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


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ICU Care and ICU Environment

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

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

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

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

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

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

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