Chapter 16: Care of the highly dependent and critically ill adult
1. Patients are admitted to critical care units for ______.
- care at end of life
- specialist monitoring and treatments
- monitoring of condition
2. A range of healthcare professionals work within critical care; these include ______.
- nurse specialists
- infection control team
- advanced nurse practitioners
3. Burnout can occur when ______.
- nurses work long hours
- daily caring for sick patients and their families
- limited resources are available
4. There are certain criteria required for patients to be admitted appropriately to critical care; this would include ______.
- increasing requirements for organ support
- life-limiting conditions
- potential reversible clinical condition
5. Patient safety is a fundamental aspect of nursing care; this involves ______.
- understanding ways of effective teamworking
- awareness of budget and limited resources
- appreciation that all patients cannot be cared for within critical care and therefore, until clinical condition necessitates, patients should remain within general wards
6. As a healthcare professional working within critical care, it is important to ______.
- have effective verbal and non-verbal communications skills
- appreciate that providing technical skills is more important than providing ‘softer’ skills
- understand all patients generally have the same needs within critical care
7. Within the critical care environment, it is important to provide psychological support.
Therefore, it is vital to ______.
- care for patients holistically using a person-centred approach
- appreciate that is although it may not be good for patients the area must always be bright and well-lit
- accept that critical care is a noisy environment and unfortunately patients may not have a restful experience
8. Post-intensive care syndrome is a recognised phenomenon; this can be reduced by ______.
- treating underlying factors
- discontinuing sedative drugs regardless of benefit to patient
- support and talk to the patient continually
9. Early warning scoring systems are routinely used. Nurses need to ______.
- assess and respond to patient changes appropriately
- have an awareness of effective communication systems
- ensure that clinical deterioration is certain before alerting team
10. To ensure smooth patient transfer from critical care, nurses should ______.
- advise patient that it may take some time before they return to pre-illness quality of life, if at all
- if pushed for time, ask the ward staff to contact patient’s relatives to advise of patient transfer
- arrange to discuss the challenges and address the anxieties that the patient and their family may have pre-transfer