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

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


Recently, while working in a critic*****l care unit, I had the privilege ***** attending to ***** needs of Ms. X, a p*****tient who had recently undergoing open heart surgery. *****. X had been suffering mitral valve problems before the surgery. Although *****se problems can be caused by infection or are congenital in nature, in Ms. X'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 was why ***** had ***** recommended, even at her relatively advanced age.

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

*****n assessing the treatment needs of a patient in a critical care unit, one helpful guideline is ***** ***** the Synergy Model of ***** American Association of Critical 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 ***** ***** rated as a) unstable (b) highly complex - unpredictable (d) ***** resilient (e) vulnerable (f) unable to become 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 mind while treating Ms. ***** personal point ***** view of ***** nursing experience

When I met *****. X, she was lying supine under a warming blanket, to ***** her warm after her surgery. She was still sedated from her surgery, thus I knew that I would have to make clear what was happening to her, repeating things several times, ***** avoid confusion, should we be able to engage in a di*****logue. In older patients in general, when they are taken out ***** their familiar surroundings can experience *****, disorientation, ***** distress. However, although a patient may not be ***** to respond to the nurse, the patient ***** ***** have some awareness of what is going on around them. It ***** important for the nurse ***** remain positive, and to keep communicating with the ***** out loud ***** tactilely, so the patient does not experience a psychological or physical jolt, should the patient regain full c*****sciousness during *****.

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


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