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Education and training for patient self-management by a qualified, nonphysician health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) each 30 minutes; 5-8 patients

CPT4 code

Name of the Procedure:

Patient Self-Management Education and Training (Face-to-Face Group Session)

Summary

Patient self-management education and training is a structured program where a qualified, nonphysician healthcare professional provides a standardized curriculum to help patients manage their conditions. These face-to-face sessions include groups of 5-8 patients (possibly with caregivers or family members) and last for 30 minutes each.

Purpose

This procedure assists patients in managing their medical conditions, such as diabetes or hypertension, through education and practical advice. The goal is to empower patients to take control of their health, adhering to treatment plans, and making informed decisions to improve their quality of life.

Indications

  • Chronic diseases like diabetes, hypertension, asthma, or COPD.
  • Recurrent hospitalizations or ER visits due to poor disease management.
  • Patients displaying difficulty in adhering to prescribed treatment plans.
  • Individuals needing support to understand complex medical regimens.

Preparation

  • No specific fasting or medication adjustments needed.
  • Patients may be advised to bring medications, medical devices, or health logs.
  • Review of recent health records or medical history might be conducted.

Procedure Description

  1. Group Meeting: Patients gather in a designated room with a qualified healthcare professional leading the session.
  2. Introduction: An overview of the session's agenda and goals is provided.
  3. Educational Content: The instructor uses a standardized curriculum to teach about the specific condition, management strategies, and lifestyle modifications.
  4. Interactive Component: Patients can ask questions and participate in group discussions.
  5. Practical Demonstrations: Techniques such as glucose monitoring, inhaler use, or blood pressure measurement may be demonstrated.
  6. Handouts and Materials: Patients receive educational materials to take home.

Tools include audiovisual equipment for presentations and demonstration kits for practical exercises. No anesthesia or sedation is involved.

Duration

Each session is typically 30 minutes long.

Setting

This procedure is usually performed in outpatient clinics, community health centers, or hospital education rooms.

Personnel

  • Qualified, nonphysician healthcare professionals (e.g., registered nurses, dietitians, diabetes educators).

Risks and Complications

  • Minimal to no medical risks.
  • The primary risk is misinterpretation of information, mitigated by ensuring clarity and providing written materials.

Benefits

  • Enhanced ability for patients to manage their conditions.
  • Reduced hospital admissions and emergency room visits.
  • Improved quality of life and adherence to treatment plans.

Recovery

  • No physical recovery needed.
  • Patients may need to schedule follow-up sessions for ongoing education and support.

Alternatives

  • One-on-one education sessions with healthcare providers.
  • Online or virtual self-management courses.
  • Home health visits for personalized instruction. Pros: More personalized attention, flexible scheduling. Cons: Potentially higher costs, less group interaction and support.

Patient Experience

  • During the session, patients typically experience an educational and supportive atmosphere.
  • They may feel more confident and knowledgeable about managing their health conditions.
  • Providers offer pain management and comfort strategies as part of holistic care, even though this procedure does not involve physical pain.

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