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MB9 73-81

Nursing activities that can be involved in the Implementation phase of the nursing process - examples -Assisting with ADL's (baths, oral care) -Promoting comfort -Supporting respiratory and elimination functions -Ensuring that patient has adequate nutrition, help feed as necessary -Provide education for self-help
Define Evaluation Determining the client's response to the interventions implemented. Final step but can lead right back to assessment.
How do we evaluate? Standards - values that the nursing plan should work toward (?? I need to find this in the book) Criteria - Values that are used to determine if the intervention is effective
Variables that can influence the effectiveness of the nursing plan - Controllable (C) or Uncontrollable (U) Altered mental states (U) Medication Error (C) Refusal to be treated (U) Not performing in a timely manner (U & C)
Common hazards encountered in the HCA include -Medication errors -Fall risks from equipment in halls -Combative clients due to altered mental states -Injuries from not using proper body mechanics.
Common interventions to prevent falls: -clutter free floor -secure locks on beds, chairs, etc. -place freq. needed items within reach -skid free socks - enough lighting -bed rails up
Assessment tool for Risk for Falls John Hopkins tool in book. 6 points is a moderate risk. We were given cards with Morse Scale questions on it. There are 6 assessment questions. Do not know the scale score though. Edit if you have it.
Created by: Marshall3