ENGLISH FOR NURSING: 7TH Meeting

NURSING
INTERVENTION
RIKA FATMADONA, S.KEP., M.Kep., NS., Sp. Kep. MB.
What is it?
Assessment  intervention
Planning action
Nursing intervention:
◦ Direct & indirect care
◦ Nurse initiated
◦ Physician initiated
◦ Others
 Nursing activities!!

Nursing Intervention
#___ ___________ r/t __________e/b _____________
Patient’s need
Priority signs/
/problem Etiology
symptoms

r/t= related to
e/b or m/b= evidenced by or manifested by
Patient’s needs/problem= NANDA approved statement found in book

Nursing Diagnostic Statement

Diagram
#1 Pain r/t tissue damage e/b patient
complains of pain at level of 7 out of 10

#2 Constipation r/t poor fiber intake e/b no

bowel movement for 3 days and abdominal
distention

#3 Risk for injury r/t generalized weakness

Example Statements
Types Of Nursing Interventions
Limited: consists of telephone interaction
only (COP Nurses).
Moderate: combines both phone calls and
face-to-face interaction (Field Nurses).
Intensive: is reserved for catastrophic
cases where medical recovery is expected
to extend over long or indefinite periods
of time (Field Nurses).

Types of Nurse Intervention

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 Identification: The staff nurse identifies cases for
intervention according to standard criteria.
Communication is initiated with all parties
(claimants, treating physicians, and agencies).
 Monitoring: The nurse reviews the physician’s
overall treatment plan and identifies areas
needing to attention.
 Assessment: The nurse determines whether
return to work is possible and whether return to
work plans are available and feasible.
 Discharge Planning: The nurse assesses the
outcome of the intervention and follows up on
the case if necessary.

Phases of Nurse Intervention

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Assess/Monitor: Evaluate data on the
health status
Perform/Care: Provide a therapeutic
action
Teach/Instruct: Provide knowledge and
education
Manage/Refer: Coordinate care process

Action type
Practice: cases
Case 1: maternity nursing
Case 2: Mental Health Nursing
Case 3: Child health nursing
Case 4: Medical surgical nursing
DATA ANALYSIS
Objective Subjective

 58 y, W.  “I hardly hv energy to
 No work, just cooking, get up & dress in
reading, watcing TV morn. Cleaning house
 No community activities
& doing laundry make
 History: overweight &
exhausted. “
not exercise  “ I eat coz nothing to
 H 5’3’’, W 166 p
 Weigh gains 14 pounds
do”
in past year

Case data 4
Energy management
Determine patient’s physical limitations
Determine patient’s perception of causes
of fatigue (e.g. medication, life style)
Determine activities to build endurance
Consult with dietician about diet
Monitor patient activities
Monitor patient sleep activities
Arrange activities

Intervention
DISCUSSION ??