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 critic*****l care unit, I had the privilege of attending to ***** needs ***** Ms. X, a p*****tient who had recently undergoing open heart surgery. *****. X had been suffering mitral valve problems before the *****. Although these 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 was why surgery had been recommended, even at her relatively advanced age.

***** patient ***** seventy-five years old, and ***** immediately knew that in dealing with *****, I would have to put into practice my knowledge of geriatric as well ***** critical ***** nursing. Because of her age, which meant a lesser likelihood of we*****ring out a biological valve, Ms. X had undergoing a tissue valve or 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 ***** body's adjustment to the new tissue (Sundt, *****).

In assessing the treatment ***** of a patient in a critic*****l care unit, one helpful guideline is that ***** the Synergy Model of the American Association of Critical Care *****s, 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 he*****lthy adult ***** be rated as a) unstable (b) highly complex - unpredictable (d) ***** resilient (e) vulnerable (f) unable to *****come involved in decision-making and care, but (g) h***** adequate ***** availability (T*****e AACN Synergy ***** for Patient Care, 2005, AACN). I tried to keep this in mind while treating Ms. X personal point ***** view of my nursing experience

***** I met *****. X, she was lying supine under a warming blanket, to keep her warm after her *****. She was still sedated from ***** surgery, thus I knew ***** I would have to make clear what was happening to her, repeating things several times, ***** 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 confusion, disorientation, and distress. Ho*****ver, although a patient may not be ***** to respond ***** the nurse, the patient may still have some awareness ***** what is going on around them. It is important ***** the ***** to remain positive, ***** to keep communicating with the patient out loud and tactilely, so the patient does not experience a psychological or physical jolt, should ***** patient regain full consciousness during *****.

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


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