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

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ICU Care and ICU Environment


The ICU is an intensive ********** often chaotic work environment for nurses and patients alike. Some authors have described the ***** environment 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 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 ***** other factors may affect patient outcomes.

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

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

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

***** this ***** study the authors intend to d*****ermine how the frequency and type of ***** activities in sed*****ed vs. non sedated patient care wards on the ICU affect patients sleep and recovery rates. The ***** was conducted on a surgic*****l *****tensive ***** unit and involved a group of 30 ***** and ***** non0sedated patients. Nursing care was delivered to patients for twelve hours and measured on three consecutive **********. The results 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 ***** working in surgical ***** *****es utilize ***** time and ***** determine what the frequency ***** *****s of nursing activities were that could be applied to sedated and non sedated *****. The study s*****s that continuous activities performed on all patients included blood pressure ***** 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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