NCM18: Care of The Clients With Life Threatening Conditions: Please Answer The Following Questions

SOUTHERN LUZON STATE UNIVERSITY
College of Allied Medicine

Lucban, Quezon
Sia, Erjen Alexandria M.

BSN 4B
NCM18: Care of The Clients With Life Threatening Conditions
Please answer the following questions:
1. What are the Different Nursing Roles of an ICU Nurse and how?
A critical care nurse is another term for an ICU nurse. Inside the intensive care unit, critical care
nurses provide the majority of direct care to patients in life-threatening situations. ICU nurses
primarily provide care to patients suffering from cardiac disease, brain injuries, accident victims,
and patients recovering from complicated surgical procedures that necessitate nursing care.
a. Independent
ICU nurses' independent roles include monitoring exact, detailed reports and records of
critical ICU patients, symptoms, and changes in patients' conditions through close observation
and physical assessment. In addition, ICU nurses carefully observe and document patient
medical information and vital signs. They also examine all aspects of patient care, such as diet
and physical activity. They can also respond to life-threatening situations and treat patients
according to nursing standards and protocols. When a patient requires ICU care, critical care
nurses may also care for him or her before and after surgery.
b. Dependent
An ICU nurse's dependent roles include administering intravenous fluids and medications as
prescribed by the doctor. They also update treatment records based on doctor's orders or
prescriptions.
c. Interdependent
ICU nurses document patients' treatment plans, interventions, outcomes, or plan revisions in
terms of interdependence. They also determine which patients are at risk of complications as a
result of their nutritional status. ICU nurses as well help doctors with procedures like
bronchoscopy, endoscopy, endotracheal intubation, and elective cardioversion. They can also
provide advanced life support and treat wounds. Collaborating with other members of the critical
care team. Direct and supervise less-skilled nursing/health care personnel, or oversee a specific
unit on a single shift in response to patient response and conditions.
2. During the final phase of a terminal illness, as an ICU nurse how will you prepare the
patient and the family for what to expect in terms of:
a. Personal needs
Continue to provide the patient with the prescribed care, such as assessing the patient, cleaning,
or providing holistic care for the patient. Then, effectively communicate with the patient's
doctors and families. It is possible to prepare patients' medical records. Informing patients'
families about their needs or providing health-related updates.
b. Impending death
First, inform the patient of his or her history or current situation. Be truthful about his or her
condition and avoid using misleading euphemisms with both the patient and his or her family.
When providing this type of information, explain the situation to the family in a private setting
or allow give them privacy to process. Use appropriate body language like sitting quietly with
them, and provide emotional support by listening to the family. Nurses can also arrange for the
dying person to see people he or she wishes to see in order to say goodbye or share memories.
Always remember, when speaking with the family, remember to avoid using deceptive
euphemisms. It is best to communicate directly with the patient's loved ones and treat them as
adults.
c. Social needs
Remind family members to talk softly around the patient and tell them their admiration or love
because even though the patient are unconscious or are in coma, it is possible for them to feel
people around them or presence of others. Plan also the visiting hours or time of the patient and
encourage family members to be there when needed.
d. Ethical and legal issue

Critical care nurses are confronted with ethical issues on a daily basis, whether it is professional
ethics or assisting a patient or family in resolving their own ethical issues. As an example,
suppose a patient's lungs have been damaged and he is unable to breathe on his own. The
majority of the time, the patient was still awake and oriented. During one oriented period, he
requests to be designated as a DNR, or do-not-resuscitate patient, indicating that if his heart
stops again, he does not want to be brought back. The patient's sister disagrees and informs the
hospital that her brother is incompetent to make decisions. She threatens to sue if the hospital
allows her brother to be placed on the do-not-resuscitate list.

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SOUTHERN LUZON STATE UNIVERSITY

College of Allied Medicine

Sia, Erjen Alexandria M.

NCM18: Care of The Clients With Life Threatening Conditions

Please answer the following questions:

d. Ethical and legal issue

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