Physicians are expected to make proper clinical assessments to determine whether failures are reversible or irreversible to determine the kind of decision to make. Such assessments are useful on determining whether to withdraw treatment, the kind of therapy to apply and many others. There are a lot of controversies that surround the aspects of managing MOF. This is due to the reason that there is no known treatment cause to be taken on patients with the complication. The field lacks proper research and controlled studies that will aid in giving proper care. Instead, the current methodologies in the treatment and care of MOF patients suggest the application of different immunotherapy patients which are often full of mistakes and inapplicable in some cases. Many players in this field also rely on information from laboratories and at times, many have accepted the use of unproved interventions to control the complication. Further, the field of MOF management lacks definitive diagnostic precisions and this has been a major discouraging factor (Jevon $ Ewens 2007). All the above problems experienced in this field greatly contribute to the current lack of principled and well-defined rules to follow during patient management. This has made it difficult for physicians to realize what should happen when certain situations come up. This is one of the problems that one can identify when working with others in the area. Mostly, individuals apply what they think is right at certain times and expects families to consent to their determinations. Further, complications such as systematic inflammatory response syndrome (SIRS) and multiple organ dysfunctions (MOD) presents complications that are difficult to identify and this has further worsened the situation in ICUs dealing with critically ill patients (Jevon $ Ewens 2007). Despite the above challenges, there have been multiple developments made concerning the issue of MOF. Further research has been able to make progress in determining the physiology of SIRS; the leading cause of multiple organ failure. Major pathophysiological mechanisms that are within the inflammatory conditions of MOF have been developed with better definitions of sepsis, SIRS and MODS. Health practitioners have made progress in ensuring the prevention of organ failure by ensuring optimum circulation and faster correction of hypoxia of tissues experienced by patients in high-risks. All these developments have been important in ensuring effective care to the patient. Application of the knowledge from the pathophysiology of SIRS, sepsis and MODS helps in the determination of the best methods as regards the care of patients. This paper will reflect on the self experience of taking care of a patient with a multiple organ failure. It will define the best methodologies for application under certain situations that can complicate the process of care to the patient. My experience as regards this issue is of a 57-yr old man who was found collapsed by his wife. Examination of the man recorded some existence of SIRS, the main observation being spontaneous breathing. Initial management was immediate intubation within the ambulance fifteen minutes after the arrival. He was admitted on hospital where a follow up of examinations were done to ascertain the cause and extent of the complication. A scan of the head was done which showed normal functioning at first instances. However, extensive coronary calcification was noted on the
A reflection on the care of a critically ill patient Name Tutor Course Date Multi-organ failure (MOF) is a common cause of death in most hospitals around the world. The Intensive Care Unit gets a lot of challenges in managing the health related complications of patients with this kind of failure…
Despite the fact that such news is not always welcome, there is not much people could do to treat such patients to full recovery. On a rather positive note, a lot of information and expertise is currently available at the disposal of medical professionals and those who care for their dying relatives and loved ones on various treatments, support and care option for terminal illness patients.
I will use Gibbs reflective model (see Appendix A) because this model includes specific details which allow for a clear and comprehensive evaluation of the nurse’s actions (Gibbs, 1988). I also chose this model because it also makes provisions for a possible action plan which can be carried out on the patient (Gibbs, 1988).
The best strategy to employ is to empower the practitioners caring for the patients with the recommended knowledge, competence, and skills in order to recognize and effectively manage them. Acute illness courses offer most healthcare practitioners with various experiences that assist in promoting opportunities for the learning students to improve their skills and knowledge in caring for the vulnerable patients.
It is worth noting that providing a holistic assessment to the patient during admission to the ward is one of the fundamental requirements of nursing. This is because, through holistic nursing, it becomes possible to ensure that unity of the body, mind, spirit, emotion, and the environment becomes guaranteed.
According to recent studies, there has been a significant rise in the incidences of medical emergencies and related injuries in the last ten years (Cowen & Moorhead 2011, p.149; Weller et al. 2012, p.594). In all these, trauma and chest injuries from wound, gun shots and thrust injuries among others have critically increased the prevalence of thoracic medical emergencies of different kind.
For example, some people that have acute conditions may not be able to walk from one place to another (AAOS Orange Books, 2010:7). Since their mobility is a problem, they will needs assistance from family members and any other person that is around. This also calls for ultimate attention from medical practitioners since they know how to deal with such conditions.
Early onset of pneumonia is caused by infection of staphylococcus, haemophilus or streptococcus gram-positive bacteria. These strains of bacteria are antibiotic sensitive. The late onset of VAP occurs after 72hours of ventilation (Booker et al., 2013). Methicilin resistant staphylococcus, pseudomona and enterobactor bacteria normally cause it.
It's not about a car, which he can buy again, or a job that he can change, or a meal that he can choose; this is health, his life. No compromises on this one. So it's not surprising that health-care professionals are called as saviors. But do all patients get their lives saved in the manner they desire
The multidisciplinary team which takes care of the high dependency patient is more trained, knowledgeable and specialized. Nurses play an important role in the health promotion of an individual due to their direct contact and proximity with the
To learn by knowing, I have to go through the concrete experience wherein I could learn out of personally experiencing how to handle patients within the hospital setting. Eventually, I will carry out what I have learned by going through the process of
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