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8/17/2019 criticalcarenursingconcept-130806083726-phpapp01

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CRITICAL CARE

NURSING CONCEPTINTENSIVE CARE


2/23

DEFINITION THE PRACTICE OF ADMINISTERING

IMMEDIATE AND CONTINUOUS CARE TOCLIENTS WITH ACTUAL OR POTENTIALLY

LIFE-THREATENING HEALTH DISORDERS

MORE THAN 5 MILLION CLIENTS AREADMITTED ANNUALLY TO INTENSIVE CARE

UNITS IN THE UNITED STATES


3/23

COMMON ACUTE OR CRITICALDISORDERS Brain injurie Car!i"#a $u%ar !& 'un$(i"n Pu%)"nar& !& 'un$(i"n C*i%!+ir(* C"),%i$a(i"n In'e$(i"n e, i

S*"$. an! (rau)a En!"$rine a+n"r)a%i(ie Mu%(i & (e) a%(era(i"n C"),%e/ ur0i$a% ,r"$e!ure


4/23

PRIMARY ADMITTINGDIAGNOSES S"$ie(& "' Cri(i$a% Care Me!i$ine Re ,ira("r& 'ai%ure P" (",era(i#e )ana0e)en( I $*e)i$ *ear( !i "r!er Se, i an! *ear( 'ai%ure


5/23

CRITICAL CARE POPULATIONS In$rea in0 nu)+er "' a!u%( 15 &r "' a0e 234 "' "%!er a!u%( *a#e a( %ea ( "ne

$*r"ni$ $"n!i(i"n 53 4 *a#e a( %ea ( 653 4 are 'i%%e! 7i(* $%ien( a0e 15 &r "%!

an! a+"#e Pr"je$(i"n 8 a (*e +a+& +"")er 0enera(i"n

a0e 9 (*ere 7i%% +e8 a $"rre ,"n!in0 ri e in $*r"ni$ i%%ne an!

*" ,i(a%i:a(i"n In$rea e nee! '"r $ri(i$a% $are


6/23

WHY IS THIS IMPORTANT TOCRITICAL CARE NURSE? T*e a0in0 ,r"$e i $*ara$(eri:e! +&

,*& i"%"0i$ $*an0e T*e e $*an0e 9 7i(* ,re#a%en$e "' $*r"ni$

$"n!i(i"n 9 $"n(ri+u(e (" in$rea e!Morbidity and morta ity in !riti!a

!ar" #nit$


7/23

CRITICAL CARE NURSING AACN !e'ine $ri(i$a% $are nur in0 a T*e ,e$ia%(& (*a( !ea% 7i(* *u)an

re ,"n e (" %i'e ; (*rea(enin0 ,r"+%e)

En(r& %e#e% nur e ; 'un$(i"n a 0enera%i ( Mu ( ," e a ,e$ia%i:e! +"!& "'

.n"7%e!0e an! .i%% - a e )en(


8/23

S%ILLS ARE ESSENTIAL T" ,r"#i!e *"%i (i$ "r *u)ani (i$ $are

(" $%ien( an! (*eir i0ni'i$an( "(*er >


9/23

THE PURPOSE OF NURSING (" )ee( (*e nee! "' $%ien( an! (*eir

'a)i%ie


10/23

NOTE THIS & T*e )"re $"),r")i e! (*e $%ien( 9 (*e

)"re e#ere "r $"),%e/ are (*eir nee! >


11/23

AD'OCACY ROLE Mu ( +e a+%e (" a e .e& $%ien(

$*ara$(eri (i$ ;

S,an (*e *ea%(* ; i%%ne $"n(inuu) an! arein'%uen$e! +& )an& 'a$("r 8

e!u$a(i"na% +a$.0r"un!9 re "ur$ea#ai%a+i%i(& 9 $u%(ura% +a$.0r"un!

T*e e 'a$("r 9 a%"n0 7i(* (*e $%ien( a+i%i(&(" )a.e !e$i i"n 9 an! %e#e% "' (ren0(*!urin0 $ri i 9 i),a$( (*e $%ien(? a+i%i(& (",ar(i$i,a(e in !e$i i"n-)a.in0


12/23

IMPACT OF CRITICAL ILLNESS

Can 0enera(e (r"n0 e)"(i"n in 'a)i%&)e)+er

S*"$. 9 !i +e%ie'9 !enia% 9 an0er9 !e ,air9

0ui%(9 an! 'ear "' %" in0 (*e $%ien(


13/23

CRITICAL CARE NURSE & THECONTINUUM OF CARE SPECIALI@ED NURSING CARE

On$e $"n i!ere! (*e 'ie%! "' $ri(i$a% $arenur e 9 i n"7 +ein0 a u)e! +& nur e in

,r"0re i#e $are uni(

Pr"0re i#e $are i 9 (*ere'"re $"n i!ere!,ar( "' (*e $"n(inuu) "' $ri(i$a% $arenur in0


14/23

CONTINUOUS NURSING'IGILANCE I i0ni'i$an( (" nur in0 (*e $ri(i$a%%& i%% Can )a.e a u+ (an(ia% !i''eren$e in $%ien(

"u($")e T" )ee( (*e $*an0in0 nee! "' (*e $%ien( 9 B"(* $ri(i$a% $are an! ,r"0re i#e nur e

)u ( $rea(e an en#ir"n)en( (*a( - - ,r")"(e (*e +e ( *ea%(* "u($")e

in a $arin09 $"),e(en( )anner (" en ure," i(i#e ",(i)a% "u($")e '"r (*e $%ien(

an! 'a)i%ie >


15/23

CLIENT CHARACTERISTICS F"r (*e nur e $arin0 '"r (*e $ri(i$a%%& i%% 8 Re i%ien$& Vu%nera+i%i(& S(a+i%i(& C"),%e/i(& Re "ur$e a#ai%a+i%i(&

Par(i$i,a(i"n in $are Par(i$i,a(i"n in !e$i i"n )a.in0 Pre!i$(a+i%i(&


16/23

ESSENTIAL NURSECOMPETENCIES C%ini$a% ju!0)en( A!#"$a$& Carin0 ,ra$(i$e C"%%a+"ra(i"n S& (e) (*in.in0 Re ,"n e (" !i#er i(&

C%ini$a% in uir& Fa$i%i(a(i"n "' %earnin0


17/23

CERTIFICATIONS PROGRAM Va%i!a(e +a e! u,"n ,re!e(er)ine!

(an!ar! A nur e .n"7%e!0e an! ua%i'i$a(i"n '"r

,ra$(i$e in a !e'ine! 'un$(i"na% "r $%ini$a%area "' nur in0 AACN Cer(i'i$a(i"n C"r,"ra(i"n u,,"r(

$ri(i$a% $are nur e +& a!)ini (erin0

,e$ia%(& $er(i'i$a(i"n ,r"0ra) Mea ure 7*a( i ,er(inen( (" (*e $are "'

$ri(i$a%%& i%% $%ien( ("!a&


18/23

NATIONAL CERTIFICATION M" ( u,-("-!a(e .n"7%e!0e Pr")"(e $"n(inuin0 e/$e%%en$e in (*e

nur in0 ,r"'e i"n

S(an!ar!i:in0 $are (*ru (*e u e "' ,ra$(i$e0ui!e%ine 9 ,ra$(i$e a%er( an! ,r"("$"%

C"n i (en( e#i!en$e-+a e! ,ra$(i$e0ui!e%ine *e%, (" re!u$e err"r an!i),r"#e ua%i(& "' $are !e%i#ere!


19/23

CONCLUSIONS Cri(i$a% $are nur in0 "$$ur in a #arie(& "'

e((in0 > Hea%(* $are 7i%% +e ,re e! (" ,r"#i!e

e''i$ien( an! $" (-e''e$(i#e er#i$e > G"#ern)en( u+ i!ie "' *ea%(* $are )a&

n"( +e a+%e (" .ee, u, 7i(* (*e !e)an!> A0in0 nur e are re(irin0 "r %ea#in0 $ri(i$a%

$are Y"un0 "r ne7 nur e )u ( (e, u, (" )ee(

(*e e/$i(in0 $*a%%en0e "' $ri(i$a% $arenur in0


20/23

FINALLY( De ,i(e a%% (*e $*a%%en0e "' (*e 'u(ure9 (*e

$en(er "' a%% *ea%(* $are 7i%% (i%% +e (*eCLIENT9 an! (*e $ri(i$a% $are nur e 7i%%

+e (*e $%ien(9 an! (*e $ri(i$a% $are nur e7i%% +e (*ere a( (*e $%ien(? i!e>


21/23


22/23

HEALTH Ea$* ,er "n in #ie7e! a +ein0 ,ar( "' a

$"),%e/ 9 in(er$"nne$(e! "$ia%9 +i"%"0i$9an! en#ir"n)en(a% & (e)


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