Essays on Ventilator

1. Biot’s respiration named after Camille Biot is an abnormal ataxic breathing pattern, where rapid series of shallow respiration are followed by a period of apnea. In order to known how AMP kinase, knock down leads to Biot respiration in mice; it is necessary to known how AMP kinase affects respiratory rate. AMP kinase is a metabolic sensor and is activated in response to stretching of the lung alveolar cells and other stressors. During respiration, the lung goes through cycles of expansion and contraction (Budinger et al., 2008). When the alveolar cells stretch during expansion, the 5′ AMP-activated ...

In this case, there are serious ethical issues pertaining to the withdrawal of life support. The first ethical issue pertaining to this case is based on the fact that medical practitioners have a calling to sustain the health and life of patients, but this case calls for a decision that goes against these duties. The second ethical issue is that the decision to refuse medical intervention (in this case life support) and effectively end an individual’s life should rest with the individual and not anybody else. In this case, the patient has delegated the right to make this ...

2A. Appraising Quantitative and Qualitative Research

Quantitative Study One source of bias during data collection is the use of self-report data (Polit & Beck 2012). Chivers et al. (2001) obtained data through the SF-36 and Beck depression inventory which required the patients to answer questionnaires. If they failed to give accurate answers, it would have affected the validity of the findings. The study design also allowed patients to receive other clinically appropriate treatments that were beyond the study protocol (Chivers et al. 2001). Additional treatments are confounding variables but their influence on the study outcomes was not estimated in the statistical analysis. This reduces confidence in ...

Conducting a literature search is a major step towards acquiring the required information to be used in carrying out a particular research. This study dwelt much on locating scholarly quantitative and qualitative articles that provided information on how to address the clinical problem which in this case was the strategies that will have to be employed in tackling ventilator-associated pneumonia. I focused much on the use of authoritative nursing databases like PubMed online (King et al., 2016). Also, I made use of search engines like Google, Yahoo, Bing and Google Scholar in getting the required articles. I however narrowed ...

Patient safety is a critical element in the health care since it guarantees the wellbeing of a patient while receiving treatment and ensures their hospitalization period is short and free from any harm. Thus, it is the responsibility of nurses and other health practitioners to carry out frequent assessments of health facility status to assess the safety and quality of clinical practices. As such, research in a clinical setting is essential in identify problems which have the potential of diminishing wellness of the patients and provide solutions to address the identified clinical problem. Therefore, nurses have to advance their ...

Ventilator Associated Pneumonia

VENTILATOR ASSOCIATED PNEUMONIA Ventilator associated pneumonia can be described as infection of the Lungs developing in a patient who has been kept on ventilator. Ventilators are used to help patients in proper breathing by administering oxygen with the help of a tube which is placed in the mouth nose or through a hole made in front of neck of the patient. Infection may develop due to entry of the germs through the tube and as a result, the germs may gain entry into the lungs of the patient leading to an infection. In order to bring down the rate ...

The critical care units of hospitals treat frequently treat patients by administering oxygen via the insertion of tubes into tracheostomies, the nose, or the mouth; nosocomial infections may result, leading to ventilator-associated pneumonia, or VAP (CDC.gov, 2015). The infection is not generally associated with non-sterile techniques during insertion, but rather from tube contamination. The nosocomial infection is most often diagnosed in intensive care departments and research has been directed toward identifying methods of oral care as a means of prevention. Comparisons of the effectiveness of sodium bicarbonate swabs with that of chlorhexidine swabs have been made and the hospital ...

Ventilator-associated pneumonia

Abstract The intensive care unit in most hospitals plays the role of providing care to patients dealing with life-threatening conditions. The technological and other set ups in these hospital units are vital in ensuring that these patients continue to receive the best regarding care while with the intentions of having them emerge with desirable outcomes. There are however challenges relating to the care that these patients receive since, in most cases, they are usually under mechanical ventilation. A patient under this condition faces the risk of developing ventilator-associated pneumonia if the ventilators are not handled with the required care. ...

Implementation of the VAP project is a significant step aimed at ensuring that the objectives of giving patients outmost care, improvement of nursing practices and achieving desirable patient’s outcomes on the mechanically ventilated patients in the critical care unit are realized. Nevertheless, there is the need for making sure that all the relevant implementation stages have been followed and adequately taken into consideration. This will ensure any possible hitches that may affect project execution along the way are equally addressed. Additionally, it will be imperative that well-informed decisions are made with the intentions of ensuring that all the ...

1, why was this study done?

According to Al-Thaqafy et al. (221), the ventilator-Associated Pneumonia (VAP) is one of the leading causes of mortality and morbidity in the intensive care units (ICUs) on the patient who have been mechanically ventilated. This condition has the potential of increasing health burden to the critically ill patients due to the long hospital stay and the high cost of treatment. Although several techniques have been employed to curb this illness, the mortality and morbidity rates associated with VAP keeps rising due to lack of a definite strategy on how to address this disease. Therefore, this study was done to ...

The advancements in modern medicine in the last few decades are responsible for new treatment methodologies in treating deadly diseases. However, there are some areas of the human body that still remain a mystery. The human brain is one of the more complex organs and there is no forseeable outcome irrespective of the infirmity. The medical community faces hard choices whenever they encounter a difficult situation involving brain damage. The chances for recovery from a severe brain damage are slim. Hence, during such times, a hospital staff will request the family for consent to withdraw specific medical treatment or ...

Abstract

Ventilator-associated pneumonia (VAP) is an infection which often develops as a result of poor handling of mechanical ventilation. Such as, poor nursing practice in caring for patients with difficulty in breathing can lead to microorganisms entering patient’s body through a tube inserted especially via mouth and nose of the patient. When these microorganisms get into the respiratory system they cause lung infection which is referred to as ventilator-associated pneumonia (VAP). In preventing this infection, it is important that nurses adopt best practices to reduce the incidence of VAP and provide quality care that is aimed at improving the ...

Introducing evidence-based practice

Part 1 Ventilator-associated pneumonia (VAP) is a lung infection that is usually brought about by a critically ill patient being fitted with mechanical ventilators which are beneficial for their breathing system. The condition has been identified as a major factor contributing to morbidities and mortalities amongst patients in the acute care settings. Additionally, individuals who acquire VAP while in the critical unit stay longer in the hospital a factor which adversely impacts on their satisfaction levels and outcomes. The ventilators fitted onto these critically ill patients may be helpful in addressing their breathing problems even though there are challenges ...

Abstract

Ventilation Associate pneumonia is a nosocomial infection that affects immobile patients, especially those admitted in the Intensive Care Unit. The management of these patients has been challenged and it triggered numerous studies on the most efficient ways of managing such patients. In the ward care of a patient that is ambulant and can describe changes in their condition it is easy not to pay attention to the positions of the patients. However, in the acute wards, the positioning of such patients is significant in prevention of complications. One of the main challenges is pneumonia. The positioning of the head ...

Introduction

The advance care planning is a route paper where the elder people establish an action plan at the moment when they do not have the capacity to take a decision by themselves or their life is in danger, and they are physically unable to decide. The advanced care planning in not only a medical and nursing issue, but a legal issue where the elder gives the instructions of his life at the moment when they cannot make decisions. The testament is the last part of the advance care planning, but previous to that, there are medical procedures and instructions ...

Ethical problem

Stacy (2012) reviewed a case study of an irreversible case of pneumococcal pneumonia who had become mechanical ventilator support dependent. The male patient had decided to be removed from the ventilator and allowed to die with full knowledge of his irreversible condition and the eventual death that will come upon him after all life-maintaining support were removed. Although the family did not agree on the removal of the life-support treatment, they acceded to the wish of their father and approved the gradual removal of the ventilator referred to as terminal weaning. This case, unlike most controversial cases that leads ...

ICU Observation Evidence-based Practice

ICU Observation Evidence-based Practice

Introduction of the Patient

The patient goes by the name T.P. A 72-year-old male who’s a retired truck driver. He’s immediate family includes his wife, daughter, and grandson (10 years old who is autistic and has turrets syndrome). He is currently diagnosed with myocardial infarction and altered mental state. The past medical history of this patient shows that he has suffered a lot of diseases including hypertension, diabetes mellitus Type 2, congested heart failure, peripheral neuropathy, CKD-3, CAD, dementia, chronic kidney disease and GERD.

The primary medical diagnosis is myocardial infarction which refers to regional myocardial necrosis ...

Introduction

Nursing practitioner is frequently faced with ethical dilemmas during their service delivery. These ethical dilemmas are usually hard to tackle or make decisions on due to their sensitivity nature which is concerned with human life. Nevertheless, various regulatory bodies or organization have developed some principles or regulations to be followed by these nursing professionals in cases where they face cases which are hard to tackle. The first and main principle which a nursing or any other health provider is supposed to adhere to is the Hippocratic Oath. This is an oath which every health service provider is subject to. Hippocratic ...

Abstract

Karen Ann Quinlan is a woman who lived between March 1954 and June 1985. She was born to a single mother of American Irish ancestry. Later, her mom gave her up for adoption to Joseph and Julia Quinlan; a childless couple at the time. (Quinlan, 1978). At age 21 in 1975, however, after moving away from her adopted parents to live with friends; she encountered the unfortunate experience of becoming unconscious, remaining in a coma for almost ten years. From reports she was dieting, had very little to eat within two days of the incident and was taking tonics and valium; besides drinking ...