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


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ICU Care and ICU Environment

Introduction

The ICU is an intensive ********** often chaotic work environment for nurses and patients alike. Some authors have described the ICU ***** as one where ***** 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 patients admitted ***** intensive care units are more likely to be distressed, anxious and alarmed which may negatively impact ***** or their ability ***** sleep (Cilik, *****. al, 2004). Lack of sleep and other factors may affect patient outcomes.

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

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

***** 1 - "Sleep disturbance: The ***** ***** activities 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 sleep and recovery rates. The ***** was ***** on a surgical *****tensive care ***** ***** involved a group of 30 sedated and 30 non0sedated patients. Nursing care was delivered ***** patients for twelve hours ***** measured on three consecutive **********. The results of the study ***** that more invasive procedures were performed on sedated ra*****r than non*****sedated patients to facilitate a better outcome.

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

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