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Optimizing Sedation Use in the Mechanically Ventilated Patients

出版	Grand Canyon University, 2014
URL	http://books.google.com.hk/books?id=ylqZzwEACAAJ&hl=&source=gbs_api

註釋Clinical studies have been conducted that document the significance of sedation in the mechanically ventilated patient. Patients have reported a variation of harsh realties in recollection of their experience while being intubated. Across the board patients noted feeling tortured and experiencing pain (Clukey, 2014). Consistent norms were identified as to the reliability of using assessment scales individualized to patients to determine the level of sedation present before and after receiving sedation. With the use of Richmond Agitation-Sedation Scale and Confusion Assessment Method for ICU (CAM-ICU), thorough assessments can be performed to identify patients09́ anxiety, agitation, delirium, and pain (Vanderbilt University, 2014). Establishing a format to implementing the change of practice is essential to facilitate moving towards quality patient outcomes. With implementation of the appropriate use of screening tools, evaluating the results that directly impact the stakeholders and the patient can create a therapeutic environment. Understanding how crucial and fragile a mechanically ventilated patient may be, or may become, is a part of knowing the needs of that patient. Patients who are mechanically ventilated deserve to be comfortable. Since, comfort is of vital significance in treatment and maintenance of this patient population, not maintaining comfort can yield undesirable outcomes. Kolcaba09́s theory of comfort targets the primary ingredients to ensure comfort of patients through assessment, measurement, and evaluation of patient comfort (Kolcaba, 2013). Keeping the patient at the center of care provided as the primary focus, not only offers care, comfort, and compassion, but also can aide in being the difference in that patient09́s life.