Critical Care Patients

Discussion Question 2
Scenario

Two nurse researchers are interested in studying whether a pain assessment tool for critical care patients is valid and reliable when applied to a group of patients who cannot communicate verbally due to mechanical ventilation.They design a validation study in which randomly selected patients will be assessed using the tool after a painful procedure (tracheal suctioning) and after a nonpainful procedure (oral care).If patient responses result in higher scores after the painful procedure than after the nonpainful one, then the researchers will conclude that the tool is effective for these patients in differentiating pain responses from responses to nursing procedures in general.Critical Care Patients Essay

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Using the checklist in the text, discuss and draw a conclusion as to whether this study will likely be exempt, expedited, or full review.Would the study be considered ethical? Explain your rationale.

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.Critical Care Patients Essay
Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

As defined by the American Association of Critical-Care Nurses Critical care nursing is that specialty within nursing that deals specifically with human responses to life-threatening problems. Critical care units (CCUs) or intensive care units (ICUs) are intended to meet the special necessities of acutely and critical care patients.Critical Care Patients Essay
Critical care nurses are responsible for the care of patients with acute and unstable physiologic problems, including their caregivers. Critical care nurses’ role include assessing life-threating conditions, commencing appropriate interventions, and evaluating the outcome of each intervention. This type of nurses are very knowledgeable in anatomy, physiology, pathophysiology, pharmacology, advanced skills and possess the ability to manipulate advanced biotechnology. To rapidly recognize and manage complications these nurses do frequent assessments to monitor patterns in the patient’s physiologic parameters such as BP, and EKG. When taking care of their patients, critical care nurses often face ethical dilemmas which can lead to emotional exhaustion or burnout. As a result, it is very important that all team members maintain healthy work environment.
According to AACN a critically ill patient is one who is at high risk for actual or potential life-threating health problems and who requires intense and attentive nursing care. Patients are generally admitted to the ICU for one of three reasons. One, a physically unstable patient requiring sophisticated clinical judgment. Two, patients at risk for serious complications requiring frequent assessments and often invasive interventions. And three, patients may need intensive and complicated nursing support due to the use of polypharmacy and advanced biotechnology  Critical Care Patients Essay

This essay sets out to discuss the importance of comprehensive and accurate assessment on a registered nurses’ ability to make excellent clinical decisions. It will examine what factors can change a nurses’ capability to be aware of, and act on abnormal assessment findings. As well as assessment being part of the nursing process that is used in every day nursing, it is also a critical part of patient safety (Higgins, 2008). Assessment findings are used to determine what needs to be done for the patient next. Early warning scoring systems currently exist to aid in the early detection of patient deterioration (Goldhill, 2005). The rationale for the use of these systems is that early recognition of deterioration in the vital signs of a…show more content…
The issue of consistency is raised when discussing how to ensure assessments are comprehensive, complete and that the data is recorded using the same guidelines as other nurses. To enable consistency of assessment, the same nurse should be taking the observations of a patient for the duration of a shift (Moore, 2007). This ensure that the interpretation of results don’t differ each time the vital signs are done. It also allows the nurse to detect subtle changes in the patients state that may not have been written down. For example, in most clinical environments the respiration rate is recorded as just a number, and the rhythm, degree of effort, quality of breathing and evidence of wheezing or other abnormal breathing sounds are not recorded. The rate may stay the same over a period of time while other aspects of respiration may change, and this is something that a nurse is more likely to notice if they have assessed that patient before.Critical Care Patients Essay

Walking into the hospital at 6:40am you badge in and make your way to the floor, just minutes into your shift you hear the intercom buzz “code blue, 1A, code blue 1A”. Almost immediately you hear the front doors of the floor flying open and staff members rushing in. Those staff members, are ones from the Intensive Care Unit or ICU. Nurses from the ICU are specially trained in the care of critically ill patients with special needs for extensive monitoring. Critically ill patients are defined as those patients who are at high risk for actual or potential life-threatening health problems. The more critically ill the patient is, the more likely he or she is to be highly vulnerable, unstable and complex, thereby requiring intense and vigilant nursing care (AACCN, 2016, para. 2). Critical care nursing is a job that is very well respected, but with that respect comes a lot of responsibility and education as this job will continue to evolve over the years.Critical Care Patients Essay
In the event that one decides critical care nursing is where their future resides, you must first figure out where to start in your education. Prospective registered nurses must complete a graduate program which should include classes such as Anatomy and Physiology, Microbiology, and other social and behavioral sciences. Students will also be involved in a clinical setting where they will explore core nursing subject such as ethics, mental health, and pharmacology. Nurses who want to work in critical care must obtain a bachelor’s degree of nursing. The path from RN to ICU nurse can vary from state to state. For example, typically in Delaware you work your way up the chain. Perhaps starting on a Med Surg unit, and then getting some experience in a progressive care unit before Critical Care Patients