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

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 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.

scholarly journals Applied quantitative methods in materials handling – a case study in the MPMP hospital

2018 ◽  
Vol 9 (5) ◽  
pp. 653
Author(s):  
Flavio Alberto Gomes Da Silva
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care ◽  
Quantitative Methods ◽  
Service Level ◽  
Stock Management ◽  
Adult Intensive Care Unit ◽  
Materials Handling ◽  
Wide Range

Quantitative methods is an important tool for a wide range of logistic processes, particularly in stock management operations such as handling and storage. Especially in a Hospital, in which it is essential to a good supply of materials and medicines that guarantee the agility required in meeting the demands of patients. The objective of the present work is to understand the process of separation and distribution of materials and medicines within a hospital storeroom and use quantitative methods for optimizing management and routing of its activities aimed at reduce the time of path between the stockroom to the Neonatal Intensive Care Unit (NICU), Surgery, Nursery and adult Intensive Care Unit of Hospital MPMP. For this, a literature search and a case study in a Hospital. The article presents a suggestion of improvement of routing and optimization of distribution processes, using Microsoft Solver. Which might verify that the implementation of this procedure is quite simple and the Hospital can deploy it with confidence that improvements will occur at the service level.

Unilateral right bullectomy surgery and nursing diagnosis: a report case study

2011 ◽  
Vol 5 (4) ◽  
pp. 1046
Author(s):  
Rejane Marie Barbosa Davim ◽  
Eliane Santos Cavalcante ◽  
Richardson Augusto Rosendo da Silva ◽  
Joana D´Árc de Souza Oliveira ◽  
Ricardo Alves dos Santos ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Nursing Staff ◽  
Quality Care ◽  
University Hospital ◽  
Adult Intensive Care Unit ◽  
Human Needs ◽  
Nursing Diagnosis ◽  
Terapia Intensiva

ABSTRACTObjective: to know the functioning of an Adult Intensive Care Unit; to identify the responsibilities and duties of nursing staff in this sector, to monitor a patient's detailed study of its pathology and surgery who underwent, a Unilateral Right Bullectomy; serve as assessment of Technical Expertise in Adult Intensive Care of Natal Nursing School / UFRN. Methodology: this is a descriptive study with case study type. The sample consisted of one patient admitted to the Adult Intensive Care Unit of the Onofre Lopes University Hospital after being admitted to the 10th ward of this hospital, diagnosed with lung bubble as a sequel of pulmonary tuberculosis. Results: data were analyzed based on the observation, analysis and assessment in the care of postoperative, NANDA grading system, Theory of Basic Human Needs, literature, the patient's medical records and interviews with history. Conclusion: the study allowed us to visualize the role of nursing staff in the context of the Intensive Care Unit Adult in order to provide comprehensive, humane and quality care of the patient. Descriptors: intensive care units; nursing; diagnosis; adult health.RESUMOObjetivo: acompanhar uma paciente em estudo sistematizado sobre sua patologia e procedimento cirúrgico, uma Bulectomia Unilateral Direita; descrever as atribuições de uma Unidade de Terapia Intensiva. Metodologia: trata-se de um estudo descritivo do tipo estudo de caso. A amostra foi composta por uma paciente admitida na Unidade de Terapia Intensiva Adulto do Hospital Universitário Onofre Lopes após ter sido internada na 10ª enfermaria do hospital em questão, com diagnóstico de Bolha Pulmonar como sequela de tuberculose. Resultados: os dados foram analisados com base na observação, análise e apreciação no processo do cuidar pós-operatório, sistema de classificação da NANDA, teoria das Necessidades Humanas Básicas, pesquisa bibliográfica, prontuário da paciente e entrevista com anamnese. Conclusão: o estudo permitiu visualizar o papel da equipe de enfermagem no contexto da Unidade de Terapia Intensiva Adulto no intuito de prestar assistência integral, humanizada e de qualidade ao paciente. Descritores: unidades de terapia intensiva; enfermagem; diagnóstico; saúde do adulto.RESUMENObjetivo: conocer el funcionamiento de una Unidad de Terapia Intensiva de Adultos; identificar las competencias y atribuciones del equipo de enfermería en este sector, acompañar una paciente en estudio detallado sobre su patología y procedimiento quirúrgico por la cual fue sometida, específicamente, una bulectomía unilateral derecha; servir de evaluación de la Especialización Técnica en Terapia Intensiva Adulto de la Escuela de Enfermería de Natal/UFRN. Metodología: se trata de un estudio descriptivo del tipo estudio de caso. La muestra fue compuesta por una paciente admitida en la Unidad de Terapia Intensiva Adulto del Hospital Universitario Onofre Lopes después de haber sido internada en la 10ª enfermería del hospital en cuestión, con diagnóstico de Burbuja Pulmonar como secuela de tisis. Resultados: los datos fueron analizados con base en la observación, análisis y apreciación en el proceso de lo cuidar postoperatorio, sistema de clasificación de la NANDA, teoría de las Necesidades Humanas Básicas, pesquisa bibliográfica, histórico de la paciente y entrevista con anamnesis. Conclusión: el estudio permitió visualizar el papel del equipo de enfermería en el contexto de la Unidad de Terapia Intensiva Adulto en el intuito de prestar asistencia integral, humanizada y de cualidad al paciente. Descriptores: recursos humanos; unidades de terapia intensiva; enfermería; diagnóstico; salud del adulto.

scholarly journals Adult intensive care unit admissions with severe COVID-19 infection following emergency Caesarean section deliveries: A case series

2020 ◽  
pp. 175114372094754
Author(s):  
Sarah Morton ◽  
Holly Lamont ◽  
Natalie Silvey ◽  
Thomas Browning ◽  
Michelle Hayes ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Intensive Care Unit Admission ◽  
Hospital Admissions ◽  
Post Partum ◽  
Renal Involvement ◽  
Thromboembolic Events ◽  
Adult Intensive Care Unit ◽  
Local Risk ◽  
Single Organ

Background UK data suggest 6% of COVID-19 hospital admissions are either currently pregnant or immediately post-partum. However, the current literature suggests that if COVID-19 occurs in pregnancy, or post-partum, symptoms are mostly mild. Methods All COVID-19 admissions to one acute London National Health Service Foundation trust were reviewed since the beginning of the COVID-19 pandemic to 1 May 2020 to establish whether there were any pregnant or immediately post-partum admissions. Data were extracted from hospital electronic records and anonymised. Any patients admitted to adult intensive care unit had their case notes reviewed in detail and comparison made to a local risk-assessment guideline identifying patients at-risk of thromboembolic events or cytokine storms. Local hospital guidelines were followed. Patients admitted to adult intensive care unit gave written consent. Results A total of 24 pregnant or immediately post-partum patients with COVID-19 were admitted. Three patients required long adult intensive care unit admissions for severe single-organ respiratory failure after emergency C-sections. Two of these patients required proning (three times and eight times, respectively). All were considered medium risk for thromboembolic events but had rising D-dimers following adult intensive care unit admission, resulting in increased dosing of pharmacological thromboprophylaxis throughout their admission. All were considered low risk for a cytokine storm, and none had any significant cardiovascular or renal involvement. One patient developed a super-imposed fungal lung infection. All three patients developed delirium following cessation of sedation. Conclusion Pregnant or immediately post-partum women can develop severe COVID-19 symptoms requiring prolonged adult intensive care unit admission. It is likely to be single-organ failure, but patients are at a high risk of a thromboembolic event and delirium.

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