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 st*****te of physiological crisis; as such it is vital that nursing activities be structured in a manner to promote rather than inhibit patient recovery (Cilik, et. al, 2004). Further most patients admitted ***** intensive care units are more likely to be d*****tressed, anxious and alarmed which may negatively impact ***** or their ability to sleep (Cilik, *****. al, 2004). Lack ***** sleep ***** other fac*****rs may affect patient outcomes.

It is increasingly important that nursing staff understand any and all factors contributing to positive or negative patient outcomes within the ICU. Multiple studies ***** been conducted examining ***** 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 ***** influence patient recovery. ***** positive factors identified include familial visitati*****s, which may promote a ***** caring, comfortable and relaxed environment within the ***** (Gonzales, et. al, 2004). In some cases however, such as in ***** case when children visit adults ***** an ICU *****, increasing tensions and anxiety may result (Clarke, 2000).

Other factors, which may contribute to an improved environment, ***** collaboration between nursing staff, other he*****th technicians and primary medical ***** providers (*****, et al, 2004). Still other ***** suggest ***** nursing ***** must take advantage of technological advances within the ICU environment ***** facilitate optimal patient care (Wilkstrom & Larsson, 2003). There is clear evidence that the ICU environment ***** improved by ***** over***** commitment and dedication proffered by skilled and caring ***** 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 disturbance: The patient care ***** applied at the night shift ***** the ***** care unit."

In this research study the authors intend to determine how the frequency ***** type of nursing 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 intensive care ***** and involved a group of 30 ***** and ***** non0sedated *****. Nursing care was delivered ***** patients for twelve hours ***** measured on three consecutive nights. The results of the study ***** that more invasive procedures were performed on sedated ra*****r than non-sedated patients to facilitate a better outcome.

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

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