Expands on the technology as practice of critical care nursing within the context of patients' and family members' experience of critical illness. Explores increasingly complex health problems (e.g. brain injury, drug poisoning, acute respiratory failure, hypovolemic shock, sepsis) to provide opportunities to integrate and expand knowledge of assessment, monitoring, interventions, healing and comfort. Examines concepts such as loss and grief, hope and suffering, ethical issues, and patient/family members' experience with potentially life threatening illness.
This course was retired after the Fall 2007 term and is no longer offered through IZUNA Part-time Studies.
At the completion of this course, given patients experiencing increasingly complex critical illness experiences such as head injury and trauma, drug poisoning, renal failure, liver failure, acute respiratory failure, GI dysfunction, sepsis and immunosuppression, the learner will be able to:
Predict nursing care measures required to care for patients experiencing alterations in O2 supply and demand that occur in specific, increasingly complex, critical illness experiences using knowledge of the pathophysiology of conditions and individual response patterns of the patient to the illness.
Assess patients experiencing increasingly complex critically ill health problems.
Apply theory of hemodynamic assessment to selected patients.
Apply theory of mechanical ventilation to selected patients.
Develop understanding of monitoring skills (e.g., arterial line and pulmonary artery catheter monitor).
Expand the previously developed comprehensive assessment framework to incorporate oxygenation and ventilation assessment for patients experiencing increasingly complex critical health problems requiring mechanical ventilation and hemodynamic monitoring.
Plan nursing actions taken with or on behalf of a patient experiencing increasingly complex health problems through formulation and use of a revised clinical decision-making framework.
Integrate theory about ethics, moral agency and quality of life into comprehensive assessment and clinical decision-making frameworks.
Integrate family theory into an assessment framework when working with critically ill individuals and their family members.
Plan and analyze care for the patient experiencing increasingly complex health problems integrating measures relating to concepts of loss and grief, hope, suffering, critical incidents, energy, healing and comfort.
Identify challenges and nursing strategies associated with communicating with patients and families who have specific barriers to communication (e.g., language, oral intubation, reduced level of consciousness).
Articulate the influence of the critical care environment (temporal, social, political, economic, physical and ecological) on communication, collaboration and partnership in the nurse, patient and health care team relationships.
Within the context of learning to care for increasingly complex critically ill patients and their family members participants will have an opportunity to:
Develop competence as a critical care nurse by expanding and applying the technology as practice required to care for patients and family members.
Use critical thinking skills to reflect on personal, theoretical and ethical knowledge.
Appreciate the communication skills required to engage in dialogue with patients and their family members who have specific barriers in communication. Further develop verbal and written communication skills through a variety of learning activities.
Further develop skills (e.g., collaborative decision-making processes) to create partnership with patients, family members, colleagues and health care providers.
Expand their understanding of professionalism to include care for the care giver, ethical judgement and moral agency, and the nature of nursing work.
Begin to integrate a variety of sources of knowledge such as personal, professional, theoretical and research to support nursing practice.