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Chapter 18

Implementing

Nursing Care

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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

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Implementation Process

• Reassessing the client

• Reviewing and revising the existing care plan

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Implementation Process (cont'd)

• Organizing resources and care delivery– Equipment– Personnel– Environment– Client– Anticipating and preventing complications– Identifying areas of assistance

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Implementation Skills

• Cognitive skills

• Interpersonal skills

• Psychomotor skills

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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