Post on 13-Dec-2015
Mosby items and derived items © 2005 by Mosby, Inc.
Chapter 18
Implementing
Nursing Care
Mosby items and derived items © 2005 by Mosby, Inc.
Implementation
• Types of nursing interventions– Direct and indirect– Protocols and standing orders
Mosby items and derived items © 2005 by Mosby, Inc.
Nursing Interventions
• Critical thinking and selection of nursing interventions– Nursing diagnosis– Expected outcomes– Evidence based– Feasibility– Acceptability– Nurse competencies
Mosby items and derived items © 2005 by Mosby, Inc.
Implementation Process
• Reassessing the client
• Reviewing and revising the existing care plan
Mosby items and derived items © 2005 by Mosby, Inc.
Implementation Process (cont'd)
• Organizing resources and care delivery– Equipment– Personnel– Environment– Client– Anticipating and preventing complications– Identifying areas of assistance
Mosby items and derived items © 2005 by Mosby, Inc.
Implementation Skills
• Cognitive skills
• Interpersonal skills
• Psychomotor skills
Mosby items and derived items © 2005 by Mosby, Inc.
Direct Care Measures
• Activities of daily living (ADLs)
• Instrumental activities of daily living
• Physical care techniques
• Counseling
• Teaching
• Controlling for adverse reactions
• Preventive measures
Mosby items and derived items © 2005 by Mosby, Inc.
Indirect Care Measures
• Communicating nursing interventions
• Delegating, supervising, and evaluating the work of other staff members