intensivenurse

Intensive care unit.

An area for patients admitted for the treathment of actual or impendingnorgan failure,especially those requiring assisted ventilation.there is little doubth,however,that intensive care medicine has an established role in modern health care.
The role of intensive care thereofe includes:
1.Resuscitation and stabilization
2.Physiological optimization of patients to prevent organ failure
3.Facilitation of complex surgery
4.Support of failing organ system
5.Recognition of futility.

Level of care for critically ill patients.

Critically ill patients can be classified according to the level of medical and nursing care required:
A.Level 0:Patients whose needs can be met by ward -based care in acute hospital
B.Level 1:Patients at risk of their condition deteriorating whose needs can be met on normal ward with additional advice or support from the critical care team
C.Level 2 :Patients requiring more advanced levels ofobservation or intrvention than can be provided on normal ward,including support for single failing organ system
D.Level 3 :Patients requiring advanced respiratory support alone or basic respirqatory support together with support for at least two organ system.

The acute physiological and chronic health evaluation,APHACHE II is the most widely used severity of illness scoring system in intensive care.A score is assigned to each patient on the basis of :
* Worst physiological derangement,occuring in the first 24 hours of admission.
* Age
* Chronic health status.
The care of patients in intensive care is increasingly complex,and the specialization of medical staff precludes all care being provided by a single individual or team.
Many nursing,paramedical and technical staff are involved in the care of patients on intensive care.It is important to remember that all those people have skill and experience.