis
Simple to understand
This isoniazid pill will help fight TB and helpyou get better
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Topics to Discuss
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Patient Education
Throughout Treatment
Patient education is a continuous
process throughout treatment
Important to emphasize different healtheducation messages at different times
during treatment
At each encounter with the patient, the
HCW can choose some appropriate
messages to teach or reinforce
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First Patient Visit
Topics for Discussion
What is TB
How TB spreads and how to prevent it Importance of examining contacts
Symptoms of TB
TB can be cured even among HIV+ patients
Treatment of TB
duration; where to receive; importance of
adherence and completion
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Additional Topics to Discuss
Throughout Treatment
Description of treatment drugs (showpills)
amount and frequency of drugs
possible side-effects of drugs
Treatment during continuation phase
Importance of adherence
Importance of good nutrition andabstaining from smoking and alcohol
Frequency and importance of sputumcollection
Image source: Gary Hampton, World Lung Foundation
Image source: Pierre Virot, World Lung Foundation
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Resources
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WWW.FINDTBRESOURCES.ORG
Website includes
TB training and
education materialsfrom around the
world
Many materials canbe adapted to local
Botswana needs