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


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ICU Care and ICU Environment

Introduction

The ***** is an intensive and often chaotic work environment for nurses ***** patients alike. Some authors have described the ICU ***** as one where ***** often enter in a st*****te of physiological crisis; as such it is vital that nursing activities be structured in a m*****nner to promote ra*****r than inhibit patient recovery (Cilik, et. al, 2004). Further most patients 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, *****). Lack of sleep ***** other factors may affect patient outcomes.

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

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

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

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

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

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