scholarly journals Stressors in the nursing care delivered to potential organ donors

2009 ◽  
Vol 17 (6) ◽  
pp. 1023-1029 ◽  
Author(s):  
Laura de Azevedo Guido ◽  
Graciele Fernanda da Costa Linch ◽  
Rafaela Andolhe ◽  
Carmine Cony Conegatto ◽  
Carolina Codevila Tonini
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Nursing Care ◽  
Organ Donor ◽  
Physical Activities ◽  
Organ Donors ◽  
Tissue Donors ◽  
Adult Intensive Care Unit ◽  
Potential Organ Donor ◽  
Self Confidence

This study examines those situations that are typical to the work of the nursing team in the intensive care unit, especially those that nursing teams consider stressful and are common in intensive care units in the treatment of patients being considered as potential organ or tissue donors. It is an exploratory-descriptive study, established with a qualitative approach, conducted at an Adult Intensive Care Unit. The reports revealed the fact that organ donation leads to different situations and emotions. Regarding the perception of nursing care to the potential organ donor patient, the subjects reported they did not discriminate patients when delivering care, but recognize a certain lack of self-confidence and preparation dealing with brain death. They try to minimize the effects of stressors with physical activities, social support, spirituality, or attempt to separate work from personal life.

Predictors of Adverse Events in Patients After Discharge From the Intensive Care Unit

2008 ◽  
Vol 17 (3) ◽  
pp. 255-263 ◽  
Author(s):  
Wendy Chaboyer ◽  
Lukman Thalib ◽  
Michelle Foster ◽  
Carol Ball ◽  
Brent Richards
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Adverse Events ◽  
Nursing Care ◽  
Univariate Analysis ◽  
Vital Signs ◽  
Chart Audit ◽  
Care Needs ◽  
Adult Intensive Care Unit ◽  
Vein Thrombosis

Background Patients discharged from the intensive care unit may be at risk of adverse events because of complex care needs. Objective To identify the types, frequency, and predictors of adverse events that occur in the 72 hours after discharge from an intensive care unit when no evidence of adverse events was apparent before discharge. Methods A predictive cohort study of 300 patients from an adult intensive care unit was undertaken. An internationally accepted protocol for chart audit was used. Frequency of adverse events was calculated, and logistic regression was used to determine independent predictors of adverse events. Results A total of 147 adverse events, 17 (11.6%) of which were defined as major, were incurred by 92 patients (30.7%). The 3 most common adverse events, hospital-incurred infection or sepsis (n = 32, 21.8%), hospital-incurred accident or injury (n = 17, 11.6%), and other complication such as deep vein thrombosis, pulmonary edema, or myocardial infarction (n = 17, 11.6%) accounted for 44.9% (n = 66) of all adverse events. Two predictors, respiratory rate less than 10/min or greater than or equal to 25/min and pulse rate exceeding 110/min, were significant independent predictors; requiring a high level of nursing care at the time of discharge was a significant predictor in univariate analysis but not in multivariate analysis. Conclusion Taking, recording, and reporting vital signs are important. Nursing care requirements of patients at discharge from the intensive care unit may be worthy of further investigation in studies of patients after discharge.

scholarly journals Care With The Potential Organ Donor In The Intensive Care Unit

10.3823/2306 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Francisca Patrícia Barreto de Carvalho ◽  
Kênnia Stephanie Morais Oliveira ◽  
Glauber Weder Dos Santos Silva ◽  
Geórgia Nóbrega Melo ◽  
Thiago Enggle de Araújo Alves ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Organ Donor ◽  
Qualitative Approach ◽  
Pertinent Literature ◽  
Potential Donor ◽  
Potential Organ Donor ◽  
Material Resources ◽  
Organ Harvesting ◽  
Specific Care

Introduction: Organ transplants have expanded throughout the country, being extremely significant for the population. Objective: To know the reality of organ harvesting and describe the care with the potential organ donor in an Intensive Care Unit (ICU) and compare it with the pertinent literature. Method: It is a research of exploratory and descriptive nature, with a qualitative approach. The data were analyzed through the content analysis idealized by Bardin. Results: The findings indicate that the resolution of care and procedures with the potential donor is essential to the success of transplants in our country. Conclusions: Several difficulties have been encountered, as the lack of human and material resources generating impasses in the specific care of the potential organ donor and the lack of provision of continuing education. Keywords: Organ donation; Intensive Care Unit; Nursing.

scholarly journals Caring for a potential organ donor at an intensive care unit: the role of the nurse

2017 ◽  
Vol 11 (2) ◽  
pp. 35-39
Author(s):  
Sylwia Kosek ◽  
Anna Klimczyk
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Brain Death ◽  
Organ Donor ◽  
Loss Of Function ◽  
Potential Organ Donor ◽  
Difficult Conversations ◽  
The Family ◽  
The Individual

Brain death causes irreparable loss of function of the brain as whole and is tantamount to the individual death. According to the governing laws in Poland, a committee composed of three consultants, including a specialist in anaesthesiology and intensive care and a specialist in neurosurgery or neurology, states the individual death. Stating brain death has occurred discharges doctors from their obligation to continue therapy. In the event the organs can be harvested for transplant, after ruling out the objection of the deceased and medical counter indications, medical staff continues to care for the donor during the period of preliminary observation, diagnostics and establishing brain death, and later for the deceased, until the organs are harvested. It includes all activities, from monitoring to therapy, diagnostic and nursing activities. Nurses play an important role in the team providing care to a donor. The nurse should have extensive knowledge about brain death, its course and results, as they play an important role in proper diagnostic procedure and providing proper care until the organs are harvested. Strict nursing supervision of the donor allows the staff to detect deviations in the functioning of the organism early. The aim of this paper was to present the procedures concerning declaring brain death and portraying the role of a nurse in caring for a potential organ donor at an intensive care unit. Conclusions. Proper procedure is paramount in harvesting good quality organs for transplantation and assuring their proper functioning later. It is worthwhile to note the role of the nurse in contacts with the family, as cooperation with the donor’s family is an important aspect of the process, especially the ability to conduct difficult conversations.

scholarly journals NURSING CARE AMONG POSTPARTUM PATIENTS WITH MILIARY TUBERCULOSIS BY THE EMPLOYING CULTURAL SENSITIVITY AND PORTABLE HEPA FILTER IN INTENSIVE CARE UNIT: A CASE STUDY

2019 ◽  
Vol 2 (3) ◽  
pp. 58-79
Author(s):  
Dede Wirdah Budiastuti ◽  
Agung Waluyo ◽  
Juliana GEP Massie ◽  
Maria Pele ◽  
Nisa Utami ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Nursing Care ◽  
Treated Patient ◽  
Post Partum ◽  
Miliary Tuberculosis ◽  
Isolation Room ◽  
Adult Intensive Care Unit ◽  
Medical Diagnoses

Nursing care services for post-partum patients with medical diagnoses of Miliary Tuberculosis (TB) in the Adult Intensive Care Unit (ICU) require a comprehensive approach. Critical nursing care with ICU settings and the use of portable HEPA filter are employed as alternatives if the ICU does not have an isolation room. Therefore, ICU nurses must concern the patient's needs, both the socio-cultural and cultural bio psycho. Rehabilitating patients in isolation rooms or using a portable HEPA filter that makes the patient's situation isolated results in patients' uncomfortable and restless feeling. In this case, the treated patient hold Middle East culture, and thus, she concerns about covering her head as part of her religious and cultural teachings. However, wearing headgear or hijab is rarely considered in the ICU because ICU nurses prioritize the critical condition of patients as the most vital regard to consider. This case study describes how to provide care to patients in ICU with the use of portable HEPA filter as an alternative TB isolation room and a culturally sensitive approach to meet the socio-cultural needs of the patient. Therefore, she feels comfortable and safe in the ICU room. Keywords: Miliary TB, portable HEPA filter, cultural approach

Potential organ donor pool for renal transplantation in the intensive care unit and emergency room

2000 ◽  
Vol 32 (7) ◽  
pp. 1567-1568 ◽  
Author(s):  
S.C. Kim ◽  
T.H. Kim ◽  
H.J. Jang ◽  
H.S. Ha ◽  
J.J. Hong ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Renal Transplantation ◽  
Emergency Room ◽  
Organ Donor ◽  
Donor Pool ◽  
Potential Organ Donor
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