chapter 6 - literacy and readability-1

8/13/2019 Chapter 6 - Literacy and Readability-1

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LITERACY AND READABILITY

Additional Factors Affecting Client and

Student Education in Nursing

Dean Marc Benjamin A. Martin, Ed.D.c.

College of Arts and Sciences


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DEFINITION OF TERMS/ACRONYMS

LiteracyUsing printed and written

information to function in society, to achieve

ones goals, and to develop ones knowledge

and potential (NAAL, 1992)

Prose Literacyunderstanding information

coming from texts such as books and

newspapers.


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DEFINITION OF TERMS/ACRONYMS

Document Literacythe skills needed to

understand and use information in maps,

schedules, etc.

Quantitative Literacythe ability to

understand numbers in printed materials or

having the skills to do arithmetic.


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ASSESSING LITERACY


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How do you say that your client MAY

have a problem in terms of literacy? The patient does not read the PEM you gave

them a few days ago.

I want to discuss it first with my hubby,preferably at home, and not with you.

I forgot my glasses so I wont be able to read

it.


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How do you say that your client MAY

have a problem in terms of literacy? I am too tired to read that stuff.

Q: Do you understand? A:No comment.

S-E-X-U-A-L-T-R-A-N-S-M-I-S-S-I-O-N


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Important: Be sure to assess your clients ability to

comprehend written materials, and avoid

making assumptions about your clientsliteracy level.

Check for comprehension of the written

material, OR

Asses literacy by using standardized tests

available (WRAT and REALM)


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Sensory Impairments


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BEAR THIS IN MIND Not all clients have low literacy grades.

Some of our clients may have so-called

sensory impairments that may hinder theirlearning capacity.


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Sensory Impairments May be a result of illness, injury, or the aging

process.

Effective nurses modify their teachingapproaches in order to accommodate such

impairments.


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Guidelines for Teaching Clients with

Sensory Impairments

For Memory Impaired Clients: Use repetition

Use a variety of cues (verbal, written, pictures,

and symbols).

For Visually Impaired Clients:

Provide large-print materials.

Provide prescription eyeglasses and magnifyingglasses.

Provide adequate lighting while reducing glare.


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Guidelines for Teaching Clients with

Sensory Impairments

For Hearing Impaired Clients: Face the client directly when speaking.

Use short sentences and words that are easily

understood.

Use signals to reinforce verbal information

point, gesture, demonstrate.

Eliminate distracting noises or activities from the

environment as much as possible.


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Nursing Diagnosis


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NURSING DIAGNOSIS

Important: When lack of knowledge is the primary

barrier to learning, the NDx of DEFICIENT

KNOWLEDGE or KNOWLEDGE DEFICIT is

applicable. A client who does not understand how to use

crutches for assisted ambulation may have the

NDx of Deficient Knoledge: Crutchwalking,

related to inexperience as evidenced by multiplequestions and hesitancy to walk.


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NURSING DIAGNOSIS

A client who has had a colonostomy and will be

discharged soon may have a diagnosis of

Knowledge Deficit: Follow-up care related to

colonostomy care and maintenance as evidencedby request of information.

Also note: Knowledge deficit may also be a

component of many other NDx in which risk orimpaired behavior exists.


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NURSING DIAGNOSIS

Risk for infectionmay relate to a clients

compromised health status; this risk can be

modified or reduced through certain physical and

environmental changes and also through properclient education.

Self-care deficit : Bathing/Hygienemay need

assistance in acquiring the physical supplies to

remedy the deficit, as well as instruction totechniques.

chapter 6 - literacy and readability-1

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