Nursing Assignmet
Please see the attachment for instruction.
The topic for this assignment is Abdominal Aortic Aneurysm
Abdominal Aortic Aneurysm
1./ Describe what the nurse does (Nursing intervention), in detail for that patient. (use the information I provided in green color but paraphrase it all into your own words)
2/. Describe ALL the collaborative people you can think of and how they work. (A collaborative intervention is something OTHER staff does, not the nurse. So if my patient has a respiratory issue, a collaborative intervention would be the respiratory therapist administers a nebulizer treatment.)>> (use the information I provided in blue color (INTERPROFESSIONAL CARE) below but paraphrase it all into your own words)
3/. Therapeutic modalities are the equipment and treatments to care for the patient with your problem. For example, glucometer, SCDs, ventilator, IV pumps. Oxygen saturation, dressing changes, Central Lines, Cardiac Montiors….etc. (Please provide 1 reference for this criteria).
Required criteria
Describes the various therapeutic modalities used in the management of care for the critically-ill individual.
Discusses the extent of the nurses responsibilities and skills required to manage the therapeutic modality in
comparison to the responsibilities of the members of the interdisciplinary team.
The rationales are included for each modality.
4./ Role Reflection: This is worth the most. You need to talk about communication styles among people in the ICU and discuss your OWN communication style. First person is fine! Talk about barriers and facilitators to communication. Include TWO evidence based articles about communication and what can be learned from them. Describe how you can become a better communicator. (Please provide 2 references for this criteria).
Required criteria
Analysis of communication style preferences among interdisciplinary team members and with the critically- ill individual and family members;
Analysis of the impact of own communication style on others
Description of system barriers and facilitators in relation to the quality of care/outcomes for the critically-ill individual
Discussion of recommendations to the organizational system for enhancing interdisciplinary collaboration, which are supported by at least two (2) evidence- based literature
Description of ideas for own professional self- development plan to enhance own potential for becoming an effective member in an interdisciplinary team.
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Nursing intervention
(Make these following outlines into a paragraph and Paraphrase this information into your own words)
_ Priority interventions include monitoring the arterial pressure, heart rhythm, and hemodynamic findings, as well as monitoring for evidence of graft occlusion or rupture postoperatively.
_ Monitor vital signs and circulation (pulses distal to graft) every 15 min.
_ Maintain the head of the bed below 45 to prevent flexion of the graft.
_ Report evidence of graft occlusion or rupture immediately (changes in pulses, coolness of extremity below graft, white or blue extremities or flanks, severe pain, abdominal distention, decreased urine output).
_Monitor and maintain blood pressure within the prescribed parameters. Prolonged hypotension can cause thrombi to form within the graft; severe hypertension can cause leakage or rupture at the arterial anastomosis suture line.
_ Maintain a warm environment to prevent temperature-induced vasoconstriction.
_ Administer IV fluids at prescribed rates to ensure adequate hydration and kidney perfusion.
_ Monitor for altered kidney perfusion and acute kidney injury caused by clamping aorta during surgery (urine output less than 30 mL/hr, weight gain, elevated BUN or blood creatinine).
_ Auscultate lung sounds. Encourage coughing and deep breathing every 2 hr. Encourage splinting with coughing.
_ Assess onset, quality, duration, and severity of pain. Administer pain medication as prescribed.
_Monitor bowel sounds, and observe for abdominal distention. Maintain nasogastric suction as prescribed.
_ Prevent thromboembolism. Maintain sequential compression devices. Encourage early ambulation.
_ Monitor for infection.
_ Administer antibiotics as prescribed to maintain adequate blood levels of the medication.
CLIENT EDUCATION
_ Monitor and maintain blood pressure. Stay within parameters set by the provider. Taking medications as prescribed prevents complications (rupture).
_ Perform follow-up on scheduled CT scans or ultrasounds to monitor aneurysm size (nonsurgical client). Collaborate with case management services to assist with transportation needs.
_ Consider smoking cessation if the client smokes.
_ Prevent infection (good hand hygiene, wound care management). Report evidence of infection following
surgical intervention (wound redness, edema, drainage; elevated temperature).
_ Adhere to a proper diet (low-fat, high-protein, vitamins A and C, zinc to promote wound healing).
_ Review manifestations of aneurysm rupture (abdominal fullness or pain, chest or back pain, shortness of breath, cough, difficulty swallowing, hoarseness). Report these immediately.
_ Avoid strenuous activity, and restrict heavy lifting to less than 15 lb (surgical client
INTERPROFESSIONAL CARE
_ Cardiology services can assist in managing and treating hypertension.
_ Radiology should be consulted for diagnostic studies to diagnose and monitor an aneurysm.
_ Vascular services may be consulted for surgical intervention.
