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

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


*****, while working in a critical care unit, I had the privilege of attending to the needs of 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. X's case, it was due to the wear and tear of aging, which is one of the most common reasons patients undergo th***** type of surgery (Sundt, 2000). This was why surgery had *****en recommended, even at her relatively advanced age.

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

*****n assessing ***** treatment ***** of a patient in a critic*****l care unit, one helpful guideline is ***** ***** 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 prem*****ture infant versus a healthy adult would be rated as a) unstable (b) highly complex - unpredictable (d) ***** resilient (e) vulnerable (f) unable to ********** involved in decision*****making and *****, but (g) h***** adequate resource availability (T*****e AACN Synergy ***** for Patient Care, 2005, AACN). I tried to keep this in m*****d while treating Ms. X personal point of view ***** ***** nursing experience

***** I met Ms. X, she ***** lying supine under a warming blanket, to ***** her warm after her *****. She was still sedated from her 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 to engage in a dialogue. In older patients in general, when they are taken out of their familiar surroundings can experience *****, disorientation, and distress. Ho*****ver, although a p*****tient may not be ***** to respond ***** the nurse, the patient ***** ***** have some awareness of what is going on around them. It is important for the nurse to remain positive, and to keep communicating with the ***** out loud and tactilely, so the patient does not experience a psychological or physical jolt, should ***** patient regain full consciousness during treatment.

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


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