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Nursing Interventions and Rationales

Nursing interventions for a client include performing a complete assessment, monitoring for neurological and psychological issues, managing pain, providing comfort, teaching relaxation techniques, administering medications, educating the client on their condition, discussing symptoms, and encouraging family involvement. The rationales for these interventions are to obtain baseline information, ensure safety, treat symptoms appropriately, help the client better understand and manage their condition, and facilitate long-term support.

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محمد حسن
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309 views3 pages

Nursing Interventions and Rationales

Nursing interventions for a client include performing a complete assessment, monitoring for neurological and psychological issues, managing pain, providing comfort, teaching relaxation techniques, administering medications, educating the client on their condition, discussing symptoms, and encouraging family involvement. The rationales for these interventions are to obtain baseline information, ensure safety, treat symptoms appropriately, help the client better understand and manage their condition, and facilitate long-term support.

Uploaded by

محمد حسن
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd

Nursing Interventions and Rationales

i. Perform complete nursing assessment with vital signs


Get baseline information and determine if there is a physical or
explained cause of symptoms.
ii. Perform neurological assessment daily or per facility
protocol
Determine if client is having other neurological symptoms that may
help determine treatment options.
iii. Assess if client is having suicidal or homicidal ideations or
potential substance abuse
Maintain client’s safety and the safety of others
iv. Assess pain per appropriate scale
Pain is subjective and must be managed according to what the
client feels and reports.
v. Provide accommodation for client and make them more
comfortable (ie., pillows, temperature, positioning, etc.)
This can help client feel accepted and develop rapport and trust.
This can allow the client to feel more comfortable and express
their feelings and emotions more readily to the healthcare team.
vi. Encourage behavior modification such as praising client
and offering more attention when symptoms improve
Change the focus from what’s wrong to what’s right. Helps client
feel accomplished and more positive about improvements in health
condition instead of focusing on the symptoms.
vii. Provide teaching and demonstrations of relaxation
techniques including progressive muscle relaxation and deep
breathing exercises guided imagery, and distractions
such as music or other activities; problem-
focused coping strategies include problem-
solving methods, applying the process to
identified problems, and role-playing interactions
with others.
This can help relieve acute pain and distress that the client may
feel, but also helps them learn to control many symptoms through
focus and calming the mind.
viii. Provide education about feared or actual medical
condition
Helps client understand the condition in a more realistic light and
helps alleviate fear and anxiety about a particular health concern.
ix. Administer medications and decrease dosage as
appropriate
o Pain relievers / analgesics
o Antidepressants
o Anti-anxiety medications
o Antiemetics
Perceived pain and symptoms are to be treated appropriately, but
as circumstance allows, decrease medication and continue
offering praise for improvement of symptoms to encourage
continuing positivity.
x. Discuss symptoms with client and when they began, what
makes them better or worse and how they have been
managing these symptoms
This helps make a more definitive diagnosis and help determine
how to best treat client. Helping the client determine the etiology of
symptoms helps them to recognize and avoid situations that make
symptoms worse.
xi. Encourage client to keep a journal of symptoms and the
events or factors that lead up to the development of
symptoms and their resolution
This is a technique of cognitive behavior therapy that helps the
client understand what factors (usually stress) that prompt the
onset of symptoms. It can also help the client determine a pattern
of emotions surrounding the symptoms.
xii. Encourage client to involve family members in their care.
Discuss signs and symptoms and what triggers those
symptoms
Help the family to be aware and understand the reality of the
client’s condition. This can be helpful in long-term management if
client’s family is willing to provide realistic feedback and support.

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