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


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Nursing

Critical Care Nursing and the Role of the Critical Care Nurse

Introduction

*****, while working in a critic*****l care unit, I had the privilege ***** attending to ***** needs of Ms. X, a p*****tient who had recently undergoing open heart surgery. Ms. X had been suffering mitral valve problems before the surgery. Although *****se ***** can be caused by infection or are congenital in nature, in Ms. *****'s case, it was due to 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 seventy-five years old, and ***** immediately knew that in dealing with *****, I would have ***** put into practice my knowledge of geriatric as well ***** critical care nursing. Because of her age, which meant a lesser likelihood of we*****ring out a biologic*****l valve, Ms. X had *****ing a tissue ***** or biological rather than mechanical valve replacement, so I would also have to carefully monitor her reception of the new tissue, ***** would leave her in a fragile state, in terms of her body's adjustment to ***** new tissue (Sundt, 2000).

*****n assessing the treatment ***** of a patient in a critical care unit, one helpful guideline is that of the Synergy Model of ***** American Association of Critical Care **********, which rates patient needs on different scales of stability, complexity, predictability, resiliency, vulnerability, self-efficacy, ***** resource availability. For example, a prem*****ture infant versus a he*****lthy adult would be rated as a) unstable (b) highly complex - unpredictable (d) highly resilient (e) vulnerable (f) unable to ********** 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 m*****d while treating Ms. X personal point of view ***** my nursing experience

When I met *****. X, she ***** lying supine under a w*****rming blanket, to ***** 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 to 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 *****, disorientation, ***** distress. However, although a p*****tient may not be able to respond to the nurse, the patient may ***** have some awareness of what is going on around them. It is important ***** the nurse to remain positive, and to keep communicating with the ***** out loud ***** tactilely, so the patient does not experience a psychological or physical jolt, should the patient regain full consciousness during *****.

*****. ***** was no stranger to *****—***** had also, I noted ***** her h*****tory, had cataract surgery in the past. However, ***** vision ***** still not particularly good, another factor I ***** to take ***** consideration *****

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