Safe and Effective care Environment: Management of Care
Exploring resources available to assist the client with maintaining independence.
What is Adaptive Equipment?
They can help patients achieve optimal independence (Vera, 2022, "Nursing interventions").
Why is an appropriate room assignment near the nurses' station?
What is Prevention of Falls?
"Provide more constant observation and quick response to client needs" (Wayne, 2022, "Nursing interventions").
What education regarding health promotion should be provided for a client with generalized weakness?
What is Physical Activity or ROM?
“Metabolism and utilization of nutrients are improved by activity” (Wayne, 2022, “Nursing interventions”).
What facilitates communication with clients?
What is Therapeutic Environment?
Assistance can help conserve energy, but the care provided should be at the patient’s pace, to not “negate the patient’s attempts” (Wayne, 2022, “Nursing interventions”).
How to diagnose cause of weakness?
What is Labs?
“Laboratory testing, including electrolyte, thyroid-stimulating hormone, and creatine kinase, may be helpful” when it comes to “determining the cause of muscle weakness” (Larson & Wilbur, 2020).
Assessing the need for referrals and obtaining necessary orders for a patient with generalized weakness
What is a Referral to Physical and Occupational Therapy.
"Exercise maintains muscle strength and joint range of motion" (Vera, 2022, "Nursing interventions").
Applying principles of infection control
What is Hand Hygiene?
Helps with the "reduction of HAIs" (Mitra et al., 2022, p.3353).
What should a client with weakness be encouraged to do daily?
What is Sit in Recliner/Transfer?
Gradually progressing client activity can provide health promotion. “Duration and frequency should be increased before intensity” of all activities (Vera, 2022, “Nursing interventions”).
What is an intervention for pain management?
What is Analgesics?
“Analgesics may reduce pain that impedes movement” (Wayne, 2022, “Nursing interventions”).
A way to perform pulmonary hygiene:
What is Incentive Spirometry?
“Incentive spirometry serves to improve deep breathing and helps prevent atelectasis” (Vera, 2022, “Nursing interventions”).
Client priorities for generalized weakness:
What is Educate Client on Safety Issues?
Protecting client from injury due to fall risk status
What is Bed and Chair alarms?
or What is Keeping the Bed in a Low Position?
“Bed falls notably decreased following the intervention” of “alerts from smart beds and dome light indicators” (Yesmin et. al., 2022, p. 11).
“These measures promote a safe, secure environment and may reduce risk for falls” (Wayne, 2022, “Nursing interventions”).
What assessment should be performed on an elderly client with weakness?
What is Nutrition?
Low iron levels and “poor nutritional intake can cause muscle weakness” (Wayne, 2022, “Nursing interventions”). Proper nutrition ensures the body’s tissues have adequate oxygenation.
Why should medications be reviewed in older adults with weakness?
What is Polypharmacy?
“Polypharmacy in older adults is a significant risk factor for falls” (Wayne, 2022, “Nursing interventions”).
What should be done for clients with impaired physical mobility?
What is Repositioning?
“Position changes optimize circulation to all tissues and relieve pressure” (Wayne, 2022, “Nursing interventions”).
Client intervention for education on safety:
What is Proper Footwear or Appropriate Assistive Devices?
(Wayne, 2022, "Nursing interventions").
What is SCDs?
“Compression devices promote venous return to prevent venous stasis and possible thrombophlebitis” (Wayne, 2022, “Nursing interventions”).
What is Promote Circulation?
Impaired physical mobility puts the client at risk for clot formation (Wayne, 2022, “Nursing interventions”).
What should be encouraged for patients who are weak, elderly, and without caretakers?
What is group/family support groups or resources?
The patient can “gain tremendous support and insight” from community groups (Martin, 2022, “Nursing interventions”).
How to assist a client with elimination problems?
What is Providing Privacy?
“Lack of privacy may reduce the patient’s ability to empty bowel and bladder” (Wayne, 2022, “Nursing interventions”).
Planning strategies to address client problems, like generalized weakness.
What is Waiting an Hour After Meals for Physical Activity?
This technique teaches the reduction of oxygen consumption, which in return, allows an increase in prolonged activity (Vera, 2022, "Nursing intervention").
What should be encouraged in a client with weakness?
What is Frequent Ambulation?
Movement such as ambulation “keep the patient as functionally working as possible” (Wayne, 2022, “Nursing interventions”).
Intervention for promoting circulation:
What is passive/active ROM?
Prolonged bed rest or immobility allows clot formation in the impaired physical mobility” client (Wayne, 2022, “Nursing interventions”).
What should be done before medication administration in any client, especially with older adults who have many disease processes?
What is Review Labs and Contraindications?
Assists pharmacists and healthcare professionals “in identifying high-risk patients based on medication assessments” (Yazdani & Hall, 2017, p. 33).
What are some examples of risk reduction priorities for elderly clients with weakness?
What is Skin Assessments?
or What is Pulmonary Hygiene? or
What is SCDs?