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美国威斯康星大学密尔沃基分校论文代写:对重症脑损伤病人的护理

定量数据,所有神经重症监护室护士显示出他们负责监测患者的血压、血氧饱和度、温度。和大约50%的护士表示,他们也负责监测ICP、CPP。对于定性数据,有4类在护士的干预措施组合。第一个是神经生理学干预措施。它是由生理参数监测和维护保障在创伤性脑损伤患者神经系统的稳定性。除了参数,他们还监测肺动脉和中央静脉压力阅读,脑脊髓液排水、串行实验室值,和二氧化碳参数。保持这些值在正常范围内,护士帮助创伤性脑损伤病人预防继发性脑损伤,维持神经系统的稳定性。第二个是心理干预措施。在这个类别,护士使家庭成员之间的会议和各种医疗团队的成员。举行会议之间的家庭成员提供教育和背景的护理使病人和计划也给信息可能患者治疗结果和依据。第三个是伤害预防干预措施。这一类旨在防止额外的并发症病人,确保病人的安全。这一类的主要干预措施维护病人的脊柱的预防措施和频繁的重新定位。其他干预措施与机械通气相关肺炎预防皮肤破裂、预防跌倒和评价的需要医疗设备的限制,以防止破坏被认为是极其病人常规治疗。

美国威斯康星大学密尔沃基分校论文代写:对重症脑损伤病人的护理

For the quantitative data, all neuroscience intensive care unit nurses indicated that they were responsible for the monitoring of the patient’s blood pressure, oxygen saturation, and temperature. And approximately 50% of the nurses indicated that they were also responsible for the monitoring of the ICP and CPP. For the qualitative data, there were 4 categories where in the nurse’s interventions were grouped. The first one is the Neurophysiological Interventions. It is comprised of monitoring and maintaining the physiological parameters to guarantee neurological stability in TBI patients. In addition to that parameter, they also monitored pulmonary artery and central venous pressure reading, cerebral spinal fluid drainage, serial laboratory values, and carbon dioxide parameters. Keeping these values within the normal range, nurses help TBI patient to prevent secondary brain injury and to uphold neurological stability. The second one is the Psychosocial Interventions. In this category, nurses make meetings between the family member and various members of the healthcare team. Meetings between the family members are held to provide education and background of the plan of care being rendered to the patients and also to give information about the possible patient outcomes and rationales for the therapies. The third one is the Injury Prevention Interventions. This category aims to prevent additional complications to the patient and to ensure patient’s safety. The primary interventions for this category are maintenance of spine precautions and frequent reorientation of the patient. Other interventions like prevention of skin breakdown and ventilator-associated pneumonia, prevention of falls and evaluation for the need of restraints to prevent disruption of medical devices are considered usual care for any vitally ill patient.

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