Some nurses do not take the time to think about what interventions would help our patients. Drug administration . Nursing Outcomes. Both grades were 69. The NIC, NOC and NANDA-I Taxonomy of Nursing Diagnoses are a great guide for standard nursing care. The nurse is licensed to prescribe, perform, or delegate the intervention based on her knowledge and skills. Anyone can use these documents to help focus the care their patients need. Phase III and IV. Not affiliated 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. You can view samples of our professional work here. Chynna21 (New) Please can someone tell me if these are Independent nursing interventions. Independent nursing interventions. Registered office: Venture House, Cross Street, Arnold, Nottingham, Nottinghamshire, NG5 7PJ. This patient has multiple nursing diagnoses, but because decreased cardiac output was addressed, the outcome will be as follows: Definition: “Adequacy of blood volume ejected from the left ventricle to support systemic perfusion pressure” (Moorhead, Johnson, Maas, Swanson, 2008). 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. Interdependent interventions are the result of multi-disciplinary collaboration or consultation. 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. Respirations and patient comfort were also monitored, i.e. Nursing Standard. The principles of promoting autonomy and independence underpin many approaches to improving the quality of nursing care for older people in whatever setting, and are in line with wider developments in health care such as the Patient's Charter. 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. St. Louis, MO: Mosby. Suggest the client use elastic shoe laces and pull clothes over leg with a grip extender. We're here to answer any questions you have about our services. (2012). 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. (2008). Date of acceptance: April 5 2004. Classification (NIC) (5th ed.). This nursing care plan is for patients who are experiencing powerlessness. Interdependent:Examples. Also, the critical care doctor decided that the patient needed a stat VQ scan to rule out the possibility of a pulmonary embolism. 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. An example of an independent intervention includes educating a patient on the importance of their medication so they can administer it as prescribed. A behavioral approach may also guide nursing interventions directly in helping elderly persons to achieve maximal functional levels. Example: So you walk into a room and your patient seems short of breath. Educate the patient about the prescribed medication. The following are nursing interventions that were used on this patient using the NIC (Nursing Interventions Classification). Textbooks on nursing imply a great deal about the practice potential of nurses but ever and anon there is a subtle reversion to the concept that nursing has certain dependent functions, meaning functions that require a doctor’s authorization, and certain independent functions that are carried out on the nurse’s own initiative and responsibility. All work is written to order. Dependent: Dependent nursing interventions require a direct order from a physician, and cannot be performed by a nurse alone. Patient will continue outpatient rehab to rebuild strength over time. Nursing care is provided in all hospitals, in different states, different countries with different practices. Examples are given of specific interventions that families found useful within the intervention process. St. Louis: Mosby/Elsevier. From simple essay plans, through to full dissertations, you can guarantee we have a service perfectly matched to your needs. Do you have a 2:1 degree or higher? I have seen these types of programs being used in the clinical setting and because nurses are busy, some just copy and paste the same thing over and over day to day. Patient will have activity tolerance when getting out of bed and ambulating around room. Definition: “Facilitation of the family’s presence in support of an individual undergoing resuscitation and or invasive procedures” (Bulechek, Butcher, Dochterman, 2008). Saunders, Philadelphia, p 18, Searle C (1965) A socio-historical survey of nursing in South Africa, 1652–1960. (2008). In general, contemporary nursing literature from Western countries does not take a bold stand on the very controversial issue of the dependent and independent functions of the nurse practitioner. Nurs Times, 9 Sept 1976: 1379, Mead, Hurd KC (1937) A history of women in medicine. No plagiarism, guaranteed! As with pharmacological interventions, nonpharmacological interventions have expected outcomes like a reported or observed decrease in the levels of pain and discomfort and increased levels of comfort as reported by the patient … This healing can occur through families' own efforts or in collaboration with nurses. Examples of EBP in Nursing. The patient also prevents with hypotension which is believed to may have been caused by medications that effect preload and afterload which will also decrease the cardiac output of this patient. Students Student Assist. Discuss the three (3) types of nursing interventions (nurse-initiated, dependent, and interdependent) that applies to the patient care situation. About this Quiz & Worksheet. We are living in an era of multi-disciplinary teamwork in the health field. Change the patient position frequently . Nursing Interventions Classification (NIC) (4th ed.). Direct vs. indirect care interventions o Direct- is the interaction between nurse and patient. An intervention is what a nurse does. Almost all patients are candidates of fall injuries while in the hospital. Overall, the standardized care would support patient outcomes and allow for nurses to focus on what they can do, improving the patients care by identifying problems, inventions and outcomes. © 2020 Springer Nature Switzerland AG. 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. Patient will have a follow up echo that showed her ejection fraction was 45%. Definition: “Optimization of heart rate, preload, afterload and contractility” (Bulechek, Butcher, Dochterman, 2008), Definition: “Administration of oxygen and monitoring of its effectiveness” (Bulechek, Butcher, Dochterman, 2008). There are many examples of EBP in the daily practice of nursing. Two types of toileting protocols have been described. However, these concepts require careful definition if nursing practices which might promote autonomy and independence are to be identified. Struik, Cape Town, Searle C (1980) The wardsister - some aspects of her role and function. With this being said, this patient had several things happening, but was being treated with antibiotics and Cardizem to control A-Fib. Please i have had a bad experience with my last 2 papers. 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 patient will be able to maintain blood pressure without pressers. The authors write as if they are skating on very thin ice. Feasibility of DAIly NURSE: A nursing intervention to change nursing staff behaviour towards encouraging residents' daily activities and independence in the nursing home. Nurses can act as mediators between patients and doctors who may have overlooked certain patient needs or solutions. Dependent: These nursing interventions require an order from a physician, such as ordering the prescription for a new medication. Some examples would be encouraging or teaching a patient about certain aspects of her recovery or care care, like teaching deep breathing post op. *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. This process is experimental and the keywords may be updated as the learning algorithm improves. NANDA International. den Ouden M(1), Zwakhalen SMG(1), Meijers JMM(1), Bleijlevens MHC(1), Hamers JPH(1). Another example involves toileting management protocols. With being able to focus on one at a time, a nurse is able to think about the needed steps to achieve the positive outcome that we all look at. Nursing Interventions. When looking at a patient, we all have our own outcomes that we want to achiever to better the patient. Antibiotics were continued as patients WBC’s were 14000 and the patient was continuously monitored in the ICU for a few days. This does not show how we are intervening to meet the outcome. But honestly, you will routinely do a lot of the nursing interventions listed in that trusty old NIC book (Nursing Intervention Classification). CVP measurements will be within normal limits. 0 Likes . Download preview PDF. Dependent interventions require the order of a physician. Here is the information i need. d. Encourage the patient to express feelings. Over 10 million scientific documents at your fingertips. With being able to identify what the patients problems are through a nursing diagnosis, we are able to next focus on the interventions that best fit and will provide the best patient outcome. While these tools help standardize care that nurses provide and focus on and to make sure that the needed interventions to improve the outcome are being performed and are being documented. CVP’s were measured at 5 and urine output was monitored closely. independent nursing interventions on patient outcomes is essential. Haddam, Connecticut (Reprint B VI Longwood Press 1979), Nathan (1957) Medical negligence. If you need assistance with writing your essay, our professional essay writing service is here to help! Reference this. It takes time to look through the list to find the exact intervention or outcome that best fits out patient needs. But with that being said, the nursing process using NANDA –I Taxonomy of Nursing diagnoses, the Nursing Outcomes Classification (NOC) and Nursing Intervention Classification (NIC) can provide some standards in care where it is received. I hope that i wont be disapointed. VAT Registration No: 842417633. Family contacted because patient was moved to intensive care and needed a emergent central line placement. 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. Looking for a flexible role? Curationis, V 3: 1: 6, Shryock RH (1959) The history of nursing. Drug administration is not. (Eds.). Discussion of client in an interdisciplinary conference for discharge planning attended by primary nurse or supervisor, home health care nurse, social worker, physical therapist, & dietician. Active listening. Examples of nursing interventions include dimming the lights, position changes, offer pillow support, and diverting the patient’s attention away from the pain sensation. Foley was placed to monitor urine output. b. (Referred to in the book as physician-initiated.) St. Louis, MO: Mosby Elsevier. This patient was admitted to a medical surgical unit with the diagnosis of pulmonary fibrosis, shortness of breath and pain with inspiration, atrial fibrillation and MRSA in the urine. 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. After a few hours, the patient was able to keep blood pressure controlled without medications. The nurse and client set a long-term goal of independence in bathing and dressing. With an increase in innovative interventions to existing evidence-based interventions, there will be an increasing need for independent nursing practice. 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