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

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Critical Care Nursing and the Role of the Critical Care Nurse


*****, while working in a critic*****l 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 *****. 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 ***** surgery (Sundt, 2000). This was why surgery had ********** recommended, even at her relatively advanced age.

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

In assessing ***** treatment needs of a patient in a critic*****l care unit, one helpful guideline is that of the Synergy Model of ***** American Association of ***** Care *****s, which rates ***** needs on different scales of stability, complexity, predictability, resiliency, vulnerability, self-efficacy, and resource availability. For example, a prem*****ture infant versus a healthy adult ***** be rated as a) unstable (b) highly complex - unpredictable (d) highly resilient (e) vulnerable (f) unable to ********** involve***** in decision*****making and *****, but (g) has adequate resource availability (The AACN Synergy ***** for Patient Care, 2005, AACN). I tried to keep this in mind while treating Ms. X personal point ***** view of ***** nursing experience

***** I met Ms. X, she ***** lying supine under a warming blanket, to ***** her warm after her surgery. She was still sedated from her 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 dialogue. In older patients in general, when they are taken out of their familiar surroundings can experience confusion, disorientation, ***** distress. Ho*****ver, although a p*****tient may not be ***** to respond ***** the nurse, the patient ***** ***** have some awareness ***** what is going on around them. It is important ***** 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 ***** patient regain full consciousness during *****.

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


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