Direct care interventions involve direct interactions with the patient. They include physiological and psychosocial nursing actions. Some examples are medication administration, health education, emotional support.
Indirect care interventions involve supporting a patient's health with methods developed away from the patient. They include strengthening the patient's care settings and increasing the effectiveness of direct care. Examples would be collaborating patient care with other healthcare team members, documenting care, making referrals, and managing the patient's environment to ensure safety.
A community health intervention aims at improving and protecting the health of the population. Examples include health promotion strategies, disease prevention, community supports.
When implementing the care plan, it is essential to include the patient/family. They are your most valuable resource in improving the outcomes of the treatment. They support the nurse in determining new or continuing need for nursing assistance, and any revisions needed in the care plan. Patients are more willing to participate in the care if they have input in the plan.
Successful implementation of the care plan requires an extraordinary level of planning and efficiency. Some key facts to support the best outcomes include knowing how to perform the nursing action, understanding why the action is being performed and potential adverse responses. The nurse should have all the equipment and supplies ready and should pay special attention to the environment to ensure privacy and safety. And lastly, the nurse should be aware of interventions that can be completed independently or assistance is needed.
All nursing interventions must be thoroughly and accurately charted. Documentation allows for proceeding nurses implementing the care plan to identify modifications made in the nursing interventions, the patient's progress towards the goal/outcome, and to have legal evidence of all nursing efforts to implement the plan.
Delegation is the transfer of responsibility of a task to another person while the primary nurse retains accountability for the outcome. It is vital for registered nurses to critically distinguish nursing interventions that require registered nurses and ones that can safely be delegated. Interventions should never be attempted beyond an individual's capacity without supervision.
When identifying parts of the nursing process during an exam, certain keywords or phrases can help determine which part of the nursing process they are asking about. In an implementation question, the word “intervene” is one of these keywords.
When identifying parts of the nursing process during an exam, certain keywords or phrases can help determine which part of the nursing process they are asking about. In an implementation question, the phrase “priority action” is one of these keywords.
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