Nursing Process- Implementing

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NURSING PROCESS-

IMPLEMENTING

PREPARED AND PRESENTED BY

MRS.S.ANUKRISHNAN,

VICE PRINCIPAL CUM HOD OBG NURSING,

P.D.BHARATESH COLLEGE OF NURSING,

HALAGA, BELGAUM.


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Introduction

It is the phase in which the nurse

implements the nursing

interventions.

Definition: Implementing consist

of doing & documenting the

activities that are the specificnursing actions needed to carry

out the interventions.


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The degree of participation

depends on the clients health

status.

For Eg. an unconscious man,Ambulatory client.

The first 3 steps of nursing

process, provide basis for the

nursing actions performed during

the implementing step.


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Implementing skills

Need cognitive, interpersonal &technical skills.

Cognitive: - includes problem solving,

decision making, critical thinking &

creativity .

Interpersonal: - Verbal & nonverbal.

Technical Skills: - Hands on skills like

manipulating equipments giving

Injections & bandaging, moving lifting &

repositioning. Other use called

Psychomotor skills


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Process of

Implementing Reassess the client

Determining the nurses need forassistance

Implementing nursing

interventions

Supervising delegated care


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Assessinga. Collect data

b. Organize datac. Validate data

d. Document data

Implementinga. Reassess client

b. Determine the nurses

need for assistance

c. Implementing nursing

interventions

d. Supervising delegated

care

e. Documenting nurses

activities

Diagnosinga. Analyze data

b. Identify health

problems, risks andstrength,

c. Formulating

nursing diagnosis

Planninga. Setting priorities

b. Establishing client

goals, desired

outcomes

c. Selecting nursing

interventions

d. Writing nursing

orders


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1) Reassessing the client

Before implementing the nurse must

reassess the need.

Even order written on the care plan, the

clients condition may have changed.

Eg. Mr. A has nursing diagnoses of

disturbed sleep pattern related to anxiety

& unfamiliar surroundings.


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During rounds, the nurse discovers thatMr. A is sleeping & therefore defers the

back massage that have been planned as

a relaxation strategy

New data may indicate a need to change

the priorities of care of the nursing

activities.


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2) Determining the nurses need for

assistance

When implementing some nursing interventions, the

nurse may require assistance for one of the following

reasons.

- The nurse is unable to implement the nursing activity

safely alone (Eg. Ambulating on unsteady obese client)

- Assistance would reduce stress on client (Eg. turning a

person who experiences acute pain when moved)

- The nurse lacks the knowledge or skills to implement a

particular nursing activity.


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