Implement and Monitor Nursing Care for Acute Health Conditions

Running head: IMPLEMENT AND MONITOR NURSING CARE
IMPLEMENT AND MONITOR NURSING CARE
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IMPLEMENT AND MONITOR NURSING CARE
1. Acute Health
Acute health is the kind of health condition that needed to be cared for a short amount
of time and the care of this condition can be termed as the acute health care. The acute health
condition is the factor that occurs suddenly and affect the physical or mental health for a short
period of time.
On this context it can be stated that the acute health would be impacting over the
physical and financial condition mostly. On the other hand the severity of the condition can
affect the emotional condition of the patient and family. Sudden acute condition would also
affect the social lifestyle of the patient, decision making and autonomy as the mental
disorders can also affect the self-care. Behavioural changes can occur as well as the condition
would lead to the depression and frustration for the patient and that would also affect the
social habits of the patient. Sometimes role reversals can be seen as well as the partner of the
patient would have provide care to the patient and thus the partner would change his or her
role to carer.
2. Emergency response in the acute setting
Acute care setting is emergency based and also a short term care procedure. Hence, the
deterioration detection of the patient would be required in order to provide proper care.
 On this context the deterioration detection would be done with the electronic health
record systems and that would be helpful in the vital records check ups and also the
nurses would be check the GCS score of the patient in order to maintain the
consciousness of the patient.
 Multidisciplinary team would work together to provide acute care in emergency
setting. The team would include cardiology expert, neurology expert, surgical expert,

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IMPLEMENT AND MONITOR NURSING CARE
wound management expert, pain management expert, physician, registered nurse,
geriatric nurse (if needed) and also the enrolled nurse.
 The emergency trolley or the cash cart would be comprised of several trays or
drawers. These trays or drawers are filled with medicines, medical instruments, first
aid products, syringes and many other clinical things.
 Vitamins, pain killers, antibiotics, cardiac drugs, neurological drugs, sedatives, gastric
drugs, allergy reducers, anti-narcotics, respiratory drugs would be required in the
emergency setting as the advanced life support.
3. Perioperative Nursing
Perioperative nursing is a nursing specialty that works with patients who are having
operative or other invasive procedures. Perioperative nurses work closely with surgeons,
anaesthesiologists, nurse anaesthetists, surgical technologists, and nurse practitioners.
 There are several surgeries such as cardiothoracic surgery for chest and heart related
issues, colon and rectal surgery for rectal issues, gynaecology and obstetrics for
pregnant women and babies, gynaecologic oncology for gynaecologic cancer,
neurological surgery for neurological issues, ophthalmic surgery for the issues related
to eyes, oral and maxillofacial surgery issues with the mouth and oral cavity,
orthopaedic surgery for issues with musculoskeletal structure, otorhinolaryngology
for the issues of ear and adjoining respiratory issues, paediatric surgery for any kind
of issues with children, plastic and maxillofacial surgery issues with structure of the
face or superficial structure of any part of the body, urology issues with urinary
system, and vascular surgery issues with the vascular system.
 General surgery is the common term when describing surgeries. On the other hand
some of the common names are C-section, bypass surgery, Appendectomy,
Tonsillectomy and many others.

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IMPLEMENT AND MONITOR NURSING CARE
 Perioperative nurses required to help the surgeon and also supporting the patient in
preoperative and postoperative situation. The support includes medication
management, positioning support, holistic support, wound management, pain
management and many others.
 Intraoperative nursing care would be requiring and provides support with local
anaesthesia, zonal anaesthesia, field block anaesthesia, general anaesthesia.
 Postoperative nursing care including pain management, wound management, infection
management and medication management.
 Common postoperative complications are hypovolemic shock, pain, wound,
infections, sepsis and septic shock.
 Postoperative pain would affect the mental and also the other physical condition along
with cardiovascular balance as well. Hence, it is important to manage the pain for
preventing multi organ failure as the pain would affect the muscular function.
 Common side effects of anaesthetics are dizziness, nausea, vomiting, prolonged
numbness, sensory disorder.
4. Acute respiratory conditions
 Pneumothorax: Assimilation of air in the pleural cavity.
Pathophysiology: Losing the elasticity in the lung tissue.
Symptom: Chest pain and breathing issues.
Intervention: Tracheostomy provide the opportunity to breathe by a tube
placing in the windpipe.
 Haemothorax: Assimilation of blood in the pleural cavity.
Pathophysiology: Chest injury that is the rib fracture, venous injury.
Symptom: Chest pain and breathing issues along with cardiovascular disorders
such a low blood pressure and heart pumping issues.