Why is it important that we know how to do research?
- As a respiratory therapist, one of our main responsibilities is to actively maintain and continually improve our professional competence
- A key skill requried to substain this ethic is the ability to find the data requried to make informed decisions about best practice
Organization of research paper!
How to go about readinga research paper interms of saving time!
Read the abstract
- The knowledge needed to succeed
- Easiest to translate into objectives
- Facts, concepts we want the patient to know
Examples of congnitive domain!
- List the indications for oxygen therapy
- Explain the relationship between oxygen and compustion
- The skills needed to be successful
- Requries repetition and active involvement
- Return deminstration
- Be patient
Examples of phychomotor domain!
- Observe the proper way to administer a MDI
- Demonstrate the ability to assemble the
- MDI and spacer
- The attitudes needed to succeed
- Listen to patients concern
Examples of affective domain!
- Verbalize willingness to use MDI
- Feel satifaction by controlling the disease
The purpose of assessing learning!
- Need to determine if learning took place
- Also so the teacher can improve in teaching
Assessment tools that are important in patient education!
- Written exams
- Performance checklist
- Ask questions alone the way
- Internally motivated
- Self directed
- Question teacher
- Have rich experiences
- Learn for the preseent
- Learn more slowly
- Problem oriented
- Externally motivated
- Directed by others
- Trust teacher
- Limited experiences
- Learn for the future
- Learn quickly
- Subject oriented
Barriers to learning!
- Physical impairment
- Mental impairment
- Non communication
How to teach patients with low literacy!
- Focus on core knowledge
- Be short specific
- Put most important imformation first or last
- Use visual cues
Disease can occur at three levels: Primarly, secondary, and tertiary!
- 1) Prevention (Immunizations)
- 2) Early detection ( PAP smears)
- 3) Minimize accelerations of the disease ( Pulmonary rehabilitation)
- Increases retention
- Promblem centered learning
- Role playing
- Patients tent to learn by doing
Usually does not cause a change in behavior
Highest level of evidence in regards to research!
Multiple well designed randomized clinicals trials
Lowest level of research in regards to research!
Clinicals situations or case study
What is the most successful approach to tobacco sensation?
- two fold
- Combining counseling and medications
Forms of nicitone replacement that's
- Nasal spray
The five A's of tobacco cessation! For a patient willing to quit!
- ASK about tobacco use
- ADVISE to quit
- ASSESS willingness to make a quit attempt
- ASSIST in quit attempt
- ARRANGE in follow up
The five R's for a patient not willing to quit tobacco use!
Motivational interviewing for a patient not ready to quit!
- Express empathy
- Develop discrepancy
- Roll with resistance
- support self effiancy
The characteristic of addiction!
- Three or more of the following:
- Proccupatioj with getting tobacco
- Compulsive use
- Difficulty with controlling intake
- Persistant, even eith healt problems
An effective smoking cessation treatment that patients should be encouraged to use
Bupropion SR / XL (Zyban)
Evaluations of rehabilitations program outcomes!
- Changes in exercise tolerance
- Before and after 6 minute walk
- Before and after exercise stress test
- Strengh measurements
- Peformance on specific exercises
- ADL changes
- Changes in symptoms
The benefits of physical recondition!
- Increases energy demand
- Increases exercise tolerance
- Improved ADL
- Decrease in symptoms
Contraindications for pulmonary rehabilitation!
- Cardiovascular instability requring caradic monitoring
- Malignant neoplasms involving the respiratory system
- Patients with sever arthritis or neuromuscular abnormalities