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interest in learning
Understand what
needs to be taught.
 Be competent in
collecting and
validating infos.
Assessing must be done
before actual learning is to
occur.
If it requires
strength, flexibility, and
endurance.
difficulty
level of the subject or
task to be mastered by
the learner must be
accounted.
An environment
conducive to learning will
help to keep the learner’s
attention and stimulate
interest in learning.
determines the
amount of energy in a
learner that influences the
learner’s readiness to learn.
women are
generally more receptive to
medical care
factor that
influences the ability to
perform at a
cognitive, affective, and
psychomotor level
support system
influence emotional
readiness and are closely
tied to how anxious
someone might feel.
motivation and
interest on the part of the
learner to achieve a task
also lead to more
meaningful teaching–
learning experiences
Taking risks is
intrinsic in the activities
people.
concern about
the here and now.
Each task
associated with human
development produces a
peak time for readiness to
learn, known as a
“teachable moment”.
extent to which
someone is driven to
achieve is related to the
type of short- and long-
term goals established by
the learner
coping
mechanism someone has
been using must be
explored to understand
how the learner has dealt
with previous problems
sensitivity to
cultural differences are
important to avoid teaching
in opposition to cultural
beliefs.
They are ready
to learn when they feel a
need to know about
something.
someone other
than themselves must
encourage a feeling of
wanting to know
something.
The tendency
to adhere to a parochial or
cosmopolitan point of view
is known as orientation
How much
someone already knows
about a particular subject
or how proficient that
person is at performing a
task
The extent to
which information can be
processed is indicative of
the level at which the
learner is capable of
learning.
mental
retardation, learning disabilities
and low-level reading skills will
require special or innovative
approaches to instruction to
sustain or bolster readiness to
learn.
A variety of
preferred styles of learning
exist, and assessing how
someone learns best will help
the educator to select teaching
approaches accordingly
Learner              General Characteristics   Teaching Strategy   Nursing Intervention



INFANCY-              Dependent on        Orient teaching            Welcome active
TODDLERHOOD          environment        to caregiver               involvement
                      Needs security      Use repetition             Forge alliances
                      Explores self     and imitation of             Encourage
                     and environment information                   physical
                      Natural curiosity Stimulate all              closeness
                                        senses                       Provide detailed
Approx Age: 0-3yr                         Provide                  information
Cognitive Stage:                        physical safety              Answer
Sensorimotor                            and emotional              questions and
Psychosocial                            security                   concerns
Stage: Trust vs                           Allow play and             Ask for
mistrust (0-12mos)
                                        manipulation of            information on
Autonomy vs.
                                        objects                    child’s
Shame and doubt
(1-3 y/o)                                                          strengths/limitatio
                                                                   ns and likes.
Learner             General Characteristics   Teaching Strategy   Nursing Intervention



PRESCHOOLER           Egocentric                Use warm, calm      Welcome active
                      Thinking                approach            involvement
                    precausal,                  Build trust         Forge alliances
                    concrete, literal           Use repetition      Encourage
                      Believes illness        of information      physical
                    self-caused and             Allow             closeness
Approx Age: 3-6yr   punitive                  manipulation of       Provide detailed
Cognitive Stage:      Limited sense           objects and         information
Preoperational      of time                   equipment             Answer
Psychosocial          Fears bodily              Give care with    questions and
Stage: Initiative   injury                    explanation         concerns
vs.guilt              Cannot                    Reassure not to     Ask for
                    generalize                blame self          information on
                      Animistic                                   child’s
                    thinking                                      strengths/limitatio
                      Centration                                  ns and likes.
Learner       General Characteristics   Teaching Strategy    Nursing Intervention



PRESCHOOLER     Separation                Explain
(CONTINUED)   anxiety                   procedures
                Motivated by            simply and briefly
              curiosity                   Provide safe,
                Active                  secure
              imagination,              environment
              prone to fears              Use positive
                Play is his/her         reinforcement
              work                        Encourage
                                        questions to
                                        reveal
                                        perceptions/fee-
                                        lings
                                          Use simple
                                        drawings and
                                        stories
Learner       General Characteristics   Teaching Strategy     Nursing Intervention



PRESCHOOLER                               Use Play
(CONTINUED)                             therapy, with
                                        dolls and puppets
                                          Stimulate
                                        senses:
                                        visual, auditory, t
                                        actile, motor
Learner               General Characteristics   Teaching Strategy    Nursing Intervention



SCHOOL-AGED             More realistic            Encourage            Welcome active
CHILDREN              and objective             independence         involvement
                        Understands             and active             Forge alliances
                      cause and effect          participation          Encourage
                        Deductive/induc           Be honest, allay   physical
                      tive reasoning            fears                closeness
                        Wants concrete            Use logical          Provide detailed
Approx Age: 6-        information               explanation          information
12yr                    Able to                   Allow time to        Answer
Cognitive Stage:      compare objects           ask questions        questions and
Concrete              and events                  Use analogies      concerns
operations              Variable rates          to make invisible      Ask for
Psychosocial
                      of physical               process real         information on
Stage: Industry vs.
                      growth                      Establish role     child’s
inferiority
                        Reasons                 model                strengths/limitatio
                      syllogistically                                ns and likes.
Learner       General Characteristics   Teaching Strategy   Nursing Intervention



SCHOOL-AGED    Understands                Relate care to
CHILDREN      seriousness and           other children’s
(CONTINUED)   consequences of           experiences;
              actions                   compare
               Subject-                 procedures
              centered focus              Use subject-
               Immediate                centered focus
              orientation                 Use play
                                        therapy
                                          Provide group
                                        activities
                                          Use drawings,
                                        models, dolls,
                                        painting, audio-
                                        and video tapes
Learner               General Characteristics   Teaching Strategy    Nursing Intervention



ADOLESCENCE             Abstract,                 Establish trust,     Explore
                      hypothetical              authenticity         emotional and
                      thinking                    Know their         financial support
                        Can build on            agenda                 Determine
                      past learning               Address            goals and
                        Reasons by              fears/concerns       expectations
Approx Age: 12-       logic and                 about outcomes         Assess stress
18yr                  understands               of illness           levels
Cognitive Stage:      scientific                  Identify control     Respect values
Formal operations     principles                focus                and norms
Psychosocial            Future                    Include in plan      Determine role
Stage: Identity vs.   orientation               of care              responsibilities
role confusion
                        Motivated by              Use peers for      and relationships
                      desire for social         supports and           Allow for 1:1
                      acceptance                influence            teaching w/o
                                                                     parents present,
Learner       General Characteristics   Teaching Strategy    Nursing Intervention



ADOLESCENCE     Peer group                Negotiate            But with
(CONTINUED)   important                 changes              adolescent’s
                Intense                   Focus on           permission;
              personal                  details              inform family of
              preoccupation,              Make               content covered.
              appearance                information
              extremely                 meaningful to life
              important                   Ensure
              (imaginary                confidentiality
              audience)                 and privacy
                Feels                     Arrange group
              invulnerable,             sessions
              invincible/im-              Use
              mune to natural           audiovisuals,
              laws(personal             role-play,
              fable)                    contracts,
                                        reading materials
Learner       General Characteristics   Teaching Strategy   Nursing Intervention



ADOLESCENCE                              Provide for
(CONTINUED)                             experimentation
                                        and flexibility
Learner            General Characteristics   Teaching Strategy   Nursing Intervention


YOUNG                 Autonomous               Use problem-        Explore
ADULTHOOD             Self-directed          centered focus      emotional,
                      Uses personal            Draw on           financial, and
                    experiences to           meaningful          physical support
                    enhance or               experiences         system
                    interfere with             Focus on            Assess
                    learning                 immediately of      motivational level
Approx Age: 18-       Intrinsic              application         for involvement
40yr                motivation                 Encourage           Identify
Cognitive Stage:      Able to analyze        active              potential
Formal operations critically                 participation       obstacles and
Psychosocial          Makes                    Allow to set      stressors
Stage: Intimacy vs.
                    decisions about          own pace, be
isolation
                    personal,                self-directed
                    occupational,              Organize
                    and social roles         material
Learner       General Characteristics   Teaching Strategy   Nursing Intervention



YOUNG          Competency-                Recognize
ADULTHOOD     based learner             social role
(CONTINUED)                               Apply new
                                        knowledge
                                        through role-
                                        playing and
                                        hands-on
                                        practice
Learner            General Characteristics   Teaching Strategy   Nursing Intervention



MIDDLE-AGED            Sense of self           Focus on            Explore
ADULTHOOD           well developed           maintaining         emotional,
                       Concerned with        independence        financial, and
                    physical changes         and                 physical support
                       At peak in            reestablishing      system
                    career                   normal life           Assess
                       Explores              patterns            motivational level
Approx Age: 40-     alternative                Assess positive   for involvement
65yr                lifestyle                and negative pas      Identify
Cognitive Stage:       Reflects on           experiences with    potential
Formal operations   contributions to         learning            obstacles and
Psychosocial        family and                 Assess            stressors
Stage: Generativity
                    society                  potential sources
vs. Self-absorption
                       Reexamines            of stress due to
and stagnation
                    goals and values         midlife crisis
                                             issues
Learner       General Characteristics   Teaching Strategy    Nursing Intervention



MIDDLE-AGED     Questions                 Provide
ADULTHOOD     achievements              information to
(CONTINUED)   and successes             coincide with life
                Has confidence          concerns and
              in abilities              problems
                Desires to
              modify
              unsatisfactory
              aspects of life
Learner              General Characteristics   Teaching Strategy   Nursing Intervention



OLDER                   Cognitive                 Use concrete       Involve principal
ADULTHOOD             changes                  samples             caregivers
                        Decreased                 Build on past      Encourage
                      ability to think         life experiences    participation
                      abstractly,                 Make               Provide
                      process                  information         resources for
                      information              relevant and        support (respite
Approx Age: 65yr        Decreased              meaningful          care)
and over              short-term                  Present on         Assess coping
Cognitive Stage:      memory                   concept at a time   mechanisms
Formal operations       Increased                 Allow time for     Provide written
Psychosocial          reaction time            processing/respo    instructions for
Stage: Ego
                        Increased test         nse(slow pace)      reinforcement
integrity vs. despair
                      anxiety                                        Provide
                        Stimulus                                   anticipatory
                      persistence                                  problem solving.
Learner       General Characteristics   Teaching Strategy   Nursing Intervention



OLDER          Focuses on        Use repetition
ADULTHOOD     past life        and
(CONTINUED)   experiences      reinforcement of
                               information
                                 Avoid written
                Sensory/motor exams
              deficits           Use verbal
                Auditory       exchange and
              changes          coaching
                Hearing loss,    Establish
              especially high- retrieval plan
              pitched tones,     Encourage
              consonants       active
              (S,Z,T,F, and G) involvement
              and rapid speech   Keep
                Visual changes explanation brief
Learner       General Characteristics   Teaching Strategy    Nursing Intervention



OLDER           Farsighted                Use analogies
ADULTHOOD     (needs glasses to         to illustrate
(CONTINUED)   read)                     abstract
                Lenses become           information
              opaque (glare               Speak slowly,
              problem)                  distinctly
                Smaller pupil             Use low-pitched
              size(decreased            tomes
              visual adaptation           Face client
              to darkness)              when speaking
                Decreased                 Minimize
              peripheral                distractions
              perception                  Avoid shouting
                Yellowing of              Use visual aids
              lenses(distorts           to supplement
              low-tone colors           verbal instruction
Learner       General Characteristics   Teaching Strategy   Nursing Intervention


OLDER           Blue, green,              Avoid glares,
ADULTHOOD     violet)                   use soft white
(CONTINUED)     Distorted depth         light
              perception                  Provide
                Fatigue/decreas         sufficient light
              ed energy levels            Use white
                Pathophysiolog          backgrounds and
              y (chronic illness)       black prints
                Psychosocial              Use large
              changes                   letters and well-
                Decreased risk          spaced print
              taking                      Avoid color
                Selective               coding with
              learning                  blues, greens,
                Intimidated by          purples and
              formal learning           yellows.
Learner       General Characteristics   Teaching Strategy     Nursing Intervention


OLDER                                      Increase safety
ADULTHOOD                               precautions/provi
(CONTINUED)                             de safe
                                        environment
                                           Ensure
                                        accessibility and
                                        fits of prostheses
                                        (glasses, hearing
                                        aid)
                                           Keep sessions
                                        short
                                           Provide for
                                        frequent rest
                                        periods
                                           Allow extra time
                                        to perform
Learner       General Characteristics   Teaching Strategy   Nursing Intervention


OLDER                                     Establish
ADULTHOOD                               realistic short-
(CONTINUED)                             term goals
                                          Give time to
                                        reminisce
                                          Identify and
                                        present pertinent
                                        material
                                          Use informal
                                        teaching
                                        sessions
                                          Demonstrate
                                        relevance of
                                        information to
                                        daily life
                                          Assess
                                        resources
Learner       General Characteristics   Teaching Strategy    Nursing Intervention


OLDER                                     Make learning
ADULTHOOD                               positive
(CONTINUED)                               Identify past
                                        positive
                                        experiences
                                          Integrate new
                                        behaviors with
                                        formerly establish
                                        ones

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Clincal teaching, THe learner

  • 1.
  • 3. Understand what needs to be taught. Be competent in collecting and validating infos.
  • 4. Assessing must be done before actual learning is to occur.
  • 5.
  • 6. If it requires strength, flexibility, and endurance.
  • 7. difficulty level of the subject or task to be mastered by the learner must be accounted.
  • 8. An environment conducive to learning will help to keep the learner’s attention and stimulate interest in learning.
  • 9. determines the amount of energy in a learner that influences the learner’s readiness to learn.
  • 10. women are generally more receptive to medical care
  • 11. factor that influences the ability to perform at a cognitive, affective, and psychomotor level
  • 12. support system influence emotional readiness and are closely tied to how anxious someone might feel.
  • 13. motivation and interest on the part of the learner to achieve a task also lead to more meaningful teaching– learning experiences
  • 14. Taking risks is intrinsic in the activities people.
  • 16. Each task associated with human development produces a peak time for readiness to learn, known as a “teachable moment”.
  • 17. extent to which someone is driven to achieve is related to the type of short- and long- term goals established by the learner
  • 18. coping mechanism someone has been using must be explored to understand how the learner has dealt with previous problems
  • 19. sensitivity to cultural differences are important to avoid teaching in opposition to cultural beliefs.
  • 20. They are ready to learn when they feel a need to know about something.
  • 21. someone other than themselves must encourage a feeling of wanting to know something.
  • 22. The tendency to adhere to a parochial or cosmopolitan point of view is known as orientation
  • 23. How much someone already knows about a particular subject or how proficient that person is at performing a task
  • 24. The extent to which information can be processed is indicative of the level at which the learner is capable of learning.
  • 25. mental retardation, learning disabilities and low-level reading skills will require special or innovative approaches to instruction to sustain or bolster readiness to learn.
  • 26. A variety of preferred styles of learning exist, and assessing how someone learns best will help the educator to select teaching approaches accordingly
  • 27. Learner General Characteristics Teaching Strategy Nursing Intervention INFANCY- Dependent on Orient teaching Welcome active TODDLERHOOD environment to caregiver involvement Needs security Use repetition Forge alliances Explores self and imitation of Encourage and environment information physical Natural curiosity Stimulate all closeness senses Provide detailed Approx Age: 0-3yr Provide information Cognitive Stage: physical safety Answer Sensorimotor and emotional questions and Psychosocial security concerns Stage: Trust vs Allow play and Ask for mistrust (0-12mos) manipulation of information on Autonomy vs. objects child’s Shame and doubt (1-3 y/o) strengths/limitatio ns and likes.
  • 28. Learner General Characteristics Teaching Strategy Nursing Intervention PRESCHOOLER Egocentric Use warm, calm Welcome active Thinking approach involvement precausal, Build trust Forge alliances concrete, literal Use repetition Encourage Believes illness of information physical self-caused and Allow closeness Approx Age: 3-6yr punitive manipulation of Provide detailed Cognitive Stage: Limited sense objects and information Preoperational of time equipment Answer Psychosocial Fears bodily Give care with questions and Stage: Initiative injury explanation concerns vs.guilt Cannot Reassure not to Ask for generalize blame self information on Animistic child’s thinking strengths/limitatio Centration ns and likes.
  • 29. Learner General Characteristics Teaching Strategy Nursing Intervention PRESCHOOLER Separation Explain (CONTINUED) anxiety procedures Motivated by simply and briefly curiosity Provide safe, Active secure imagination, environment prone to fears Use positive Play is his/her reinforcement work Encourage questions to reveal perceptions/fee- lings Use simple drawings and stories
  • 30. Learner General Characteristics Teaching Strategy Nursing Intervention PRESCHOOLER Use Play (CONTINUED) therapy, with dolls and puppets Stimulate senses: visual, auditory, t actile, motor
  • 31. Learner General Characteristics Teaching Strategy Nursing Intervention SCHOOL-AGED More realistic Encourage Welcome active CHILDREN and objective independence involvement Understands and active Forge alliances cause and effect participation Encourage Deductive/induc Be honest, allay physical tive reasoning fears closeness Wants concrete Use logical Provide detailed Approx Age: 6- information explanation information 12yr Able to Allow time to Answer Cognitive Stage: compare objects ask questions questions and Concrete and events Use analogies concerns operations Variable rates to make invisible Ask for Psychosocial of physical process real information on Stage: Industry vs. growth Establish role child’s inferiority Reasons model strengths/limitatio syllogistically ns and likes.
  • 32. Learner General Characteristics Teaching Strategy Nursing Intervention SCHOOL-AGED Understands Relate care to CHILDREN seriousness and other children’s (CONTINUED) consequences of experiences; actions compare Subject- procedures centered focus Use subject- Immediate centered focus orientation Use play therapy Provide group activities Use drawings, models, dolls, painting, audio- and video tapes
  • 33. Learner General Characteristics Teaching Strategy Nursing Intervention ADOLESCENCE Abstract, Establish trust, Explore hypothetical authenticity emotional and thinking Know their financial support Can build on agenda Determine past learning Address goals and Reasons by fears/concerns expectations Approx Age: 12- logic and about outcomes Assess stress 18yr understands of illness levels Cognitive Stage: scientific Identify control Respect values Formal operations principles focus and norms Psychosocial Future Include in plan Determine role Stage: Identity vs. orientation of care responsibilities role confusion Motivated by Use peers for and relationships desire for social supports and Allow for 1:1 acceptance influence teaching w/o parents present,
  • 34. Learner General Characteristics Teaching Strategy Nursing Intervention ADOLESCENCE Peer group Negotiate But with (CONTINUED) important changes adolescent’s Intense Focus on permission; personal details inform family of preoccupation, Make content covered. appearance information extremely meaningful to life important Ensure (imaginary confidentiality audience) and privacy Feels Arrange group invulnerable, sessions invincible/im- Use mune to natural audiovisuals, laws(personal role-play, fable) contracts, reading materials
  • 35. Learner General Characteristics Teaching Strategy Nursing Intervention ADOLESCENCE Provide for (CONTINUED) experimentation and flexibility
  • 36. Learner General Characteristics Teaching Strategy Nursing Intervention YOUNG Autonomous Use problem- Explore ADULTHOOD Self-directed centered focus emotional, Uses personal Draw on financial, and experiences to meaningful physical support enhance or experiences system interfere with Focus on Assess learning immediately of motivational level Approx Age: 18- Intrinsic application for involvement 40yr motivation Encourage Identify Cognitive Stage: Able to analyze active potential Formal operations critically participation obstacles and Psychosocial Makes Allow to set stressors Stage: Intimacy vs. decisions about own pace, be isolation personal, self-directed occupational, Organize and social roles material
  • 37. Learner General Characteristics Teaching Strategy Nursing Intervention YOUNG Competency- Recognize ADULTHOOD based learner social role (CONTINUED) Apply new knowledge through role- playing and hands-on practice
  • 38. Learner General Characteristics Teaching Strategy Nursing Intervention MIDDLE-AGED Sense of self Focus on Explore ADULTHOOD well developed maintaining emotional, Concerned with independence financial, and physical changes and physical support At peak in reestablishing system career normal life Assess Explores patterns motivational level Approx Age: 40- alternative Assess positive for involvement 65yr lifestyle and negative pas Identify Cognitive Stage: Reflects on experiences with potential Formal operations contributions to learning obstacles and Psychosocial family and Assess stressors Stage: Generativity society potential sources vs. Self-absorption Reexamines of stress due to and stagnation goals and values midlife crisis issues
  • 39. Learner General Characteristics Teaching Strategy Nursing Intervention MIDDLE-AGED Questions Provide ADULTHOOD achievements information to (CONTINUED) and successes coincide with life Has confidence concerns and in abilities problems Desires to modify unsatisfactory aspects of life
  • 40. Learner General Characteristics Teaching Strategy Nursing Intervention OLDER Cognitive Use concrete Involve principal ADULTHOOD changes samples caregivers Decreased Build on past Encourage ability to think life experiences participation abstractly, Make Provide process information resources for information relevant and support (respite Approx Age: 65yr Decreased meaningful care) and over short-term Present on Assess coping Cognitive Stage: memory concept at a time mechanisms Formal operations Increased Allow time for Provide written Psychosocial reaction time processing/respo instructions for Stage: Ego Increased test nse(slow pace) reinforcement integrity vs. despair anxiety Provide Stimulus anticipatory persistence problem solving.
  • 41. Learner General Characteristics Teaching Strategy Nursing Intervention OLDER Focuses on Use repetition ADULTHOOD past life and (CONTINUED) experiences reinforcement of information Avoid written Sensory/motor exams deficits Use verbal Auditory exchange and changes coaching Hearing loss, Establish especially high- retrieval plan pitched tones, Encourage consonants active (S,Z,T,F, and G) involvement and rapid speech Keep Visual changes explanation brief
  • 42. Learner General Characteristics Teaching Strategy Nursing Intervention OLDER Farsighted Use analogies ADULTHOOD (needs glasses to to illustrate (CONTINUED) read) abstract Lenses become information opaque (glare Speak slowly, problem) distinctly Smaller pupil Use low-pitched size(decreased tomes visual adaptation Face client to darkness) when speaking Decreased Minimize peripheral distractions perception Avoid shouting Yellowing of Use visual aids lenses(distorts to supplement low-tone colors verbal instruction
  • 43. Learner General Characteristics Teaching Strategy Nursing Intervention OLDER Blue, green, Avoid glares, ADULTHOOD violet) use soft white (CONTINUED) Distorted depth light perception Provide Fatigue/decreas sufficient light ed energy levels Use white Pathophysiolog backgrounds and y (chronic illness) black prints Psychosocial Use large changes letters and well- Decreased risk spaced print taking Avoid color Selective coding with learning blues, greens, Intimidated by purples and formal learning yellows.
  • 44. Learner General Characteristics Teaching Strategy Nursing Intervention OLDER Increase safety ADULTHOOD precautions/provi (CONTINUED) de safe environment Ensure accessibility and fits of prostheses (glasses, hearing aid) Keep sessions short Provide for frequent rest periods Allow extra time to perform
  • 45. Learner General Characteristics Teaching Strategy Nursing Intervention OLDER Establish ADULTHOOD realistic short- (CONTINUED) term goals Give time to reminisce Identify and present pertinent material Use informal teaching sessions Demonstrate relevance of information to daily life Assess resources
  • 46. Learner General Characteristics Teaching Strategy Nursing Intervention OLDER Make learning ADULTHOOD positive (CONTINUED) Identify past positive experiences Integrate new behaviors with formerly establish ones