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 ***** 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 *****. Although *****se problems can be caused by infection or are congenital in nature, in Ms. X'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 s*****ty-five years old, and I 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, *****. X had ********** a tissue ***** ***** biological rat***** than mechanical valve replacement, so I would also have to *****fully moni*****r her reception of the new *****, which 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 ***** ***** the Synergy Model of the American Association of Critical Care *****s, which ********** patient needs on different scales of stability, complexity, predictability, resiliency, vulnerability, self-efficacy, ***** resource availability. For example, a prem*****ture infant versus a healthy adult ***** be rated as a) unstable (b) highly complex - unpredictable (d) highly resilient (e) vulnerable (f) unable to ********** involved in decision*****mak*****g and care, but (g) h***** adequate ***** availability (The AACN Synergy Model for Patient Care, 2005, AACN). I tried to keep this in m*****d while treating Ms. ***** personal point ***** view of my nursing experience

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

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


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