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


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ICU Care and ICU Environment

Introduction

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

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

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

Article 1 - "Sleep disturbance: The ***** c***** activities applied at the night shift ***** the ***** care unit."

***** this ***** study the authors intend to determine how the frequency and type of nursing activities in sed*****ed vs. non sedated patient care wards on the ICU affect patients sleep and recovery rates. The study was c*****ducted on a surgic*****l intensive care unit and involved a group of 30 sedated and ***** non0sedated patients. Nursing care was delivered ***** patients for twelve hours ***** measured on three consecutive nights. The *****s of the ***** ***** that more invasive procedures were performed on sedated ***** than non*****sedated patients to facilitate a better outcome.

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

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