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Care Study - Essay Example

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Care Study Introduction: The Patient Mr. X was admitted to the hospital after a motorcycle accident. The 58-year-old man had been hit by a truck. The initial CT scan revealed multiple lesions including bilateral fracture of the occipital condyles at the skull base, unstable fracture of the cervical spine at level C4, double left-sided upper arm fracture, bilateral contusions in the lower lung lobes, left-sided fracture in the sacral bone, dislocation of the right hip, and right-sided tibial fracture…
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Care Study

Download file to see previous pages... Mr. X was being cared in the intensive care unit (ICU) of an urban hospital. One week after admission, the ICU nurse in-charge of Mr. X’s care noticed respiratory distress and fever of unknown origin. The nurse reported it to the attending physician and to the intensive care specialists. The intensive care specialists ordered a new CT scan to re-evaluate the status of the brain, the occipital skull base fracture, the post-operative cervical spine, the condition of the lungs, the abdomen for possible source of infection and a pelvis examination locating the sacral fracture and the right hip. Mr. X was chosen as the case study subject primarily because the alarming incidence of motorcycle accident worldwide caught the interest of the author and wanted to delineate the multisystem effect of motorcycle accident to the individual. Clarke, Ward, Bartle and Truman (2004) stated that motorcyclists are at the highest risk for accidents due to poor safety record and the estimated killed and serious injury rate in UK per million vehicle kilometers is twice than a pedal cyclist and 16 times than car drivers and passengers (p. 6). Introduction to the Intensive Care Unit An intensive care unit (ICU) refers to a hospital area that uses state-of-the-art technology and aggressive therapy both in invasive and noninvasive monitoring of critically-ill and high risk patients (Varon and Acosta, 2010, p. 1). Continuous monitoring is necessary and physiological factors affecting the health status of the patient must be reported promptly and on a continuous basis to the attending physician in order to adjust and meet the patient’s health needs. Patients older than 50 years old who suffered from cervical fracture have 26% mortality rate (Browner, Jupiter, Levine, Trafton, 2003, p. 868). Critical care is offered for patients in the intensive care units in providing advanced life support through modern technology.One of the newest areas in the intensive care unit is the neurointensive care area, where Mr. X was confined for close monitoring and receiving of necessary interventions for multiple traumas. Neurointensive care risks are high and interventions must be based on evidenced-based practice as well as on the six most important areas for neurointensive care such as cerebral perfusion pressure and intracranial pressure management, fluid and electrolyte management, ventilator management, sedation/pain control, diagnosis and treatment of seizures, and emotional support of the patient and family (Siddiqi, 2008, p. 2). For instance, fluid resuscitation should be adequately titrated in order to avoid hemorrhagic shock from massive fluid administration or multiple organ failure from restricting fluid administration (Fink, Suter and Sibbald, 2006, p. 12). With the high risks involved in employing critical care, health care professionals must have an extensive network of support staff and specialized equipment to assist them in providing advanced life support. Death while under critical care is possible. Health care professionals should have an open line of communication between patient’s family members in terms of possible end-of-life decisions. Roper, Logan and Tierney’sModel of Nursing Care Pathway Used in Intensive Care Un ...Download file to see next pagesRead More
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