Cardiopulmonary Life Sustaining Treatment †Myassignmenthelp.Com

Question: Discuss About The Cardiopulmonary Life Sustaining Treatment? Answer: Introducation Implications for health care practise are to provide quality care to the patients (Prince, Wu, Guo, Robledo, O'Donnell, Sullivan Yusuf, 2015). Providing quality care, gains main attention in the domain of life sustaining treatments. Cardiopulmonary resuscitation (CPR) is the central component of the life sustaining treatment (Do, 2015). It is an emergency procedure that encompasses chest compression with arterial ventilation. It is basically a manual effort that is undertaken to keep the brain work intact until further drugs are been administered to restore the spontaneous circulation of the blood reach different parts of the body including brain (Pinto, Haden?Pinneri Love, 2013). In recent years, CPR has received principal focus in recent years due to increase in the in evidence of its potential to save lives of the critically ill patient and due to its poor delivery quality by the trained professionals (Abella, 2013). A large number of pre-hospital studies have demonstrated that providing quality CPR and that too promptly can improve the overall survival rate of the cardiac arrest. On the other hands, drug such as epinephrine shows little benefit in the grounds of advanced cardiovascular life support or life sustaining treatments (Abella, 2013). Presentation of the Case Study Nursing is the key profession in the health care (Hoeve, Jansen Roodbol, 2014). They have a key contribution in the overall well-being of the patient via providing holistic care (You et al., 2013). In principal determining factors in nursing care is behavior and clinical competencies. These two factors determine the length of the hospital stay of the patient (Aiken et al., 2012). The current case study deals with how the lack of proper training among the nurses and lack of proper knowledge in the field of cardiopulmonary Resuscitation increases the rate of mortality in the CPU for life sustaining treatment. Studies carried out under both pre-hospital and post hospital environments have showed that there is a sharp difference in the compression rates, depth of compression, the tenure of pause and subsequently administration of the hyperventilation during the process of resuscitation care (Sakamoto et al., 2014). Moreover, there are also a communication gap dealing with how to communicate the patient or the carers about the CPR or DNR (Do Not Resuscitate) (Bartlett, 2015). Case Study Patient in the CPU unit aged 83 years is suffering from end stage Alzheimers disease. He is in a need of CPR in order to sustain his life. The attending nurse at the time of emergency failed to deliver proper CPR as she lacked the training. Watching the emergency condition, the doctor who was in round took up the charge and provided proper CPR on time. However, since he is in his end stage of the disease, CPR will increase his sufferings but his family members are unwilling or rather say confused to signing the DNR orders. Interview Questions and Respond In order to analyze the topic, open-ended questioner was designed and the survey was made among the nurses (5) of the Kings Hospital, Australia Do lack of proper training hampers in delivering quality CPR? All the 5 nurses agreed to the fact that lack of proper training hampers in delivering quality CPR. Do poor work environment and shortage of workforce create stress? All the 5 nurses agreed to this point and told that pressure in CPU unit is extremely high and lack of work force makes the entire situation worse. Do you agree that lack of proper communication skills will result in challenge in narrating the requirement for the DNR order? All the 5 nurses are registered and experience and agreed to the above-mentioned question. Conclusion: The current study therefore suggests that the lack of proper training, increase in the work pressure and absence proper communication skills are the major factors behind the drop in the quality of the CPR and proper communication of DNR. The cumulative affect of all these factors affects the well-being of end of life care patient in CPU. References Abella, B. S. (2013). The importance of cardiopulmonary resuscitation quality.Current opinion in critical care,vol. 19(3), pp. 175-180. Aiken, L. H., Sermeus, W., Van den Heede, K., Sloane, D. M., Busse, R., McKee, M., ... Tishelman, C. (2012). Patient safety, satisfaction, and quality of hospital care: cross sectional surveys of nurses and patients in 12 countries in Europe and the United States.Bmj,vol. 344, e1717. doi:https://doi.org/10.1136/bmj.e1717 Bartlett, L. S. (2015). Do-not-resuscitate.Nursing2017 Critical Care,10(3), 44-47. 10.1097/01.CCN.0000461172.07938.c1 Do, W. S. Y. (2015). Cardiopulmonary resuscitation (CPR). Hoeve, Y. T., Jansen, G., Roodbol, P. (2014). The nursing profession: public image, self?concept and professional identity. A discussion paper.Journal of advanced nursing,pp. 70(2), vol. 295-309. 10.1111/jan.12177 Pinto, D. C., Haden?Pinneri, K., Love, J. C. (2013). Manual and automated cardiopulmonary resuscitation (CPR): a comparison of associated injury patterns.Journal of forensic sciences,vol. 58(4), pp. 904-909. 10.1111/1556-4029.12146 Prince, M. J., Wu, F., Guo, Y., Robledo, L. M. G., O'Donnell, M., Sullivan, R., Yusuf, S. (2015). The burden of disease in older people and implications for health policy and practice.The Lancet,vol. 385(9967), pp. 549-562. Sakamoto, T., Morimura, N., Nagao, K., Asai, Y., Yokota, H., Nara, S., ... SAVE-J Study Group. (2014). Extracorporeal cardiopulmonary resuscitation versus conventional cardiopulmonary resuscitation in adults with out-of-hospital cardiac arrest: a prospective observational study.Resuscitation,vol. 85(6), pp. 762-768. https://doi.org/10.1016/j.resuscitation.2014.01.031 You, L. M., Aiken, L. H., Sloane, D. M., Liu, K., He, G. P., Hu, Y., ... Shang, S. M. (2013). Hospital nursing, care quality, and patient satisfaction: cross-sectional surveys of nurses and patients in hospitals in China and Europe.International journal of nursing studies,vol. 50(2), pp. 154-161.