AACN Core Curriculum for Progressive and Critical Care Nursing (by Team-IRA)

Front Cover
AACN Core Curriculum for Progressive and Critical Care Nursing
Copyright Page
Contributors
Reviewers
Preface
Acknowledgments
Contents
I. Foundations of Progressive and Critical Care Nursing
	1 Professional Caring and Ethical Practice
		American Association of Critical-Care Nurses Mission, Vision, and Values (AACN, 2020 a,b,c)
			Mission
			Vision
			Values
		Synergy of Caring
			Key Responsibilities of Registered Nurses (American Nurses Association [ANA], 2020)
			What Acute and Critical Care Nurses Do (AACN, 2019)
			The Environment of Progressive and Critical Care Nurses (AACN, 2019)
			The AACN Synergy Model For Patient Care
		Aacn Synergy Model for Patient Care (AACN, 2020a,b,c)
			Origin of the Synergy Model
			Purpose
			Overview of the Synergy Model
			Application of the Synergy Model
			Family Presence: Visitation in the Adult ICU (AACN Practice Alert, 2016)
		Healthy Work Environment Standards (AACN, 2016)
		General Legal Considerations Relevant to Critical Care Nursing Practice
			National Governing Bodies
			State Nurse Practice Acts (Russell, 2017)
			Scope of Practice
			Standards of Care
			Certification in a Specialty Area
			Professional Liability
			Documentation
			Good Samaritan Laws
		Ethical Clinical Practice
			Foundation of Ethical Nursing Practice
			Emergence of Clinical Ethics
			Standard Ethical Theory
			Ethical Principles (ANA, 2015b)
			Common Ethical Distinctions
			Advance Care Planning
			The Law in Clinical Ethics (Department of Health & Human Services, 2020)
			Clinical Ethics Assessment
			Nurse’s Role As Patient Advocate And Moral Agent
	2 Psychosocial Aspects of Critical Care
		Systemwide Elements
			Review of Psychosocial Concepts
			Assessment
			Pain, Agitation, Delirium, Immobility and Sleep Disruption (PADIS) (Devlin et al., 2018)
			Sleep Deprivation
			ASD and PTSD
			Delirium (Acute Confusional State)
			Powerlessness
			Anxiety
			Depression
			Substance Misuse, Dependence, and Withdrawal
			Aggression and Violence
			Suicide
			Dying Process and Death
II. Critical Care of Patients with Issues Affecting Specific Body Systems
	3 Pulmonary System
		Systemwide Elements
			Anatomy and Physiology Review
			Assessment
			Patient Care
		Specific Patient Health Problems
			Acute Respiratory Failure (ARF)
			Chest Trauma
			Acute Respiratory Distress Syndrome (ARDS)
			Vaping
			Transfusion-Related Lung Injury
		Pulmonary Embolism
			Chronic Obstructive Pulmonary Disease (COPD)
			Asthma and Status Asthmaticus
			Pneumonia
			Ventilator-Associated Pneumonia and Event
			Drowning
			Pulmonary Problems in Surgical/Thoracic Surgery Patients
			Air Leak Syndromes
			Acute Pulmonary Inhalation Injuries
			Neoplastic Lung Disease
			Pulmonary Fibrosis
			Obstructive Sleep Apnea
			End-Stage Pulmonary Conditions: Lung Transplantation
	4 Cardiovascular System
		Systemwide Elements
			Anatomy and Physiology Review
			Assessment
			Diagnostic Studies
			Patient Care
		Specific Patient Health Problems
			Acute Coronary Syndrome
			Acute Myocardial Infarction—ST-Segment Elevation Myocardial Infarction
			Non—ST Elevation Myocardial Infarction (See Acute Coronary Syndrome (Nstemi- Acute Coronary Syndrome And Unstable Angina))
				Unstable Angina
			Chronic Stable Angina Pectoris
			Coronary Artery Disease
			Heart Failure
			Pericardial Disease
			Myocarditis
			Infective Endocarditis
			Cardiomyopathy
			Cardiac Rhythm Disorders
				Symptomatic Bradycardia
				Symptomatic Tachycardia
				Absent or Ineffective Pulse
			Mitral Regurgitation
			Mitral Stenosis
			Aortic Regurgitation
			Aortic Stenosis
			Atrial Septal Defect
			Ventricular Septal Defect
			Patent Ductus Arteriosus
			Coarctation Of The Aorta
			Hypertensive Crises
			Aortic and Peripheral Arterial Disease
			Shock
			Mechanical Circulatory Support Devices
			End-Stage Heart Disease: Cardiac Transplantation
			Cardiac Trauma
	5 Neurologic System
		Systemwide Elements
			Anatomy and Physiology Review
			Assessment
			Patient Care
		Specific Patient Health Problems
			Increased Intracranial Pressure Or Intracranial Hypertension
			Stroke
				Intracranial Aneurysms
				Arteriovenous Malformation
				Ischemic Stroke
				Intracerebral /Intraparenchymal Hemorrhagic Stroke
		Intraventricular Hemorrhage
			Brain Tumor
			Spinal and Spinal Cord Tumors
			Intracranial Infections
				Bacterial Meningitis
				Viral Meningitis
				Fungal Meningitis
				Viral Encephalitis
			Neuromuscular/Autoimmune Disease
				Guillain-Barré Syndrome
				Myasthenia Gravis
				Cerebral Palsy
				Muscular Dystrophies
			Seizure Disorders
			Encephalopathy
			Coma
			Brain Death
		Neurosurgical Procedures
	6 Renal System
		Systemwide Elements
			Anatomy And Physiology Review
			Assessment
			Patient Care
		Specific Patient Health Problems
			Renal Trauma
			Acute Kidney Injury
			Chronic Kidney Disease
			Electrolyte Imbalances—Potassium Imbalance: Hyperkalemia
			Electrolyte Imbalances—Potassium Imbalance: Hypokalemia
			Electrolyte Imbalances—Sodium Imbalance: Hypernatremia
			Electrolyte Imbalances—Sodium Imbalance: Hyponatremia
			Electrolyte Imbalances—Calcium Imbalance: Hypercalcemia
			Electrolyte Imbalances—Calcium Imbalance: Hypocalcemia
			Electrolyte Imbalances—Phosphate Imbalance: Hyperphosphatemia
			Electrolyte Imbalances—Phosphate Imbalance: Hypophosphatemia
			Electrolyte Imbalances—Magnesium Imbalance: Hypermagnesemia
			Electrolyte Imbalances—Magnesium Imbalance: Hypomagnesemia
			Rhabdomyolysis
			End-Stage Renal Condition: Renal Transplant
	7 Endocrine System
		Systemwide Elements
			Anatomy and Physiology Review
			Hypothalamus
			Pituitary Gland (Also Called Hypophysis)
			Thyroid Gland
			Parathyroid Glands
			Adrenal Glands
			Pancreas
			Pineal Gland and Thymus Gland
			Gonadal Hormones (Testosterone, Estrogen, Progesterone)
		Assessment
		Patient Care
		Specific Patient Health Problems
			Altered Glucose Metabolism
			Altered Antidiuretic Hormone Production
			Altered Thyroid Hormone Production
			Acute Adrenal Insufficiency Or Crisis
			Acute Hyperparathyroidism and Hypoparathyroidism
	8 Hematologic and Immunologic Systems
		Systemwide Elements
			Anatomy and Physiology Review
			Assessment of Hematologic and Immunologic Systems
			Patient Care
		Specific Patient Health Problems
			Thrombocytopenia
			Disseminated Intravascular Coagulation
			Medication-Induced Coagulopathy
			Thromboembolic Disorders
			Anemia
			Sickle Cell Anemia
			Neutropenia
			Acute Leukemia
		Malignant Pericardial Effusion
			Hematopoietic Stem Cell Transplantation
			Organ Transplant Rejection
			Human Immunodeficiency Virus Infection
			Anaphylactic Reaction
	9 Gastrointestinal System
		Systemwide Elements
			Anatomy And Physiology Review
			Accessory Organs Of Digestion
			Patient Assessment
			Patient Care
		Specific Patient Health Problems
			Abdominal Trauma
			Bowel Infarction (Obstruction, Perforation)
			Functional Gastrointestinal Disorders (Obstruction, Motility [Ileus, Diabetic Gastroparesis, Gerd, Inflammatory Bowel Syndr ...
			Gastrointestinal Infections (Clostridium Difficile)
			Abdominal Compartment Syndrome
			Acute Abdomen
			Acute Liver Failure
			Gastrointestinal Bleeding
			Gastrointestinal Bariatric Surgery
			Chronic Liver Failure: Decompensated Cirrhosis
			Carcinoma of the Gastrointestinal Tract
			Acute Pancreatitis
			Hepatitis
			End-Stage Gastrointestinal System Condition: Liver Transplantation
			Nutritional Support In The Critically Ill Patient
III. Critical Care of Patients with Multisystem Issues
	10 Sepsis and Septic Shock
		Systemwide Elements
			Anatomy and Physiology Review
			Assessment
			Patient Care
	11 Multisystem Trauma
		Systemwide Elements
			Trauma Concepts AND Physiology Review
			Assessment
			Patient Care
			Head and Spinal Trauma
		Thoracic Trauma: Pulmonary and Cardiac
			Pulmonary Trauma
			Cardiac Trauma
			Abdominal Trauma
	12 Burns
		Systemwide Elements
			Anatomy and Physiology Review
			Assessment
			Patient Care
	13 Hypothermia
		Systemwide Elements
			Anatomy And Physiology Review
			Assessment
			Patient Care
	14 Toxin Exposure
		Systemwide Elements
			Anatomy and Physiologic Review
			Assessment
			Patient Care
			Interventions For Ingestion of Toxic Substance
			General Management Strategies For Gastric Decontamination
			Treatment For Body Stuffing/Body Packing
			Additional Interventions for the Purposeful Ingestion
		Envenomation
IV. Critical Care of Patients With Special Needs
	15 Bariatric Patients
		Systemwide Elements
			Anatomy and Physiology Review
			Assessment
			Patient Care
		Care of the Bariatric Surgery Patient
		Related Bariatric Care Issues
	16 Older Adult Patients
		Age-Related Biologic and Behavioral Differences
		Age-Related Changes in Medication Action and Clinical Implications
		The Four Ms of Age-Friendly Health Care
	17 High-Risk Obstetric Patients
		Systemwide Elements
			Anatomy and Physiology Review
		Specific Patient Health Problems
			Postpartum Hemorrhage
			Hypertensive Disorders of Pregnancy
			Hemolysis, Elevated Liver Enzymes, Low Platelet Count Syndrome
			Amniotic Fluid Embolism
			Acute Fatty Liver of Pregnancy
		Special Considerations
			Trauma
			Cardiopulmonary Concerns in Pregnant Patients
	18 Patient Transport
		Members of The Transport Team
		Indications for Transport
		Modes of Interfacility Transport
		Risks and Stresses of Transport
		Overriding Priorities in Patient Transport
		Preparation for Transport
		Patient Care During Transport
		Legal and Ethical Issues Related to Transport
	19 Sedation
		Systemwide Elements
			Considerations Before Sedation
			Practice Considerations During Administration of Sedation
		Specific Patient Health Problems
			Procedural Sedation and Analgesia for the Patient in High Acuity Settings
	20 Pain
		Systemwide Elements
			Anatomy and Physiology Review
			Background
			Assessment
			Patient Care
			Patient Education
		Specific Clinical Problems Related to Pain Therapy
		Specific Patient Health Problems
	21 Palliative and End-of-Life Care
		Systemwide Elements
			Concept Review
			Assessment for Palliative Care, Hospice, or End-of-Life Care Services
			Patient Care
			Transitioning Goals of Care to End-of-Life (Box 21.3)
			Additional Considerations (See Ch. 2, Psychosocial Aspects of Critical Care)
	22 Perioperative Care
		Systemwide Elements
			Anatomy and Physiology Review
			Assessment
			Patient Care
			Initial Arrival in Postanesthesia Care Unit or Intensive Care Unit
			Ongoing Postanesthesia Care—Emergence from Anesthesia
		Specific Patient Health Problems
Index