Advanced Practice in Critical Care

Sarah McGloin is Senior Lecturer in Acute Care at Anglia Ruskin University, UK. Anne McLeod is Senior Lecturer Critical Care at City University, UK.

Preface. Contributors and acknowledgements. 1 Challenges in contemporary critical care (Sarah McGloin). Introduction. Critical care without walls. Advanced practice. Interprofessional roles within critical care. Conclusion. References. 2 The physiological basis of critical illness (Mark Ranson). Introduction. Patient scenario. Mechanisms of cellular damage. Impact of reduced perfusion on energy production. Evaluation of ischaemia: reperfusion injury. The inflammatory response and the role of mediators. Mechanisms for haemostasis in relation to critical illness. Conclusion. References. 3 The patient with haemodynamic compromise leading to renal. dysfunction (Tracey Bowden and Anne McLeod). Introduction. Patient scenario. Underlying physiology and pathophysiology. Assessment and diagnosis. Evidence-based care. Ongoing patient scenario. Progressing pathophysiology. Ongoing assessment. Evidence-based care. Conclusion. References. 4 The septic patient (Sarah McGloin). Introduction. Patient scenario. Underlying physiology and pathophysiology. Assessment and diagnosis. Evidence-based care. Ongoing patient scenario. Progressing pathophysiology. Ongoing assessment. Evidence-based care. Conclusion. References. 5 The patient with acute respiratory failure (Anne McLeod). Introduction. Patient scenario. Underlying physiology and pathophysiology. Assessment and diagnosis. Arterial blood gas analysis. Evidence-based care. Ongoing patient scenario. Progressing pathophysiology. Ongoing assessment. Evidence-based care. Conclusion. References 6 The patient with chronic respiratory failure (Glenda Esmond and Anne McLeod). Introduction. Patient scenario. Underlying physiology and pathophysiology. Assessment and diagnosis. Evidence-based care. Ongoing patient scenario. Weaning from ventilatory support. Ongoing care. Conclusion. References. 7 The patient with an intracranial insult (Anne McLeod). Introduction. Patient scenario. Underlying physiology and pathophysiology. Assessment and diagnosis. Evidence-based care. Ongoing patient scenario. Progressing pathophysiology. Ongoing assessment. Evidence-based care. Conclusion. References. 8 The patient with a traumatic injury (Elaine Cole and Anne McLeod). Introduction. Patient scenario. Mechanisms of injury. Assessment and diagnosis. Primary and secondary surveys. Underlying physiology and pathophysiology. Evidence-based care. Continuing patient scenario. Evidence-based care. Ongoing patient scenario. Progressing pathophysiology. Ongoing assessment. Evidence-based care. Management of his pelvic injury. Conclusion. References. 9 The patient with a diabetic emergency (Sarah McGloin). Introduction. Patient scenario. Underlying physiology and pathophysiology. Underlying pathophysiology. Assessment and diagnosis. Evidence-based care. Ongoing care. Conclusion. References. 10 The long-term patient in intensive care unit(Phillipa Tredant). Introduction. Patient scenario. Impact of being in the critical care environment. Psychological effects. Underlying physiology and physiological effects. Quality of life. Rehabilitation process. Conclusion. References. 11 Ethical considerations in critical care (Anne McLeod). Introduction. Patient scenario. Admission to critical care. What are ethics? Biomedical ethical model. The role of outreach. Ongoing patient scenario. Futile situations. Withdrawal/withholding of treatment or euthanasia? Patient autonomy. The process of withdrawing or withholding treatment. Role of the nurse. Collaborative decision-making. Conclusion. References. Index.