ADD Patient Education Exam 3

• Professionals not informed about adult population will miss opportunity to work with later on
• Corporate Health and Wellness


  Large corporations have decided that healthcare professionals are not doing a great job educating patients in preventions, so they will take the lead on this on their own employees
• Corporate Health & Wellness program

  1. Taking own directions to be leaders to employees

  2. Employ own healthcare professionals employees

  3. Prevention 1st, they can also drastically impact costs

  4. Will have Corporate Health & Wellness department within corporation

  5. Have offices back in headquarters building
• To work in this program

  • Must be employees of corporation
  • Concept originated in Japan
  • Professionals they employ are full time
• Programs for Corp. Health & Wellness

  1. Employ those with Bachelor's degree

  2. Role: assess, give specific targeted surveys for employees

  3. They will assess the data, determine variety of programs based on data

  4. Money that funds this program comes from the corporation

  5. Can add walking tracks across company grounds, big gymnasiums

  6. Available for staff to utilize

  7. Must monitor who attends the program

  8. Can see who joins what programs are offered

  9. Inform employees how to register for programs

  10. Programs are free for employees (a benefit for them)
• Employees see coworkers signing upfor wellness programs from corporations


  Also decide to sign up
• All resources are at workplace

  • Human Resources department
  • Can go to department & contact them of what can they do for the participants
  • Give them an incentive program gift/giveaway
  • Provide them something for employees who stayed within the program for a given amount of time
  • Can receive something for their commitment
• Medical healthcare professionals they employ

  • Medical Doctors
  • Nurses
  • Physician Assistants
  • Mental health therapists
• Corporate offers a clinic within the building for the employees

  • Receive prescriptions there
  • Patients can come to clinic if feeling ill during work
  • If patients are very ill & require to leave for home, can instantly leave & dont require work permission to leave (since they came to work clinic)
• Fitness for Duty Evaluations

  1. Hiring process: Assess the applicants to see if they have any issues

  2. Employee Transfer: Internal only, several days of medical evaluation
• Employee Health & Wellness in large cities have taken the concept of corporations:

  employees who participate are informed where to go

  these facilities do not have a clinic within corporations
• Functional performance evaluations

  1. Assessments for meeting assessments for job

  2. Being able sit all time, if patient's back can work properly while driving
• Salary of healthcare professionals


  • Similar to what the can be making in other locations but receive benefits typically others dont
  • Work 9-5
• Salary for program making for both corporate & employee

  • $60k
  • Top employee for program in employee program: $450k
• Ethics 


  A code of ethics that we abide by in our practice, considered to be a system of values that guides our behavior in working directly with patients in any healthcare setting & situation
• Autonomy

  when we complete our training & become licensed: we then have autonomy to work, we have responsibilities

  Must be without undue influence in decision making, make decisions without coercion
• what do many health professionals dont do well with their patients?


  Don't give enough information about the patient's treatment plan or available options

  They don't want the patient to obtain autonomy

  Want to become the decision maker for them (NOT GOOD)
• Confidentiality

  Relates to concept of privacy of patient information

  Only discuss/share patient information with other health professionals that are also working with the patient

  Or, if the patient was referred to a specialist

  Patient can sue if information is leaked to non-professionals
• Clinical Judgement

  A skill we acquire & improve over time

  Health professionals thought process when working with patients

  Must take all of the patient's information in order to determine how to address the treatment
• Crimes committed by health professionals

  In the US: crimes are continuous

  types of crimes:

  1. Fraud (billing the patient of non-performed services)
  2. Stealing information
  3. Stealing drugs/object/tools from worksite
• Survey study in 1965-93

  general public was asked if they trusted health professionals

  survey states:

  trust in doctors 73% positive in '65

  decrease of positivity to 22% in '93
• Patient Safety and Risk Management Program

  Can be given randomly or be asked to apply if interested

  Only health coordinator

   Better collaboration and efforts to improve safety, quality, and risk will lead to safer patient care. In the end, safer systems make patient care safer, which benefits patients, providers, and insurers.
• Professional Certification

  Standardized specific program training that coordinators could obtain

  Shows level of responsibility & can also, contribute higher salaries
• Informed Consent

  Required by law to inform patients, explain to patients everything related to their treatment/procedure, what to expect and anticipate
• Information areas required to give to patients for informed consent

  • Patient diagnosis (need to give medical terminology diagnosis in a language particular to patient)
  • Explanation of proper treatment/procedure and its purpose (must explain in detail what will occur)
  • Any risks or consequences of the treatment
  • Probability that the procedure will be successful (via % or state level of success)
  • Treatment alternatives (can be sued if invasive surgery is done)
  • Consequences of not receiving the proposed treatment
• Implied Consent


  Generally provided through actions, used for routine check up procedures and non-invasive treatments
• Explicit Consent


  Written forms presented and used for patients, required when: treatment is invasive, involves anesthesia, radiation, electric shock, or is experimental
• HP must assess the patient's ability to understand and obtain consent from spouse, legal guardian, or parent for special groups like minors, mentally ill, mentally retarded, under influence of drugs/alcohol
• Informed consent is for the individual patient and can't be influenced by family members, HP must explain all factors and answer patient questions
• Special health circumstances where patient may not be able to give consent

  • Dementia (may need to ask accompanying spouse of patient the questions, can't ask patient "do you have dementia?"
  • Delirium (must ask legal guardian, spouse, parent, due to patient coming out of surgery & from anesthesia)
  • Psychosis (patient is not able to function properly, may be asked to come back another day & return when better)
• • Consent forms must be tailored to specific group practices, can't use generic forms, HP can't just give forms and walk away, forms don't replace professional discussion
• • Patient education material must be unbiased, consistent with what HP discussed, and tailored to the patient population, can't be used for marketing or contain false claims
• • Consent forms: practitioners must meet up with attorney's to develop consent forms, attorney will ask questions about practices performed on patients, & can come back to review/adjust consent forms later
• Coercion with patients does not work

  You can not show pictures or videos of a surgery
• HP cannot force a patient into treatment if they refuse it

  If a patient refuses treatment, document it in their chart
• • The purpose of informed consent is to ensure that patients understand the risks involved in any procedure.
• • Informed Consent: The process whereby a healthcare provider communicates information regarding diagnosis, prognosis, risks, benefits, alternatives, and consequences of proposed treatments to an individual who is capable of understanding such information so that person may make informed decisions.
• Ethical: Teleologic Theory


  sometimes named "Utilitarian"

  • an ethical theory that determines whether an action is right or wrong by focusing on the consequences or end result
  • priority to the good over right
  • health professionals would consider the consequences of performing or not performing an act & base their decisions on what would bring the greatest good to greatest number of people
• Ethical: Deontological Theory


  sometimes called "formalist"

  • pertains to duty or obligation
  • health professionals would consider their own motivation when justifying an action rather than considering the consequences of the action
  • to do the right think because its your duty/obligation, regardless of the outcome or consequences
• Values


  Health professionals' assumptions about the nature of patient teaching are based on own values

  Have direct impact on how professionals conduct patient teaching

  goals considered important, techniques & methods used, and degree of responsibility by patient & professional