AACN Essentials of Progressive Care Nursing (3rd Edition) by Suzanne Burns

By Suzanne Burns

Concise but thorough assistance on find out how to properly and appropriately deal with grownup revolutionary care sufferers and their households

Endorsed through the yank organization of Critical-Care Nurses (AACN) and written by way of best scientific specialists in acute and revolutionary care nursing, this textbook covers the entire must-know info at the care of grownup revolutionary care sufferers and their households. Supported by means of useful tables and algorithms, the book's functional, building-block association starts off with the fundamentals earlier than continuing to extra advanced options.

The AACN necessities of revolutionary Care Nursing contains crucial details to effectively organize for PCCN certification in revolutionary care and masses extra! The AACN necessities of revolutionary Care Nursing is split into 4 sections:

THE ESSENTIALS — provides details that clinicians needs to comprehend to supply secure, powerfuble nursing care to the vast majority of revolutionary care sufferers, despite their underlying clinical diagnoses

PATHOLOGICAL CONDITIONS — covers pathologic stipulations and administration recommendations normally encountered between grownup, innovative care sufferers

ADVANCED recommendations IN taking care of THE revolutionary CARE PATIENT — provides complex innovative care innovations or pathologic stipulations which are much less universal or extra really good than anticipated in grownup revolutionary care

KEY REFERENCE INFORMATION — gains common laboratory and diagnostic values; pharmacology tables; algorithms for complicated cardiac existence help; and precis tables of cardiac rhythms, ECG features, and remedy guides

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Additional resources for AACN Essentials of Progressive Care Nursing (3rd Edition)

Example text

Assess for behaviors of not wanting to bother the busy staff or not admitting pain because family or others are nearby. Some patients express their anxiety and stress through manipulative behavior. Progressive care nurses must understand that patients’ and families’ impulsivity, deception, low tolerance for frustration, unreliability, superficial charm, splitting among the provider team, and general avoidance of rules or limits are modes of interacting and coping and attempts to feel safe. Still other patients may withdraw and actually request use of sedatives and sleeping medications to blunt the stimuli and stress of the environment.

Rather than have general pain assessment questions repeated under each system assessment, they are presented here. Pain and discomfort are clues that alert both the patient and the progressive care nurse that something is wrong and needs prompt attention. Pain assessment includes differentiating acute from chronic pain, determining related physiologic symptoms, and investigating the patient’s perceptions and emotional reactions to the pain. Explore the qualities and characteristics of the pain by using the questions listed in Table 1-9.

The interpretation of clinical findings in the elderly must also take into consideration the fact that the coexistence of several disease processes and the diminished reserves of most body systems often result in more rapid physiologic deterioration than in younger adults. Past Medical History If the patient is being directly admitted to the progressive care unit, it is important to determine prior medical and surgical conditions, hospitalization, medications, and symptoms besides the primary event that brought the patient to the hospital (see Table 1-7).

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