Trauma Nursing Care Study B+ Paper
Introduction
This paper presents the care to a patient during one shift in the Intensive Care Unit (ICU). Tony*, a 79 year old,was admitted to ICU with suspected anoxic brain injury;post Out of Hospital Cardiac Arrest; and Head Injury. Cardiopulmonary Resuscitation was initiated by his son. When the EMTambulance arrived Tony was pulseless, cardiac monitoring showed Ventricular fibrillation – he was cardioverted twice at the scene.
Inthe Emergency Department (ED) he developed Ventricular tachycardia and required a further cardioversion. CT brain showed subdural brain haemorrhage. Therapeutic Hypothermia (TH) wascommenced in ED.As Tony was without CPR for 20-25 minutes at home, his prognosis was uncertain and his family were informed of this. He had a history of hypertension.
Day 1 nursing care and diagnosis for Tonyand 2 concepts from the Careful Nursing Model(Meehan 2012a) will be discussed.
Psycho-Spiritual Reality
Tony’s psycho-spiritual reality was assessed through touch as Tony was sedated. I sat at his bedside and introduced myself. While talking to Tony he did not display any emotional effects of distress or pain. His face was relaxed and calm.
I assessed Tony through his family, as they sat with him and spoke to me about him. They told me he was a peaceful man, and contented with life. They denied he ever had low moods or stress – although he did become animated during soccer matches! He was happily married for nearly 60 years and his wife was in good health. They had 2 sons and 1 daughter. One son lived in Australia. His other children were married and lived close by. He had 3 grandchildren which he adored. His son in Australia was making arrangements to return to Ireland.
The Therapeutic Milieu
The therapeutic milieu of the environment Tony was cared in was assessed using the five dimensions defined by Meehan, (2012a). The environment had an awareness of caritas. Caritas allows nurses to care for patients with kindness, compassion, tenderness
This paper presents the care to a patient during one shift in the Intensive Care Unit (ICU). Tony*, a 79 year old,was admitted to ICU with suspected anoxic brain injury;post Out of Hospital Cardiac Arrest; and Head Injury. Cardiopulmonary Resuscitation was initiated by his son. When the EMTambulance arrived Tony was pulseless, cardiac monitoring showed Ventricular fibrillation – he was cardioverted twice at the scene.
Inthe Emergency Department (ED) he developed Ventricular tachycardia and required a further cardioversion. CT brain showed subdural brain haemorrhage. Therapeutic Hypothermia (TH) wascommenced in ED.As Tony was without CPR for 20-25 minutes at home, his prognosis was uncertain and his family were informed of this. He had a history of hypertension.
Day 1 nursing care and diagnosis for Tonyand 2 concepts from the Careful Nursing Model(Meehan 2012a) will be discussed.
Psycho-Spiritual Reality
Tony’s psycho-spiritual reality was assessed through touch as Tony was sedated. I sat at his bedside and introduced myself. While talking to Tony he did not display any emotional effects of distress or pain. His face was relaxed and calm.
I assessed Tony through his family, as they sat with him and spoke to me about him. They told me he was a peaceful man, and contented with life. They denied he ever had low moods or stress – although he did become animated during soccer matches! He was happily married for nearly 60 years and his wife was in good health. They had 2 sons and 1 daughter. One son lived in Australia. His other children were married and lived close by. He had 3 grandchildren which he adored. His son in Australia was making arrangements to return to Ireland.
The Therapeutic Milieu
The therapeutic milieu of the environment Tony was cared in was assessed using the five dimensions defined by Meehan, (2012a). The environment had an awareness of caritas. Caritas allows nurses to care for patients with kindness, compassion, tenderness
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