Question

Mr. Chen is new to the area and starts to visit the local neighborhood senior center weekly to play cards and have lunch with his brothers, who have lived in the area for a number of years. Adjacent to the senior center is a nurse-managed clinic, which was started more than 13 years ago by the college of nursing at the local university. The clinic offers education and free or low-cost screenings on a regular basis. Many community members take advantage of this convenient service for their primary care. Mr. Chen has limited resources, so this community resource provides him with valuable access to health care services and information. On his first visit to the clinic, his blood pressure is 174/92 mm Hg. He states that the public hospital that cared for him in another city treated him for high blood pressure for more than 7 years, that doctors prescribed several medications 6 months earlier, and that he received many written materials to read (they were all in English). Although he reads somewhat in English, he tells the nurse that it would have been nice to see materials in his familiar language.

The nurse’s assessment reveals that Mr. Chen takes his medication only when he does not “feel so good.” He said his doctor advises him to take his medicines regularly, and he states that he takes them faithfully when he does not feel well. He tells the nurse that he remembers getting some educational booklets about his medications and “blood,” but he found them too long and tiring to read. The nurse’s educational assessment reveals that Mr. Chen has completed 8 years of schooling, does not read much, enjoys television over print, and likes to learn from pictures or from other people in groups. He states that he would really like to get his health information in easy English but would mostly prefer to get some easy materials in Chinese. His reading skills have not been verified by health providers. Yet it seems that he has taken the health instruction literally (e.g., he interprets “take regularly” to mean take consistently when “I don’t feel right” vs. take the pills on a regular schedule).

What would be your top teaching priority and what strategies would you use for Mr. Chen?

Answer 1

ANSWER :

Focusing on the difficulties faced by Mr, Chen it would be better to change the method of teaching in a way that it is easily understandable to the person. Mr. Chen is comfortable and fair in Chinese language than English language., there the teaching priorities includes patient care and education which is easily understand by him. To make the teaching successful the priority should be made on patient care using familiar language and easy to read and see pictures for the better understanding of the patient. The strategies to be included for a effective teaching plan are selection of medium language as Chinese, using of different methods of instructions, using of simple and easy AV AIDS which are very short but not too long and confusing, easy and clear written hand writing and pictures usage during the session, evaluate the level of knowledge of patient after a teaching session may get a effective response from the client whether he has understood the methods of teaching or any other difficulties he is facing.