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


*****, 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. *****. 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 ***** why surgery had been recommended, even at her relatively advanced age.

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

*****n assessing the treatment ***** of a patient in a critic*****l care unit, one helpful guideline is that of the Synergy Model of ***** 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 be rated as a) unstable (b) highly complex - unpredictable (d) highly resilient (e) vulnerable (f) unable to become involved in decision*****making and care, 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

***** I met Ms. X, she ***** 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 ***** her, repeating things several times, to avoid confusion, should we be able to engage in a di*****logue. 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 ***** the nurse, the patient ***** still have some awareness of what is going on around them. It ***** important for the ***** to remain positive, and to keep communicating with the patient out loud and tactilely, so the patient does not experience a psychological or physical jolt, should the patient regain full c*****sciousness during treatment.

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


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