Clinical Teaching for Patients: Strategies and Techniques

This article discusses the importance of clinical teaching for patients with chronic diseases. It highlights the role of the teacher and the student in the learning process and the use of educational theories such as behaviorism and constructivism. The article also emphasizes the significance of follow-ups and motivational counseling in promoting adherence to a healthy lifestyle.

Running head: CLINICAL TEACHING FOR PATIENTS 1
Clinical Teaching for Patients
Name
Institution
Date

CLINICAL TEACHING FOR PATIENTS 2
In my clinical profession, helping people to live a happy, healthy and fulfilling life has
been my mission. Having grown taking care of my diabetic mother, taking her to clinics for
regular check-ups, and coping with the sudden complication that stole her happiness and
deteriorated her health. Most of the time she could not see properly, her body could be numb,
frequent constipation and episodes of hyper and hypoglycemia that forced me to always be with
her to help and console her. Through this time, I learned many people lack enough knowledge
about diseases and the management strategies to promote health and prolong life (Dwarswaard,
Bakker, Van Staa, and Boeije, 2016). This lack of knowledge prompted me to enroll in the
clinical profession to create the awareness and to change people’s lives. One day during my
practice, I was to facilitate clinical teaching for newly diagnosed patients with chronic diseases.
The teaching session took place in the hospital meeting room. The newly diagnosed patients sat
silently,and I could tell from the look of their faces that they were frightened by their condition
that they knew nothing about but have heard of the diseases being silent killers (Sawicka et al.,
2011). As a teacher they expected me to change their perceptions and to pass information that
could change the “death sentence” imposed on them. As suggested by Brookfield (2015), for
active and fruitful teaching sessions, both the teacher and the student ought to know their roles.
As the principle of learning which includes readiness, exercise, and effect, the patients were
eager to learn and gain knowledge on how to deal with the threat of their lives.
Our ability to learn what we need for tomorrow is more important than what we know
today (Siemens, 2014).Using the behaviorism theory that states that through conditioning
behaviors are acquired, I extensively covered the effects of lifestyle to causing the chronic
diseases (Sassi and Hurst, 2008). Though convincing the patients that habits such as cigarettes
smoking, alcohol drinking and poor choice of diet highly contribute to acquiring diabetes and

CLINICAL TEACHING FOR PATIENTS 3
cardiovascular diseases faced a lot of resistance, the visualization model used in teaching played
a crucial role in imparting this information to them. The projected images and videos on how
these habits affect the body enabled the patients to come to terms with the reality. As Siemens
stated that we wouldn’t know what is running in one’s mind, I applied the collaborative principle
by ensuring that all students participate in giving a history of their lifestyle for them to assess the
underlying cause of their respective diseases. The participation helped me to determine their
understanding level and to spot areas that need more emphasize. Teaching has been my passion.
Therefore, it was easy to control and condition their thinking and learn new behaviors. From the
teaching session, several patients decided to quit smoking while other changes their choice of
diet. It was shocking to confirm that many lacked information on the significant factors
contributing to the diseases.
During the session, some of the patients opened up that they had the wrong information
about the disease. They had the misconception that chronic diseases are communicable and
spread through intercourse, others claimed it was a curse while others stated they acquired from
their parents. As according to Kristinson et al. (2015), lack of information is a limitation to
proper management of the diseases. The application of the significant learning principle that
focuses on supporting the students to evaluate their assumptions and experiences in order to
make a change, I gave a sense of relief to the patients by assuring them that proper management
of the diseases enables a person to leave a normal life, delay the complications and promote good
health (Ricardo et al., 2015). Fortunately, I had a video of two patients who had diabetes and
hypertension respectively. Their history about their lifestyle before and after diagnosis helped the
patients to relate to theirs and decide on choosing a better and healthy lifestyle. That is, through
constructivism theory that implies that reflecting on experiences enhance understanding. To

CLINICAL TEACHING FOR PATIENTS 4
assess their knowledge, I pose some life-related questions which required critical think but were
related to what I had taught. Through behavior management model I controlled their answering
criteria by ensuring there was a systematic responding procedure rather than mass response. The
behavior management helped me to determine those who understood the lesson concept and
those who had already changed what they believed and chose for a better life. At this juncture,
the patients asked questions for clarification. Feedback on the right diet for management of these
diseases, how to use drugs and adherence to regular medical check-ups and counseling gave a
treatment regime. Through the self-management principle that implies that learning empowers a
person to make informed decisions and actions, the patients were in a position to accept their
condition and decide to adhere to the appropriate treatment regime.
As a clinical teacher, having taught several groups of patients I have learned there is a
significant information gap that need instant reaction. In the teaching session I felt the society is
suffering and as clinicians we ought to save our people (Lambrix, Settersten, Mcgowan, Fishman
and Juengst, 2014). The expression of anxiety and confusion from the patients created a feeling
of discouragement and unknown future which made me think that the government has a role to
play in creating awareness to the public and promote community outreaches where the health
workers can reach to people and offer services. I wished I had this information the days I used to
take care of my mother. Probably it could have saved or prolonged her life. However, the
patients who participated in the session developed a positive attitude on the management of the
diseases and confirmed that they should pass the knowledge to others in the society. As stated by
Tozzi, Carloni, Gesualdo, Russo, and Raponi (2015) positive attitude of patients and families
indicates strong set towards patients and social empowerment. However, some confessed their
inability to stop some of their lifestyles and could not see the essence of regular visits to the

CLINICAL TEACHING FOR PATIENTS 5
clinics but instead shall be visiting once in a while. I could not withstand the negativity after such
a long teaching session.
The challenge provoked me to seek for intervention to facilitate the creation of awareness
in the society. As found by Hornik (2018), reaching the people repeatedly for health education
succeeded in promoting health and improving people’s life. Contacting the hospital management
team,led to funding provision and team selection to initiate the awareness program. Further
analysis and researching on teaching methods enlightened me on new techniques of approaching
difficult patients and helping to change their perception of good health and longer life. The
structured educational technology reduces barriers and difficulties in learning (Babineaux et al.,
2015).
Finally, I decided to do a follow up on my patients after a month. As a loss of follow up
of patients with chronic diseases highly determines the outcome (Machine et al., 2015). Some of
them had adopted to change while a group of them were struggling to catch up with the new
lifestyle. However, the follow up was like a propelling factor since the patients’ energy to
acquire a new lifestyle became rejuvenated and promised to adhere to the teachings. Behavioral
and motivational counseling are approaches that promote adherence to a healthy lifestyle and
reduces resistance to altering the unhealthy habits (Stonerock and Blumentahl, 2017). Therefore,
health service managers, policymakers and the government should ensure that there are many
outreaches programs and provide enough clinical teachers to pass the information to the
community. Moreover, the clinical teachers should focus on developing their professional skills
to provide quality services to the community.
Conclusively, clinical teaching is core in providing health education to patients who in
most cases, barely know nothing about diseases management. Both the teacher and the student

CLINICAL TEACHING FOR PATIENTS 6
have a role to play during the learning session. The facilitator ought to clear doubts and clarify
issues for the patient to adequately adhere to the counseling. Various educational theories such as
behaviorism and constructivism effectively enable the patient to make an informed decision on
the actions to take to promote health. Since learning approaches differ from one person to
another, educational models and principles are essential in ensuring the targeted patient
understand the management strategies. Patients barriers and resistance to change reduce by
behavioral and motivational counseling. Anxiety and confusion caused by the “death sentence”
passed on the patients through chronic disease diagnosis, leads to despair with life and can
negatively affect the health status of the patient. Monitoring through follow-ups motivates and
facilitates lifestyle modification and consequently better life. Health service managers and the
relevant bodies should engage in promoting community awareness about disease management to
reduce the information gap. The clinical teachers should seek professional development to
enhance their services, and the government should facilitate the programs and provide sufficient
clinical teachers to provide the necessary services.
‘

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