NUR 212 EXAM 3 Ch19

example of direct care interventions

For example, a patient receives direct intervention in the form of medication administration, insertion of an intravenous (IV) infusion, or counseling during a time of grief.For example, the direct intervention of patient education is a nurse-initiated intervention.

example of indirect care interventions

For example, indirect care measures include actions for managing the patient's environment (e.g., safety and infection control), documentation, and interdisciplinary collaboration. The indirect intervention of consultation is a collaborative intervention.

Review all possible consequences associated with each possible nursing action

Tonya considers that the analgesic will either relieve pain; have little or insufficient effect; or cause an adverse reaction, including sedating the patient and increasing the risk of falling).

Indirect care interventions

are treatments performed away from the patient but on behalf of the patient or group of patients

Direct care interventions

are treatments performed through interactions with patients. Both direct and indirect care measures fall under the intervention categories described in nurse-initiated, physician-initiated, and collaborative.

Review the set of all possible nursing interventions for the patient's problem

for Mr. Jacobs' pain Tonya considers analgesic administration, positioning and splinting, progressive relaxation, and other nonpharmacological approaches).

Determine the probability of all possible consequences

if Mr. Jacobs' pain has decreased with analgesia and positioning in the morning and there have been no side effects, it is unlikely that adverse reactions will occur, and the intervention will be successful; however, if the patient continues to remain highly anxious, his pain may not be relieved, and Tonya needs to consider an alternative).

Make a judgment of the value of the consequence to the patient

if the administration of an analgesic is effective, Mr. Jacobs will likely become less anxious and more responsive to postoperative instruction and counseling about his anxiety).

A nursing intervention

is any treatment based on clinical judgment and knowledge that a nurse performs to enhance patient outcomes. Ideally the interventions a nurse uses are evidenced based , providing the most current, up-to-date, and effective approaches for managing patient problems. Interventions include direct and indirect care measures aimed at individuals, families, and/or the community.

Implementation

is the fourth step of the nursing process, formally begins after the nurse develops a plan of care. With a care plan based on clear and relevant nursing diagnoses, the nurse initiates interventions that are designed to achieve the goals and expected outcomes needed to support or improve the patient's health status.