Systematic Review
A Systematic Review of the Impact of Sedation Practice in the ICU on Resource Use, Costs and Patient Safety This is a summary of the article “A Systematic Review of the Impact of Sedation Practice in the ICU on Resource Use, Costs and Patient Safety” by Jackson et al. in the Critical Care journal. The article begins by addressing Intensive Care Unit (ICU)’s patients’ tendency to be put under sedation for prolonged durations. The focus of the article is to evaluate the impact of altered or diverse practices for sedation management on economical implications and patient safety consequences. The systematic review processes started by searching for suitable and eligible studies online that answered the main focus and objectives of the review. …show more content…
in the World Views on Evidence-Based Nursing journal. The article begins by addressing the fact that families, together with the healthcare professionals were particularly implicated when it comes to the process of decision-making of the Intensive Care Unit (ICU)’s patients, especially about the use of life support. The use of life support by ICU’s patients can be, regarding the decision to withhold or withdraw life support at the end-of-life of the patients. Shared Decision Making (SDM) approach was suggested as the best practice guidelines to improve the quality of end-of-life decision-making. The focus of the article is to explore the effectiveness of SDM interventions to improve communication between the healthcare team, patients, their family members and surrogate decision-makers about the decision to use life support in the …show more content…
As a Consultant, CNS/ANP is required to utilize his/her role to solve problems regarding treatment and management of ICU’s patients. And in regard of this article, concerning SDM function in life support in end-of-life decision that need to decided collectively by healthcare team, patients, their family members and surrogate decision-makers. The importance and objectives of the CNS/ANP’s consultation are to improve the patients’ management and treatment in
Sheriff And Van Sell: A Literature Review
165 Words | 1 PagesSheriff and Van Sell are nursing professors at the Women’s Texas University and Strasen is a nursing director at the University of Texas Southwest. Sheriff, Van Sell and Strasen present research that suggests nurses and physicians are more likely to encourage family presence during resuscitation (FPDR) if there is a written policy addressing specific criteria for the inclusion and exclusion of family during these procedures. The authors provide a framework to use when writing a hospital policy regarding FPDR. The authors identified several common barriers healthcare professionals have about FPDR and found educational programs about the positive outcomes of FPDR could drastically increase the number of physicians and nurses who would encourage
Dnr Ethical Dilemmas
189 Words | 1 PagesPatient decision should be honored unless the patient or a legal appointee makes changes or agrees to rescind, for example when the patient is scheduled for surgery. The care provider should not assume that the patient will agree to hold DO-NOT-Resuscitate orders due to scheduled surgery or procedure. It is required of the physician to inform the patient, family, and/or surrogate of the intent to hold DNR orders and allow them to make an informed consent (HCEHC, 2005). In such situations where the care provider is torn between following the patient’s decision and implementing procedure that in one way or another conflicts with DNR orders, the risk management team at the institution, state or national level should be consulted for advice. All
Lisa Belkin's Book 'First Do No Harm'
1633 Words | 7 PagesQuality of life, live or let die, and extraordinary measures. These are principles critical to medical professionals and the decisions they make every single day. In Lisa Belkin’s book “First Do No Harm”, she explores many real life cases, and how different physicians and teams answered the questions asked of them: Do we withdraw life saving support? Does the patient require DNR status? Do we allow a child die under our care?
Family's Presence During Resuscitation
325 Words | 2 PagesPro-Side: By allowing the family to be present during resuscitation of their loved one they are made aware of everything that was done to revive the patient. This could be beneficial to the family member in the circumstance that the patient doesn’t survive so that the family would know for sure that everything possible was done. This may help with the grieving process of the family in that they would not dwell on what more could have been done for their loved one. After the patient passes, the family becomes the nurses primary focus and it is our responsibility to help the family along in the grieving process. As for the patient being resuscitated, the patient may want their loved one to be by their side in case they don’t make it, and if the policies prohibited the family’s presence, the patients dying wishes would not be followed.
Dying In America Analysis
1169 Words | 5 PagesIt is advised to communicate with the doctor so it can decrease the possibility that the health care decisions are not fully relied on the physician’s judgment call. There has been statistical evidence from surveys and numerous cases reported that physicians were falsely accused of showing acts of murder in the EOL care, which is another term for life support. Although that is not the case because JoAnn reports that “improving the quality of EOL care are failure to prepare an advance directive and disregard of an existing advance directive.” Overall, both the doctor and patient must make a reliability form before so the patient, at the moment who cannot make the decision, since they are unable because of their unresponsive condition. The will should describe how the patient wants to be treated but it has to be updated to specify the type of treatments that is
Advance Care Plaining Analysis
794 Words | 4 PagesFurthermore, it can ensure when the patient is unable to make any medical decision. This is a common agreement between the medical choices and decisions. Through discussion and understanding, pre-determined treatment intent at the time of death and other options for dying care and appoint "caregivers" in the patient In the event of a loss of self-determination, the "caregiver" may represent his wishes and ensure that the will is committed. This will not only enhance the mutual trust and understanding of patients, family members and health care workers. On the other hand, it will also avoid the difficulties and pressures of family members in the face of illness and death, and reduce the chance of making a decision to feel contradictory and guilty.
ICU Integrative Review
982 Words | 4 Pagesthe communication is the main key for process of end-of-life decision in the ICU, there are many communication strategies have been found (including decision aids, structured meeting plans, and educational interventions help to improve outcome for the patients and family members (Lautrette et al., 2007; Oczkowski, Chung, Hanvey, Mbuagbaw, & You, 2016), to discuss and respect the families and patients value and respect their own wishes about decision of end of
End Of Life Care: A Case Study
398 Words | 2 PagesLearning about culturally and religiously sensitive communication and education is a necessary tool to deliver effective cancer care in today 's increasingly multiethnic and multicultural societies. My research is related to Jewish culture and beliefs. It is interesting to learn how different end of life care decision is in other parts of world as compared to North America. Autonomy and informed consent is of paramount importance in patient management in North America. Not even paternalistic approach but decision making mainly lie in the hands of patientâs family in Jewish culture.
Advance Directives Importance
1097 Words | 5 PagesEnd of Life Planning and the Importance of Advance Directives As people begin to age and become ill, the need for end of life planning becomes imminent. Thorough thought and consideration should be taken as one plans for some of the most life influencing moments of medical care. The use of Advance Directives allows for autonomy in choosing the medical treatment one receives, while offering the ability to die with ones dignity intact, and ensures that a person’s final wishes are honored. An Advance Directives main purpose is to appoint a surrogate to act on ones behalf when they cannot (Benson & Aldrich, 2012). Universally, decisions concerning life and death issues affect a large and increasing number of individuals, spurring the need for
Dnr Case Study Nursing Care Plan
954 Words | 4 PagesMs. Long has been admitted to a skilled nursing home after four months in the hospital, and has been assigned a public guardian since she is no longer able to make life decisions on her own. The guardian is faced with the problem of deciding whether maintaining/sustaining life-giving care or palliative/hospice care is appropriate for their charge. With the medical team, and a personal assessment, the apparent choice would be palliative or hospice care. Comfort care at this stage becomes the basic concern. The palliative care plan should be the consideration for the do-not-resuscitate (DNR) provision.
Advanced Care Planning Theory
877 Words | 4 PagesThe clinical manifestations of unfavorable system responses related to the continued administration of nutrition and hydration must be recognized. In addition, the assessment of signs and symptoms of eminent death are important to recognize (City of Hope, 2007). Also, education pertaining to the necessary legal documents is essential. The early establishment of advanced directive and durable power of attorney must take place. Therefore, all parties involved are aware of the wishes of the patient at a time when emotions would not represent a barrier to effective
End Of Life Decisions: End Of Life Care
231 Words | 1 PagesMaking end of life decisions concerning treatment is never easy for the family of the dying patient. When educating loved one about the end of life care and treatment the healthcare provider must considered the cultural and spiritual prospective of the family. Futile treatment is describe by the author as “treatment which provides no chance of meaningful prolongation of survival or may only briefly delay the inevitable death of the patient”. The health care providers at time are stigmatized by the family members are even seen as a doctors who doesn’t care when face. When my sister in-law went into the ICU and her oncologist told the family not to considered any form of life supporting method, they were very reluctant ,and would like her to
Pros And Cons Of Life Support
1833 Words | 8 PagesThe first fact to know is what life support is and look at current procedures. To have a clear view it is vital to look at the pros and cons and then compare. Pros include a sense of hope and the option of organ donation. Some cons are cost, prolonged suffering, and there is always the question of ethnics. Once all of these things are taken into consideration one can make an informed
Simplified Organ Failure Assessment
252 Words | 2 PagesDiagnosing a patient 's illness state is always a critical phase in medication. Patients admitted in the Intensive Care Unit are vulnerable to adverse effects including in-ICU morbidities and mortality. Patients in ICU are connected to equipments like Pulse oximeter, Cardiac Monitor, Face mask, Nasogastric tube to monitor their oxygen level in blood, heart rate, blood pressure and support their breathe. They are closely monitored by Cardiothoracic nurses who records these readings from the equipments several times a day. Presently, health care researchers are more focused on developing techniques to improve the effectiveness of the treatment.
Legal Barriers In Health Care
571 Words | 3 PagesOne barrier that embodies multiple categories of barriers is a circumstance where the loved ones of a vegetative patient are requesting all measures to be taken despite very low odds. Financially, these desperate measures are commanding a vast amount of resources that boost costs not only for the hospital but for the family as well. Legally, the healthcare professionals are required to respect the patient’s wishes and if they wish to remain attached to expensive machines, the healthcare professional must adhere to those desires. Another ethical and legal barrier for families is knowing when to pull the plug and when to wait for a miracle. Letting go of a family member is an excruciating task to ask of anyone; however, if a patient requests to not be hooked up to life preserving machines or requests to have a DNR code status, the family must legally respect those wishes although it may not seem ethical to them.
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