Differentiate the following teaching/patient education; APN guidance (including anticipatory guidance); and APN coaching. Are there similarities and differences between these three?

Write 2 feedbacks for each discussion. Must be substantive and include literature support for each feedback.   Davie-ann Elvin Discussion 1 Differentiate the following teaching/patient education; APN guidance (including anticipatory guidance); and APN coaching. Are there similarities and differences between these three? How are these three interventions incorporated into APN practice?       Patient education is a combination of educative experiences to help people and communities boost their health by increasing their knowledge or influencing their attitudes (Tracy & O'Grady, 2018). Patient education targets to generate self-care and change.  By educating patients and providing them with information about their disease process or illnesses, and plan of care, can improve patient well-being and increase patent satisfaction. Prior to educating a patient it is important for APNs to first assess the knowledge of the patient to see what the individual knows about their illness/condition, treatments, or plan of care and determine the extent of education that need to be provided. It is essential for the APN to evaluate the patient’s comprehension and effectiveness of the teaching to determine if further teaching is needed.   Globally, APN guidance assists nations to deliver safe, high-quality, patient-focused care. “Guidance requires the provision of advice or education” and can be seen as a distinct form of coaching (Tracy & O'Grady, 2018). Guidance can be considered the act of providing expert counsel by leading, directing, or advising patients to make informed decisions about their care. The Advance Practice Nurse uses guidance to “raise awareness, contemplate, implement, and sustain a behavior change, manage a health or illness situation, or prepare for transitions” (Spross and Babine, 2016). Anticipatory guidance and teaching are particular type of guidance aimed at helping patients and families know what to expect. (Tracy & O'Grady, 2018, p.181). The APN provides majority of the information and the possible outcomes.   According to the International Coach Federation (ICF), coaching is the partnership between clients in a mind-jogging creative process that motivates them to optimize their professional and personal potential (ICF, 2020). It incorporates various philosophies, techniques, approaches, and disciplines. In APN coaching, the potential also covers health matters. Coaching is based on a relationship in which the individual identifies his or her goal. This strategy aims to motivate the clients and stakeholders to generate strategies and solutions to their health issues alongside eliciting accountability and responsibility for their actions (ICF, 2020). The above APN coaching activities achieve the client's self-discovery since they become solution-oriented. Combining coaching with guidance is essential to a complete provider-patient relationship (Tracy & O'Grady, 2018).   Teaching, guidance, and coaching are all competency aspects of the APN roles. The three interventions' homogeneity is that they seek to instill knowledge on the diverse healthcare stakeholders and partners by enlightening them on their healthcare service delivery roles. This is due to the discovery that everyone has their role to partake in healthcare services' overall delivery. All three interventions require amble empathic and strong listening skills.   The patient education incorporates both APN coaching and guidance. However, guidance and coaching are separate or different components in healthcare (Tracy & O'Grady, 2018). The expert APN has a higher authoritative gradient power in guidance, while these powers are shared between the APN and the involved stakeholder in coaching.  APNs can encourage their patients to live healthier lifestyles through guidance and coaching to improve their quality of life.       References   International Coach Federation. Coaching FAQs: What is professional coaching. [Retrieved from]  http://coachfederation.org/need/landing.cfm?ItemNumber=978; 2020.   Tracy, M. F., & O'Grady, E. T. (2018). Hamric & Hanson's advanced practice nursing: An integrative approach (6th ed.). Elsevier Health Sciences.   Spross, J. A., & Babine, R. L. (2016). Guidance and Coaching. Retrieved form, https://nursekey.com/guidance-and-coaching. Discussion 2 Home health care is one of the fastest growing settings today. Many people think that receiving care while at home with their family is much better than being in a nursing home away from their love ones. The home health care setting is a system of care provided by skilled practitioners to patients in their homes under the direction of a physician. This system offers many health care services such as nursing care; physical, occupational, and speech-language therapy; and medical social services. “The goals of home health care services are to help individuals to improve function and live with greater independence; to promote the client’s optimal level of well-being; and to assist the patient to remain at home, avoiding hospitalization or admission to long-term care institutions” (Becker). However, one of the most common issues in the home health care setting is the concern for safety. This may result in a challenging work environment in terms of patient safety for several reasons. For, example residential settings may present household-related hazards like falling, poor indoor air quality, lead paint, toxic substances and much more that are associated with numerous negative health effects. One of the safety issues that one focuses on the most is falling. This is because it is one of the most frequently occurring adverse events reported for patients receiving skilled home health care services. A study claimed that 30 % of people at the age 65 and older living in the community fall each year. One in five of these fall incidents requires medical attention. Falls are the leading cause of injury-related death for this population (Becker).       Coaching and guidance is demonstrated by knowledge expertise, the ability to tailor evidence-based educational interventions based on individual patients and family needs, and the ability to use adult teaching principles (Hamric, 2014). If one were an APN, she would use the Hamric core competency guidance and coaching to enhance home health care patient education  throughout communication, assessment of environment hazards and raise awareness about falls among home health care patients. For example, one would communicate to the patient and family about fall-prevention programs. Educate them about the use of good lightening at nighttime, especially in the bathroom where most falls usually occur with the elder population. Continue to inform them about the use of grab bars, proper footwear and check for house hazards such as broken steps, and rugs. Patient education would be based on their needs, motivation, and their understanding abilities. One would use her clinical judgment skills to assess and take intervention by screening for health and environmental risk factors. Home hazard assessments and modifications; review and the adjustments of the patient’s medications such as antipsychotics, antidepressants, and cardiovascular medications in order to help reduce the incidence of fall. Moreover, one would use information to help the patient and family to explore their own resources and explore their motivation. The most important part of APN guidance is to raise awareness, contemplate, implement, and sustain a behavior change, manage health and illness situation, and prepare for transitions (Hamric, 2014, P. 186). One would coach the home health care patients by helping the patient and the family to set goals and make decisions that are best for their health care needs to prevent injury from falls. For example, one would plan with the patient to participate in muscle strengthening and balance retraining programs or physical therapy. The goal would be to increase muscle strength and reduce fall. By referring the patient and collaborating with other health care teams, it can provide a better safety outcome for the patient. Coaching is to empowering patients to manage their care needs (Hamric, 2014), P. 186). One would use knowledge based off patient safety in the home health care settings. To help the patient and family set goals and promote health and well-being. Importantly, an unsafe household can adversely affect not only the patient, but also home health care providers and household caregivers. The APN coaching process can be best understood as an intervention. It is mediated by APN patient relationship and self-reflective skills and interpersonal, clinical, and technical skills (Hamric 2014, P.186).       References   Ellen Becker, C. (n.d.). Patient Safety and Quality in Home Health Care. Retrieved January 27, 2021, from https://www.ncbi.nlm.nih.gov/books/NBK2631/.   Hamric, A. B., Hanson, C. M., Tracy, M. F., & O'Grady, E. T. (2014). Advanced practice nursing an integrative approach. (5th ed) St. Louis, MS: Elsevier, Saunders.       Patient Education: Safety in the Home Health Care Setting: Journal of Patient Safety. (n.d.). Retrieved January 27, 2021, from https://journals.lww.com/journalpatientsafety/Citation/2008/12000/Patient_Education__Safety in the Home Health Care.10.aspx.

ANSWER. PAPER DETAILS
Academic Level	Masters
Subject Area	Nursing
Paper TypeÂ	Essay
Number of Pages	1 Page(s)/275 words
Sources	2
Format	APA
Spacing	Double Spacing

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