High Dependency Nursing Care : Observation, Intervention and Support

by Moore, Tina; Woodrow, Philip

• ISBN13: 9780415267540
• ISBN10: 0415267544
• Format: Hardcover
• Copyright: 2004-08-31
• Publisher: Routledge

Summary

Highly dependent patients are nursed in a variety of clinical areas.High Dependency Nursing Carehas been written for nurses caring for these patients or undertaking post-registration courses to prepare them for high dependency nursing. Written by a team of nurses experienced in providing, supporting and developing high dependency care, it discusses practical issues and explores the current evidence base for clinical practice. Structured in four parts, the first,Perspectives on High Dependency Careexplores the contexts of care, focusing on fundamental aspects, like sleep, nutrition, pain management and stress, demonstrating how to achieve quality nursing care.Pathophysiology and Treatmentsdescribes the main diseases that cause critical illness and the treatments that patients will often be given. Critically ill patients need to be monitored closely soMonitoring and Skillsenables nurses to interpret and understand the information gained from observation and monitoring.The final part,Professional Issuesexplores topics like Clinical Governance, Reflection, Practice Development and Managing Change to assist nurses in developing their own clinical practice and professional development. The book will be useful for qualified nurses caring for highly dependent patients and for nurses undertaking a range of post-registration courses. The book will also be useful to pre-registration nurses and other healthcare professionals involved in caring for highly dependent patients in a variety of clinical areas. Comprehensive, clearly written and practically-based, this excellent resource includes learning outcomes, fundamental knowledge, introductions, time out exercises, implications for practice, websites and up-to-date references.

Table of Contents

List of figures
List of tables
List of boxes
Contributors
Preface
Acknowledgements
The nature of high dependency nursing	p. 3
Humanism	p. 10
Stress	p. 19
Psychological disturbances	p. 28
Sleep	p. 37
Nutrition	p. 46
Acute pain management	p. 56
Death and dying	p. 70
Cultural issues	p. 78
Health promotion	p. 86
Family care	p. 94
Ethics	p. 102
Neurological assessment	p. 115
Respiratory assessment	p. 124
Acute respiratory pathologies	p. 134
Oxygen therapy	p. 143
Temporary tracheostomies	p. 151
Bilevel non-invasive ventilation	p. 161
Intrapleural chest drains	p. 171
Acute coronary syndromes	p. 179
Shock	p. 189
Haematological disorders : sickle cell anaemia, disseminated intravascular coagulation	p. 200
Acute renal failure	p. 211
Upper gastrointestinal bleeds and acute pancreatitis	p. 218
Diabetic emergencies	p. 229
Acute liver failure	p. 239
Acute neurological pathologies	p. 248
Nursing assessment	p. 261
Pulse oximetry	p. 273
Arterial blood gas analysis	p. 282
Suctioning	p. 290
Arterial blood pressure monitoring	p. 301
Central venous pressure measurement and cardiac output studies	p. 309
Reading electrocardiograms and recognising common dysrhythmias	p. 321
Fluid and electrolyte disturbances	p. 339
Clinical governance	p. 359
Outreach	p. 368
Reflection	p. 376
Practice development	p. 384
Managing change	p. 391
Professional issues	p. 401
Conclusion	p. 411
Glossary	p. 413
References	p. 415
Index	p. 455
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