Module 08 Assignment – Nursing Interventions Purpose Of The ✓ Solved

Module 08 Assignment – Nursing Interventions Purpose of the

Plan evidence-based interventions to assist the client in meeting optimum outcomes. The actions planned are designed to meet the health care needs of the client. Develop a SMART client-centered outcome and individualized nursing interventions with rationale for a client with the following nursing diagnosis on the care plan: Risk for impaired skin integrity related to mechanical factors and impaired physical mobility. Use at least two scholarly sources to support your care plan. Be sure to cite your sources in-text and on a reference page using APA format.

Paper For Above Instructions

The nursing profession is central to providing comprehensive care and ensuring positive health outcomes for patients, particularly those facing specific challenges such as risk for impaired skin integrity associated with mechanical factors and impaired physical mobility. This assignment focuses on developing evidence-based nursing interventions tailored to a client's needs through a SMART framework.

Understanding SMART Goals

SMART goals are specific, measurable, achievable, relevant, and time-bound objectives that facilitate effective planning in nursing care. Utilizing this framework ensures that health care interventions are not only aligned with the patient's individual needs but also rigorously evaluated for efficacy.

The first step involves creating a SMART goal for our client who is at risk for impaired skin integrity. The goal will allow us to guide our interventions effectively. An example of a SMART goal for this client might be:

  • Specific: The client will demonstrate improved skin integrity.
  • Measurable: by showing no signs of pressure ulcers.
  • Achievable: through regular repositioning and skin assessments.
  • Relevant: since this aligns with the nursing diagnosis of impaired skin integrity.
  • Time-bound: within two weeks of implementing the intervention plan.

Nursing Interventions

To achieve this goal, we will proceed with several targeted nursing interventions. Each intervention aims to address potential causes of impaired skin integrity due to reduced mobility.

1. Regular Repositioning

Repositioning the client every two hours is critical in preventing pressure ulcers. The rationale for this intervention is based on literature indicating that consistent pressure relief decreases the incidence of skin breakdown (Bours et al., 2017). Encouraging the client and caregivers to participate in the repositioning routine could also enhance their engagement in care.

2. Skin Assessment

Performing a thorough skin assessment at each nursing shift allows for early detection of potential issues related to skin integrity. According to the National Pressure Injury Advisory Panel (NPIAP, 2020), frequent skin assessments improve the ability to identify at-risk areas. Documentation of findings will ensure all nursing staff are aware of the patient’s specific needs and intervene effectively.

3. Use of Pressure-Reducing Devices

Utilizing specialized pressure-reducing mattresses or cushions can greatly reduce pressure exerted on bony prominences. Evidence shows that these devices significantly minimize the risk of developing pressure injuries (McInnes et al., 2015). Education on how to properly use these devices should be shared with the patient's family and caregivers.

4. Nutritional Assessment and Dietary Support

Referring the client to a dietitian to assess and formulate an adequate nutritional plan is important. Adequate nutrition plays a vital role in skin health and overall recovery. Research indicates that improved nutritional status enhances the skin's resilience and healing processes (El-Sharkawy et al., 2016).

5. Patient and Caregiver Education

Providing education to the client and their family about the importance of skin integrity and preventive measures encourages active participation in care. Teaching about signs of skin breakdown will empower them to inform nursing staff promptly (Stotts et al., 2018).

Conclusion

In conclusion, using a SMART framework enables nurses to provide structured and effective interventions that cater to the needs of clients at risk for impaired skin integrity. Through evidence-based practices — including regular repositioning, thorough skin assessments, use of pressure-reducing devices, nutritional support, and education — we can aim for better patient outcomes.

References

  • Bours, G.J., et al. (2017). "The effectiveness of repositioning in preventing pressure ulcers: A systematic review." Journal of Clinical Nursing.
  • El-Sharkawy, A., et al. (2016). "Nutritional support and skin health." Journal of Wound Care.
  • McInnes, E., et al. (2015). "Support surfaces for pressure ulcer prevention." Cochrane Database of Systematic Reviews.
  • NPIAP (2020). "Pressure Injury Prevention: A Comprehensive Approach." National Pressure Injury Advisory Panel.
  • Stotts, N.A., et al. (2018). "Patient education for skin integrity." Journal of Nursing Education and Practice.
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