They must work together to help parents understand the benefits of withholding or withdrawing and that they won’t be hastening their child’s death, but only making them a little more comfortable. References Devictor, D., Latour, J., & Tissieres, P. (2008). Forgoing life-sustaining or death-prolonging therapy in the pediatric icu. Pediatric Clinics of North America (55), 791-804. doi:10.1016/j.pcl.2008.02.008. Jacobs, H. (2005).
Intravascular [IV] catheters or venflon are widely used to administer fluids, blood products and nutritional support and for hemodynamic monitoring. IV catheters are vulnerable to blood stream infections. The management of (IV) catheters has an important effect on the incidence of catheter associated infections and there is considerable potential to prevent infections through the applications of the best principles of practice. ( Coello et al 2003 MMWR 2000). Therefore I understand how important it is to demonstrate significant reductions in rates of IV catheter related infections in acutely ill patients by training and education programme of the insertion and maintenance of vascular access catheters.
(2008). Management of patients after percutaneous coronary interventions. Critical Care Nurse, 28 (5), 26-39. Terry, C. L., & Weaver, A. L. (2011). Care of the patient with endocrine disorders.
Hurt, S., & Mauron, A. (2006). The ethics of palliative care and euthanasia: exploring common values. Palliative Medecine, 20(2), 107-112. Retrieved February 05, 2007 from EBSCOhost Direct database.
References Management Science for Health. (2011, March). The providers guide to qulaity and culture: Culturally competent organization. Retrieved from http://erc.msh.org/mainpage.cfm?file=9.4.htm&module=providers&language=English Norman, P., & Brain, K. (2005, March). An application of an extended health belief model to the prediction of breat self-examination among women with a family history of breat cancer.
In March, 2004 the Center for Disease Control and Prevention or CDC, re-published guidelines for the prevention of ventilator-associated pneumonia which includes recommendations to educate the hospital staff about the epidemiology and infection control procedures and performance-improvement tools and techniques (Tablan, 2004). The guidelines set by the CDC categorize staff education and infection/microbiologic surveillance as being strongly recommended for implementation based on experimental and clinical studies (Tablan,
Research Integration WGU Evidence-Based Practice & Applied Nursing Research EBT1 - 724.8.3-01-05 July 18, 2013 Research Integration Types/Appropriateness/Classification of Sources of Evidence The article for the American Academy of Pediatrics (AAP) and American Academy of Family Physician regarding the diagnosis and management of acute otitis media (AOM) is considered to be a filtered resource classified as evidence based guideline. The recommendations establish guidelines of the definition, assessment and management of AOM based on research literature from experts making it appropriate to use in a nursing practice situation. The second article from Block, Causative Pathogens, Antibiotic Resistance and Therapeutic Considerations in
Moule, P. and Hek, G, 2011. Making sense of research: an introduction for health and social care practitioners, pp 45-53. Mulroy, M.F., 2002. Regional Anaesthesia, An Illustrated Procedural Guide. 3rd ed.Philadelphia, PA: Lippincott Williams and Wilkins.
3. Boonstra, A and Broekhuis, M., Barriers to the acceptance of electronic medical record by physicians from systematic review to taxonomy and interventions (Electronic Version), BMC Health Services Research 2010, 10. 4. Scott, J., Rundall T., Vogt, T, and Hsu, J (2005), Kaiser Permanente’s experience of implementing an electronic medical record: qualitative study (Electronic Version), British Medical Journal, 331, 1313-1316. 5.
In this paper the subject being looked at are patients that are mechanically ventilated. The intervention is performing oral care and hygiene whether it is mechanical or pharmacological intervention. The action of actually performing these and the frequency in which they are performed is what is being compared to no oral cares. The outcome is to decrease the rates for developing VAP (article 5,1,2,3, and 4). VAP is a major threat to patients receiving mechanical ventilation in hospitals and prevention and control of VAP remains a primary concern.