2 Responses

  1. jmgort at |

    Very interesting power point. After watching your power point, I looked into ICU mechanically ventilated patient administering their own sedation. We think of intubated patient as not being cognizant of what going on around them but in fact many patients are aware of their surroundings. I can see the fine line between over sedating and under sedating patient. I like the idea and concept of patients participating in their care.

    Rowe, K., MBChB,MRCP,FRCA, & Fletcher, S., MBBS,FRCA,FRCPE. (n.d.). Sedation in the intensive care unit. Retrieved from https://doi.org/10.1093/bjaceaccp/mkn005

  2. amturnbull at |

    Josh, thanks for sharing your ppt regarding patient-controlled sedation in the critical care setting. The information that you supplied was very informative and enlightening since I have yet to work with critical care setting.
    An article that I found interesting by Jackson, J. C., Santoro, M. J., Ely, T. M., Boehm, L., Kiehl, A. L., Anderson, L. S., & Ely, E. W. (2014) discussed incorporating the patient care from the ICU to recovery. The article encouraged using maslow’s hierarchy to assist with total patient recovery by not only treating the physical, but also addressing the emotional and cognitive needs of the patient. This concept allows the patient to achieve enhance the quality of living without having to experience PTSD symptoms, which was mentioned in your ppt as a side effect of long-term sedation.

    Jackson, J. C., Santoro, M. J., Ely, T. M., Boehm, L., Kiehl, A. L., Anderson, L. S., & Ely, E. W. (2014). Improving patient care through the prism of psychology: Application of maslow’s hierarchy to sedation, delirium, and early mobility in the intensive care unit. Journal of Critical Care, 29(3), 438-44. doi:http://dx.doi.org.ezproxy.fhsu.edu:2048/10.1016/j.jcrc.2014.01.009

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