Benefits of Therapeutic Education (TE)

Benefits of Therapeutic Education (TE)The WHO states that the aim of therapeutic education (TE) is to teach the enduring the adequate know-how. The endurings TE is a permanent process, which is part of medical care. It includes sensitization, information, learning and psychosocial support, which are all related to the pathology and its treatments. The education should allow the patient and his family to have a improve collaboration with the health care professionalsTherefore, TE aids patients with chronic conditions to have give way commiserateing of their disease and learn how to have intercourse it. The main goal of TE is to improve the prognosis of the diseases and that can be achieved by reducing both morbidity and complications. Other objective of TE is regarding public health cost. TE offers patients with OA better self-management as a result it reduces medical care attention and because of lesser help from the medical care it reduces the direct and indirect cost. Furthe r studies are involve regarding on the impact of TE in medical cost.The Haute Autorite de sante (HAS) in France have outlined the overall and specific goals of TE. Improving the patients health and patients families way of living is the cosmopolitan goal of TE. Patients achievement and maintenance of self-care competency or the ability to cope with competency depending on background and experience are the specific goals of TE. TE programs should administer data from evidence-based medicine, as well as recommendations from evidence-based practice. The HAS focuses on the important role of the patients in the implementation of the education legal action, the demand for a multidisciplinary team to lead the program, and the take on to treasure the quality and efficacy of these programs. Educational programs for OA include the diseases chronic nature, treatment involving pharmacological and non-pharmacological therapy, and lifestyle modification. The educational process essential s tart at the commencement medical visit, from the diagnosis, and continue after surgical therapy, with rehabilitation being the best time to begin self-care program.PKQ-OA a questionnaire specifically for OA patient knowledge has been used to assess patients knowledge regarding their condition. When the authors asses the questionnaire, they have found out that there is a wide range of knowledge levels among patients diagnosed with OA, the scores are ranging from 8 to 26 out of 30.Knowledge was not correlated with disease duration or patients age or sex however, the number of years spent in formal education was correlated with high test scores. Most patients know the symptoms of their condition but many methods of joint protection and energy conservation have been reported. Wrong beliefs were identify and common ones are OA is caused by cold damp weather and blood tests are useful in OA diagnosis. Poor knowledge about pain pill were dentified Avoidance of activity has been related t o musculoskeletal disorders. Fear and anxiety may both contribute to the fear-avoidance model in musculoskeletal disorders. A patients interpretation of pain may lead to either of the twoAn adaptive response, whereby the patient deals with the pain and is more likely to manage it and maintain daily activities that willing help achieve functional recoveryA non-adaptive response that leads to maladaptive behaviors, including pain-related fear, avoidance, and hypervigilance.Because of pain patients with musculoskeletal disorders tends to avoid activities for the fear of experiencing it. Now that the patient is avoiding or abstaining from physical activities, this will lead to further disability through unfavorable effects of physical inactivity and weakening of the musculoskeletal system.TE should be included in the management of OA according to European League Against Rheumatism (EULAR), Osteoarthritis Research Society International (OARSI), and The French College of Physical Medici ne and Rehabilitation (SOFMER). EULAR concern patients education, physical exercise, technical aids and diet, but do not supply sufficient information regarding non-pharmacological therapies. OARSI insist on the importance of educating patients with hip or knee OA and stating the areas that TE must be stress to patients. Explaining the goals of treatment and the importance of changing lifestyle, such as the importance of exercise, activity adaptations, weight loss and other measures to help the joint(s) are the areas involve in the education. SOFMER highlight the need for educational programs that is design to encourage daily practice of an exercise activity. With these recommendations sufficient details must be supplied for these measures to be implemented, especially patients education.The recommendations created by US National Institute of Health regarding weight loss in OA are unremarkably used for obesity treatment in TE because no specific recommendation exists for TE regard ing weight loss in OA.According to the literature and worldwide recommendation TE should be included in OA management. The main goal of the education is to change patients lifestyle especially regarding physical activity and weight loss. Education must be started from the early stage of OA, as well as the pre- and postoperative periods. Further studies are required to create a better effective educational program for OA, it is either unaided or with the help of other therapies, and measure its cost-effectiveness.ReferenceCoudeyre, E., Sanchez, K., Rannou, F., Poiraudeau, S., Lefevre-Colau, M.-M. (2010) Impact of self-care programs for lower limb degenerative joint disease and influence of patients beliefs. Annals of Physical and Rehabilitation Medicine 53, 434450Self-management aid hitchs that can help patient with OA improve their quality of life. One way to offer self-management to patient with OA is through tele squall-based OA management program. In this training conducted b y Sperber et. al. the program offers 4 components phone calls, educational material, setting goals and action plans. Among all the participants more than 80% concur that each component was helpful and the average rating of overall helpfulness on a scale from 1 to 10 was 7.6. Participants of these program said that this intervention and each components is helpful in managing osteoarthritis.Participants most frequently mentioned the health educators calls (44 of 140, 31%) as the most helpful component of the intervention. The health educators phone call aided patients to stay on task with the educational materials and goal setting. With the phone call patients have ease discussing their condition with someone who has knowledge and understand their condition. Also the calls provided them educational benefit by teaching and clarifying information.Educational materials (written and audio) (20 of 140, 14%) provided patients with information regarding OA and ways how to manage OA better. Audio cassette and easy-to-read references are helpful and with these materials combine with the phone call it will be more helpful for patients with OA. Goalsetting (11 of 140, 8%), setting goal were helpful and and with the consistent phone calls participants takes active role in managing their condition. Participants also commonly said that exercise (42 of 140, 30%) and healthy eating and weight management (20 of 140, 14%) are helpful for managing their osteoarthritis symptoms because implementing these behaviors help them manage their pain levels. But one patient stated that the exercise increase his strength and improves ability to stand up but does not diminish pain.This study has limitation but these results provide information on planning OA self-management support interventions. These program may target and benefit to some patients with OA.ReferenceSperber, N.R., Bosworth, H.B., Coffman, C.J., Juntilla, K.A., Lindquist, J.H., Oddone, E.Z., Walker, T.A., Weinberger, M., All en, K.D. (2012) Participant paygrade of a telephone-based osteoarthritis self-management program, 2006-2009. Prev Chronic Dis9110119. DOI http//dx.doi.org/10.5888/pcd9.110119