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

By definition the term progressive mobility means a “series of planned movements in a sequential manner beginning at a patient’s current mobility status with a goal of returning to his/her baseline” (Vollman, 2010). Much simpler explained it means for us nurses to get our patients moving. Challenging nurses to use the patient’s current musculoskeletal abilities and help them progress towards their old or new individual baseline has many benefits other than the building of physical strength. This brief summary will explore the purpose, benefits, costs and target population involved in a progressive mobility project in the Intensive Care Unit including the basis upon which the program will be evaluated. Progressive Mobility benefits the

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.

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

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 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

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).

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 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).

The results showed significant re-ductions in preventable pulmonary complications (PPCs) in those patients. 2 other studies found that patients who had automated turning, spent less time in the intensive care unit (ICU), and “researchers in another study also reported decreased duration of mechanical ventilation” (Hannenman et al. 2015, p. 25). However, none of the prior studies that were done made a com-parison between patients with automated turning, versus patients who were turned manually eve-ry two hours. Research has shown that, “intensive care patients are not turned every 2 hours for a variety of reasons” (Hannenman et al. 2015, p. 25). When a patient is bedridden, it is the nurse’s responsibility to turn the patient every 2 hours. Turning a patient and changing their posi-tion helps keep the patient’s blood flowing, as well as prevents bedsores (Pellico, 2012). A study was done on a specific group of individuals who all fell within the same

Are exposed to a lot of hospital equipment and hospital procedures. The longer the stay in intensive care, the higher the risk.

Sepsis, severe sepsis, and septic shock are especially critical in the elderly patient. Even with all of the developments in treatment and management of patients with sepsis, it is still the second leading cause of death in patients in regular ICU’s (not including coronary ICU’s). The occurrence of sepsis and severe sepsis increases with age. In the hospital, the elderly make up two thirds of patients admitted with sepsis. The rates of deaths from severe sepsis are directly associated with older age, the highest number of deaths was in the patient over eighty years of

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.

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

The transition from Mechanical Ventilation support to spontaneous breathing define as a weaning and extubation in Critical ill patient, most of the time determine the patient hospital length of stay in intensive care unit, which leads most of the time to complications.

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