Advanced Practice in Critical Care : A Case Study Approach

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

• ISBN13: 9781444320442
• ISBN10: 1444320440
• Copyright: 2011-06-01
• Publisher: Wiley-Blackwell

Summary

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.

Table of Contents

Preface

Contributors and acknowledgements

Challenges in contemporary critical care

Introduction

Critical care without walls

Advanced practice

Interprofessional roles within critical care

Conclusion

References

The physiological basis of critical illness

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

The patient with haemodynamic compromise leading to renal

dysfunction

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

The septic patient

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

The patient with acute respiratory failure

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

The patient with chronic respiratory failure

Introduction

Patient scenario

Underlying physiology and pathophysiology

Assessment and diagnosis

Evidence-based care

Ongoing patient scenario

Weaning from ventilatory support

Ongoing care

Conclusion

References

The patient with an intracranial insult

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

The patient with a traumatic injury

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

The patient with a diabetic emergency

Introduction

Patient scenario

Underlying physiology and pathophysiology

Underlying pathophysiology

Assessment and diagnosis

Evidence-based care

Ongoing care

Conclusion

References

The long-term patient in intensive care unit

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

Ethical considerations in critical care

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

Table of Contents provided by Publisher. All Rights Reserved.