Patient
Education:
YOU CAN
DO IT!
GINGER KANZER-LEWIS, RN, BC, EdM, CDE
Director, Book Publishing, John Fedor; Associate Director, Professional Books, Christine B. Charlip; Editor, Joyce Raynor; Associate Director, Book Production, Peggy M. Rote; Composition, Circle Graphics; Cover Design, Mac Designs; Printer, XXXXXXXXX XXXXXX
2003 by the American Diabetes Association, Inc. All Rights Reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including duplication, recording, or any information storage and retrieval system, without the prior written permission of the American Diabetes Association.
Printed in the United States of America
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The suggestions and information contained in this publication are generally consistent with the Clinical Practice Recommendations and other policies of the American Diabetes Association, but they do not represent the policy or position of the Association or any of its boards or committees. Reasonable steps have been taken to ensure the accuracy of the information presented. However, the American Diabetes Association cannot ensure the safety or efficacy of any product or service described in this publication. Individuals are advised to consult a physician or other appropriate health care professional before undertaking any diet or exercise program or taking any medication referred to in this publication. Professionals must use and apply their own professional judgment, experience, and training and should not rely solely on the information contained in this publication before prescribing any diet, exercise, or medication. The American Diabetes Associationits officers, directors, employees, volunteers, and membersassumes no responsibility or liability for personal or other injury, loss, or damage that may result from the suggestions or information in this publication.
The paper in this publication meets the requirements of the ANSI Standard Z39.48-1992 (permanence of paper).
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Library of Congress Cataloging-in-Publication Data
Kanzer-Lewis, Ginger, 1944
Patient education : you can do it! / Ginger Kanzer-Lewis
p. cm.
Includes bibliographical references and index.
ISBN 1-58040-162-7 (pbk. : alk. paper)
1. Patient education. 2. DiabetesTreatment. I. Title.
R727.4.K36 2003
616.4620071dc21
2003051854
eISBN: 978-1-58040-359-7
Dedication
T his book is dedicated to all the people who have made my life and career a joy. It is dedicated to all the patients I ever taught and who taught me, to all the diabetes educators who ever worked for me and taught me what diabetes education is really about, and to my dears Liz Kennett, Gloria Coshigano, Virginia Rago, and Mary Lemeseveski. Can you imagine being a diabetes educator in my department? I am so grateful that they are my dearest friends to this day.
The book was possible because I met Betty Brackenridge and she got me involved with the American Association of Diabetes Educators (AADE) by telling me to put my money where my mouth is. She has been a mentor to me and so many others. The diabetes community is so lucky to have her.
I am full of gratitude and love for all the AADE presidents who dared me to go forward and pulled and pushed me up: Debbie Hinnen, Marilyn Graff, Jan Norman, Kathy Mulcahy, Chris Tobin, and for all the AADE staff who work so hard and put up with me. My sweet, dear Judy, what a year we had! I offer a prayer for all the presidents who will come after me and lead diabetes educators into the future, Kathy Berkowitz, Jane Kadahiro, Virginia Zamudio, Mary Austin, and those yet unnamed.
This book exists because of the love of my family, the real educators: my best friend and brother Mark and his wife Doctor Deena, my sister Sherry, and my children: Bill; Dawn, who did so much of the book for me; Kathy and Beth and their spouses; Jim; Ron; Jack; Donna; and especially my dear, own Glen who has been my joy always and his bride Helaina. It will be a remembrance for my grandchildren and great-grandchildren, and it is in memory of my parents Abraham and Pat, my brother Freddy, my sister Beth and for Bea and Sandy, who chose to be my parents.
I know there are lots of you not mentioned, and I ask your forgiveness for not thanking you here.
This book and I exist because of the Captain of my ship, my darling husband Jack. Safe waters always and all my love.
I love you all. Take care.
Ginger
Contents
Foreword
TEACHING: The earth doesnt move every time, but when it does, what a RUSH!
Cameron Beatty
I consider myself remarkably lucky to have found my calling in health education. I get such a thrill when someones face lights with insight. Or with determination. Or with pride and confidence. And thats still the case after 25 years of teaching in diabetes. That one field has remained new and challenging to me for one reason and it is this: The job of fostering learning is more about the people I serve than about the facts and processes I teach. The latter could get boring and stale if it were not for the utter diversity and challenge of the former.
The fact that you are reading this book suggests that you already share that thrill with me. Or perhaps you are looking for ways to bring it to your teaching. In either case, you are in for a treat.
One of the many gifts my calling has brought into my life is Ginger Kanzer-Lewis. Ginger, like me and most other teachers in the health field, is largely self-taught. We know our profession, be it nursing, dietetics, or some other bailiwick of medicine. And we have some body of knowledge to impart, be it diabetes, cardiac, asthma, or optimal health. But most of us became teachers either by edict or by choice, not by training. The result is one that Ginger and I have talked about many timesfrequent frustration over both the task and the outcome.
This book is Gingers offering to emerging and developing health facilitators. I know it is her hope that it will shorten the path from novice to technician to master, both for those entering the field and for those seeking further growth and skill.
Johnny: I taught my dog Spike to whistle.
Lucy: I dont hear him whistling!
Johnny: I said I taught him. I didnt say he learned!
And make no mistake. We need all the help we can get! One of the main challenges in my experience lies in making sure that our teaching actually fosters learning. Teaching, after all, is not the end in itself, but simply a means to an end. Teaching takes place in the teacher. Learning is happening in the learner. Sometimes the gap between the two is huge.
Like Johnny teaching Spike to whistle, health educators are often teaching from their own needs rather than helping the patient learn what is truly needed and helpful. In this book, you will find a wealth of practical advice to help you sort the wheat from the chaff as you decide what to teach and how. The ultimate answer is what the patient wants to learn. But there are techniques for engaging people and helping them find the meaning and importance of your message to them. Many of them are described in this book.