Essay - Icu Care and Icu Environment Introduction the Icu is an...


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ICU Care and ICU Environment

Introduction

The ICU is an intensive and often chaotic work environment for nurses and patients alike. Some authors have described the ***** ***** as one where patients often enter in a st*****te of physiological crisis; as such it is vital that nursing activities be structured in a manner to promote ra*****r than inhibit patient recovery (Cilik, et. al, 2004). Further most ***** admitted to intensive care units are more likely to be distressed, anxious and alarmed which may negatively impact recovery or their ability to sleep (Cilik, et. al, 2004). Lack of sleep ***** other factors may affect patient outcomes.

***** is increasingly important that nursing staff understand any and ********** factors contributing to positive or negative patient outcomes within the ICU. Multiple studies ***** been conducted examining the effects of nursing care in the ICU and ***** ICU environment on patient ***** rates. From these studies researchers have determined a number of v*****riables ***** influence patient recovery. ***** ***** factors identified include familial visitations, which may promote a more c*****ring, comfortable ***** relaxed environment within the ICU (Gonzales, et. al, 2004). In some cases however, ***** as in the case when children visit adults in an ICU environment, increasing tensions and anxiety may result (Clarke, 2000).

Other factors, which may contribute to an improved *****, ***** collaboration between nursing staff, ***** health technicians and primary medical ***** providers (Cilik, et al, 2004). Still other studies suggest ***** nursing staff must take advantage ***** technological advances within the ICU environment ***** facilitate optimal ***** care (Wilkstrom & Larsson, 2003). There is clear evidence that the ***** environment is improved by the overall commitment ***** dedication proffered by skilled and caring ***** whose primary intent is promoting patient recovery ***** comfort (Wilkin ***** Selvin, *****). These ideas and more are summed in the research articles provided below.

***** 1 - "Sleep disturbance: The ***** c***** ***** applied at the night shift ***** the ***** care unit."

In this research study the authors intend to determine how the frequency ***** type of ***** activities in sed*****ed vs. non sedated patient care wards on the ICU affect patients sleep and recovery rates. The study was c*****ducted on a surgical ********** ***** ***** ***** involved a group of 30 sedated and ***** non0sedated *****. Nursing care was delivered ***** patients for twelve hours and measured on three consecutive nights. The *****s of the study ***** that more invasive procedures were per*****med on sedated rather than non********** patients to facilitate a better outcome.

***** the researchers attempted to answer how nurses working in surgical ***** unites utilize ***** time and to determine what the frequency ***** *****s of nursing activities were that could be applied to sedated and non sedated *****. The study shows that continuous ***** performed on all patients included blood pressure and temperature moni*****ring, back and mouth care and suctioning. ***** authors suggest that the activities nurses engage in are meant to maximize physiological stability in patients

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