Client Teaching and Learning

This paper explores the client learning process for a pregnant client with iron deficiency. It discusses the use of SMART objectives, behavioral theory, and Bloom's taxonomy to ensure positive results. The paper also covers the various stages of counseling and steps taken to ensure the client's well-being.

Running head: CLIENT TEACHING AND LEARNING
Client Teaching and Learning
Name of the Student
Name of the University
Author Note

1CLIENT TEACHING AND LEARNING
Executive Summary
This paper will explore Client Learning process by exploring a case and using three SMART
learning Objectives. The learning process will be according to behavioral theory and will be
inclusive of various domains in Bloom’s taxonomy- Cognitive, Affective and Psychomotor.
This is to ensure that the client self-motivates herself and follows the methods that will
ensure positive results. This paper will be exploring the various stages of counseling required
and the steps taken to ensure them from the counselor's or healthcare provider’s side.
Table of Content

2CLIENT TEACHING AND LEARNING
s
Introduction................................................................................................................................3
Details of the Patient..................................................................................................................3
Client Learning Process.............................................................................................................3
SMART Objectives....................................................................................................................4
Adherence to the SMART objectives....................................................................................4
Behavioral Theory Used in This Case.......................................................................................5
Bloom’s Taxonomy....................................................................................................................5
Cognitive Domain..................................................................................................................6
Affective Domain...................................................................................................................6
Psychomotor Domain.............................................................................................................7
Conclusion..................................................................................................................................7
References..................................................................................................................................8

3CLIENT TEACHING AND LEARNING
Introduction
As a health care professional it is important to ensure that the client or the patient
returns to normalcy after being diagnosed with heath issues. This can be ensured by teaching
the various aspects of the recovery process to the patient. This can be considered as a type of
counselling which enables the patient to understand the issues and act accordingly because
the duty of a healthcare professional does not end by just prescribing drugs and medical help.
This teaching is integrated within the process. In this report we will be exploring the learning
objectives of a pregnant client with iron deficiency or anemia, who is being helped to reach a
level of health and wellbeing that ensures that she heals and safely retains the baby.
Details of the Patient
 Name- Janice
 Age- 28
 Span of pregnancy- 7 months
 Symptoms- fatigue- shortness of breath, dizziness, leg cramps and mouth/tongue
sores.
 Diagnosis- iron-deficiency anemia.
Client Learning Process
The learning process for the client will be based on three very important
psychological aspects: cognitive, affective and psychomotor. This will be helping her retain
the information given to her and allow her to act accordingly. At first SMART objectives will
be set for the case, where SMART stands for the integral qualities of the objectives- Specific,
Measurable, Achievable, Realistic and Time bound.

4CLIENT TEACHING AND LEARNING
The Learning theory that will be applied for this process is that of psychological
constructivism. This is based on the behavioral models of learning through which a person
learns about organizing new information and reorganizing old information and experiences to
accept the new lifestyle changes. All the while, elements of the old lifestyle are kept side by
side (Fosnot & Perry, 1996). The new information will be accommodated and assimilated
with the old one to make sure that the regressive results of the previous are not repeated and
healing can be initiated.
SMART Objectives
The objectives of the case, are as follows:
1. Psychomotor betterment of the individual by exercises along with diet modification
along with iron supplements in the form of medicines till the end of her pregnancy.
2. Cognitive awareness of what might happen if she does not adhere to the lifestyle
changes that ensure lower stress and better health for her during the period of
pregnancy.
3. Effective understanding of the situation while learning and using the methods of
journaling/digital alarms for a disciplined timetable is to be integrated in her life.
Adherence to the SMART objectives
(According to Tofade, Khandoobhai & Leadon, 2012, p. 5)
 The aim is Specific, to reduce anemia and restore health to make sure that her
gestation period passes without any further complications for both her and the child. It
has to be ensured because mothers who are bearing children and has health
deficiencies, ends up harming the child either mentally or physically or both which

5CLIENT TEACHING AND LEARNING
will lead to deformities, diseases or retardation in the child. This might prove fatal in
the early formative years of the infant.
 The objective will be Measurable because the iron supplements will have a certain
dosage and will continue for a certain amount of time. The lifestyle changes will be of
a certain nature and the exercises will be of a certain kind because high toning
exercises will harm the baby and must be avoided.
 The objectives are not difficult for a pregnant woman to reach and maintain thus they
are easily achievable.
 The objectives are relatable as well because the patient had already been trying her
part. She tried eating vegetables rich in iron and exercised regularly. However she has
a tendency to overwork because she is a working woman and this has to be reduced to
decrease stress.
 The objectives are Time bound because each objective and step is limited to a certain
amount of time. It has to be ensured that time is maintained and this will be done by
journaling.
Behavioral Theory Used in This Case
(According to the WHO 2012 Document)
 The preceding events of tongue soreness, illness, pain and tiredness is taken into
consideration. Thus, the behavioral theory will be a strict theory, fit for making the
client understand the repercussions of her actions (WHO, 2012, p. 158-161).
 The communication perspectives will encourage her with an equal relationship that
will be established in between the counselor and client.
 The cognitive variables will be explained to make her wholly aware of the negative
problems that can arise due to her not adhering to the guidelines.

6CLIENT TEACHING AND LEARNING
 Self-regulation perspectives will make her realize that if she does not take steps for
her very own health, it will be impossible for people to help her and might lead to
termination of the contract with the counselor and healthcare provider.
Bloom’s Taxonomy
This taxonomy will be used to cover the three domains of the client learning program to
ensure best results.
Cognitive Domain
The cognitive domain that will be explored in the learning process of the client will be
dealing with the intellectual abilities of the person, which is required to understand the
situation and to self-motivate oneself to deal with the situation.
It will begin with the knowledge of the changes that need to be adapted within her
lifestyle, like iron supplements twice a day along with multivitamins for the rest of her
pregnancy and daily meditation and exercises to reduce stress. She will also have to abstain
from work, reduce the duration bit by bit and take a work leave for the last two months. She
will have to understand the implications of anemia on her child and herself and the gravity
of the medical situation. For this she can maintain a journal; a journal will be helpful to
remember her daily routine and to write down her stress. She will have to apply the changes
in her lifestyle regularly and must remember to do it every day. She will have various
questions about the new changes which will be difficult to apply but she must analyze the
situation accordingly because two lives are at stake here. She will have to learn how much of
everything is good for her, this will require in-depth evaluation. Like the time she will be
allotting for the exercises must be reduced from the time left for her other physical activities
to stop the risk of overworking herself. Finally she will have to reorganize and create a life
for herself with all these new changes, to maintain positive outcomes (Clark 2019).

7CLIENT TEACHING AND LEARNING
Affective Domain
The affective domain is the domain through which the person concerned learns about
the manners in which he or she should deal with things with emotions, enthusiasm and value
in very motivated way.
The client should be receiving the knowledge completely and responding to it
correctly. It must be ensured that no part of the lesson is left behind. She must be motivated
enough to value the learning process and allow herself to follow it. Client learning will only
be deemed successful if she can motivate herself accordingly. She must organize her
schedules accordingly and make sure that the iron is administered correctly all the while
maintaining a good exercise schedule according to her timetable. Adjustment is also required
in her character, because it is important to internalize the lessons imparted to value it above
everything. The client cannot be helped if she does not help herself (Clark 2019).
Psychomotor Domain
The psychomotor domain consists of the physical movements that are carried out by
the learner that needs to be developed by various techniques and practice.
The learning program should help the perception of the client in ways that guide
motor activity. The client must detect the path correct for her and set a program suitable. It
has to be made sure that she is set for any kind of changes that is required. The guided
response of the matter at hand must be honed to perfection because the schedule will be hard
to achieve at a certain time. The mechanism can be digital alarms and journaling, both help
in maintain schedules. The Complex Overt Responses of the client must be recorded and
intervention maybe required if there is a lack. This should help better adaptation if the
counselor or the planner enforces new rules on the client. This will allow origination for the
client which she will modify, add and deduct according to her wishes (Clark 2019).

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Conclusion
Client learning based on Bloom’s Taxonomy, mostly prove to be successful along
with behavioral theories. This will ensure that the client is aware of the negative effects of not
complying with whatever is imparted to the client. It will help her include diet and lifestyle
changes in her life which will allow her to stay healthy and deliver a healthy child. It is
important that the counsellor or healthcare provider keeps up with the client and ensures that
the learning process is helping the client in the correct way. Thus, to conclude, client learning
will be correctly imparted if people are correctly guided and helped by the helpers using tried
and tested principles that help in fulfilling the objectives.

9CLIENT TEACHING AND LEARNING
References
Behavioral mechanisms explaining adherence. What every health professional should know.
(2012). WHO. Available at:
https://www.who.int/chp/knowledge/publications/adherence_annexes.pdf. p. 158-161.
[Accessed 19 Jun. 2019].
Fosnot, C. T., & Perry, R. S. (1996). Constructivism: A psychological theory of
learning. Constructivism: Theory, perspectives, and practice, 2, p. 33-34. Available
at: http://faculty.arts.ubc.ca/emeyers/LIBR535/readings/Fosnot&Perry_2005.pdf
Nwlink.com. (2019). Bloom's Taxonomy of Learning Domains: The Cognitive Domain.
Available at: http://www.nwlink.com/~donclark/hrd/bloom.html [Accessed 19 Jun.
2019].
Tofade, T., Khandoobhai, A., & Leadon, K. (2012). Use of SMART learning objectives to
introduce continuing professional development into the pharmacy
curriculum. American journal of pharmaceutical education, 76(4), 68. p. 5 DOI:
https://www.ajpe.org/doi/full/10.5688/ajpe76468