Advanced Practice in Critical Care

A Case Study Approach

Häftad, Engelska, 2010

AvSarah McGloin,Anne McLeod,UK) McGloin, Sarah (Senior Lecturer Acute & Critical Care at University College Suffolk, Ipswich,UK) McLeod, Anne (Lecturer in Critical Care at St Bartholomew's School of Nursing and Midwifery, City University, London,Sarah Mcgloin,Anne Mcleod

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Advanced Practice in Critical Care provides experienced critical care nurses with a clear and distinct evidence base for contemporary critical care practice. Central to the book is the application of research and evidence to practice and therefore, case studies and key critical care clinical situations are used throughout to guide the reader through the patient care trajectory. Each chapter introduces an initial patient scenario and as the chapter progresses, the patient scenario develops with the theoretical perspectives and application. In this way, it is evident how multi-organ dysfunction develops, impacting upon and influencing other body systems, demonstrating the multi-organ impact that is often experienced by the critically ill patient. In this way, consequences of critical illness such as acute renal failure, haemostatic failure and liver dysfunction are explored. Throughout the text, key research findings and critical care treatment strategies are referred to, applied and evaluated in the context of the given patient case study. Advanced assessment techniques are explained and the underlying pathophysiology is discussed in depth. Advanced Practice in Critical Care is an essential resource for experienced practitioners within critical care whom primarily care for patients requiring high dependency or intensive care.

Produktinformation

Utgivningsdatum2010-04-09
Mått173 x 246 x 15 mm
Vikt621 g
FormatHäftad
SpråkEngelska
Antal sidor288
FörlagJohn Wiley and Sons Ltd
ISBN9781405185653

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Preface ixContributors and acknowledgements xi1 Challenges in contemporary critical care 1Sarah McGloinIntroduction 1Critical care without walls 1Advanced practice 2Interprofessional roles within critical care 5Conclusion 7References 72 The physiological basis of critical illness 9Mark RansonIntroduction 9Patient scenario 9Mechanisms of cellular damage 10Impact of reduced perfusion on energy production 12Evaluation of ischaemia: reperfusion injury 13The inflammatory response and the role of mediators 14Mechanisms for haemostasis in relation to critical illness 19Conclusion 25References 253 The patient with haemodynamic compromise leading to renal dysfunction 26Tracey Bowden and Anne McLeodIntroduction 26Patient scenario 26Underlying physiology and pathophysiology 27Assessment and diagnosis 31Evidence-based care 35Ongoing patient scenario 39Progressing pathophysiology 40Ongoing assessment 47Evidence-based care 54Conclusion 65References 654 The septic patient 71Sarah McGloinIntroduction 71Patient scenario 71Underlying physiology and pathophysiology 72Assessment and diagnosis 76Evidence-based care 81Ongoing patient scenario 83Progressing pathophysiology 84Ongoing assessment 91Evidence-based care 91Conclusion 100References 1015 The patient with acute respiratory failure 105Anne McLeodIntroduction 105Patient scenario 105Underlying physiology and pathophysiology 106Assessment and diagnosis 109Arterial blood gas analysis 114Evidence-based care 122Ongoing patient scenario 127Progressing pathophysiology 127Ongoing assessment 128Evidence-based care 136Conclusion 140References 1406 The patient with chronic respiratory failure 143Glenda Esmond and Anne McLeodIntroduction 143Patient scenario 144Underlying physiology and pathophysiology 144Assessment and diagnosis 145Evidence-based care 148Ongoing patient scenario 152Weaning from ventilatory support 153Ongoing care 157Conclusion 158References 1587 The patient with an intracranial insult 161Anne McLeodIntroduction 161Patient scenario 161Underlying physiology and pathophysiology 162Assessment and diagnosis 167Evidence-based care 168Ongoing patient scenario 172Progressing pathophysiology 174Ongoing assessment 177Evidence-based care 180Conclusion 185References 1858 The patient with a traumatic injury 188Elaine Cole and Anne McLeodIntroduction 188Patient scenario 188Mechanisms of injury 189Assessment and diagnosis 190Primary and secondary surveys 191Underlying physiology and pathophysiology 192Evidence-based care 193Continuing patient scenario 196Evidence-based care 197Ongoing patient scenario 200Progressing pathophysiology 201Ongoing assessment 203Evidence-based care 207Management of his pelvic injury 211Conclusion 212References 2129 The patient with a diabetic emergency 215Sarah McGloinIntroduction 215Patient scenario 215Underlying physiology and pathophysiology 216Underlying pathophysiology 217Assessment and diagnosis 221Evidence-based care 223Ongoing care 225Conclusion 226References 22610 The long-term patient in intensive care unit 228Phillipa TredantIntroduction 228Patient scenario 228Impact of being in the critical care environment 228Psychological effects 230Underlying physiology and physiological effects 235Quality of life 240Rehabilitation process 241Conclusion 245References 24511 Ethical considerations in critical care 247Anne McLeodIntroduction 247Patient scenario 247Admission to critical care 247What are ethics? 248Biomedical ethical model 250The role of outreach 252Ongoing patient scenario 254Futile situations 254Withdrawal/withholding of treatment or euthanasia? 254Patient autonomy 256The process of withdrawing or withholding treatment 256Role of the nurse 257Collaborative decision-making 257Conclusion 258References 258Index 261