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 of attending to ***** 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. *****'s case, it was due to the wear and tear of aging, which is one of the most common reasons patients undergo th***** type ***** surgery (Sundt, 2000). This was why ***** had *****en recommended, even at her relatively advanced age.

***** patient ***** 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 ********** out ***** biological valve, Ms. X had undergoing a tissue valve or biological rather than mechanical valve replacement, so I would also have to carefully moni*****r her reception of the new tissue, which would leave her in a fragile state, in terms of her body's adjustment to ***** new ***** (Sundt, *****).

In ********** the treatment needs of a patient in a critical care unit, one helpful guideline is that ***** 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, ***** resource availability. For example, a prem*****ture infant versus a he*****lthy adult ***** be rated as a) unstable (b) highly complex - unpredictable (d) ***** resilient (e) vulnerable (f) unable to become involved in decision-making and care, but (g) has adequate resource availability (The AACN Synergy Model for Patient Care, 2005, AACN). I tried to keep this in m*****d while treating Ms. X personal point of view of ***** nursing experience

***** I met *****. X, she was lying supine under a warming blanket, to ***** ***** warm after her surgery. She ***** still sedated from her surgery, thus I knew ***** ***** 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 *****y are taken out ***** their familiar surroundings can experience confusion, disorientation, ***** distress. However, although a patient may not be ***** to respond ***** the nurse, the patient ***** still have some awareness of what is going on around them. It ***** important for the nurse to remain positive, and to keep communicating with the patient out loud and tactilely, so the ***** does not experience a psychological or physical jolt, should ***** patient regain full consciousness during treatment.

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


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