Critical Care Nursing: Managing Diabetic Coma, Leadership & Change

This report outlines the critical role of critical care nurses in managing patients experiencing diabetic coma, particularly focusing on hypoglycemia-induced coma. It emphasizes the importance of rapid intervention, such as intravenous glucose administration, to restore blood glucose levels. The report also delves into the leadership styles, specifically transformational leadership, necessary for effective management and the implementation of change within the care team, utilizing Kurt Lewin's change management model (Unfreezing, Changing, Refreezing). The importance of continuous education and adaptation to new technologies for improved patient outcomes in critical situations is highlighted, along with references to support the discussed strategies and approaches.

Role of critical care nurses
INTRODUCTION
The concept of critical care nurses can be described as a critical
care nursing as which speciality can deal with the human
responses towards the life-threatening issues. In this, the critical
care nurses for the patients with having an acute as well as volatile
physiologic issues as well as their care givers. It can include
accessing the life-threatening conditions, initiating an effective
intervention, evaluating the results of the effective interventions as
well as giving appropriate education and the emotional
empowerment to the service users.
Objective
Critical care nursing management involves managing life threatening conditions, initiating
appropriate care, evaluating the outcomes and providing education and emotional support to the
providers.
Situation
A patient from Intensive Care Unit went into sudden diabetic coma during his sleep.
Statement of Issue
The patient was admitted due to high blood glucose level but lapsed into diabetic coma during
his sleep. He was unconscious and unable to respond. His blood glucose levels were found
extremely low when measured.
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Kurt Lewin’s Change
management Model
Recommendation as per
the situation
When a person lapses into diabetic coma
due to hypoglycemia, it is advised to
restore blood glucose level by intake of
Intravenous glucose (75-80ml 20% or
150-160 ml).
Conclusion
The management of a critical situation
requires immediate care to the person in
emergency. So the person involved in the
management of clinical care nursing
should have adequate knowledge about the
conditions that may require an emergency
care.
Leadership style
For the proposed change, a transformational leadership style
will be effectively used. Using the method, I will increase the
care staff knowledge by furnishing training on how to utilize
equipment's so that they can receive early notice of patient
needs and motivate them to put it into practice.
CHANGE MANAGEMENT
To endorse the essential practice changes, I will implement
Kurt Lewin's change model which involve three stages:
Unfreezing change : Unfreeze existing knowledge by remaining open to workers concerns and address what
required to change.
Making change happen: At this stage, I will be providing new knowledge regarding the use of digital device
during the planning and implementation of the modification.
Refreezing change: refreeze the new knowledge through establishing new standard practices and Maintain the
change by monitoring the staff performance.