Noise in the Intensive Care Unit not only deprives the patient of vital uninterrupted sleep, it also sets in motion stressful psychological and physiological responses which are harmful to the patient. This brief overview of noise as a stressor will serve to encourage nurses to provide an optimum environment for healing.
The staff of an intensive care unit in a Pediatric Hospital in Ottawa believed in the philosophy of nursing care plans. They decided to develop a pediatric critical care standard nursing care plan that would be useful for care giving and user friendly. This article describes the evolution and implementation of their plan.
With the introduction of exciting new shock-related research into clinical practice, coupled with the development of advanced physiologic monitoring, we have expanded our horizons considerably. Our approach to shock is moving beyond single-organ support to a more conceptual and global approach. We now stand a chance at making a difference in patient's experiencing shock, rather than just defining separate etiologies.
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