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Discussion

Please check my responses for any errors - "steer me in the right direction"!!

please steer me in the right direction with these responses below:

  • nursing interventions:what method(s) help you identify your client's need and choose necessary interventions to meet them? the method(s) i use in order to identify my client's needs are: the nursing process. i use this tool to collect and analyze information about the client, dissect the client's data and draw conclusions about existing problems and determine what i can do about them. i also incorporate analytical, critical, creative and effective thinking, decision making and problem solving skills to help me to arrive at a favorable conclusion(s) about my client's problems and/or needs, and that guides me to find effective solutions to those identified problems or needs.

nursing process: nurses have many roles. many times, they have to make both simple as well as complex decisions. how do you determine which "outcomes" are a priority for your client? what other team members may be incorporated (collaboration) to help your client reach these outcomes? i evaluate the client outcomes, which in turn changes client care based on the evaluation. this helps me select appropriate interventions to match the priorities in my nursing diagnosis/es; for example, life threatening diagnosis will be the highest priority. by putting these goals in order of urgency or seriousness of the problem or need as well as it's impact on the client helps in information sharing with other members of the health-care team; such as physician, physical therapist, occupational therapist, nutritionist, social worker. the multi-disciplinary team in-turn examines the list of problems i have identified, use or expand the list to provide care individually or in a collaborative manner to help the client reach their outcome goals.

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these questions, are in essence, asking you to elaborate on the nursing process on how it is used in a practical, hands on way. i don't think your instructor is looking for a bunch of lofty ideals here, but how you are going to apply the nursing process in a practical manner to treating a patient.

nursing interventions: what method(s) help you identify your client's need and choose necessary interventions to meet them?

this is asking about how you are going to go about assessing your client.

how do you determine your patient's problems (needs)? you use the nursing process, yes, but how? what part of the nursing process do you use? assessment. what do you do in your assessment of the patient? what do you examine? there are 4 physical examination methods. what do you question? observe? as a result of those activities what do you find? symptoms (defining characteristics, abnormal assessment data)? is that what you do nursing interventions on? or do you just make interventions up out of the air for things you "think" the patient might need?

there are four types of nursing interventions (actions) and they include the following:

  • assess/monitor/evaluate/observe (to evaluate the patient's condition)

  • care/perform/provide/assist (performing actual patient care)

  • teach/educate/instruct/supervise (educating patient or caregiver)

  • manage/refer/contact/notify (managing the care on behalf of the patient or caregiver)

nursing process: nurses have many roles. many times, they have to make both simple as well as complex decisions. how do you determine which "outcomes" are a priority for your client? what other team members may be incorporated (collaboration) to help your client reach these outcomes?

this is asking, once you have assessed your client, how are you going to decide upon which problems (needs) are the most urgent that need to be addressed, how do you determine outcomes and prioritize them and who else on the health care team can you elicit to help you achieve your predicted outcomes.

think about maslow's hierarchy of needs.

give consideration to the medical disease and the severity of pathology the patient is experiencing and the symptoms that need attention first.

much of that will be identified from your assessment, but you need to prioritize it. once prioritized, the priority of which interventions need to be done first is identified and the priority of outcomes fall into place as well.

outcomes are the predicted results of our independent nursing actions. they are a reflection of the nursing interventions we will perform. independent nursing actions are those things that a nurse can prescribe, or order, for a patient that do not require a physician order. an expected outcome is measurable, patient centered, and specific. when you identify an outcome, you accept responsibility and accountability for helping the patient achieve that outcome.

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