Preview

Respiratory Therapist: A Literature Review

Good Essays
Open Document
Open Document
1018 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Respiratory Therapist: A Literature Review
Andrew Bogenschutz
Professor Rafaei
ENGL 2089
Literature Review
July 22, 2015

“Optimizing Utilization of the Respiratory Therapist”
Traditionally the role of the respiratory therapist has been heavily dictated and rather limited by the physician’s orders. For seemingly as long a respiratory therapy has been a recognized medical discipline, therapist have had to endure working under this physician-directed approach, until recent developments prompted an in-depth look into the overall efficiency of such physician-driven protocols. These developments were an over-utilization of respiratory care and misallocations. It was felt that respiratory procedures could be greatly reduced without increased adverse effects on patient outcomes. (Hess, D. …show more content…
W., et al (1999). Large-scale implementation of a respiratory therapist-driven protocol for ventilator weaning. Vol 159 American Journal of Respiratory Critical Care Medicine

Harbrecht, B. G., et al (2009). Improved outcomes with routine respiratory therapist evaluation of non-intensive care unit surgery patients. Vol 54 # 7, Respiratory Care: Daedalus Enterprises. Retrieved on November 23, 2012 from …show more content…
R.(1998). Professionalism, respiratory care practice and physician acceptance of a respiratory consult service. Vol 43 # 7, Respiratory Care: American Association of Respiratory Care. Retrieved on November 23, 2012 from http://aarc.org/daz/rcjournal/rcjournal/x.RCJOURNAL.COM02.21.07/content

Kollef, M. H., et al (2000). The effect of respiratory therapist-initiative treatment protocols on patient outcomes and resource utilization. Vol 117, Chest: Clinical Investigations in Critical Care. Retrieved on November 23, 2012 from http://journal.publication.chestnet.org

Marelich, G. P., et al (2000). Protocol weaning of mechanical ventilation in medical and surgical patients by respiratory care practitioners and nurses. Vol 118, Chest: Clinical Investigations on Critical Care.

Restrepo, R. D, et al (2004). Protocol-driven ventilator management in children: comparison to non-protocol care. Journal of Intensive Care Medicine: Sage Publications

Stoller, J. K., et al (1999). Randomized controlled trial of physician-directed versus respiratory therapy consult service-directed respiratory care to adult non-ICU inpatients. Vol 158, American Journal of Respiratory Critical Care
Continue Reading
View Writing Issues

You May Also Find These Documents Helpful

  • Good Essays

    Hlth211 Medical Terminology Paper
    • 531 Words
    • 3 Pages

    Hlth211 Medical Terminology Paper

    • Describe possible diagnostic or surgical procedures associated with the respiratory system that are not mentioned in the Q&A section of this unit.…

    • 531 Words
    • 3 Pages
    Good Essays
    Read More
  • Better Essays

    Multisystem Failure Homeostasis And Pain Management Case Study
    • 1422 Words
    • 6 Pages

    Multisystem Failure Homeostasis And Pain Management Case Study

    The first priority is to perform a focused assessment to include the patient’s respiratory function, pain, mental status, and any medication the patient has taken. The patient’s airway and ability to breathe and maintain a patent airway becomes the first priority. By asking the patient the four questions of orientation the nurse can assess the patient’s mental status. The patient’s pain can also be assessed quickly by using a numerical value or the Wong-Baker Scale prior to the patient becoming unresponsive, as well as asking the patient for a brief history of her medical condition and any co-morbidities. For the patient’s airway and breathing, the patient should be placed on 15 liters of oxygen with a non-rebreather mask to allow for increased oxygenation and a pulse…

    • 1422 Words
    • 6 Pages
    Better Essays
    Read More
  • Powerful Essays

    Acute care essay
    • 2487 Words
    • 7 Pages

    Acute care essay

    Furthermore, failure to follow a systematic assessment in the treatment of an acutely ill patient is also another contributing factor (Resuscitation Council UK 2006). There is however, the risk of this kind of approach being subjective as each individual may observe, feel or hear symptoms differently. Due to the word constraint, this assignment will concentrate on the breathing assessment aspect of Dominic’s condition and also the pathophysiology of COPD and the use of oxygen (O2) as treatment to alleviate his symptoms.…

    • 2487 Words
    • 7 Pages
    Powerful Essays
    Read More
  • Good Essays

    Decreased Lung Compliance Case Study
    • 863 Words
    • 4 Pages

    Decreased Lung Compliance Case Study

    In the healthcare setting many clinicians are curious to know how airway pressure release ventilation (APRV) works. Many modes of ventilation have been developed throughout the years that focus on lung recruitment and allows for patients to breathe at a spontaneous rate. However, APRV is one of the many modes that concentrate on providing partial ventilatory assistance to patients with some form of respiratory failure. First, can APRV protect the lungs and reduce the work of breathing? Second, is APRV an effective mode of ventilation for patients that suffer from decreased lung compliance? These are just some of the questions physicians ask themselves when determining a method to ventilate their patients.…

    • 863 Words
    • 4 Pages
    Good Essays
    Read More
  • Better Essays

    Respiratory Case Study Essay
    • 1642 Words
    • 7 Pages

    Respiratory Case Study Essay

    Nosocomial pneumonia is acquired during a hospital stay. It happens when a patient is admitted into the hospital with a medical diagnosis that they are hoping to be treated for and contract the infection of pneumonia through the spread of germs. “Nosocomial pneumonia (NP) clinically presents more than seven days after hospitalization with new fever, pulmonary infiltrates, and leukocytosis. Nosocomial pneumonia is a common nosocomial bacterial infection and is most prevalent in medical and surgical intensive care units. The most common pathogens associated with NP are: P aeruginosa, Klebsiella pneumoniae, Escherichia coli, and S marcescens (Medscape, 2015). Whereas community acquired pneumonia is contracted in the community. “Community-acquired pneumonia (CAP) is one of the most common infectious diseases and is an important cause of mortality and morbidity worldwide. CAP is usually acquired via inhalation or aspiration of pulmonary pathogenic organisms into a lung segment or lobe” (Medscape, 2015). The most common organisms involved in causing CAP are: Streptococcus pneumoniae, Haemophilus influenza, and Moraxella catarrhalis.…

    • 1642 Words
    • 7 Pages
    Better Essays
    Read More
  • Best Essays

    A Written Reflection COPD PRNA 2001L Sk
    • 2439 Words
    • 9 Pages

    A Written Reflection COPD PRNA 2001L Sk

    Improving and Integrating Respiratory Services (IMPRESS) (2011) Rationalising oxygen use to improve patient safety and to reduce waste: The IMPRESS step by step guide.…

    • 2439 Words
    • 9 Pages
    Best Essays
    Read More
  • Good Essays

    Activity 3.4 Respiratory Therapy Research Paper
    • 663 Words
    • 3 Pages

    Activity 3.4 Respiratory Therapy Research Paper

    All of the patients described above need assistance getting sufficient amounts of oxygen into their lungs and out to their cells. When a patient has trouble breathing and utilizing the precious resource, oxygen, a specialist called a respiratory therapist is often called upon to provide treatment and support. Without…

    • 663 Words
    • 3 Pages
    Good Essays
    Read More
  • Good Essays

    Respiratory Therapy Vs. Surgical Technologist
    • 853 Words
    • 4 Pages

    Respiratory Therapy Vs. Surgical Technologist

    Respiratory Therapy vs. Surgical Technologist Working in the medical field isn’t always easy; in fact, it is never easy. There is dealing with critical emergencies, minor emergencies, or occasionally emergencies that have never been heard of before. That is why there are well educated and skilled professionals who are continuously there to do the job or as a patient would say “come to the rescue”. In the Medical field A Respiratory Therapist and Surgical Technologist are revealed to be a doctor’s first preference to do anything not saying that the additional fields aren’t worthy nonetheless they are the support to every doctor or surgeon.…

    • 853 Words
    • 4 Pages
    Good Essays
    Read More
  • Good Essays

    Respiratory Therapist: Article Analysis
    • 575 Words
    • 3 Pages

    Respiratory Therapist: Article Analysis

    I have chosen to discuss “Electronic Distractions of the Respiratory Therapist and Their Impact on Patient Safety” by Peter Papadakos. According to Richtel, Peter is “an anesthesiologist and director of critical care at the University of Rochester Medical Center in New York”. As a medical professional, Peter had witnessed the effect of electronics first-hand in Medicare and wrote the article about it.…

    • 575 Words
    • 3 Pages
    Good Essays
    Read More
  • Good Essays

    Proper Wrist Restraint Tying Technique
    • 697 Words
    • 3 Pages

    Proper Wrist Restraint Tying Technique

    Unplanned extubation in critical care patients has been greatly scrutinized over the past years because of its contribution in higher risk for mortality, morbidity, and resource utilization (Epstein et al, 2000). Unplanned extubation is defined as a "premature removal of the endotracheal tube by the patient" (Chevron et al, 1998), i.e., self-extubation or "premature removal during nursing care and manipulation of the patient" (Betbese et al, 1998), i.e., accidental extubation. From the review of literature, the incidence of unplanned extubation averages about 10% (Moons et al, 2004). The percentage presented in the literature varies on the type of units (medical versus surgical) and the duration of intubation.…

    • 697 Words
    • 3 Pages
    Good Essays
    Read More
  • Best Essays

    Nurse Practitioner Consultation
    • 4906 Words
    • 20 Pages

    Nurse Practitioner Consultation

    The first part of this work will be pertinent with the history taking process within a consultation; the second part will focus on assessment and physical examination. This essay aims to demonstrate comprehensive history taking and a structured approach to the consultation. A thorough assessment and examination of the respiratory system will follow, together with a rationale for examination skills used and a critical analysis of the clinical findings.…

    • 4906 Words
    • 20 Pages
    Best Essays
    Read More
  • Powerful Essays

    study guide
    • 1369 Words
    • 6 Pages

    study guide

    11. Describe the purpose, methods, and nursing management related to non-invasive and invasive respiratory care strategies (i.e., TCDB, spirometry) for patients with respiratory problems.…

    • 1369 Words
    • 6 Pages
    Powerful Essays
    Read More
  • Good Essays

    Home Respiratory Therapist Essay
    • 482 Words
    • 2 Pages

    Home Respiratory Therapist Essay

    Patient managed in the home requires a variety of specialists to involve in their care. Respiratory therapists are one of them. The respiratory therapist provides equipment and services in residence of clients and families for their acute and chronic needs. Generally, therapists mission is to improve patient’s survival rate, decrease mortality, teach how to use equipment, improve quality of life and reduce hospital stay.…

    • 482 Words
    • 2 Pages
    Good Essays
    Read More
  • Good Essays

    Respiratory Therapist Experience
    • 799 Words
    • 4 Pages

    Respiratory Therapist Experience

    General care was the right place for me to start for clinicals. It taught me the basic techniques a respiratory therapist needs. When I first began clinicals, it was difficult for me to learn new techniques and procedures for respiratory therapies. I struggled to take them from a procedure learned in a book or on the Mayo Intranet and figure how to apply it when I was with a patient. We did have labs to help us get hands on experience with the therapies but I still didn’t feel confident when entering a patient’s room and doing a procedure for the first time.…

    • 799 Words
    • 4 Pages
    Good Essays
    Read More
  • Good Essays

    The Importance Of Respiratory Care
    • 370 Words
    • 2 Pages

    The Importance Of Respiratory Care

    Respiratory therapists are critical members of the interdisciplinary care team. They play a crucial role in providing diagnostic testing, treatment, patient care, family education and…

    • 370 Words
    • 2 Pages
    Good Essays
    Read More

Related Topics