4 Selecting Interventions Free Online FlashCards

What is the aim of selecting an intervention?

An action chosen to address the highest-priority problem that suits the person and situation and is likely to do more good than harm.

What should guide intervention selection: the priority problem or the most noticeable cue?

Start with the prioritized problem, not simply the most noticeable cue; choose an action that addresses the problem or a likely contributing cause.

What outcome should be defined before choosing an intervention?

State the problem and define a measurable desired result before choosing an action.

How should a potential life threat or rapid deterioration affect intervention priorities?

Potential threats to life or rapid deterioration take priority. If the person is unstable or the cause is uncertain, reassess promptly and escalate to the appropriate clinician or emergency response.

What individual factors should shape an intervention?

Consider current findings, history, preferences, culture, abilities, other conditions, medications, and the care setting.

What are the three broad categories of interventions?

Interventions may be independent, prescribed or protocol-based, or collaborative with the care team. The appropriate category depends on the action and practice setting.

What makes care evidence-informed?

Combine the best available research with clinical expertise and the person’s circumstances and preferences; check that the evidence applies to the person and setting.

What trade-off should be considered before acting?

Compare the expected benefit with possible side effects, complications, and new risks; evidence does not remove the need to judge these trade-offs.

How do feasibility and alternatives affect intervention choice?

Check whether the person can tolerate and access the intervention and whether the team can carry it out consistently. Consider a less burdensome or lower-risk alternative that can meet the goal.

How should fall-prevention actions be selected?

Match fall-prevention actions to the person’s specific risks rather than applying a generic bundle.

What actions can reduce fall risk for an unsteady patient with dizziness?

Assist with transfers and walking, keep needed items and the call bell within reach, explain how to request help, and report dizziness for review of possible causes, including medication.

What are possible trade-offs of restrictive fall-prevention measures?

Excessive restrictions may limit activity and independence. Assistance also requires coordination and may not be reliably available unless planned.