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

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Critical Care Nursing and the Role of the Critical Care Nurse


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

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

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

***** I met *****. X, she was lying supine under a w*****rming blanket, to keep her warm after her surgery. She was still sedated from her surgery, thus I knew that 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 *****y are taken out ***** their familiar surroundings can experience confusion, disorientation, ***** distress. However, although a p*****tient may not be ***** to respond to the nurse, the patient may ***** have some awareness of what is going on around them. It is important for the nurse ***** remain positive, and to keep communicating with the ***** out loud ***** tactilely, so the patient does not experience a psychological or physical jolt, should ***** patient regain full c*****sciousness during treatment.

*****. X was no stranger to surgery—she had also, I noted ***** her history, had cataract surgery in the past. However, ***** vision ***** still not particularly good, ano*****r factor I ***** to take into consideration *****


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