Patient Education 11 JONES & BARTLETI LEARNING. A Practical Approach

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1 Patient Education A Practical Approach SECOND EDITION Richard D. Muma, PhD, MPH, PA-C Associate Provost Office of Academic Affairs and Research Professor Department of Public Health Sciences Wichita State University Wichita, Kansas Barbara Ann Lyons, MA, PA-C Associate Professor (Retired) Department of Physician Assistant Studies School of Health Professions University of Texas Medical Branch Galveston, Texas r 11 JONES & BARTLETI LEARNING

2 BRIEF CONTENTS :t 1 PART 1 CHAPTER 1 CHAPTER 2 CHAPTER 3 CHAPTER 4 CHAPTER 5 CHAPTER 6 Patient Education An Approach to Patient Education Selecting and Evaluating Sources of Patient Education Materials Behavior Modification Complementary and Alternative Medicine Managing Medieation Nonadherence Incorporating Patient Education into Clinical Practice PART 11 CHAPTER 7 CHAPTER 8 CHAPTER 9 CHAPTER 10 CHAPTER 11 CHAPTER 12 CHAPTER 13 CHAPTER 14 CHAPTER 15 CHAPTER 16 CHAPTER 17 CHAPTER 18 CHAPTER 19 CHAPTER 20 Primary Care Disorders Eye, Ea r, Nose, a nd Th roat Pulmonary Disorders Cardiovascular Disorders Rheumatologie Disorders Endocrine Disorders Gastrointestinal Disorders Renal Disorders Neurologie Disorders Neoplastie Disorders Obstetries and Gynecology Infectious Diseases Musculoskeletal Disorders Behavior Disorders Pediatrie Disorders PART 111 Patient Information Handouts Complementary and Alternative Medieines Eye, Ear, Nose, and Throat Pulmonary Disorders Cardiovascular Disorders Rheumatologie Disorders iii

3 Endocrine Disorders Gastrointestinal Disorders Renal Disorders Neurologie Disorders Neoplastie Disorders Obstetries and Gynecology Infectious Diseases Musculoskeletal Disorders Behavior Disorders Pediatric Disorders F CONTENTS

4 CONTENTS Preface... xv Acknowledgments... xvii Contributing Authors... xix PART I CHAPTER 1 CHAPTER 2 CHAPTER 3 Patient Education An Approach to Patient Education Richard D. Muma Learning Objectives... 3 Main Points... 3 Introduction... 3 A Model for Patient Education Specific Suggestions for Enhancing the Patient Education Process.. 7 Other Factors Influencing Patient Education SeLecting and Evaluating Sources of Patient Education Materials Barbara Ann Lyons Learning Objectives Main Points Introduction Types of Instructional Materials Sources of Instructional Material Factors for Evaluation APPENDIX 2-1 List of Professional Organizations APPENDIX 2-2 Federal Agency Contact Information. 18 APPENDIX 2-3 National Health Organizations Behavior Modification Donald N. Al/ison, J. Dennis Blessing, and Barbara Ann Lyons Learning Objectives Main Points Introduction Behavior Modification Guidelines Motivational Interviewing Diet v

5 CHAPTER 4 CHAPTER 5 CHAPTER 6 Exercise Smoking High-Risk Sexual Behaviors Wellness Complementary and Alternative Medicine Sue M. Nyberg, Eric A. Bannwarth, and Brett D. Olson Learning Objed;ves Main Points.... Introduction.... History of CAM.... Statistics on CAM Use... Why People Use (AM How Do People Pay for (AM Treatments?.. 36 Major Types of (AM Whole Medical Systems..38 Managing Medication Nonadherence LaDonna S. Haie and Courtney R. Caider Learning Objectives Main Points Introduction What Is Medication Nonadherence?... Medication Nonadherence Is anational Healthcare Crisis.42 Detect and Diagnose Medication Nonadherence Prescriber-Related Nonadherence.... Patient-Related Nonadherence.... Medication-Related Nonadherence.... Pharmacy-Related Nonadherence.... Developing an Individualized Treatment Plan.... Medication Nonadherence in Special Populations Incorporating Patient Education into CLinical Practice Lucas Williams, Kathryn C. Graves, and Racquei Szabo Learning Objectives Main Points Introduction A Rationale for Patient Education.. 49 Incorporating Effective Patient Education into Clinical Practice Patient Education Materials The Future of Patient Education

6 PART 11 CHAPTER 7 CHAPTER 8 CHAPTER 9 Primary Care Disorders.55 Eye, Ear, Nase, and Throat Susan Berg Learning Objernves Main Points Eye Disorders Ear Disorders Mouth and Throat Disorders Nose Disorders Pulmonary Disarders Tracy L. Cleveland Learning Objectives Main Points Chronic Obstructive Pulmonary Disease Asthma Cystic Fibrosis Acute Bronchitis Influenza Pneumonia Tuberculosis Pneumothorax Pulmonary Embolism Foreign Body Aspiration.96 Upper Respiratory Infections..97 Sinusitis Pharyngitis..100 Cardiovascular Disorders Holly West Learning Objectives.104 Main Points.104 Hypertension.104 Pericarditis.106 Valvular Heart Disease.108 Heart Failure.109 Infective Endocarditis Angina (Coronary Heart Disease) Myocardial Infarction Cardiomyopathies Conduction Disorders and Arrhythmias 120 CONTENTS

7 CHAPTER 10 CHAPTER 11 CHAPTER 12 CHAPTER 13 Congenital Heart Disease Vascular Disease Rheumatologie Disorders Veronica Vasquez Learning Objectives Main Points Osteoarthritis Rheumatoid Arthritis Systemic Lupus Erythematosus Gout Endocrine Disorders Jodi Flynn Learning Objec:tives Main Points Diabetes Mell;tus Hyperthyroidism (Thyrotoxicosis) Hypothyroidism Primary Hyperparathyroidism Primary Hypoparathyroidism Cushing's Disease and Syndrome Addison's Disease and Corticoadrenal Insufficiency Hypercholesterolemia Gastroi ntesti nal Disorders Sue M. Nyberg, Ashley L. Diederich, and Kelsey E. Thomas Learning Objectives Main Points Hepatitis Pancreatitis Irritable Bowel Syndrome Diverticular Disease Peptic Ulcer Disease Hiatal Hernia Gallstone Disease Renal Disorders Timothy F. Quigley, Meosha N. CarT, and Christina Heisserer Learning Objectives Main Points Renal Calculi Urinary Incontinence

8 CONTENTS CHAPTER 14 CHAPTER 15 CHAPTER 16 Chronic Kidney Disease. Pyelonephritis Cystitis.. Urethritis. Acute Glomerulonephritis Acute Epididymitis Acute Prostatitis Erectile Dysfunction Benign Prostatic Hyperplasia. Neurologie Disorders James M. Tajt.178 Learning Objectives Main Points Headaches Epilepsy Cerebrovascular Accidents Alzheimer's Disease Parkinson's Disease Neoplastie Disorders Debra s. Munsell Learning Objectives Main Points Lung Cancer. Breast Cancer. Colorectal Cancer Testicular Cancer Prostate Cancer Nonmelanoma Skin Cancer Melanoma. Oral Cavity Cancer Obstetrics and Gynecology Steven T. Dodge Learning Objectives Main Points. Normal Pregnancy. Spontaneous Abortion. Ectopic Pregnancy.... Menopause Vaginitis

9 CHAPTER 17 CHAPTER 18 CHAPTER 19 Infectious Diseases Roberto CanaLes and Bernadette M. CanaLes Learning Objectives Main Points Introduction Chlamydia Gonorrhea Syphilis GenitaL Herpes.... CondyLoma Acuminatum... HIV and AIDS.... SaLmoneLLosis... ShigeLLosis... Lyme Disease Rocky Mountain Spotted Fever Epstein-Barr Virus. Herpes Zoster (ShingLes) Musculoskeletal Disorders Carmen C. Cardona and J. Dennis Blessing Learning Objectives Main Points Introduction Low Back Pain Sprains and Strains. Fractures Osteoporosis Hernias Behavior Disorders Timothy F. QuigLey, Katie ReimLer, and LesLie E. Prichard Learning Objectives... Main Points... Depression.... Anxiety... Substance Use and Abuse... Eating Disorders... Attention-DefidtjHyperactivity Disorder... Pervasive DeveLopmentaL Disorders

10 CHAPTER 20 Pediatric Disorders Karen S. Stephenson and Heather L. Baker Learning Objectives Mai n Po; nts Anemia Asthma Cardiovascular Risk Factors Taking a Temperature Neonatal Jaundice Otitis Media and Sinusitis. Seizure Disorders. Tonsillitis and Pharyngitis. When a Child Has a Virus Gastroenteritis in Children Croup Syndromes in Children PART III Patient Information Handouts Complementary and Alternative Medicines Chiropractic (are Herbal Therapy Acupuncture Eye, Ear, Nose, and Throat Cataracts.290 Conjunctivitis Glaucoma..292 Hordeolum (Stye) Orbital and Periorbital Cellulitis Retinopathy..295 Otitis Externa.296 Hearing Impairment Vertigo Aphthous Ulcers..300 Hoarseness (Laryngitis) Salivary Gland Infection (Sialadenitis) Nosebleeds (Epistaxis) Pulmonary Disorders Acute Bronchitis... Asthma in Children CONTENTS

11 CO PD Cystic Fibrosis Foreign Body Aspiration Influenza Pneumonia Pneumothorax Pulmonary Embolism Tuberculosis Upper Respiratory Infections Cardiovascular Disorders.... Angina Pectoris.320 Heart Failure Endocarditis Heart Attack Hypertension (High Blood Pressure) Murmurs Pericard;tis Rheumatologie Disorders Osteoarthritis Rheumatoid Arthritis Systemic Lupus Erythematosus Gout Endocri ne Disorders Diabetes Mellitus.... Hyperthyro;d;sm Hypothyro;dism Hyperparathyro;d D;sease Hypoparathyroid Disease..347 Cushing's Syndrome and Disease Addison's Disease Hypercholesterolemia Gastrai ntesti nal Disorders Hepatitis... Pancreatitis.... Irritable Bowel Syndrome... Diverticulosis... Peptic Uleer Disease... Hiatal Hernia xii CONTENTS

12 Hernias Gallstones.... RenaL Disorders Urethritis... Benign Prostatic Hyperplasia Acute Glomerulonephritis Cystitis... Erectile Dysfunction... Kidney Stones... Pyelonephritis... Urinary Incontinence... Chronic Kidney Disease E pi d; dym;t;s Prostatitis.... NeuroLogie Disorders Alzheimer's Disease.... Headaches Parkinson's Disease.... Sei zu re Disorders Stroke. NeopLastie Disorders Lung Cancer... Breast Cancer.... Colorectal Cancer Prostate Cancer... Testicular Cancer... Nonmelanoma Skin Cancer... Melanoma Oral CaV'ity Cancer Obstetries and GynecoLogy Pregnancy Ectopic Pregnancy Menopause Spontaneous Abortion (Miscarriage).402 Vaginitis Infectious Diseases HIV and AIDS Chlamydia CONTENT

13 Genital Warts Genital Herpes Epstein-Barr Virus Shingles Rocky Mountain Spotted Fever SalmoneLLosis Shigellosis Syphilis Musculoskeletal Disorders Fractures Low Back Pain Osteoporosis Strains and Sprains Behavior Disorders Attention-DeflcitjHyperactivity Disorder Eat;ng Disorders Obesity Depression. Bipolar Disorder..... Postpartum Depress;on.... Anxiety.... Substance Use and Abuse Pediatric Disorders Asthma in Children Croup Pediatric Allergie Rhinitis Pediatric Anemia Pediatric Gastroenteritis Pediatric Jaundiee Pediatric Otitis Media Pediatric Sinusitis Seizure Disorders in (hildren Tonsillitis and Pharyngitis in (hildren Upper Respiratory Infections Index v CONTENTS

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