In spite of its continued use, no evidence exists as to its effectiveness in improving pulmonary complications (Vollman, 2010). Continuous lateral rotation therapy has been in use as part of progressive mobility and has been employed in an effort to reduce pulmonary complications resulting from immobility. This therapy was delivered through a continuous motion-bed frames that helped rotate the patient from one side to another. Studies have demonstrated the effectiveness of the therapy in improving pulmonary outcomes in critically ill patients (Sahn, 1991). The mobilization of patients is a broadly accepted practice helping reduce the effect of prolonged bed rest. In spite of this, it is usually difficult to mobilize patients during early acute phases of their illness. CLRT can be used to make up for this deficiency by providing early mobility efficiently to those patients whose critical condition or instability makes it hard to use other forms of mobility. There are several criteria which have been proposed in identifying pulmonary patients who could potentially benefit from CLRT. Methods that can be evaluated quickly and simply are preferred owing to ease in their implementation especially in busy critical-care environments. An example of such a method includes calculation of PaO2/ FIO2 ratio. This ratio shows the effectiveness of transfer of oxygen from the lungs to the hemoglobin in the blood. If this ratio is more than 300, the patient is considered to have minor pulmonary insufficiency, but if the ratio is less than 300, the patient is considered to have acute lung injury. The lower the ratio is, the worse the pulmonary function and vice versa. Setting the desired ratio as 300 helps to achieve the goal of early intervention instead of waiting till the patient deteriorates further. Additionally, other criteria include evaluation of the patients’ oxygen and PEEP requirements so as to achieve normal levels of PaO2. A radiograph is useful to assess for the presence of infiltrates and atelectasis. Bedside staff can easily evaluate these criteria. The most important consideration in the evaluation of potential CLRT patients is consistent assessment of the established criteria basing on the established set standards within the institution. The development of clinical practice outlines, standard of care or care bundle enables consistent implementation and helps improve outcomes. All the members of the care team are to participate actively in the identification of patients who would profit from early progressive mobility therapies like CLRT. Continuous education, evaluation and bedside mentoring are required to effect implementation of new or updated standard or practice( Sandra, 2012). When patients have been identified as suitable candidates for CLRT, there are many obstacles that impede the implementation of CLRT. Often times, transferring a patient from one bed to another seems a difficult task, what with the tubing, the branular and equipment that are connected to the patient. Additionally, those caregivers who will physically lift the patient are exposed to physical risk. There is also time lag between the moment when a patient is identified as suitable for CLRT and receipt of a suitable bed for performing a CLRT. This therefore calls for availability of ready beds capable of CLRT in the intensive care units so that there would be no need for multiple transfers from one bed to another. This would in effect minimize delays. In case such
PICOT STUDY PROFESSOR NAME A. Introduction Pulmonary complications are quite common in critically ill patients, and this is especially so in patients with intubation and who are mechanically ventilated. Among the common complications are atelectasis, hypoxia and nosocomial infections…
The heightened concern regarding the issue on falls in the inpatient setting enabled research on risk factors on falls and fall management strategies to be extensive and many fall prevention programs had been proposed at the course of time. This study will identify the patients at high risk for falls in a community hospital setting and present a fall prevention program for this vulnerable group.
This is what he termed as stress. In his later works, he used the term stressor to refer to the stimulus involved in the provocation of the stress response (Nevid, 2009). On his continued approach and articulation of stress, Selye (1974) noted that, it is not possible to avoid stress.
The introduction is a restatement of the work of the first task of this project; it includes an explanatory description of the problem that is to be addressed through this research, of the justification for conducting this research and the rationale for the method and style of the research, of the role and limitations of the researcher, of the human subjects and sampling procedure and of the hypothesis of the study.
There will be use of statistical analysis of the variables in order to establish the relationship existing between the variables with specialty beds and pressure ulcers. In addition, qualitative data will be obtained and subjected to the statistical analysis in order to give more detailed inference. The qualitative data will include both primary and secondary data.
According to the paper nursing informatics) has been defined as a blend of computer science, information science and nursing science, aimed to achieve the management and processing of nursing data, information and knowledge to support and enhance the practice of nursing and provision of nursing care. The hybrid of nursing and computer science helps to develop more efficient health care processes by three ways: streamlining documentation and communication, providing decision support tools and contributing to patient safety.
Therefore, the purpose of this paper is to describe the evidence that the continuous lateral rotation is quite effective than no rotation in the prevention of the acute respiratory distress syndrome and lung injury patients
The World Health Organization-WHO (as cited in News Medical, 2013) documented that close to 40 million children who were overweight in 2010 were below 5 years.
It is important to further study the relationship
1 pages (250 words)Research Paper
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