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Concept Analysis Name Course Tutor’s Name 27th, November 2012 Introduction This research paper analyzes the concept of anxiety in relation to medical treatment and healing process. The structure of the paper, including theory development bases on the concept analysis framework of Liehr & Smith (2008).
I work in the ICU, where I am responsible for critically ill patients. Specifically, I am in charge of those who need artificial ventilation. I am to ensure the patients get better, and not contracting more diseases in the course of their admission in the ICU. One of the most dangerous risks that ICU patients on artificial air are exposed to is the Ventilator-Associated Pneumonia (VAP). Its prevention involves a 5-steps process, called the VAP bundle. Of the five steps, interruption of the sedation to introduce extubation to the patient is the most critical step, also called, “weaning from mechanical ventilation.” Previously, the physicians attending to patients in critical situations attempted to reduce the length of time of mechanical ventilation by manipulating ventilator modes and gradually decreasing the ventilator support. Nonetheless, research today has shown that sedation can have a bigger impact on the length of time of mechanical ventilation, and other patient outcomes than can manipulating ventilator modes (Eber, Laximinarayan, Perencevich, Malani, 2010). Patients respond differently to sedation, depending on their ability to cope. One major incidence that comes to my mind when sedation is mentioned is one I experienced with a post renal transplant patient, who was admitted to the ICU for 12 hours’ observation. ...
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