Interventions with Rationale General guidelines: There should be at three interventions with rationale for each goal statement. least The interventions can be strictly nursing based or collaborative (e.g., medication for nausea as ordered by MD) in nature Interventions need to be specific: what, when, how much, and how often Each intervention should be referenced EXAMPLES OF INTERVENTIONS WITH RATIONALE For the stroke patient . . . Goal/outcome #1 interventions w/ rationale: 1) Nurse will educate patient about importance of ROM exercises. Rationale: If patient understands the importance of ROM exercises (to maintain and increase strength), the patient is more likely to participate in exercises (Potter & Perry, p. 4). 2) Nurse will assist patient with ROM exercises while teaching him how to perform ROM exercises. Rationale: Patient needs to be instructed on how to perform ROM exercises, and performing the exercises while instructing the patient will solidify his understanding so he can perform exercises on his own (Potter & p. 5). 3) Nurse will consult with physical therapist for strength training and development of a mobility plan. Rationale: Techniques such as gait training, strength training, and exercise to improve balance and coordination can be very helpful for rehab patients (Tempin, Tempkin, & Goodman, pg. 27). Goal/Outcome #2 interventions w/ rationale: 1) Nurse will determine amount of assistance needed to get patient out of bed and ambulate. Rationale: Weakness and lack of coordination can cause the patient to be off balance which could put him at risk for a fall (Potter & Perry, p. 5). 2) Nurse will clear walkway of hazards. Rationale: Patient is at risk for falls so clearing hazards will provide a safe path to ambulate (Potter & Perry, p. 3). 3) Nurse will instruct patient on proper use of assistive devices. Rationale: Patient may fall or injure self if not using assistive device correctly (Potter & Perry, p. 6).
Interventions with Rationale General guidelines: There should be at least three interventions with rationale for each goal statement. The interventions can be strictly nursing based or collaborative (e.g., medication for nausea as ordered by MD) in nature Interventions need to be specific: what, when, how much, and how often Each intervention should be referenced EXAMPLES OF INTERVENTIONS WITH RATIONALE For the stroke patient . . . Goal/outcome #1 interventions w/ rationale: 1) Nurse will educate patient about importance of ROM exercises. Rationale: If patient understands the importance of ROM exercises (to maintain and increase strength), the patient is more likely to participate in exercises (Potter & Perry, p. 4). 2) Nurse will assist patient with ROM exercises while teaching him how to perform ROM exercises. Rationale: Patient needs to be instructed on how to perform ROM exercises, and performing the exercises while instructing the patient will solidify his understanding so he can perform exercises on his own (Potter & p. 5). 3) Nurse will consult with physical therapist for strength training and development of a mobility plan. Rationale: Techniques such as gait training, strength training, and exercise to improve balance and coordination can be very helpful for rehab patients (Tempin, Tempkin, & Goodman, pg. 27). Goal/Outcome #2 interventions w/ rationale: 1) Nurse will determine amount of assistance needed to get patient out of bed and ambulate. Rationale: Weakness and lack of coordination can cause the patient to be off balance which could put him at risk for a fall (Potter & Perry, p. 5). 2) Nurse will clear walkway of hazards. Rationale: Patient is at risk for falls so clearing hazards will provide a safe path to ambulate (Potter & Perry, p. 3). 3) Nurse will instruct patient on proper use of assistive devices. Rationale: Patient may fall or injure self if not using assistive device correctly (Potter & Perry, p. 6).