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

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ICU Care and ICU Environment


The ***** is an intensive and often chaotic work environment for nurses ***** patients alike. Some authors have described the ICU environment as one where patients often enter in a state 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 ***** 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 ***** sleep ***** other factors may affect patient outcomes.

***** is increasingly important ***** nursing staff understand any and all 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 ***** on patient ***** rates. From these studies researchers have determined a number of variables ***** influence patient recovery. Some ***** factors identified include familial visitati*****s, which may promote a more caring, comfortable ***** relaxed environment within the ICU (Gonzales, et. al, 2004). In some cases however, ***** as in ***** case when children visit adults in an ICU environment, increasing tensions *****d anxiety may result (Clarke, 2000).

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

***** 1 - "Sleep d*****turbance: The ***** ***** activities applied at the night shift ***** the intensive care unit."

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

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


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