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 ********** often chaotic work environment for nurses and patients alike. Some authors have described the ICU ***** 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 to sleep (Cilik, *****. al, 2004). Lack of sleep and other factors may affect patient outcomes.

It is increasingly important that nursing staff understand any and *****l factors contributing to positive or negative patient outcomes within the ICU. Multiple studies have been conducted examining ***** effects of nursing care in the ICU and ***** ICU environment on patient ***** rates. From these studies researchers ***** determined a number ***** variables may influence patient recovery. ***** ***** factors identified include familial visitati*****s, 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 in an ICU environment, increasing tensions *****d anxiety may result (Clarke, 2000).

Other *****, which may contribute to an improved environment, include collaboration between nursing *****, ***** he*****th technicians and primary medical ***** providers (*****, et al, 2004). Still other ***** 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 ***** environment ***** ***** by ***** overall commitment ***** dedication proffered by skilled and caring nurses whose primary intent is promoting patient recovery ***** comfort (Wilkin ***** Selvin, 2003). These ideas and more are summed in the research articles provided below.

***** 1 - "Sleep d*****turbance: The ***** ***** ***** applied at the night shift in the ***** c***** unit."

***** this research study the authors intend to d*****ermine how the frequency and type of ***** activities in sedated vs. non sedated patient care wards on the ICU affect patients ***** and recovery rates. The study was conducted on a surgic*****l intensive care ***** and involved a group of 30 ***** and ***** non0sedated *****. Nursing care was delivered to patients for twelve hours and measured on three consecutive nights. The ********** of the study ***** that more invasive procedures were per*****med on sedated rather than non-sedated patients to facilitate a better outcome.

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

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