Preview

nutrition in critical care

Powerful Essays
Open Document
Open Document
3227 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
nutrition in critical care
NUTRITION IN CRITICALLY ILL PATIENTS, EARLY INTRODUCTION AND MAINTAINANCE- NURSES ROLE
Nutrition is very vital in critically ill patients, often the neglected area of critical care where researchers and analysts had been concentrating on for a long time. Guidelines and protocols have been formulated by institutions and organisation, but compliance had been identified as the reason to experience abasement in proper nutrition. Stroud (2007) mentioned that the acute illness aggravates the metabolic rate and abbreviates the pursuance of nutritional elements. I will be reviewing the literatures about the nutrition of critically ill patients, and the role of nurses in intensive care unit (ICU). I have focussed on nutrition of patients in intensive care as it is part of my competency No.5, Hydration and Nutrition.
My aim was to find articles regarding adult Intensive care units and adult patients because the knowledge found in this study and the search results can be utilised in my working environment. My search started with the Boolean search using ‘Ebscohost’ in the Cinahl database, and I used nutrition and critically ill as my search word. My search brought up 1089 articles, which I narrowed down to 507, as I limited my research in between years 2006 - 2013. To be more specific, I applied limitations to the search by limiting the results to be peer reviewed academic journals with full text which included abstracts, and in doing so, brought up 39 articles. Finally, I came up with 22 articles after adding another limitation which was that only articles on adults were used. I was keen to see if it is fruitful to search other databases as well, and so used Ovid as my next database. I narrowed down the search results using the same limitations, leading to the number of results decreasing from ninety-nine to three. The databases Pubmed and Medline brought up similar articles but I found it is easy to access full

You May Also Find These Documents Helpful

  • Satisfactory Essays

    Tuoro Infirmary Case

    • 395 Words
    • 2 Pages

    Touro Infirmary is a medium-sized teaching hospital located in New Orleans. The department of dietetics must meet the varying needs for the feeding of patients, staff, and visitors of the facility. The nutritional requirements of the patients are diverse, necessitating a complex menu structure. Diet options include sodium-restricted, bland, calorie restricted, and numerous other regimes.…

    • 395 Words
    • 2 Pages
    Satisfactory Essays
  • Satisfactory Essays

    6. Tobramycin may be administered to neonates at a dose of up to 4 mg/Kg/day in two equal doses every 12 hours. One kilogram = approximately 2.2 lb. Tobramycin is available in a pediatric vial with a concentration of 20 mg/2mL. If the neonate weighs 4.0 lb, what volume of tobramycin should be withdrawn for the dose described above?…

    • 426 Words
    • 3 Pages
    Satisfactory Essays
  • Powerful Essays

    Acute care essay

    • 2487 Words
    • 7 Pages

    Creed F and Spiers C (2011) Care of the Acutely Ill Adult – An Essential Guide for Nurses…

    • 2487 Words
    • 7 Pages
    Powerful Essays
  • Satisfactory Essays

    According to Critical Care Nurse’s (CCN) instructions for authors, the review article is to be uploaded to the CCN online manuscript submission and review system using Microsoft Word (American Association of Critical-Care Nurses [AACCN], 2015). All components of the submission package must be completed in English (AACCN, 2015). The review article is intended to be a feature article, and therefore must meet the feature article criteria delineated by the instructions for authors. The review article will not exceed 15 double-spaced pages, excluding abstract, references and visual elements (AACCN, 2015). The review article will be formatted using the American Medical Association (AMA) Manual of Style, 10th edition guidelines…

    • 151 Words
    • 1 Page
    Satisfactory Essays
  • Best Essays

    Type 1 Diabetes Mellitus

    • 2111 Words
    • 9 Pages

    The nurse would plan suitable charts and regimes for the patient to follow. Intake and output are measured. IV fluids and electrolytes are administered as prescribed, and oral fluid intake is encouraged when it is permitted. Vital signs are monitored hourly for signs of dehydration (tachycardia, orthostatic hypotension) along with assessment of breath sounds, level of consciousness, presence of oedema, and cardiac status. If the patient agrees with the diet plan and increases his fruit and vegetable intake this can highly optimise nutritional health, promote a healthy image and reduce the chances of obesity (Lock et al., 2005). In Diabetes, diet is a chief obstacle in the control of the condition (Watson et. al 1997). The patient’s goals in agreeing with a healthy diet for their Diabetes are as follows: 1) To regulate and sustain lipid levels and blood glucose back to their normal state. 2) To avoid fluctuations in their blood glucose levels during the day. 3) To manage and control a desirable body weight. 4) To prevent or hinder the growth or advancement of renal, neurological or cardiovascular difficulties (Watson et. al 1997). The nurse should introduce a dietary plan for the patient with the Diabetes. This controls the amount of calories that are needed for each day and the magnitude of these calories to be assigned to carbohydrate, protein…

    • 2111 Words
    • 9 Pages
    Best Essays
  • Satisfactory Essays

    ( T ) 1.Little Qian first met the doctor when she went to the hospital for her allergy. 小钱第一次见到那位医生,是在她因为过敏去医院看病的时候。…

    • 475 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    It is important to know if the patient can function independently is in the area of taking their medication. Gathering information related to the patient nutritional status is also very important when gather of assessing information. Gathering information allows the nursing staff the opportunity to know when it is appropriate to make the necessary referral. For example, if patient has poor nutrition would be appropriate for the nursing staff to consult a doctor of nutritionist.…

    • 305 Words
    • 2 Pages
    Good Essays
  • Good Essays

    Encouraging patients to make major lifestyle changes after a critical illness can be frustrating and challenging for nurses. Denial and feeling overwhelmed by a great deal of new information, patients can be reluctant to implement these changes even though the benefits are explained to them in great detail. “The Health Belief Model is a framework for motivating people to take positive health actions that uses the desire to avoid a negative health consequence as the prime motivation” ("Theories and Approaches," n.d., para. 3). Often times, avoiding a negative consequence can be a more powerful incentive than a reward for positive behavior. Four main points in the HBM are: perceived susceptibility, perceived severity, perceived benefits, and perceived barriers (Taylor et al., 2007). As nurses it is our responsibility to prepare our patients to return home and arm them with the best possible tools to avoid a repeat admission. Patients have a lot to absorb, and the lifestyle changes that accompany illness aren’t always welcome changes. We must be willing to look past initial resistance to change at the underlying issues that can be addressed in order to modify behavior.…

    • 489 Words
    • 2 Pages
    Good Essays
  • Satisfactory Essays

    5.1 Identify, using current government guidance, the nutritional needs of babies until they are fully weaned and using information from carers plan a programme of weaning…

    • 346 Words
    • 2 Pages
    Satisfactory Essays
  • Powerful Essays

    The Policy Process Part 1

    • 1440 Words
    • 6 Pages

    References: American Association of Critical-Care Nurses. (2013). Introduction to the Legislative and Regulatory Process. Retrieved from http://www.aacn.org/wd/practice/content/publicpolicy/intro.pcms?menu=practice…

    • 1440 Words
    • 6 Pages
    Powerful Essays
  • Good Essays

    Ards Diagnosis Research

    • 461 Words
    • 2 Pages

    | Difficulty breathing, low blood pressure and organ failure, rapid breathing, shortness of breath, listening to the chest with a stethoscope (auscultation) reveals abnormal breath sounds, such as crackles, which may be signs of fluid in the lungs. Often the blood pressure is low. Cyanosis (blue skin, lips, and nails caused by lack of oxygen to the tissues) is often seen. Other symptoms can occur, depending on the event that caused the ARDS. For example, if pneumonia is causing the ARDS, symptoms may also include chest pain and fever.…

    • 461 Words
    • 2 Pages
    Good Essays
  • Good Essays

    Health Promotion

    • 683 Words
    • 3 Pages

    With this type of patient, as a nurse, cultural background of that patient needs to be appreciated and understood. In order to be able to put the individual on a track to the health promotion that involves of daily dialysis, healthy renal food of their choices, not just any food and health prevention toward complication of renal diseases has to be implemented, such as the food to be avoided to prevent high toxic uremia in the brain. Health promotion towards improving their renal functioning, especially in acute phase of renal failure, needs to be put into consideration.…

    • 683 Words
    • 3 Pages
    Good Essays
  • Powerful Essays

    Occupational Therapist Role

    • 3534 Words
    • 15 Pages

    The exclusion for this search strategy was based on publication dates of journal articles, however there was an exception if the journal article was strongly relevant to the search question. Within the 23 identified journal articles relevant to this research topic only one was published 15 years ago or more. Within the 23 identified journal articles 16 were published within the last 10…

    • 3534 Words
    • 15 Pages
    Powerful Essays
  • Best Essays

    Vulnerable Adults

    • 3539 Words
    • 15 Pages

    Fulmer, T. T., Foreman, M. D. and Walker, M. K. (2001) Critical Care Nursing of the Elderly. Springer Publishing Company…

    • 3539 Words
    • 15 Pages
    Best Essays
  • Good Essays

    My Nursing Experience

    • 741 Words
    • 3 Pages

    People that are admitted to the hospital usually have many complex health problems and we are given only a limited amount of time to restore health and maximize recovery. As a nurse it is my responsibility to thoroughly assess, set agreed upon goals, and educate my patient to achieve and maintain a level of health and wellbeing that is comparable to prior level of function.…

    • 741 Words
    • 3 Pages
    Good Essays