Case Study of ADPIE: Implementation (Nursing)

by Samantha Rhea, MSN, RN

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    00:01 So now that we've talked about those, when we talk about implementation, and we've developed that care plan, those interventions, which is the action phase need to be implemented here.

    00:11 This is often a multidisciplinary approach.

    00:14 Meaning we may have to work with physical therapy, or physician, or other health care providers to meet this goal.

    00:21 So also keep in mind when we're talking about implementation, many times we're going to have to collaborate and also delegate certain things, and that's essential in coordinating care, especially for Mrs. Meyer here.

    00:35 And when we're talking about achieving goals for your patients, nurses implement care to meet these goals.

    00:41 So as you recall, we've talked about really early.

    00:44 We're making a treatment care plan for our patient.

    00:47 We've created all these interventions for Mrs. Meyer, like watch your oxygen, provide pain education, if you remember.

    00:54 Maintain that head of bed up.

    00:56 Then if you remember, we decided priorities with all that information we had, which if you recall, oxygenation and pain control for Mrs. Meyer.

    01:05 And of course, we want to move that bridge towards the goal and making sure Mrs. Meyer is an active participant in her own care.

    01:14 So our treatment plan should always remember that we're keeping the patient goal in mind to create that bridge and good effective care.

    01:22 As you recall, when we're looking at this arrow here, those things in the green such as activities of daily living, these are much safer to delegate.

    01:30 And the more complex that the intervention is, that may not be so safe, and we need to consider this when we're talking about delegation.

    01:41 Well, so let's have a little update here on Mrs. Meyer.

    01:44 So at the end of our shift, she is no longer needing her use of supplemental oxygen.

    01:49 Also her pain score, which is typically a 4 out of 10.

    01:52 but she's still having a score out of 7 out of 10.

    01:56 Sometimes she's not tolerating her medications very well enough to take those and to control her pain.

    About the Lecture

    The lecture Case Study of ADPIE: Implementation (Nursing) by Samantha Rhea, MSN, RN is from the course Nursing Process – Assessment, Diagnosis, Planning, Interventions, and Evaluation.

    Included Quiz Questions

    1. The client does not want to leave their bed due to a pain score of eight out of ten.
    2. The client does not understand why they need to be able to walk unassisted before going home.
    3. The physiotherapist comes to work with the client every morning.
    4. The client asks to practice walking in the hallway every shift.

    Author of lecture Case Study of ADPIE: Implementation (Nursing)

     Samantha Rhea, MSN, RN

    Samantha Rhea, MSN, RN

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