Knowledgeable in evidence based practice enhances a

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knowledgeable in evidence-based practice enhances a nurse’s ability to includepreventative interventions in patients’ plans of care.Interventions- Independent, Dependent, Collaborative:Categorizing interventions according to the medical professionals involved can be usefulwhen planning and coordinating care.IndependentoIndependent nursing interventions are interventions that a nurse initiates and carriesout independently (without an order from a provider).oInterventions may include monitoring, activity regimens, skin care and skinbreakdown prevention, and consultation with other members of the healthcare team.There are hundreds of independent nursing interventions.oExample:Monitoring a patient’s temperature and skin color for feverDependentoDependent nursing interventions are interventions ordered by provider.oInterventions may include orders for oxygen administration, dietary requirements,medications, and diagnostic testing.oExample:Administering antipyretic medication for fever as ordered by the providerCollaborativeoCollaborative interventions require cooperation and input among all members of thehealthcare team, including providers, nurses, and unlicensed assistive personnel.oInterventions may include physical therapy, personal care, hospice care, and spiritualcounseling. These types of interventions require consultation with other healthcareteam members or referrals to specialists or agencies for assistance.oExample:Nursing assistant providing bathing and dressing assistance to a patientDirect-Care Interventions:The inclusion of both direct- and indirect-patient interventions in a patient care plan assiststhe nurse in providing comprehensive care to the patient, although the impact of indirect caremay not be obvious to the patient.Direct-care interventionsare those that are conducted through personal contact with thepatient. Direct-care interventions include reassessment, activities of daily living(ADLs),physical care, informal counseling, and teaching.Some direct-care interventions must be conducted by the registered nurse (RN), but othersmay be delegated to another healthcare team member with proper training and supervision bythe nurse.Reassessment-One form of direct care that is ongoing throughout all stages of the nursingprocess is reassessment. After the nurse completes a patient’s initial assessment and developsa plan of care, continual reassessment of the patient allows the nurse to detect noticeablechanges in the patient’s condition, requiring adjustments to interventions outlined in the planof care.ADLS-Activities of daily living (ADLs) include tasks that are undertaken on a regular basis,such as eating, dressing, bathing, toileting, and ambulation. Because patients perform ADLsat different levels, it is important for the nurse to assess where deficits exist and to determinewhether patients require short- or long-term interventions to address their needs.
SHERPATHModule 3Physical Care-

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