Essay - Nursing Critical Care Nursing and the Role of the Critical...

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***** Care Nursing and the Role of ***** Critical Care Nurse


Recently, while working in a critical care unit, I had the privilege of attending to ***** needs ***** Ms. X, a p*****tient who had recently undergoing open heart surgery. Ms. X had been suffering mitral valve problems before the surgery. Although these problems can be caused by infection or are congenital in nature, in Ms. X's case, it was due ***** the wear and tear of aging, which is one of the most common reasons patients undergo th***** type of surgery (Sundt, 2000). This ***** why surgery had ***** recommended, even at her relatively advanced age.

***** patient was seventy-five years old, and I immediately knew that in dealing with *****, I would have to put in***** practice my knowledge of geriatric as well ***** critical ***** nurs*****g. Because ***** her age, which meant a lesser likelihood of wearing out a biological valve, Ms. X had *****ing a tissue valve or biological rather than mechanical valve replacement, so I would also have to carefully moni*****r her reception of the new tissue, ***** would leave her in a fr*****gile state, in terms of ***** body's adjustment to the new tissue (Sundt, 2000).

In assessing the treatment ***** of a patient in a critic*****l care unit, one helpful guideline is that ***** the Synergy Model of ***** American Association of Critical Care Nurses, which rates patient needs on different scales of stability, complexity, predictability, resiliency, vulnerability, self-efficacy, and resource availability. For example, a premature infant versus a he*****lthy adult ***** be rated as a) unstable (b) highly complex - unpredictable (d) highly resilient (e) vulnerable (f) unable to become involved in decision-making and *****, but (g) h***** adequate resource availability (The AACN Synergy Model for Patient Care, 2005, AACN). I tried to keep this in mind while treating Ms. X personal point ***** view of ***** nursing experience

***** I met Ms. X, she was lying supine under a w*****rming blanket, to keep her warm after her *****. She ***** still sedated from her surgery, thus I knew ***** I would have to make clear what was happening ***** her, repeating things several times, to avoid confusion, should we be able to engage in a di*****logue. In older patients in general, when they are taken out of their familiar surroundings can experience confusion, disorientation, ***** distress. Ho*****ver, although a patient may not be able to respond ***** the nurse, the patient may still have some awareness of what is going on around them. It ***** important for the nurse to remain positive, and to keep communicating with the patient out loud ***** tactilely, so the patient does not experience a psychological or physical jolt, should ***** patient regain full c*****sciousness during *****.

*****. ***** was no stranger to *****—she had *****, I noted ***** her history, had cataract surgery in the past. However, her vision was ***** not particularly good, another factor I ***** to take in***** consideration with


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