Essay - Icu Care and Icu Environment Introduction the Icu is an...

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ICU Care and ICU Environment


The ***** is an intensive and often chaotic work environment for nurses ***** patients alike. Some authors have described the ICU ***** as one where patients often enter in a state of physiological crisis; as such it is vital that nursing activities be structured in a manner to promote rather than inhibit patient recovery (Cilik, et. al, 2004). Further most ***** admitted to intensive care units are more likely to be distressed, anxious and alarmed which may negatively impact ***** or their ability ***** sleep (Cilik, et. al, *****). Lack of sleep ***** other factors may affect patient outcomes.

It is increasingly important ***** nursing staff understand any and all factors contributing to positive or negative patient outcomes within the ICU. Multiple studies ***** been conducted examining ***** effects of nursing care in the ICU and the ICU environment on patient recovery rates. From these studies researchers have determined a number of v*****riables may influence patient *****. ***** positive factors identified include familial visitations, ***** may promote a more caring, comfortable ***** relaxed environment within the ICU (Gonzales, et. al, 2004). In some cases however, ***** as in the case when children visit adults in an ICU environment, increasing tensions and anxiety may result (Clarke, 2000).

Other factors, which may contribute to an improved *****, ***** collaboration between nursing *****, ***** he*****th technicians and primary medical care providers (Cilik, et al, 2004). Still other ***** suggest that nursing staff must take advantage of technological advances within the ICU environment to facilitate optimal patient care (Wilkstrom & Larsson, 2003). There is clear evidence that the ICU environment ***** ***** by ***** over***** commitment ***** dedication proffered by skilled and caring nurses whose primary intent is promoting patient recovery ***** comfort (Wilkin ***** Selvin, 2003). These ideas and more are summed in the research articles provided below.

***** 1 - "Sleep disturbance: The patient ***** ***** applied at the night shift in the ***** c***** unit."

***** this research study the authors *****tend ***** determine how the frequency ***** type of ***** activities in sedated vs. non sedated ***** care wards on the ICU affect patients ***** and recovery rates. The ***** was ***** ***** a surgical ********** care unit and involved a group of 30 sedated and 30 non0sedated *****. Nursing care was delivered to patients for twelve hours ***** measured on three consecutive nights. The results of the study suggest that more invasive procedures were performed on sedated ***** than non*****sedated patients ***** facilitate a better outcome.

***** ***** researchers attempted to answer how ***** working in surgical ***** unites utilize ***** time and to determine what the frequency and types of nursing activities were that could be applied to sedated and non sedated *****. The study s*****s that continuous activities ***** on all patients included blood pressure ***** temperature monitoring, back and mouth care and suctioning. ***** authors ***** that ***** activities nurses engage in are meant to maximize physiological stability in patients


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