Interventions: Types and Planning (Nursing)

00:01 Now, once we've set goals, we need to plan interventions to help us get there.

00:05 If you remember, these are the action phase that's going to help improve the condition of the client.

00:11 Now, it's important that we know the rationale for the intervention.

00:15 Meaning, we need to know, why we're performing this, and what the expected outcomes going to be? Why is this intervention going to make that specific problem any better.

00:24 This is an important piece.

00:25 Also, as a nurse, we need to possess the psychomotor and the interpersonal skills to be able to perform and plan that intervention.

00:33 And also, we need to be able to function within the setting that we're in and use the facility resources effectively.

00:40 Now, when we talk about interventions, there's different types.

00:43 There's the nurse initiate intervention, and these are going to be independent actions that a nurse can initiate.

00:50 This means here that we do not need a physician order for it.

00:54 An example of a nurse initiate intervention is maybe raised the patient's head a bed, for example.

01:00 Or encouraged the patient to walk 100 feet, three times a day.

01:05 Next, we have physician initiated nursing interventions.

01:09 So don't let that confuse you.

01:10 But as a nurse, if you remember, we carry out physician's orders.

01:14 But these interventions are initiated by the doctor.

01:18 Again, these are requiring order from our health care physicians.

01:23 An example of this is giving ANS needed, or PRN blood pressure medication for a systolic greater than 160.

01:30 So here we're giving that medication as ordered.

01:33 The doctor planned it, he initiated or she initiated it, and then the nurse carried it out.

01:38 And lastly, a really important type of intervention is collaborative.

01:43 So as you know, when we're working with a patient, there's many pieces in that healthcare team that's important for the patient's care.

01:50 So this is going to require combined knowledge, skills, and expertise from multiple health care providers.

01:56 So great example of this is maybe working with dietary to make sure we get specific needs met for our patient.

02:03 Another great example of this is working with physical therapy, for example, to exercise or ambulator client.

02:11 Now, we're talking about a nursing planet care, it's an important part to provide quality patient centered care.

02:18 So many times this is going to find the patient's problems.

02:21 We're going to define the role of the patient, or the nurse and the patient's treatment.

02:25 It's also important when we're talking about our plan of care that we've got continuity, and we're working with inner disciplines.

02:33 So if you remember, we were talking about working with the physician, physical therapy, and dietary, for example.

02:39 So taking a look at this box in the middle, if we recall, we're formulating a identified patient needs with our NANDA diagnosis.

02:47 We're making a goal that's patient centered.

02:50 We're also going to have that Nursing Outcome Criteria to help us give an expected outcome and use those nursing interventions, otherwise known as the Nursing Intervention Criteria to help get to those goals.

03:03 Now, we're talking about care planning.

03:05 Let's talk about those critical pathways.

03:08 This is evidence based guidelines to help us meet those expected outcomes.

03:12 So what can be a critical pathway? We're looking for all those positives that we want in regard to patient treatment.

03:19 Such as decreasing the length of stay, for example.

03:22 Improving of course the patient outcomes, decreasing the cost of care, and preventing disease specific complications.