Thesis on "Pneumonia: Analysis, Evaluation & Critique"

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Pneumonia: Analysis, Evaluation & Critique pneumonia your purchase.99

PNEUMONIA

Analysis, Evaluation & Critique: Tolentino-Delosreyes, Et Al (2007): "Evidence -- Based Practice: Use of the Ventilator Bundle to Prevent Ventilator-Associated Pneumonia" (American Jounral of Critical Care -- January, 2007)

The objective of this work in writing is to analyze and critique the work of Tolentino-DelosReyes, et al. (2007) entitled: "Evidence-Based Practice: Use of the Ventilator Bundle to Prevent Ventilator-Associated Pneumonia" published in the American Journal of Critical Care in January 2007. The stated purpose of Tolentino-DelosReyes, et al. In their work is the examination of the knowledge possessed by critical care nurses concerning the use of the ventilator bundle in the prevention of pneumonia associated with use of a ventilator. Ventilator-associated pneumonia (VAP) is held by Tolentino-DelosReyes, et al. To be a safety issue that is of vital importance in treating patients who are critically ill and who are also receiving mechanical ventilation as part of their treatment regimen. Specific recommended steps of the American Association of Critical Care Nurses (AACN) for reduction of the incidence of ventilator associated pneumonia are those stated as follows: (1) elevation of patient's head at 30 to 45 degrees unless there is medical contradiction stating otherwise; (2) there should be ongoing removal of subglottic secretions; (3) the ventilator circuit should be changed no more often than forty-eight hours; and (4) the nurse should make sure to wash their hands both before and following contact with each patient. (Tolentino-DelosReyes, et al., 2007) Stated as inclusive in the limitations in the study reported in this specific work on reduction of ventilator associated pneumonia is the fact that "not all the nurses in the CCU and SICU were able to participate in the live education sessions; for those who could not attend, the information was provided through an educational poster that was posted in the unit. In some cases, nurses who attended the sessions shared the information with those who did not attend. Because of the nature of the project and the scheduling of staff, no comparisons were made between nurses who attended the sessions and those who did not." (Tolentino-DelosReyes, et al., 2007)

The first point that will be noted in support of the soundness of the work of Tolentino-DelosReyes, et al. (2007) is that the guidelines developed for reduction of ventilator-associated pneumonia is that these guidelines are stated by the Centers for Disease Control and Prevention (CDC) as best practice in the prevention of nosocomial pneumonia." (Tolentino-DelosReyes, et al., 2007) There is a great deal of current evidence in this area of study that supports HOB elevation at approximately thirty to forty degrees. Previous research is inclusive of 18 randomized controlled trials, an inception cohort design, and comparison studies, surveillance of patients, and data collection as well as a study that was longitudinal and descriptive in nature and another study that was prospective with a descriptive design. Previous research was also conducted in the areas of oral care and specifically oral aspiration and its effects on goal of reducing… READ MORE

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