Exploring Environmental Consderations when Nursing Critically ill People.For critically ill people and their families, the critical care environment in the Emergency Department or Intensive Care Unit is often foreign and confronting.
For critically ill people and their families, the critical care environment in the Emergency Department or Intensive Care Unit is often foreign and confronting. Together with the illness or injury which led to admission, treatment, medication, hospital routines may affect homeostatic body function and control. These external stressors have the potential to affect the person physically, psychologically, socially, culturally and spiritually in a way which may ultimately compromise healing and recovery. It is imperative that while caring for people who are critically ill, that nurses consider the impact of the environment on the person’s illness, healing, and recovery. An awareness of how the environment affects a person who is critically ill, allows nurses to initiate and incorporate nursing care to support the person through their illness by addressing environmental stressors while undergoing treatment in the critical care setting.
Objectives:
Identify concepts and interventions related to the patient experience in the critical care setting including addressing physical, psychological, social cultural, environmental and spiritual needs (GA 2, 3, 4, 5 & 6 NMBA 2, 5, 9)
Analyse key concepts related to the nurse experience in the critical care setting with regard to ethico-legal dilemmas, total patient care and the impact of the technological imperative (GA 1, 3, 4 & 5 NMBA 1, 2, 9, 10)
Reflect on nursing care of critically ill patients using learned concepts and skills in initiating and explaining appropriate nursing actions (GA 1, 2, 4 & 5 NMBA 1, 2, 4, 6, 7, 9)
Demonstrate nursing knowledge through critical thinking and the use of relevant professional and scholarly resources to describe, explain and apply key nursing concepts in a writing style appropriate to purpose and context (GA 1, 3 & 4 NMBA 7)
Demonstrate the application of basic skills in the use of information technologies to access and utilise resources and evidence-based guidelines suitable for patient health care needs (GA 1, 3 & 4 NMBA 3).
Task:
For this assignment, choose ONE of the following, and consider how the environmental factors related to the either the Emergency Department or Intensive Care Unit contribute to a critically ill person’s:
vulnerability and alterations in autonomy
alterations in communication capabilities
alterations in privacy
alterations in sleep patterns
psychological disturbance and delirium
Explore how the environmental factors related to the Emergency Department OR the Intensive Care Unit contribute to your chosen topic and discuss how nurses can provide holistic person-centred care to minimise the impact of the environment and put the patient in the best possible condition for self-healing. In doing so, consider the environmental impact on the patient’s physical, psychological, social, cultural and spiritual components of self.
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