Negotiation and Patient Education

Negotiation and Patient Education


Negotiation, as a tactic for persuading patients to undertake lifestyle changes, is seen as a patient-centered approach since it demands nurses to be open to new ideas. According to Anderson and Funnell (2018), negotiation in the context of patient counseling is a sort of coercion, such as a method of forcing patients to modify their behavior. The concept of negotiation is defined by terms such as discussion, bargaining, and conferring.

Typically, patients want expert assistance from a health care educator to have a better and clear awareness of their health; therefore, the two develop a relationship. When negotiating behavior changes with patients, healthcare providers should be completely aware that they are utilizing their relationship’s hierarchical position to urge their patients to modify their behavior.

Change In The Patient’s Status And Patient Education

The patient’s background has greatly influenced the patient’s education throughout the years. This is induced by aging, in which a person becomes more sensitive and aware of how age relates to age. As a result, many people are doing more studies on healthy living to prevent being sick frequently. Time is essential in any educational process.

According to Collinsworth et al. (2018), patient health education promotion is important to the effectiveness of tried-and-true health preventive techniques such as exercise and diet. Patients understand the influence of healthy lifestyle choices on their present and long-term wellbeing. Nurses are progressively devoting time and energy to educating clients to effect behavioral change, leading to better health effects and lower morbidity and death from avoidable chronic illnesses (Collinsworth et al., 2018).

Advantages And Disadvantages Of Negotiation

Negotiation has significant advantages in the field of patient education, such as individualized support, awareness of patients’ expectations, and people’s capacity to ask the proper questions (Eisemann et al., 2018). The effectiveness of the medical care delivery process is supported by evidence-based practice. The disadvantages include the inability to guarantee favorable outcomes and less patient participation owing to weak communication skills (Eisemann et al., 2018).

Conditions Included In Patient Contract

Hartigan et al. (2018) describe contracts as verbal or written agreements made by patients with themselves, healthcare practitioners, or caregivers in which parties commit to a set of behaviors linked to patient care. Contracts are intended to increase patients’ compliance with treatment or health promotion programs. Attendance, conduct, and confidentiality are common terms that might be included in a patient contract (Hartigan et al., 2018).

Patients must make themselves available for all booked appointments on time. Physical or verbal exploitation of any staff member on the grounds will not be tolerated under the conduct guidelines. Any patient who demonstrates this behavior will be removed from the Practice list. The last one is confidentiality, which requires participants to handle information honestly.

Old Age And The Baby Boomer

According to Zawacki(2022), those born between 1946 and 1964 are classified as baby boomers, and the baby boom demographic comprises around 75 million Americans. Hospitals must consider how to care for the aging society as well as how an aging health care personnel will impact the services offered.

According to Zawacki (2022), people over the age of 65 will grow by 73 percent from 2010 to 2030, making 1 in every 5 Americans an elderly citizen. Despite having a greater life expectancy, baby boomers are likely to suffer lifestyle conditions. These findings suggest that the elderly will drive up the expense of health care while also increasing the demand for it (Zawacki, 2022).

Differences In Generation, Religion, And Culture Existing Between The 30-Year-Old Health Care Practitioner And The Elderly Patient

The 30-year-old and the elderly patient have different cultural, generational, and religious backgrounds. Whereas 30-year-olds rely on current technology and create strong social relationships with people from all walks of life, the elderly are conservative, adhere to cultural standards, retain family bonds, and demand direct instructions (Biswas et al., 2020). The 30-year-old patient, unlike the elderly, will not appreciate traditional techniques. The young do not rely on religious activities for healing, but the elderly would contemplate and pray to attain their health goals.

In terms of religion, many health care specialists in their 30s are culturally competent and can work with patients from all cultures. A study by Biswas et al. (2020) affirms cultural awareness of patients’ and physicians’ views of sickness can lead to better communication and more consistent treatment outcomes.

Barriers To Elderly Patient Education

Nurses must recognize typical physiologic changes that happen with aging and understand how to modify instructional strategies to meet these changes (Heydari et al., 2019). Patient education hurdles include failing to recognize patients’ particular requirements, the nurse failing to raise knowledge of community resources that can help reduce social isolation, and assisting the elderly in maintaining their independence.

Approach To Elderly Patient Education

When teaching elderly individuals about health, nurses should consider employing specialized teaching strategies. One method is to use a low voice tone and give the patient adequate time to digest and integrate intellectual content. Allow sufficient time for theoretical content absorption and integration, and emphasize concrete rather than abstract information.

According to Urheberrecht (2022), it is critical to eliminate external distractions to mitigate any age-related auditory impairment and improve the patient’s attention and concentration.  Some elderly persons may gain from group learning to help them solve health-related concerns. Nurses need to keep in mind that many elderly patients are conservative and may resist change when pushing for lifestyle changes.

Cultural And Religious Beliefs About Death

Each culture has its own ideas on what life is all about and what occurs after death. For example, I once met a patient who wanted to die after being involved in a car accident because he felt that believing in a life beyond death would make dying more palatable. ASCO (2018) shows that some traditions consider that a departed person’s spirit has a significant influence on remaining family members. The feeling that their loved one is watching over them gives family members comfort. Perspectives on the symbolism of death, in general, assist in making sense of it and living with its mystery.

Importance Of Discussing Death And Dying With The Elderly Patient

Open discussions about death and dying with the elderly allow them to explore how they feel about various end-of-life care options, how they would want to live their final days, and how they want their lives to be honored and remembered.

A study by Krikorian et al. (2020), when the elderly who have not had dialogues about death and dying get very ill or injured, their families frequently have to make decisions regarding the medical treatment they receive on their behalf. This may be stressful if they are unsure if they are making the best decisions for their loved ones, and it may result in the person receiving treatments that they would not have selected for themselves.

Ways To Teach A Patient With A Life-Threatening Condition

When teaching a terminally ill patient, it is important to get informed permission and educate them on the necessity of therapy and evidence-based medical procedures (Ferrell et al., 2018). The individual will discover their life’s purpose and how no one knows about another’s future. The person will accept the condition and strive for the most delicate health habits.


Anderson, R. M., & Funnell, M. M. (2018). Negotiating behavior changes with patients who have diabetes: negotiation or coercion? Diabetes Management (London, England)2(1), 41–46.

ASCO. (2018). Understanding grief within a cultural context. Accessed 4th July 2022 from

Biswas, U. N., Dellve, L., Bhattacharjee, A., & Wolmesjӧ, M. (2020). Aging and values in the developments of home-based eldercare: Perspectives from India and Sweden. Psychology and Developing Societies32(2), 224–253.

Collinsworth, A. W., Brown, R. M., James, C. S., Stanford, R. H., Alemayehu, D., & Priest, E. L. (2018). The impact of patient education and shared decision-making on hospital readmissions for COPD. International Journal of Chronic Obstructive Pulmonary Disease13, 1325–1332.

Eisemann, B. S., Wagner, R. D., & Reece, E. M. (2018). Practical negotiation for medical professionals. Seminars in Plastic Surgery32(4), 166–171.

Ferrell, B., Mazanec, P., Malloy, P., & Virani, R. (2018). An innovative end-of-life nursing education consortium curriculum that prepares nursing students to provide primary palliative care. Nurse Educator43(5), 242–246.

Hartigan, L., Cussen, L., Meaney, S., & O’Donoghue, K. (2018). Patients’ perception of privacy and confidentiality in the emergency department of a busy obstetric unit. BMC Health Services Research, 18(1), 978.

Heydari, A., Sharifi, M., & Moghaddam, A. B. (2019). Challenges and barriers to providing care to older adult patients in the intensive care unit: A qualitative research. Open Access Macedonian Journal of Medical Sciences7(21), 3682–3690.

Krikorian, A., Maldonado, C., & Pastrana, T. (2020). Patient’s perspectives on the notion of a good death: A systematic review of the literature. Journal of Pain and Symptom Management59(1), 152–164.

Urheberrecht. (2022). Teaching older adults. Accessed 4th July from

Zawacki, A. (2022). How baby boomers will affect the health care industry in the U.S. Carrington College. Accessed 4th July 2022 from

Negotiation and Patient Education Instructions

 Assessment Description
Write a short (50-100-word) paragraph response for each question. This assignment is to be submitted as a Microsoft Word document.

Define negotiation as it applies to patient education.
Explain how the change in the patient\'s status through the years has affected patient education.
List the pros and cons of negotiation.
Describe the general conditions that would be included in a patient contract.
Discuss old age and the baby boomer.
List several generational, religious, and cultural differences between the 30-year-old health care professional and the elderly patient.
Explain some of the barriers to patient education of the elderly and discuss their special needs.
List ways to best approach patient education of the elderly.
Discuss some cultural and religious beliefs about death that you have encountered.
Explain why it is important to discuss death and dying with the elderly patient and what the impact is on all involved.
Explain how to teach a patient with a life-threatening illness.