br COLLABORATIVE PRACTICECOLLABORATIVE PRACTICEINTRODUCTIONDorothea Orem (1971 ) defined treat with emphasis on customer s self- assistance inescapably . Self- billing , according to the conjecture , is a wise(p) , goal-oriented occupation directed towards the self in the interest of maintaining life health , development and well-being . The eventual(prenominal) emphasis of Orem s theory is on client s self care . Accordingly , breast feeding care is needed when the client is ineffectual to fulfill biologic , mental developmental or social needs and the declare determines by duty why a client is unable to tinct the needs or what must be do to enable the client to meet them (Patricia , 2005 . Thus , Orem defines the goal of nursing as to increase the client s ability to independently meet their needs i .e , the self ca re of the clientCOLLABORATIVE PRACTICE- THE CASE STUDYThe ever-changing use of nurses as significant members of the health care squad has brought well-nigh radical change in Health bursting charge actors line system The nurse-physician collaborative seat is a model which shows a radical shift from the past . In such a model , the health care organizational bodily construction is decentralized and the nurses and physicians function collaborately to make clinical decisions . A symmetrical practice committee , with equal representations functions at the organizational analyse to monitor and support these professionals . The clinical records are integrated with crossroads unhurried of care record views to foster collaboration (Patricia , 2005 .The patient in this case was admitted in the ICU for an acute vexation of COPD with the complications Atelectasis , Anxiety and Cor pulmonale . Chronic obstructive pulmonary disease (COPD , as well as known as inveterate ob structive lung disease (COLD is a term used ! to describe regenerate lung diseases , which include pulmonary emphysema , chronic bronchitis and chronic asthma attack . The common symptoms of COPD are progressive limitations of the airflow into and out of the lungs and precipitateness of breath .
Intensive aid or Critical care nursing is challenging due(p) to the nature of life-threatening health situations in the ICU , which demands daedal assessments , high-intensity therapies and interventions and continuous vigilance . The primary sermon for acute wide Atelectasis is removal of the underlying cause and is through with(p) by a surgeon . If the blocka ge cannot be demandd by coughing or by suctioning the airways then it should be aloof by bronchoscopy (American Thoracic Society , 1998 ) and involves a pulmonologist Antibiotics are to be disposed(p) for any detected infection as in chronic Atelectasis , when infection is almost inevitable and requires a Physician and Microbiologist . A low salt diet as recommended by a dietician is given .Diuretics can be given to channelise excess fluid from the body under the supervision of a urologist . An anxiolytic , buspirone as recommended by a headhunter have been found to be safe in give up anxiety in COPD patients instead of benzodiazepines which affect lung functionCONCLUSIONNurses are the last caregivers who understand the patient with the concept of intimacy and concern . in that respect are situations , which bring up disagreements between the nurses with the doctors . Not recognizing to individually one other s needs in the best interests of the...If you indispensabilit y to learn a full essay, order it on our website: OrderCustomPaper.com
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