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Copyright © 2007 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 1 Copyright © 2007 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 2 Importance of Lifelong Learning • Lifelong learning: all purposeful learning activities • World changing faster than ever before • Technological advances • New products • Learning continues after graduation • Need to keep up with changes on the job Copyright © 2007 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 3 Keeping Up With Changes in Health Care • The ongoing changes in health care require ongoing education. – Constant changes means knowledge quickly becomes outdated • Graduation is end of formal training, but beginning of lifetime learning • Cross-Training is resulting in an expansion of duties rather than increased specialization. – The increase in third-party payers of health care costs means that health care workers need to learn more about coding and billing. 4 Continuing Education Units • CEUs – Credits earned to add to professional knowledge, after graduation. – One CEU is 50 to 60 minutes. • Also known as CPE • Some professions require a specified number of CEU before relicensure or recertification Copyright © 2007 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 5 Ways to Earn CEUs • Special sessions or workshops – Documentation is necessary, so you have to sign in when you attend or chance missing the CEUs. • • • • Home study or study packets Distance education courses Internet courses Evaluate quality and applicability of course Copyright © 2007 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 6 Criteria for Choosing CEUs • Before enrolling in a workshop that offers CEUs, you should check with your professional organization and/or regulatory organization to be sure that the units will be accepted. – Future career goals – Reputation of educational provider – Areas of personal and/or professional weakness that need improvement – Personal and/or professional interests Copyright © 2007 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 7 Self-Directed Learning • Planned activities to increase your knowledge and skills – They don’t have to earn CEUs in order to be of value. • *Observe others • Ask questions • In addition to attending courses and studying on your own, two good ways to learn with others are in a study group or with a partner/mentor. • Read books and journal articles Copyright © 2007 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 8 Self-Directed Learning • Attend professional conferences and meetings • Watch videos or DVDs and educational television programs • Explore the Internet Copyright © 2007 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 9 Copyright © 2007 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 10 Patients as Individuals • Patient well-being is affected by attitude, expressed concern, and technical skills • Individuals are complex • Cultural influences, personal experiences, and basic human needs all play a role Copyright © 2007 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 11 Philosophy of Individual Worth • Every human being has worth and is entitled to respect. • Give same level of care regardless of any other factors • Some patients present very unique challenges • A statement of ideal behavior to stay motivated when facing patients who do not appreciate your efforts. Copyright © 2007 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 12 Dealing With Prejudice • “Minority” groups of the past now make up significant percentages of the total population. • Prejudice defined – Prevents seeing people as unique individuals • Don’t assume. Be respectful and collect information about the beliefs of the patients. Ex. Spanish speaking doesn’t always mean Catholic. – Leads to unfavorable judgments – Almost everyone has prejudices – Must identify prejudice to deal with it • Being aware of your own prejudice allows you do deal with them. • Difficult to recognize because they become part of our belief system or reality. 13 The Meaning of Culture • Culture defined – All factors that influence an individual’s beliefs and actions • Dominant culture • Personal space (distance between people in conversation) and personal contact • Cultures vary in their approved behaviors. – What is polite in one culture is rude in another. – Different customs can still be appropriate ways to live. Copyright © 2007 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 14 Health Care Beliefs • Vary widely among cultural groups – “Western” medicine is based on scientific methods • Religious beliefs, harmony, and health – Faith Healing: belief that illness can be cured through prayer – Humors: body fluids that control the body’s state of health • Herbs and plant medicines – Home Remedies: medications from roots and herbs – Just because it’s “natural” doesn’t mean it won’t cause serious problems. Copyright © 2007 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 15 Health Care Beliefs • Respect these beliefs, but it does NOT mean the patient knows best. – Evil Eye: stare that can cause physical harm. – Charm: protects against evil spirits – Yin and Yang: opposing energy forces that influence health – Tai chi: movements that promote flexibility and healthy joints – Hot-cold principle: classification of illnesses with corresponding medications and foods. 16 Determining Individual Needs • Effectiveness of health care worker – Understanding and respecting individual differences • Patients have different perceptions of the health care setting Copyright © 2007 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 17 Individual Needs • Observe patient’s behavior and ways of interacting with others • Determine whether language barriers are present • Ask questions to learn individual preferences Copyright © 2007 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 18 Individual Needs • Listen carefully to patient’s responses • Some patients need more information than others – Explain what you are doing and why Copyright © 2007 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 19 Maslow’s Hierarchy of Human Needs • Developed by American Psychologist, Abraham Maslow • You can move up without completely realizing the previous step. • Understanding this allows you to understand patient motivations for their behavior. 20 Maslow’s Hierarchy • Confidence is own abilities, achievement of personal goals • Feelings of self-worth, trusted by friends • Strong friendships, good family relationships • No anxiety, strategies for stress • Peaceful sleep, adequate oxygen Copyright © 2007 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 21 Defense Mechanisms – Compensation: drinking heavily after spouse dies – Denial: refusing to believe diagnosis – Displacement: rude to coworkers after a fight with your spouse – Projection: criticize everyone, then accuse boss of being too tough when own work is corrected Copyright © 2007 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 22 Defense Mechanisms • Rationalization: Can’t quit smoking because life is too stressful • Regression: 12 year old wetting the hospital bed • Withdrawal: recently divorced declines all invitations for social activities Copyright © 2007 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 23 Dealing With Loss • What is a loss? – A loss will significantly influence patient behavior – Health care workers can help patients deal with loss • You need to be willing to discuss loss if a patient wants to talk about it. Copyright © 2007 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 24 Ways of Dealing With Loss • • • • • • Seek support from family and friends Find comfort in religion Draw on self-esteem Employ problem-solving techniques Use defense mechanisms Become angry and depressed Copyright © 2007 by Thomson Delmar Learning. ALL RIGHTS RESERVED. 25