Kaukauna, WI: Author. den Ouden M(1), Zwakhalen SMG(1), Meijers JMM(1), Bleijlevens MHC(1), Hamers JPH(1). There’s a whole process that comes before a nurse makes an intervention; namely, the nursing process which includes Assessment, Diagnosis, Planning, Implementation/Intervention and Evaluation. It … An example of an independent intervention includes educating a patient on the importance of their medication so they can administer it as prescribed. We are living in an era of multi-disciplinary teamwork in the health field. Any opinions, findings, conclusions or recommendations expressed in this material are those of the authors and do not necessarily reflect the views of UKEssays.com. Independent nursing interventions. Some examples would be encouraging or teaching a patient about certain aspects of her recovery or care care, like teaching deep breathing post op. Because of a previous echo that revealed the patient’s EF was only 12%, large fluid boluses were not really an option to treat hypotension. Andrews, Hull (Reprinted by University Microfilms International Ann Arbor 1981), Fenner KM (1980) Ethics and law in nursing. All work is written to order. Dependent nursing interventions. From simple essay plans, through to full dissertations, you can guarantee we have a service perfectly matched to your needs. clinical research trials should be supported once the link between specific nursing . Two types of toileting protocols have been described. Registered office: Venture House, Cross Street, Arnold, Nottingham, Nottinghamshire, NG5 7PJ. Educate the patient about the prescribed medication. With this documenting process and just using in the clinical setting, newer nursing can use it to help focus the care their patients may need. Patient was extremely anxious and requested that we contact her family to come in for needed support. independent functions (what nurse can do on her own) from the depen­ dent functions (what she can do only under the direction of a doctor) (Sarney 1968 : 18). The following would be an example of a health promotion nursing intervention, which is an independent nursing action: Mrs. James has started a new medication for her high blood pressure. Butterworth, London, pp 61–101, Sarney H (1968) The nurse and the law. A BNP and CBC were drawn to monitor blood cell counts and a central line was placed and the patient was placed on Levophed to prevent hypotension for a few hours. Classification (NIC) (5th ed.). St. Louis, MO: Mosby Elsevier. Suggest the client use elastic shoe laces and pull clothes over leg with a grip extender. Anyone can use these documents to help focus the care their patients need. With the patient being in A-fib and with an EF of only 12% this patient does not have optimal cardiac output. independent nursing interventions on patient outcomes is essential. Herdman, (ED.). Examples of EBP in Nursing. The following are nursing interventions that were used on this patient using the NIC (Nursing Interventions Classification). If used right, it is a great tool, but there are a lot of nurses that look at it as just another silly hoop to jump through during patient care and just another thing to document. The patient results concluded that there was a high probability of a pulmonary embolism which warranted the patient to be placed on IV heparin, have a venous ultrasound of her legs and an echo. Not logged in Oxygen administration. Saunders, Philadelphia, p 53, Strauss SA, Strydom MJ (1967) Die Suid-Afrikaanse Geneeskundige Reg: Van Schaik, Pretoria, Strauss SA (1981) Legal handbook for nurses and health personnel, 4th edn. (Referred to in the book as physician-initiated.) Free resources to assist you with your university studies! Continuous oxygen saturation monitoring by a pulse ox on the finger. I believe documenting to nursing process throughout this system will allow for better patient outcomes to continuously reevaluate what the patients’ needs are and what is going on with a patient. Nursing Interventions Classification (NIC) (4th ed.). Output was monitored to check fluid balance because of patient’s history of CKD, the MRSA infection and having a low ejection fraction. This diagnosis is a part of NANDA- I Taxonomy of Nursing Diagnoses and falls under domain 4 Activity and Rest and class 4 which discusses Cardiovascular/ Pulmonary Responses (NANDA, 2012). Classification (NOC) (4th ed.). With heparin, a PT/INR was drawn for baseline and then a hep xa was drawn every 6 hours until the heparin was therapeutic. Nursing St. Louis, MO: Mosby. Looking for a flexible role? The nursing process allows for a standard of care to be provided anywhere that a nurse cares for a patient. One of the diagnoses that fit this patient is decreased cardiac output. *You can also browse our support articles here >, Patient was placed on a presser, i.e Levophed to cause vasoconstriction and promote an increase in blood pressure, A small 250ml fluid bolus was given prior to coming to the intensive care unit, The patient was placed on hemodynamic monitoring to check central venous pressures and allowed us to monitor fluid status, Medication parameters were in place for medications that would effect HR, preload, afterload. Patient’s other history included chronic kidney disease, oxygen dependent at home and a low ejection fraction. Family came in and educated on what happened and any other information that was needed at that time. Hemodynamic Regulation (4150) Definition: “Optimization of heart rate, preload, afterload and contractility” (Bulechek, Butcher, Dochterman, 2008) Ways to intervene: The following are nursing interventions that were used on this patient using the NIC (Nursing Interventions Classification). (Eds.) Also, it would be hard to get all nurses on board to document with this type of system because some are resistant to change and others just are already overwhelmed with the amount of documentation that is required throughout the day. Date of acceptance: April 5 2004. classification 2012-2014. Dependent nursing interventions are initiated by a provider in the form of an order, and conducted by the nurse. MacMillan, New York, https://doi.org/10.1007/978-3-642-82468-5_39. Van Nostrand Reinhold, New York, Martin AJ (1976) Duty of care. Well, you can ask them how they’re feeling, check their responsiveness, if it’s not … Cite as. Reference this. Oxygen provided by nasal cannula was titrated by oxygen saturation, patient was on 3L. (2008). The authors write as if they are skating on very thin ice. (Eds.). The hypotension was caused by a few different reasons, the nurse in med surg had given this patient multiple blood pressure medications, and the critical care doctor felt that she was becoming septic due to her presentation. NS268 Hughes SA (2004) Promoting self-management and patient independence. The major categories represent general interventions /activities and the subcategories represent more precise interventions/ activities depicting specific the clinical care by nurses and other allied healthcare professionals. Some are blood test, Nasogastric tube, tube feedings, urinary cauterization, IV insertion, placing oxygen treatment, medication, etc. Company Registration No: 4964706. 50.115.120.237. These keywords were added by machine and not by the authors. In this section of the NCLEX-RN examination, you will be expected to demonstrate your knowledge and skills of non pharmacological comfort interventions in order to: Nurses monitor the client's responses to non-pharmacological interventions in terms of the client's level of comfort. no shortness of breath or trouble breathing. A behavioral approach may also guide nursing interventions directly in helping elderly persons to achieve maximal functional levels. The nurse is licensed to prescribe, perform, or delegate the intervention based on her knowledge and skills. Please i have had a bad experience with my last 2 papers. This service is more advanced with JavaScript available, Nursing Law and Ethics In general the majority of authors consulted appear to subscribe to the concept postulated by Sarney when he says: “A good nursing practice act will separate the independent functions (what a nurse can do on her own) from the dependent functions (what she can do only, under the direction of a doctor)” [6]. Discuss the three (3) types of nursing interventions (nurse-initiated, dependent, and interdependent) that applies to the patient care situation. Writing an order to reposition the client in a comfortable position is an example of an independent nursing intervention, one that does not require a physicians order. Study for free with our range of university lectures! Here is the highlight reel of nursing interventions… (SIDE NOTE: if you are struggling with Nursing Care Plans please read our MASTER POST on writing them here) 1. Throughout this paper, we will discuss a clinical case that uses these tools in providing care and looking at the patient outcome and discuss the systems that were in place. Examples of nursing interventions include dimming the lights, position changes, offer pillow support, and diverting the patient’s attention away from the pain sensation. Our academic experts are ready and waiting to assist with any writing project you may have. a. Assess lung sounds every 4 hours. Definition: “Facilitation of the family’s presence in support of an individual undergoing resuscitation and or invasive procedures” (Bulechek, Butcher, Dochterman, 2008). Bulechek, G.M., Butcher, H. K., & Dochterman, J.C. Drug administration . In day to day care in the nursing realm, these tools are a great resource, but in reality are hard to find time to access and continually document on them. Any Do you have a 2:1 degree or higher? An intervention is what a nurse does. 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