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Care of the High Dependency Patient

Published online by Cambridge University Press:  25 February 2009

Elaine Kent
Elaine Kent
Affiliation:
Diploma In Nursing Studies ENB 219 998 & A75. Post Anaesthetic Care Unit Frimley Park Hospital NHS Trust
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Abstract

Recent government changes to Critical Care in the Health Service have resulted in an increase in the numbers of critical care patients being nursed in Post Anaesthetic Care Units (PACU). Many recovery nurses have had to increase their knowledge and skills accordingly. This article will analyse the high dependency nursing care given to a patient in the PACU necessitated by the haemodynamic compromise of the patient's cardiovascular system following surgery. The need for admission to a high dependency bed will be discussed along with the assessment of shock, tissue perfusion, fluid replacement, and any pharmacological intervention. Psychological, social and ethical issues relating to the patient and family will also be identified. Concentrating on the first 24 hours post-operatively, a careful discussion and analysis of the clinical management given will be made, with reference to the clinical and physiological measurements. After an evaluation and reflection of the medical and nursing care given to the patient, this article will conclude with a brief reiteration of the key issues.

Type
Research Article
Information
British Journal of Anaesthetic & Recovery Nursing , Volume 3 , Issue 2 , May 2002 , pp. 6 - 12
Copyright
Copyright © British Association of Anaesthetic and Recovery Nursing 2002

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References

S K, Adam and Osborne S (1997) Critical Care Nursing Oxford:Medical Publications 137–136.Google Scholar
M, Alexanderet al (1994) IN Collins T (2000) Understanding Shock Nursing Standard 14 (49)35–41Google Scholar
I D, Anderson(Ed) (1999)Care Of The Critically III Surgical Patient London: ArnoldGoogle Scholar
Ahern J, Fildes S. and Peters R (1995) A Guide to Blood Gases Nursing Standard 9 (49) 50–52.Google Scholar
T L, Beauchamp and Childress J F (1994) Principles of Biomedical Ethics Fourth Edition Oxford:Oxford University PressGoogle Scholar
R, Buckman(1997) What You Really Need To Know About Cancer London:Pan BooksGoogle Scholar
T, Collins(2000) Understanding Shock Nursing Standard 14(49)35–41.Google Scholar
L J, Day and Stannard D (1999)Ethics - Developing Trust and Connection with Patients and Their Families Critical Care Nurse 19 66–70Google Scholar
Department of Health (1996) Guidelines On Admission To And Discharge From Intensive Care And High Dependency Units London: NHS Executive.Google Scholar
Evans D (1994) Special Tests London: MosbyGoogle Scholar
C M, Flavell(1994) Combating Haemorrhagic Shock RN 57(12)26 –31.Google Scholar
Gelling L (1999) The role of hope for relatives of critically ill patients: a review of the literature Nursing Standard 14 (1) 33–38.Google Scholar
Grier M R (1976) Decision Making about Patient Care Nursing Research 25 (2). 105 – 110.Google Scholar
E, Kubler-Ross(1970)On Death And Dying London: Tavistock/RoutledgeGoogle Scholar
E N, Marieb(1989) Human Anatomy And Physiology California: The Benjamin/Cummings CompanyGoogle Scholar
Roper N Logan W W and Tierney A J (Eds) (1983) Using A Model For Nursing Edinburgh: Churchill Livingstone.Google Scholar
M, Sheppard and Wright M (Eds) (2000) High Dependency Nursing London: Bailliere Tindall.Google Scholar
G J, Tortora and Anagnostakos N P (1990) Principles Of Anatomy and Physiology 6th Editon New York: Harper and RowGoogle Scholar
United Kingdom Central Council (1984) Code Of Professional Conduct For v The Nurses Midwives And Health Visitors London: UKCCGoogle Scholar
United Kingdom Central Council (1989) Exercising Accountability. A Framework To Assist Nurses, Midwives And Health Visitors To Consider Ethical Aspects Of Professional Practice London: UKCCGoogle Scholar