Hello, Welcome to my blog!!!
I hold many titles, I am a Wife, Mother, Nurse, Sister, Friend, and Aunt just to name a few!!! I am blessed!!!
I have two lovely kids, I currently work on a telemetry unit, i am always learning something new at work and always developing new relationships. i would eventually like to see myself in a Woman unit.
I love to be outdoors, hiking or just enjoying nature. I also love movies. I always say movies allow me to escape to a world that i enjoy.
Having an online identity is a digital version of yourself. Your presence online is similar to your real life presence in a sense that you still have actions online. What you post, like, and everything you do builds a image of how everyone and anyone online will perceive you. I think what surprised me the most was how much time a day people spend on social networks, some people practically live their lives online. The fact that I am going to be an EOP mentor makes me more aware of my online presence, I have a good understanding of maintaining a positive online identity. I think I’ve done pretty well the past years of maintaining a positive identity, for example my Instagram is very positive and just by that some people even know what my major is without me stating it. As long as I continue to be aware and gain new leadership skills I think I’ll be just fine.
This journal article is a study of incidence in delirium in Denmark ICU vent patients 18 years old and older that stayed in the ICU longer than 48 hours. The aim of the study is to investigate the effects of fluctuating levels of sedation on the incidence of delirium in the ICU. They found out that the bigger the changes to the levels of sedation, the is higher chances of the patient having delirium. The article studied 640 patients. In those 640, 65% of them had an incidence of delirium at least once. According to the article, & Delirious patients were significantly older, more critically ill, more often intubated, had longer ICU stays, and had higher ICU mortality than non-delirious patients& (Svenningsen et. al, 2013). I agree with the findings of this research. I would imagine that older adult patients will have a higher incidence of ICU delirium because of their age. I feel other patients have incidences due to over medication and longer stay in ICU. The article recommends a systematic delirium assessment tool to prevent, predict, and treat ICU delirium. It also recommended that further studies should be done between the compounding effects of medication and incidences of delirium.
Svenningsen, H., Egerod, I., Videbech, P., Christensen, D., Frydenberg, M., & Tønnesen, E. (2013). Fluctuations in sedation levels may contribute to delirium in ICU patients. Acta Anaesthesiologica Scandinavica, 57(3), 288-293. doi:10.1111/aas.12048
I found the video by the ICU delirium and cognitive impairment study group to be very touching. Dr. Wes Ely talks about how geriatrics need advocates in the critical care unit (CCU) and intensive care units (ICU). This topic is very interesting for me because I work in an ICU step-down unit with patients on ventilators .He noted that the patients were leaving these units with worsening cognitive effects that he called an “acquired dementia” from the sedatives they were receiving in the CCU or ICU. This is the first time that I had ever heard about oversedating patients into a delirium to the point where they were having residual cognitive defects after discharge. This prompted me to do some research of my own on ICU delirium. I really loved that he said that he was trying to improve the lives of people he will never meet. I guess that is what medical research is all about .
I was able to find an article written by a nurse in a Health Science article. In the article named, Delirium: a distressing and disturbing clinical event in a Intensive Care Unit, they talk about tools nurses can use to control the levels of severity of delirium encountered in critical care units. The article found that if tools to classify the severity of delirium were more readily available to nurses, we would be able to identify patients who are at the highest risk for adverse outcomes from sedation medications. I think this a perfect step towards reducing this problem found in the critical care units.
“Several studies have now confirmed that delirium occurs in 60% to 80% of mechanically ventilated patients.” (Maniou , 2012) This number is astonishingly large and something must be done to help these patients. I strongly agree with this article because I think that nurses, as patient advocates, must do something to help stop this. This article offers many screening tools and interventions a nurse can use to help prevent ICU delirium. This includes things such as the Confusion Assessment Method – Intensive Care Unit (CAM-ICU) and using the patient’s glasses and/or hearing aids to help prevent sensory deprivation. Overall, I learned a lot about this topic that I knew little about and I hope that I can bring something back to help care for my patients at work.
Maniou, M. (2012). Delirium: a distressing and disturbing clinical event in a Intensive Care Unit. Health Science Journal, 6(4), 587-597.
Hi, my name is Ramir De Castro, but you can call me R.J. for short. I graduated with my ADN in 2012 in Pasadena City College. I started my health care career as a Surgical Tech in an outpatient surgery center. I then became an LVN and worked in Los Angeles Community Hospital in med-surg/Tele floors for 3 years. I am now working in Sherman Oaks Hospital in Van Nuys. I was hired in 2013 as an ER nurse. I then transferred to MS/Tele. Then to DOU. Now I am recently in the ICU unit. I plan to continue with my education and hopefully get into a BSN to DNP program.
Hello Everyone,
My name is Tiffany Garcia. I am 26 years old and originally from Chatsworth, Ca. I received my Associates Degree in Registered Nursing from Moorpark College in December 2013. Shortly after, I got my first job as an R.N. in the D.O. U. at Sherman Oaks hospital. I will be graduating with most of you in August of 2015 from CSUCI. I was an L. V. N. before I became an R. N. so I have been in the field of nursing for 6 years now. I enjoy learning something new everyday and furthering my knowledge of nursing as I grow academically. I’ve wanted to be a nurse since I was little so, as you can imagine, I’m super proud be be able to call myself an R. N. and finally have the career I’ve wanted for so long. So far this class has been very fulfilling and has taught me a lot. I look forward to continuing my education and one day getting my doctorate degree. On my free time I enjoy hanging out with friends and family , camping, traveling, hiking, and going to the beach with my Huskey.
My web page url is: tiffanygarciarn.cikeys.com
In this post I will present some findings and suggestions from a study performed by Vanderbilt University. The study aimed to discover how well the brain worked after people survived critical illness. I will focus on the effects of drug-induced comas in particular. The information of their study was published in The New England Journal of Medicine in an article titled, “Study: Extended ICU stays cause brain damage”.
The conclusions the study made were that prolonged ICU stays caused prolonged brain damage, and that doctors at a minimum needed to use more caution when implementing drug-induced comas. A more ambitious suggestion was that there should be a culture shift in the way that hospitals handled their sickest patients in the ICU. Dr. Ely Wes, senior author of the study said, “Instead of keeping them in drug-induced comas, we can keep them awake and alert even though they are on life support.”
So, why where these suggestions made? Well, first the study revealed that up to 30% of patients in the ICU suffer from delirium during hospitalization. The study further revealed that putting patients in drug-induced comas lengthens the delirium that patients suffer. Furthermore, deep sedation was correlated with worse cognitive scores up to three months after hospitalization. More importantly, it was discovered that the longer the patient suffered from delirium during hospitalization the higher the risk of developing dementia after discharge.
In order to address the effects of prolonged ICU stay, and use of drug-induced comas the study suggests that hospitals keep patients alert, get them out of bed as soon as possible, and acknowledge that drug-induced comas can do more harm than good.
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