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 critical care unit, I had the privilege ***** 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 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 this type of surgery (Sundt, 2000). This was why surgery had ***** recommended, even at her relatively advanced age.

***** patient ***** s*****ty-five years old, and ***** immediately knew that in dealing with *****, I would have to put into practice my knowledge of geriatric as well as critical ***** nursing. Because of her age, which meant a lesser likelihood of wearing out a biological valve, *****. X had ********** a tissue ***** or biological rat***** than mechanical valve replacement, so I ***** also have to carefully monitor her reception of the new *****, which would leave her in a fragile state, in terms of ***** body's adjustment to ***** new tissue (Sundt, 2000).

*****n *****sessing the treatment needs of a patient in a critic*****l care unit, one helpful guideline is ***** of 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, ***** resource availability. For example, a premature infant versus a healthy adult ***** be rated as a) unstable (b) highly complex - unpredictable (d) highly resilient (e) vulnerable (f) unable to become involve***** in decision*****making and *****, but (g) has 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 ***** nursing experience

When I met Ms. X, she was lying supine under a warming blanket, to ***** her warm after her surgery. She ***** 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 ***** engage in a dialogue. 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 ***** to respond to the nurse, the patient ***** ***** have some awareness ***** what is going on around them. It ***** important ***** the nurse to 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 treatment.

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

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