LitArk » Books » Romance novel

Irene Comisso et al. - Nursing in Critical Care Setting: An Overview from Basic to Sensitive Outcomes

Here you can read online Irene Comisso et al. - Nursing in Critical Care Setting: An Overview from Basic to Sensitive Outcomes full text of the book (entire story) in english for free. Download pdf and epub, get meaning, cover and reviews about this ebook. year: 2018, publisher: Springer, genre: Romance novel. Description of the work, (preface) as well as reviews are available. Best literature library LitArk.com created for fans of good reading and offers a wide selection of genres:

Romance novel Science fiction Adventure Detective Science History Home and family Prose Art Politics Computer Non-fiction Religion Business Children Humor

Choose a favorite category and find really read worthwhile books. Enjoy immersion in the world of imagination, feel the emotions of the characters or learn something new for yourself, make an fascinating discovery.

Book:
Nursing in Critical Care Setting: An Overview from Basic to Sensitive Outcomes
Author:
Irene Comisso et al
Publisher:
Springer
Genre:
Books / Romance novel
Year:
2018
Rating:
3 / 5
Favourites:
Add to favourites
Your mark:
- 60
- 1
- 2
- 3
- 4
- 5

Description
Author's other books
Similar books

Nursing in Critical Care Setting: An Overview from Basic to Sensitive Outcomes: summary, description and annotation

We offer to read an annotation, description, summary or preface (depends on what the author of the book "Nursing in Critical Care Setting: An Overview from Basic to Sensitive Outcomes" wrote himself). If you haven't found the necessary information about the book — write in the comments, we will try to find it.

This book provides essential insights into how the approach to nursing care in ICU patients has markedly changed over recent years. It shows how the focus has progressively moved away from the technical approach that characterized early ICUs to a wider personalization of patient care that also highlights general problems such as basic hygiene and general comfort. It also demonstrates that, at the same time, the nurses role has become more professionalized, with increasing competences in assessing and managing patients problems and measuring related outcomes. It is structured in four units: Unit 1 presents the essential elements of accurate vital-function and basic-needs assessments for ICU patients, using both instrumental monitoring and specially validated assessment tools. Unit 2 addresses basic care in ICU patients, particularly hygiene and mobilization, reflecting recent developments in nursing that focus on the importance of these activities. Unit 3 highlights the main nursing outcomes in ICU patients, particularly focusing on risk prevention and complication management. Lastly, Unit 4 discusses advances in ICU nursing, from clinical, organizational and research perspectives.

Irene Comisso et al.: author's other books

Who wrote Nursing in Critical Care Setting: An Overview from Basic to Sensitive Outcomes? Find out the surname, the name of the author of the book and a list of all author's works by series.

Nursing in Critical Care Setting: An Overview from Basic to Sensitive Outcomes — read online for free the complete book (whole text) full work

Below is the text of the book, divided by pages. System saving the place of the last page read, allows you to conveniently read the book "Nursing in Critical Care Setting: An Overview from Basic to Sensitive Outcomes" online for free, without having to search again every time where you left off. Put a bookmark, and you can go to the page where you finished reading at any time.

Light

Font size:

↓

↑

Reset

Interval:

↓

↑

Bookmark:

Make

Part I
Assessment and Monitoring in ICU

Springer International Publishing AG, part of Springer Nature 2018

Irene Comisso , Alberto Lucchini , Stefano Bambi , Gian Domenico Giusti and Matteo Manici Nursing in Critical Care Setting

1. Monitoring Patients: Whats New in Intensive Care Setting?

Matteo Manici 1 and Claudio Torbinio 2

(1)

Anesthesia, Intensive Care and Hub Pain Service, University Hospital of Parma, Parma, Italy

(2)

Trauma Centre, Emergency Department, Ancona Hospital, Province of Ancona, Italy

Keywords

Monitoring Instrumental monitoring Assessment scales Bed monitoring

1.1 Introduction

Monitoring (to monitor) is a term that involves the observation, actions, measuring, and understanding of many human activities in time. The origin of the word monitoring comes from the Latin monitor , -oris , derived from the verb monre (literally, to warn) and means a continuous or repeated observation, measurement, and evaluation of health and/or environmental or technical data for defined purposes, in accordance with predetermined programs in space and time. Monitoring can be implemented using comparable methods for the detection and collection of data []. The term originated in industrial environment, to indicate the continuous control of an operating machine, with appropriate instruments which measure some characteristic parameters (speed, consumption, production, etc.). The original meaning was later expanded: from the machine to the whole process, for an operational structure, and also human resources. Monitoring is widespread used in technical and in social sciences, with the general meaning of data collections significant for context.

Historically, monitoring started as a physiological measurement problem (Table ) and probably will end up as an overall assessment of intensive care unit (ICU) patient. This chapter has an introductory function for the first section: the concept of generality of instrumental monitoring, the monitoring carried out through applying scales at patients bed, to propose a new monitoring model for ICU patient.

Table 1.1

Short history of physiological data measurements []

When	Who	What
1625	Santorio	Measurement of body temperature with spirit thermometer. Timing pulse with pendulum. Principles were established by Galileo. These results were ignored
1707	Sir John Foyer	Published pulse watch
1852	Ludwig Taube	Course of patients fever measurement. At this time temperature, pulse rate, and respiratory rate had become standard vital signs
1896	Scipione Riva-Rocci	Introduced the sphygmomanometer (blood pressure cuff)
1900	Nikolaj Sergeevi Korotkov	Applied the cuff with the stethoscope (developed by Rene LaennecFrench physician) to measure systolic and diastolic blood pressures
1900	Harvey Cushing	Applied routine blood pressure in operating rooms
1903	Willem Einthoven	Devised the string galvanometer to measure ECG (Nobel Prize 1924)
19391945	World War II: development of transducers
19481950	George Ludwig , Ian Donald , Douglass Howry , and Joseph Holmes	Pioneers of ultrasounds in health science
1950	The ICUs were established to meet the increasing demands for more acute and intensive care required by patients with complex disorders
1953	Danish patients with poliomyelitis received invasive mechanical ventilation
1963	Hughes W. Day	Reported that treatment of post-myocardial infarction patients in a coronary care unit reduced mortality by 60%
1968	Maloney	Suggested that having the nurse record vital signs every few hours was only to assure regular nurse-patient contact
Early 1970s	Bedside monitors built around bouncing balls or conventional oscilloscope
1972	Takuo Aoyagi	Developed a pulse oximeter based on the ratio of red to infrared light absorption in blood. After obtained an US patent, oximetry became clinically feasible
1973	Jeremy Swan and William Ganz	Pulmonary artery balloon flotation catheter starts advanced hemodynamic study
1990s	Computer-based patient monitors; systems with database functions, report-generation systems, and some decision-making capabilities

ICUs are very different, such as medical and surgical wards, because of different staff availability (especially nurses) and expertise, skills, technologies, and environments. Monitoring activity involves the entire ICU staff (nurses, physician, respiratory therapists and rehabilitation therapists, dietitians) and is based on different operational models implemented in several countries around the world. Nurses, wherever present 24 h a day, often act as liaison between the various staff components, ensuring security, continuity, and harmony and coordinating and communicating all aspects of treatment and care the patient needs. Nurses also provide continuous monitoring and caring for patients and equipment and for their interactions [].

1.2 Instrumental Monitoring

Technology is extremely pervasive and is continuously increasing in ICU. It is commonly used in a multitude of tools for monitoring and supporting patients vital functions: the brain, lung, heart, and kidney. The widespread use of electronic monitoring and support to vital function has probably helped to prevent errors and to improve outcomes [].

The monitoring tools are able to detect multiple parameters, such as continuous electrocardiogram (ECG), end-tidal carbon dioxide (EtCO)2, various measurements of peripheral oxygen saturation (SpO2), cardiac output, and intracranial and cerebral perfusion pressure. The supporting devices can affect the respiratory system (noninvasive mechanical ventilation), circulatory (pacemakers, intra-aortic balloon pump, ventricular devices), cardiorespiratory (extracorporeal membrane oxygenationECMO), and kidney (continuous renal replacement therapy (CRRT) and slow low-efficiency daily dialysis (SLEDD)). All these supporting systems contextually also provide monitoring parameters (e.g., the ventilator). Understanding the functions of the devices commonly used in ICU can help in caring for patients in critical conditions [].

The monitoring technique in intensive care has risks and benefits. Intensive monitoring provides a high data value and information, but it can increase some risks of complications. For example, intensive monitoring could be useful in acute medical interventions aiming to maintain the essential variables within a narrow physiological range and improve the outcome in people with acute stroke [).

Fig 11 Conceptual framework-related value of data At the same time - photo 1

Light

Font size:

↓

↑

Reset

Interval:

↓

↑

Bookmark:

Make

Similar books «Nursing in Critical Care Setting: An Overview from Basic to Sensitive Outcomes»

Look at similar books to Nursing in Critical Care Setting: An Overview from Basic to Sensitive Outcomes. We have selected literature similar in name and meaning in the hope of providing readers with more options to find new, interesting, not yet read works.

Pierre Pluye

Look It Up!: What Patients, Doctors, Nurses, and Pharmacists Need to Know about the Internet and Primary Health Care

Tina Bradley Gain

A Nurses Medicine Basket: Tools for Compassionate Self-Care

Starring Criss

Nursing Care for Patients of ENT

Suzanne Burns

AACN Essentials of Progressive Care Nursing

Suzanne Burns

AACN Essentials of Critical Care Nursing

Bojar

Manual of Perioperative Care in Adult Cardiac Surgery

Julia Hodgson

Integrative Medicine for Vulnerable Populations ; A Clinical Guide to Working with Chronic and Comorbid Medical Disease, Mental Illness, and addiction

Ricardo A. Munoz (editor)

Critical Care of Children with Heart Disease: Basic Medical and Surgical Concepts

Marianne Chulay

AACN Essentials of Progressive Care Nursing

Meg Gulanick PhD APRN FAAN

Nursing Care Plans: Diagnoses, Interventions, and Outcomes, 8e

Liz OBrien

District Nursing Manual of Clinical Procedures

Helena Priest

An Introduction to Psychological Care in Nursing and the Health Professions

Reviews about «Nursing in Critical Care Setting: An Overview from Basic to Sensitive Outcomes»

Discussion, reviews of the book Nursing in Critical Care Setting: An Overview from Basic to Sensitive Outcomes and just readers' own opinions. Leave your comments, write what you think about the work, its meaning or the main characters. Specify what exactly you liked and what you didn't like, and why you think so.