Ventilator Assisted Care Case Study

Critically ill patients that require mechanical ventilation are at risk of developing secondary infections that may increase length of stay and possibly even morbidity. This fragile patient population requires special attention and meticulous adherence to established nursing standards of care. These standards of care are founded on evidenced based practices. It is important that nurses receive education about why these standards are in place and what consequences can result due to not following the established care protocols.

Patients have needs unrelated to their illness or injury. Having spent my entire career in pediatrics, often my focus is on developmental needs and what activities can be provided that support normal development. Some needs, however, seem to be universal. The need for play, learning, and social contact are not restricted to children. Meeting the emotional and psychosocial needs of the patient without compromising the physical needs demanded by the illness or injury is occasionally a delicate balancing act, and is where the art of nursing meets the science of nursing. By collaborating with our patients and families and respecting their values, a plan can be reached that both supports their needs and involves them in their own care.

The prevention of VAP through standardized care can reduce mortality rates, reduce mechanical ventilation days, and decrease costs and improve patient outcome.

Baker, J & Baker, R.W. (2011) Health Care Finance, Basic Tools for Nonfinancial Managers (3rd Edition). Jones and Bartlett Publishers.

The purpose of this document is a critical study and analysis of the oral care provided by nursing staff as part of the Ventilator Care Bundle (VCB) and to assess whether the frequency of mouth care performed is related to the prevention of Ventilator Associated Pneumonia (VAP) in patients mechanically ventilated (Zilberberg et al. 2009).

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

The facility provides medical care for children and adolescents with severe physical and intellectual impairment conditions. The TWSCCC provides 24-hour skilled nursing care, 24-hour Respiratory Therapy services, Physical, Occupational, and Speech Therapy, Licensed On-site teachers, and a large variety of specialty care services (Truman W. Smith). The facility offers a viable and solicitous option for parents who are unable to take of their chronically ill children in their home, and for children who have been placed in state custody. The TWSCCC allows patients to receive the care they need and might otherwise not receive, in an adequately equipped facility via a staff of specialized care providers who advocate for the patients wants, rights, and well-being. The TWSCCC facility welcomes residents regardless of race, gender, religion, or economic status.

Participants reaffirmed that the guidance of the nursing team at the moment of discharge were specific to the care in relation to the drug therapy or to invasive devices, such as probes and tracheostomies, without a focus on the guidance about the general care related to the chronic health conditions and the importance of following-up the child after the hospital discharge. One can say that the factors associated with the readmission of children are related to the age group of infants, with respiratory problems associated with chronic conditions, besides the lack of effectiveness in the post-discharge follow-up. Accordingly, it is relevant to reflect about the role of the nursing team in the planning of interventions capable of providing the adaptation of children and their families over the period of admission, at the moment of discharge and in the post-discharge. The combination of guidance of verbal and written strategies can help us to understand the trajectory of illness and adaptation, thereby avoiding

Ventilator-associated pneumonia is a bacterial infection that occurs in the lower respiratory system within the first 48 hours of endotrachal intubation (Lewis, Dirksen, Heitkemper, Bucher, & Camera, 2011). Although any hospital patient is susceptible to pneumonia, ventilator dependent patients are at the highest risk of acquiring pneumonia. The purpose of this paper is to identify the risk factors, incidences, and preventions of ventilator-associated pneumonia (VAP) using a quantitative research study performed in Malaysia. “The aim of this

Respiratory therapists have one of the most exciting and gratifying careers within the medical field. Unfortunately as with any other job or career, it doesn’t come without having challenging times. Respiratory therapists work along-side physicians and are highly trained to treat patients with any sort of lung concern or breathing complications. This job requires hands on care, and deals with life and death daily. One specific scope of this field involves caring for patients (of all ages) attached to mechanical ventilation. It is the respiratory therapists’ responsibility to remove assistive ventilation to patients with written order from the doctor; which ultimately results in death of the patient (Keene, Samples, Masini, Byington).

The American Association for Respiratory Care is a non-profit organization which provides numerous resources for registered respiratory therapists all over the United States. Membership through the AARC renders an abundance of incentives such as professional development, respiratory care education, social networking opportunities, continuing education programs and much more. The American Association for Respiratory Care truly believes in the cause of respiratory therapy and in the rights of their patients to receive competent respiratory care. Their advocacy team works with local, state and federal governments concerning public policies that affect their patients as well as their profession.

I am particularly interested in working with Professor Jessica Keim-Malpass and professor Elizabeth Epstein research groups. I think my previous academic education in pediatric nursing and working in an intensive care unit for two years prepared me better for their research groups. I have also worked on various research projects that the population under the studies were children and I found working with them very interesting. To discuss some of the problems and issues that particularly engage my mind, there are lots of them, but I can mention problems of children with ventilator therapy such as their issues to speak and communicate, their parent concern and ethical issues related to it, finding ways to decrease tracheal infections, decreasing

There has been a public health emergency! The air has been contaminaited by a chemical toxin and in order to survive, all citizens must wear a ventilator. At this time we have no further leads onto what cuased this outbreak to happen but first responders are trying to figure the problem as we speak. All we know is that this toxin is contagious and some of these affects can make you turn against people. Docters and scientists are saying that this outbreak must’ve came from out of the country we don’t know who had it first but we know that the ventilators are helping out with this toxin. Kids 10 and under will receive a ventilator first in order for your kid to get one you must bring birth certificate or SSN after that if your family needs more

Qualitative methodology is appropriate with this study because researchers focused on the satisfaction level of the caregiver and patient in addition to the time spent preparing and administering respiratory therapy and cost of treatment. The research doesn’t appear to infer or explain the actions or experiences of the participants, but rather uses supportive data acquired by post hospitalization survey to support the validity of the study.

Thank you Adam, I agree that there is a 12 case series but as you indicated that series reported weaning nava on invasive ventilation. If I remember right ( I need to review recent data) there is no report/case review that discuss using NAVA in both invasive and noninvasive ventilation during the weaning phase in CDH patients. Mike, what do you think about reporting our experience and emphasizing the use of NAVA during noninvasive ventilation?