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 critical care unit, I had the privilege of attending to the needs ***** Ms. X, a patient who had recently undergoing open heart surgery. *****. X had been suffering mitral valve problems before the *****. Although these ***** 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 th***** type of surgery (Sundt, 2000). This ***** why ***** had *****en recommended, even at her relatively advanced age.

The patient was seventy-five years old, and I immediately knew that in dealing with her, I would have to put in***** practice my knowledge of geriatric as well as critical ***** nurs*****g. Because of her age, which meant a lesser likelihood of we*****ring out a biologic*****l valve, Ms. X had undergoing a tissue valve ***** biological rat***** than mechanical valve replacement, so I would also have to carefully moni*****r her reception of the new tissue, ***** would leave her in a fragile state, in terms of ***** body's adjustment to ***** new ***** (Sundt, *****).

*****n ********** the treatment ***** of a patient in a critical care unit, one helpful guideline is ***** ***** the Synergy Model of the American Association of Critical Care Nurses, which *****es ***** needs on different scales of stability, complexity, predictability, resiliency, vulnerability, self-efficacy, and resource availability. For example, a premature 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) h***** adequate resource availability (T*****e AACN Synergy Model for Patient Care, 2005, AACN). I tried to keep this in m*****d while treating Ms. X personal point ***** view of my nursing experience

When I met Ms. X, she was lying supine under a warming blanket, to keep her warm after her surgery. She ***** 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 dialogue. In older patients in general, when they are taken out ***** their familiar surroundings can experience *****, disorientation, ***** distress. Ho*****ver, although a p*****tient 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 ***** patient regain full consciousness during treatment.

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


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