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

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


*****, 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 *****. 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 of surgery (Sundt, 2000). This was why surgery had ***** recommended, even at her relatively advanced age.

The patient ***** s*****ty-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 ***** her age, which meant a lesser likelihood of we*****ring out a biological valve, *****. X had ********** a tissue ***** ***** biological rather than mechanical valve replacement, so I would also have to carefully moni*****r her reception of the new *****, which would leave her in a fragile state, in terms of ***** body's adjustment to ***** new tissue (Sundt, *****).

*****n assessing the treatment ***** of a patient in a critical care unit, one helpful guideline is that of the Synergy Model of the American Association of ***** Care Nurses, which rates patient needs on different scales of stability, complexity, predictability, resiliency, vulnerability, self-efficacy, and resource availability. For example, a premature infant versus a he*****lthy adult would ***** rated as a) unstable (b) highly complex - unpredictable (d) highly resilient (e) vulnerable (f) unable to become involve***** in decision-mak*****g and care, 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 ***** view of ***** nursing experience

***** I met Ms. X, she was lying supine under a warming blanket, to ***** her warm after her *****. 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 ***** engage in a di*****logue. In older patients in general, when *****y are taken out of their familiar surroundings can experience confusion, disorientation, and distress. However, although a p*****tient may not be ***** to respond to the nurse, the patient may still have some awareness of what is going on around them. It ***** important ***** the ***** to remain positive, ***** 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 c*****sciousness during *****.

*****. X was no stranger to *****—***** had *****, I noted from her history, had cataract surgery in the past. *****, ***** vision ***** ***** not particularly good, ano*****r factor I ***** to take ***** consideration with


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