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

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ICU Care and ICU Environment


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 ra*****r than inhibit patient recovery (Cilik, et. al, 2004). Further most patients admitted to intensive care units are more likely to be distressed, anxious and alarmed which may negatively impact ***** or their ability to sleep (Cilik, et. al, *****). Lack ***** sleep and other fac*****rs may affect patient outcomes.

***** is increasingly important that nursing staff understand any and all factors contributing to positive or negative patient outcomes within the ICU. Multiple studies have been conducted examining the effects of nursing care in ***** ICU and the ICU environment on patient recovery rates. From these studies researchers have determined a number of v*****riables may influence patient *****. ***** positive factors identified include familial visitati*****s, which ***** promote a more caring, comfortable ***** relaxed environment within the ICU (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 *****, which may contribute to an improved environment, include collaboration between nursing *****, other he*****th technicians and primary medical care providers (*****, et al, 2004). Still other ***** suggest that nursing staff must take advantage of technological advances within the ICU environment to facilitate optimal patient care (Wilkstrom & Larsson, 2003). There is clear evidence that the ***** environment is ***** by the over***** commitment ***** dedication proffered by skilled and ***** nurses whose primary intent is promoting patient recovery ***** comfort (Wilkin ***** Selvin, 2003). These ideas and more are summed in the research articles provided below.

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

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

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


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