Nursing Trauma Patients : What Is The Difference? Current Surgery Reports

Management of the acutely ill adult is a complex and perplexed procedure. It requires underpinning knowledge of the pathophysiology of the disease currently affecting the patient, as well as ensuring that professionals are equipped to deal with the development of a rapid deterioration. The National Institute for Clinical Excellence (2007) explain that patients are sometimes inadequately treated due to staff not acting in a sufficient time manner, and so a systematic assessment of the patient recommended by the Resuscitation Council (2006) should initially be followed (Jevon, 2009).

ICU patients suffer from a broad range of pathologies, requiring MV, sedation and use of multiples devices, which do not allow patients to protect their airway (Augustyn. 2007; Kollef. 2004).

The many benefits of increasing mobility in ICU patients can certainly be measured by length of stay in the hospital, rate of Hospital Acquired Infections, and occurrence of skin breakdown, but when we consider the human factor in this equation it is simply the right thing to do.

Adequate qualified medical staff must be present in all critical care areas caring for mechanically ventilated

The rapid growth in the number of seniors in America and around the world is creating a global demographic revolution without precedent. During this century, advances in hygiene and water supply and control of infectious diseases have reduced the risk of premature death much. As a result, the proportion of population over 60 years in the world is growing faster than in any previous era. In 1950 there were approximately 200 million people aged over 60 worldwide. By 2000 there will be over 550 million, and by 2025, the number of people over 60 is expected to reach 1,200 million.

Starla, I agree with your statement that the older adult is a part of the vulnerable population. I also agree that more resources need to be available to them with education and that this could aid in the reduction of hospital readmissions. One of the articles I summarized, Risk Assessment and Intervention for Older Adults (Culo, 2011), also said the older person may have ‘red flags’ such as repeat emergency room visits or admissions, putting off medical problems, and not taking prescriptions as directed. Frequent assessments for risks and home visits could curb their health care costs. There should also be more involvement from family if available.

The fact that the American population is aging has raised concerns. In 2011, the number of adults over the age of 65 reached 41.4 million, which account for 13.3% of the population ("A Profile of Older Americans: 2012," 2012). It is estimated that there will be about 71 million older adults by 2030 ("Healthy Aging-Improving and Extending Quality of Life among Older Americans," 2009). Approximately 2.1 million elderly are currently living in

adults older patients are more frail and they have more complex health issues causing them to

The ambulation of hospitalized patients is very pertinent to alleviating many cases of impaired mobility and also greater lengths of hospital stays for patients in Intensive and Intermediate Care settings. This study was done in attempts to understand and determine the importance of implementing a nurse based mobility protocol, to increase the percentage of patients being able to ambulate during the first 72 hours of their hospital stay. This experiment was carried out in a large community hospital, using patients from a 16-bed adult medical/surgical intensive care unit and a 26-bed adult intermediate care unit. Guided by the nursing assessment of mobility potential, a mobility order set was developed and implemented on each unit. Depending on the assessment, nurses were able to get a second opinion by consulting an occupational therapist or physical therapist. Daily reports were collected to determine each patient’s ambulatory needs and status compared to their activity levels. “The results after this 6 month study showed the importance of implementing mobility. Prior to implementation 6.2% (12 of 193) of the ICU patients and 15.5 (54 of 349) of IMCU patients, ambulated during the first 72 hours of their hospitalization. After implementation there were great improvement in mobility to 20.2% (86 of 426) and 71.8% (257 of 358), respectively” (Drolet, 2013, p.1).

With the population of adults 65 and over steadily climbing, medical professionals and the healthcare system are struggling to keep up. One major issue concerning the healthcare system is that it is not set up properly provide care for these older adults. The physicians today, who regularly see patients, focus mainly has been; diagnose—usually in a 15-20 minute office visit, treat, and cure. Many of these senior citizens have multiple chronic illnesses or diseases, which require time to manage and treat. The problem is that they may not be able to explain what the real problem to a doctor in that time.

This study focused on patients cared for in the adult CVICU who were supported by mechanical ventilation. Moreover, the target population was patients who had undergone cardiothoracic surgery, were supported by mechanical ventilation on postoperative days 1–5, and had no pre-existing cognitive dysfunction. Accordingly, this population was studied because patients who are supported by mechanical ventilation represent the largest population of patients at risk for the development of delirium (Jarman et al., 2013). In this situation, the target population included patients who were 18 years of age or older, as this is the age requirement criteria for admission to the adult CVICU. Equally important, patients must not have had a documented

The Use of a weaning and extubation protocol to facilitate effective weaning and extubation from mechanical ventilation in patients suffering from traumatic injuries: A non-randomized experimental trial comparing a prospective to retrospective cohort.

Earlier studies describe the impact of cardiovascular disease, disability and comorbidity on very old general ICU patients [4]. These factors may have a potential influence on the admission decision, although concrete admission criteria are not well-defined [2]. With respect to prognosis, the systematic review of Minne et al. [5] proved that none of the predictive models for mortality in elderly ICU patients was sufficiently valid, and recommended the incorporation of specific factors for ICU elderly population [5]. Concretely, the present results showed that in very old ICU cardiovascular patients comorbidity was a relevant factor, with effects on long-term prognosis. In this sense, the modified Charlson index can implement daily ICU clinical

Over the years, there have been major shifts within the United States in regards to its population. Statisticians have estimated that 20% of the population will be 65 years of age and older. There is an even

Biology is one of the disciplines that will discuss elderly patient care. Biology means the study of life, but it also has much more to the definition. “Biology stresses the value of classification and experimental control. The latter is the means of identifying true causes, and therefore privileges experimental methods over all other methods of obtaining information” (Repko, 2008). There are many ways that show how biology plays a role in caring for the elderly. Age has been a good indicator of health. The elderly face additional disease and injuries than other age groups. A study was done that compared fatality rate of those older than 65 with those who were younger. The categories that were studied