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

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


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

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

When I met *****. X, she ***** lying supine under a warming blanket, to keep ***** 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 dialogue. In older patients in general, when they are taken out of their familiar surroundings can experience *****, disorientation, ***** distress. Ho*****ver, although a patient may not be able to respond to the nurse, the patient ***** ***** have some awareness ***** what is going on around them. It ***** important ***** the ***** ***** remain positive, and to keep communicating with the ***** out loud and tactilely, so the patient does not experience a psychological or physical jolt, should ***** patient regain full consciousness during *****.

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


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