Advanced Practice in Critical Care: A Case Study Approach

Advanced Practice in Critical Care: A Case Study Approach

By: Sarah McGloin (editor), Anne McLeod (editor)Paperback

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Description

Advanced Practice in Critical Care provides experiencedcritical care nurses with a clear and distinct evidence base forcontemporary critical care practice. Central to the book is theapplication of research and evidence to practice and therefore,case studies and key critical care clinical situations are usedthroughout to guide the reader through the patient care trajectory.

Each chapter introduces an initial patient scenario and as thechapter progresses, the patient scenario develops with thetheoretical perspectives and application. In this way, it isevident how multi-organ dysfunction develops, impacting upon andinfluencing other body systems, demonstrating the multi-organimpact that is often experienced by the critically ill patient. Inthis way, consequences of critical illness such as acute renalfailure, haemostatic failure and liver dysfunction are explored.Throughout the text, key research findings and critical caretreatment strategies are referred to, applied and evaluated in thecontext of the given patient case study. Advanced assessmenttechniques are explained and the underlying pathophysiology isdiscussed in depth. Advanced Practice in Critical Care is anessential resource for experienced practitioners within criticalcare whom primarily care for patients requiring high dependency orintensive care.

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About Author

Sarah McGloin is Senior Lecturer in Acute Care at AngliaRuskin University, UK.

Anne McLeod is Senior Lecturer Critical Care at CityUniversity, UK.

Contents

Preface.

Contributors and acknowledgements.

1 Challenges in contemporary critical care (SarahMcGloin).

Introduction.

Critical care without walls.

Advanced practice.

Interprofessional roles within critical care.

Conclusion.

References.

2 The physiological basis of critical illness (MarkRanson).

Introduction.

Patient scenario.

Mechanisms of cellular damage.

Impact of reduced perfusion on energy production .

Evaluation of ischaemia: reperfusion injury.

The inflammatory response and the role of mediators.

Mechanisms for haemostasis in relation to critical illness.

Conclusion.

References.

3 The patient with haemodynamic compromise leading torenal.

dysfunction (Tracey Bowden and Anne McLeod).

Introduction.

Patient scenario.

Underlying physiology and pathophysiology.

Assessment and diagnosis.

Evidence-based care.

Ongoing patient scenario.

Progressing pathophysiology.

Ongoing assessment.

Evidence-based care.

Conclusion.

References.

4 The septic patient (Sarah McGloin).

Introduction.

Patient scenario.

Underlying physiology and pathophysiology.

Assessment and diagnosis.

Evidence-based care.

Ongoing patient scenario.

Progressing pathophysiology.

Ongoing assessment.

Evidence-based care.

Conclusion.

References.

5 The patient with acute respiratory failure (AnneMcLeod).

Introduction.

Patient scenario.

Underlying physiology and pathophysiology.

Assessment and diagnosis.

Arterial blood gas analysis.

Evidence-based care.

Ongoing patient scenario.

Progressing pathophysiology.

Ongoing assessment.

Evidence-based care.

Conclusion.

References

6 The patient with chronic respiratory failure (GlendaEsmond and Anne McLeod).

Introduction.

Patient scenario.

Underlying physiology and pathophysiology.

Assessment and diagnosis.

Evidence-based care.

Ongoing patient scenario.

Weaning from ventilatory support.

Ongoing care.

Conclusion.

References.

7 The patient with an intracranial insult (AnneMcLeod).

Introduction.

Patient scenario.

Underlying physiology and pathophysiology.

Assessment and diagnosis.

Evidence-based care.

Ongoing patient scenario.

Progressing pathophysiology.

Ongoing assessment.

Evidence-based care.

Conclusion.

References.

8 The patient with a traumatic injury (Elaine Cole andAnne McLeod).

Introduction.

Patient scenario.

Mechanisms of injury.

Assessment and diagnosis.

Primary and secondary surveys.

Underlying physiology and pathophysiology.

Evidence-based care.

Continuing patient scenario.

Evidence-based care.

Ongoing patient scenario.

Progressing pathophysiology.

Ongoing assessment.

Evidence-based care.

Management of his pelvic injury.

Conclusion.

References.

9 The patient with a diabetic emergency (SarahMcGloin).

Introduction.

Patient scenario.

Underlying physiology and pathophysiology.

Underlying pathophysiology.

Assessment and diagnosis.

Evidence-based care.

Ongoing care.

Conclusion.

References.

10 The long-term patient in intensive careunit(Phillipa Tredant).

Introduction.

Patient scenario.

Impact of being in the critical care environment.

Psychological effects.

Underlying physiology and physiological effects.

Quality of life.

Rehabilitation process.

Conclusion.

References.

11 Ethical considerations in critical care (AnneMcLeod).

Introduction.

Patient scenario.

Admission to critical care.

What are ethics?

Biomedical ethical model.

The role of outreach.

Ongoing patient scenario.

Futile situations.

Withdrawal/withholding of treatment or euthanasia?

Patient autonomy.

The process of withdrawing or withholding treatment.

Role of the nurse.

Collaborative decision-making.

Conclusion.

References.

Index.

Product Details

  • publication date: 09/04/2010
  • ISBN13: 9781405185653
  • Format: Paperback
  • Number Of Pages: 280
  • ID: 9781405185653
  • weight: 622
  • ISBN10: 1405185651

Delivery Information

  • Saver Delivery: Yes
  • 1st Class Delivery: Yes
  • Courier Delivery: Yes
  • Store Delivery: Yes

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