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 of attending to ***** needs ***** 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 *****en recommended, even at her relatively advanced age.

***** patient was seventy-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 ***** her age, which meant a lesser likelihood of we*****ring out a biologic*****l valve, Ms. X had undergoing a tissue valve ***** biological rather than mechanical valve replacement, so I ***** also have to carefully moni*****r 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 *****sessing the treatment needs of a patient in a critic*****l care unit, one helpful guideline is that of the Synergy Model of the American Association of ***** Care **********, which rates ***** needs on different scales of stability, complexity, predictability, resiliency, vulnerability, self-efficacy, ***** resource availability. For example, a premature infant versus a he*****lthy adult ***** be rated as a) unstable (b) highly complex - unpredictable (d) ***** resilient (e) vulnerable (f) unable to ********** involve***** in decision-mak*****g and *****, but (g) has adequate resource availability (The AACN Synergy Model for Patient Care, 2005, AACN). I tried to keep this in m*****d while treating Ms. ***** personal point of view of ***** nursing experience

***** I met Ms. X, she was lying supine under a w*****rming blanket, to keep her warm after her surgery. She was still sedated from ***** surgery, thus I knew ***** I would have to make clear what was happening to her, repeating things several times, to avoid confusion, should we be able ***** engage in a dialogue. In older patients in general, when *****y are taken out ***** their familiar surroundings can experience confusion, disorientation, and distress. Ho*****ver, although a patient may not be able to respond ***** the nurse, the patient ***** still have some awareness of what is going on around them. It is important for the ***** 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 the patient regain full consciousness during treatment.

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


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