Educate the Educator: Awareness and Sensitivity Client’s Basic Human Needs Competencies 1 and 2 Awareness and Sensitivity to Client Needs This module presents: Challenges and issues related to awareness and sensitivity needed to understand the healthcare needs of clients/individuals. The impact that disease has on individuals, the emotional, spiritual and social needs of clients/individuals as well as the type of care needed by different age groups. The process of death and dying and how that affects clients and their families. Module Outline and Instructor Resources This module consists of 8 competencies with 2 competencies per PowerPoint slide presentation. Each competency is divided into unit competencies with learning activities to help students master the competency. Each learning activity is explained on the Module Outline and the resources are identified/described Choose the learning activities that best meet your classroom needs. Module Outline and Instructor Resources Find these learning activities and resources on the website or create your own. The Course Outline also has documents that the instructor can use in teaching the lesson. These competencies are listed on the course outline and module competencies and instructor notes will be addressed throughout the remainder of the power point. Module Competencies 1. Describe the major stages of human development and the basic health needs of humans. 2. Describe the needs of clients across the lifespan and how those needs can affect behaviors and attitudes. 3. Describe the types of emotional, spiritual, mental health and social needs of clients and their families. Module Competencies 4. Explain how different diseases can influence the functioning, behaviors, and attitudes of individuals including dementia/Alzheimer’s disease. 5. Describe selected client service strategies including customer service, their impact on quality client care and the importance of client participation in group/family activities. Module Competencies 6. Define the stages and processes of death and dying and the influence those stages have on clients and their families. 7. Describe how to care for the clients’ environment. 8. Using a problem solving process applied to healthcare situations, describe how healthcare workers can be aware and sensitive to their clients’ need/behaviors. Competency 1 Describe the major stages of human development and the basic health needs of humans. Competency 1 Describe the major stages of human development and the basic health needs of humans. Two units and learning activities round out the learning for this first competency: A. Describe the five common characteristics of growth and development. B. Describe basic human needs theory regarding human actualization. Fun Quotes to Ponder • “The growth and development of people is the highest calling of leadership.” Harvey S. Firestone • “You’ve got to do your own growing, no matter how tall your grandfather was.” Irish Saying • “If you wish to achieve worthwhile things in your personal and career life, you must become a worthwhile person in your own self-development.” Brian Tracy Unit 1A: Growth and Development Growth: Physical change and increase in size • Indicators of Growth are • height, weight, bone size and dentition, sensory adaptation, and development of sexual organs and characteristics. • Although physical growth is similar for all people, growth rates vary during different stages of growth and development. • Growth is rapid during prenatal, neonatal, infancy and adolescence, but slows during childhood and is minimal during adulthood. Ramon, P.R. & Niedringhaus, D. M. (2008). Unit 1A: Growth and Development Development: An increase in complex functions and progression of skills • Development refers to a person’s capacity and skill to adapt to the environment • Development is the behavioral aspect of growth & includes abilities to walk, talk, run, and speak, etc. Ramon, P.R. & Niedringhaus, D. M. (2008). 5 Characteristics of Growth and Development 1. Occurs in an orderly pattern from simple to complex: one task must be completed before the next one is attempted. 2. Continuous processes characterized by spurts of growth and periods of slow, steady growth: after infancy the rate of growth slows down until adolescence. 5 Characteristics of Growth and Development 1. Affects all body systems but at different time periods for specific structures. 2. Progresses at highly individualized rates that vary from person to person. 3. Form a total process that affects the person physically, mentally and socially. Unit 1B: Maslow’s Hierarchy of Needs Theory • The human needs theory gives healthcare workers a holistic overview of health promotion for the individual patients and families across the life span. • Its purpose is to promote the health of the individuals and families. • Nurses and healthcare workers use the human needs theory: Maslow’s Hierarchy of Needs. • Human needs are ranked on an ascending (upward) scale according to how essential the needs for survival are. Berman, A., Snyder, S.J., Kozier, B., & Erb, G. (2008) Maslow’s Hierarchy of Needs Theory • According to Maslow's theory, if basic needs are not met then a person will find a way to try to satisfy them. • Higher needs such as social needs and esteem are not felt until one has met the needs basic to one's bodily functioning (physiologic and safety and security needs), • and in an ongoing effort to satisfy various needs. Juliar, K. (2003) Maslow’s Hierarchy of Needs Theory • Individuals change and develop over time and do not remain at one level until every need at that level is met, instead they may move up and down levels depending on the situation and need. • Life is a dynamic process that involves movement up and down the hierarchy in response to events and experiences and in an ongoing effort to satisfy various needs. Juliar, K. (2003) Maslow’s Hierarchy of Needs Theory Abraham Maslow (1970) ranks the five levels of human needs as follows: (www.entrepreneursuperstar.com, n. d.) 18 Maslow’s Hierarchy of Needs Theory Needs are generally met in the following order from the base of the pyramid upward 1. 2. 3. 4. 5. Physiological Safety Love/Belonging Esteem Self-Actualization Maslow’s Hierarchy of Needs Theory Following are limited lists of basic needs within each level of Maslow’s Hierarchy of Needs. Physiological Needs – air/oxygen, water, food, rest, shelter, avoidance of pain Safety & Security Needs – free from threat of physical & emotional harm, stability, job security, medical insurance Love & Belonging – give and receive affection, interact with others, maintain a feeling of belonging, attain a place in a Berman, A., Snyder, S.J., Kozier, B., & Erb, G. (2008) group Maslow’s Hierarchy of Needs Theory Physiologic Needs: • • • • • • • • Air/Oxygen, Water, Maintain pH balance, Food, Protein, Salt, Sugar, Calcium Eliminate wastes Maintain body temperature, Be active, Rest, Sleep, Sex, Shelter Avoid pain Berman, A., Snyder, S.J., Kozier, B., & Erb, G. (2008) Maslow’s Hierarchy of Needs Theory Safety and Security Needs: • Feel safe, secure and free from threat of physical and emotional harm • Finding safe circumstances • Stability • Protection A need for structure, order, limits • Be concerned with fears and anxieties • Home in a safe neighborhood, • Good retirement • Medical insurance • Job security • Financial reserves Berman, A., Snyder, S.J., Kozier, B., & Erb, G. (2008) Maslow’s Hierarchy of Needs Theory Love and Belonging Needs: • Social needs relate to interaction with other people • Give and receive affection • Attain a place in a group, maintain a feeling of belonging • Feel the need for a friend, a lover, children, a sense of community, a need to belong • Exhibit through our need to marry, have a family, be part of a gang or softball team, a church, a community • If unmet: Become vulnerable to loneliness and social anxieties Berman, A., Snyder, S.J., Kozier, B., & Erb, G. (2008) Maslow’s Hierarchy of Needs Theory Esteem Needs: Internal esteem needs relate to self-esteem such as self respect, achievement, confidence, independence, freedom, mastery. External esteem relate to social status and recognition to include self-respect, achievement, attention, recognition, reputation, fame and glory. Berman, A., Snyder, S.J., Kozier, B., & Erb, G. (2008) Maslow’s Hierarchy of Needs Theory Self-Actualization Needs: When all of the foregoing needs are satisfied, then and only then are the needs for self-actualization activate. Self-actualization: the summit of Maslow's Hierarchy of Needs. Quest of reaching one's full potential as a person. Unlike lower level needs, this need is never fully satisfied; as one grows psychologically there are always new opportunities to continue to grow. Berman, A., Snyder, S.J., Kozier, B., & Erb, G. (2008) Competency 1: Growth and Development Recommended Learning Activities Assignments Resources Notes AS Competency #1: Lifespan Growth & Development Assignment on website Student reflects on own growth and development. Questions on generalized growth and development are also included AS Competency #1: The Living Body Assignment on website Students watch the film, “The Living Body”, and answer growth and development questions. Competency 2 Describe the needs of clients across the lifespan and how those needs can affect behaviors and attitudes. Module Competency #2: Describe the needs of clients across the lifespan and how those needs can affect behaviors and attitudes. Three units are included in this competency along with their learning activities. • Describe the 3 different types of needs that humans have across the life span. • List the basic needs of infants, children, and adolescents. • List the developmental needs of young adults and older adults. Basic Human Needs Major types of human need: • Physical • Psychosocial (Emotional) • Spiritual May describe the types as Mind/Body/Spirit Note Maslow’s Hierarchy of Needs Unit 2B: Basic Human Needs Recommended Content • All children have basic needs for physical, emotional and spiritual aspects of growth. • The age of the child determines the rate of physical, emotional and spiritual development. Basic Needs • Persons of all ages have basic needs of physical, psychosocial, and spiritual aspects of growth and development [Mind/Body/Spirit] • Age determines the rate of physical, psychosocial, or spiritual growth and development Infant’s Basic Needs Infant’s Needs • Infants and children experience a rapid and marked rate of development and have major milestones in growth. • Infants and small children have a high priority for physical comfort, such as food, rest, warmth, safety and security, emotional needs, and depend on their caregivers to help meet their needs. Ramon, P.R. & Niedringhaus, D. M. (2008) Preschooler’s Basic Needs Preschooler’s Needs • Nutrition-Importance of not skipping meals; eating a balanced, nutritious diet; experiences with foods that may lead to obesity • Use proper protective equipment when participating in physical activities (helmets, pads); encourage child to take responsibility for own safety (participation in safety classes: bicycle, water) • Immunizations; periodic screenings for vision, hearing, dental (fluoride treatment) Ramon, P.R. & Niedringhaus, D. M. (2008) Adolescent’s Basic Needs Adolescent’s Needs • Healthy snacks, appropriate food intake and exercise • Balancing sedentary activities with regular exercise • Responsible for using motor vehicles safely (driver’s education, wear seat belts, helmets,) • Proper precautions during athletic activities (medical supervision, proper equipment) • Keep open lines of communication with parents • Immunizations, periodic screenings for vision, hearing, and dental Berman, A., Snyder, S.J., Kozier, B., & Erb, G. (2008) Young Adult’s Basic Needs Young Adult’s Needs • Routine physical exams; dental exam every 6 months; No smoking • Nutritious diets and physical activity • Personal relationships that promote discussion of feelings, concerns, and fears • Motor vehicle safety (wear seat belts, no drinking and driving, maintenance of breaks and tires on vehicle) • Safe home environment, immunizations Middle-Aged Adult Basic Needs • • • • • Middle-Aged Adult Needs Regular physical exams and screening Importance of adequate nutrition Exercise program that emphasizes skill and coordination Possibility of mid-life crisis, encourage discussion of feelings, concerns, fears • Retirement planning (financial and diversional activities) with partner if appropriate Berman, A., Snyder, S.J., Kozier, B., & Erb, G. (2008) Older Adult Basic Needs Older Adult Needs • Importance of adequate nutrition • Be alert for symptoms of depression, risk factors for suicide, abnormal bereavement, changes in cognitive function, medications that increase risk of falls, signs of physical abuse and neglect • Environment that prevents falls and injury Ramon, P.R. & Niedringhaus, D. M. (2008) Competency 2: Clients Needs Recommended Learning Activities Assignments Resources Notes AS Competency #2: Interview with Middle-Late Adulthood Assignment on website Students interview an older adult and reflect on the answers to the questions AS Competency #2: Maslow’s Hierarchy of Needs Case Studies Assignment on website Students are asked to describe a patient and relate to Maslow’s Hierarchy. References All Psych & Heffner Media Group,Inc. (2003). Psychology 101: Personality development. Retrieved from http://allpsych.com/psychology101/development.html Berman, A., Snyder, S.J., Kozier, B., & Erb, G. (2008). Concepts of growth & development. In A. Berman, S.J. Snyder, B. Kozier, & G. Erb (Eds.). Kozier & Erb’s Fundamentals of nursing: Concepts, process, and practice (8th ed.) (pp. 428-441). Upper Saddle River, NJ: Prentice Hall Cooley, M. L.(2009). A family perspective in community/public health nursing. In F. Maurer & C. Smith (Eds.). Community/public health nursing practice: Health for families and populations (4th ed.) (pp. 327-344). St. Louis, MO: Elsevier. Friedman, M.M. (1998). Family nursing: Theory & Practice (3rd ed.). Norwalk, CT: Appleton & Lange References Juliar, K. (2003). Minnesota Healthcare Core Curriculum (2nd ed.). Clifton Park, NY: Delmar Publishers Maurer, F., & Smith, C. (2009). Community/public health nursing practice: Health for families and populations (4th ed.). St. Louis, MO: Elsevier. Ramon, P.R. & Niedringhaus, D. M. (2008). Life span development. Fundamental nursing care (2nd ed.) (pp. 197-223). Upper Saddle River, NJ: Person Prentice Hall Wright, L.M. & Leahey, M. (2009). Nurses and families: A guide to family assessment and intervention (5th ed.). Philadelphia, PA: F.A. Davis “This workforce solution was funded by a grant awarded by the U.S. Department of Labor’s Employment and Training Administration. The solution was created by the grantee and does not necessarily reflect the official position of the U.S. Department of Labor. The Department of Labor makes no guarantees, warranties, or assurances of any kind, express or implied, with respect to such information, including any information on linked sites and including, but not limited to, accuracy of the information or its completeness, timeliness, usefulness, adequacy, continued availability, or ownership.” This work is licensed under a Creative Commons Attribution 4.0 International License. 41