Essay On Ventilator Associated Pneumonia

Improved Essays
The relationship between the use of oral care and the occurrence of ventilator-associated pneumonia (VAP) in critical care patients is very intriguing to me. Since I have started nursing school, I have always had an interest in the trauma area of nursing. In my medical-surgical clinical rotation, I had the opportunity to spend the day working alongside a nurse in the emergency room. Emergency and trauma nursing have always been of interest to me, even before I started nursing school. I ended up enjoying my day in the emergency room and I realized that I wanted to start working in the hospital because I loved it. I got a job working on the cardiovascular, cardiothoracic, and genitourinary surgery floor at St. Louis University Hospital (SLUH). …show more content…
I know that being on a ventilator increases one’s chance of acquiring ventilator-associated pneumonia. I also know that there have been some nursing interventions put into place to help reduce VAP in our ICU patients. One of those interventions is to raise the head of the bed, another one is frequent turning, and also oral suctioning. I could only imagine that routine oral care would be an intervention that should be used along with the other interventions to help reduce pneumonia. Although these interventions are supposed to be implemented in practice, I have rarely seen my patients on mechanical ventilation have their head of the bed raised and I have never seen oral care performed on the ICU patients. I picked this topic because I want to learn more about the relationship between performing oral care and the number of occurrences with VAP. I wanted to learn and gain further knowledge about how using superior oral care with Chlorhexidine Gluconate (CHG) can help prevent VAP in ICU patients. I also wanted to learn about why this is not being implemented in practice if it has been proven to be effective in reducing the incidence number of VAP in ICU

Related Documents

  • Improved Essays

    Joint Compliance Report

    • 607 Words
    • 3 Pages

    In 1987 The Joint Commission (TJC) started developing a set of performance measures; which is now called the ORYX initiative, and are now known today as core measures (Commission, The Joint). The ORYX initiative offered significant flexibility for organizations to meet specific accreditation guidelines, which inherently caused a dilemma in that it was unable to compare data across several systems and between different measures (Commission, The Joint). By using the input from several different clinical professionals within the scope of healthcare, the TJC addressed this issue through institution of the use of standardized, evidenced based practice; known as a core measure (Commission, The Joint). One of the initial hospital core measure sets…

    • 607 Words
    • 3 Pages
    Improved Essays
  • Decent Essays

    PONV Case Study

    • 264 Words
    • 2 Pages

    PONV has a significant impact on the patient and on the healthcare facility. Healthcare facilities are seeing increased costs related to PONV due to the resulting complications, unanticipated admission, prolonged nursing care, and delayed PACU or hospital discharge (Kovac, 2013). Not only is PONV a huge patient dissatisfier, there are life-threatening risks associated with this complication including aspiration pneumonia, esophageal rupture, subcutaneous emphysema, and bilateral pneumothoraxes (Hambridge, 2013). In a study completed by Parra-Sanchez et al. (2012), it was determined that the cost of care for patients that experienced PONV was approximately seventy-five dollars more expensive compared to patients who did not experience PONV.…

    • 264 Words
    • 2 Pages
    Decent Essays
  • Decent Essays

    Hello Wendelyn! Venous thrombolytic events (VTE), including deep vein thrombosis (DVT) and pulmonary emboli (PE), are the most preventable causes of death in hospitalized or recently hospitalized patients (McCaffrey & Blum, 2009). Statistics have shown that over 2 million patients experience a hospital-acquired or nosocomial VTE within 30 days of hospital admission. Given this data, healthcare providers should be aware that patients remain at risk for VTE after hospital discharge.…

    • 224 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    From a total of 359 patients, who were required invasive ventilation for longer than 48 hours and hospitalised in the ICU, VAP was determined in 16 cases. VUR was 65%, VAP ratio was 4.5% and the rate of VAP was 3.3 per 1000 ventilator days. Seventeen microorganisms were…

    • 293 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    The pathophysiological mechanisms involved with ventilator-associated pneumonia or VAP is correlated with bacteria flowing through the endotracheal tube, allowing a direct route to enter a person’s lungs. Studies suggest the principle risk-factor for the development VAP relies on the utilization of the endotracheal tube or ETT (Mietto MD et.al, 2013). Usually after 12 hours of intubation, bacteria that is specifically act as contaminated oropharyngeal secretions may often accumulate through the tube and subsequently leak down into the lower segments of the patient’s lungs, impairing defense mechanisms such as their cough reflex or mucociliary functions (Mietto MD et.al, 2013). Consequently, during intubation, the ETT tube creates a mechanical barrier for mucus clearance.…

    • 327 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Overview Venous thromboembolism (VTE) is the collective term used to describe deep vein thrombosis (DVT) and pulmonary embolism (PE). What is DVT? DVT is a clot formation within the deep vasculature in the legs. What is PE?…

    • 955 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Pressure ulcers are defined as local injuries to the skin and/or underlying tissue that usually occurs over bony prominence as a result of pressure. Hospital-acquired pressure ulcer is a major concern because it can lead to increase morbidity, mortality, increase healthcare cost and impact a patient’s quality of life. CMS classifies hospital-acquired pressure ulcers as “never events” the Leapfrog Group defines never events as "adverse events that are serious, largely preventable, and of concern to both the public and health care providers for the purpose of public accountability. " CMS considers stage three and four pressure ulcers preventable conditions affecting over 1 million patients annually and thus CMS has taken a stand on payment to hospitals that have led to these poor patient outcomes. “As part of an effort to…

    • 617 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Explanation of a microbiological algorithm for Hospital-acquired and Ventilator associated pneumonia. This algorithm is intended to deal with the microbiological aspects of hospital-acquired and ventilator-associated pneumonia. The severity of the illness is important in determining when to collect the diagnostic samples and which antimicrobials to administer due to which organisms are present. There are many prognostic scoring systems used to suggest the severity of the disease in patients e.g., The Therapeutic Intervention Scoring System and the Mortality Predictor Model.…

    • 1114 Words
    • 5 Pages
    Improved Essays
  • Decent Essays

    Endotracheal Tube

    • 202 Words
    • 1 Pages

    The primary risk factor indicated by most epidemiological studies is the endotracheal tube. The endotracheal tube increase the risk for ventilator-associated pneumonia because it provides bacteria a direct, open passageway to the patients lungs and preventing natural reflexes of the person’s physiological systems (Mietto MD et.al, 2013). The ETT can prevent a patient’s natural defense mechanisms: such as coughing, the filtration of the upper airway, prevention of upper airway humidification, cause gastrointestinal reflux, and inhibiting airway reflexes. The ETT also acts as a potential reservoir for pathogens to form a toxic biofilm. Some non-modifiable risk factors associated with patients include those that are age 65 or older or patients…

    • 202 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    Chronic obstructive pulmonary disease is a lung disease that causes inflammation and stops the airflow from the lungs. Symptoms such as cough, sputum and wheezing are related to this condition. The main cause of the disease is cigarette smoke and exposure to irritating gases for a long time. People with COPD are at a much higher risk of developing heart diseases and other conditions. Contributing conditions to COPD are emphysema and chronic bronchitis.…

    • 751 Words
    • 4 Pages
    Improved Essays
  • Great Essays

    Pneumonia is an acute inflammation of the lung parenchyma caused by a microorganism. Pneumonia can affect one or both lungs. The infection may be caused by fungi, bacteria, Parasites, viruses and chemicals. Pneumonia produces inflammation in the lung's air sacs, also referred to as alveoli. The alveoli fill with fluid or pus, making it difficult to breathe.…

    • 1361 Words
    • 6 Pages
    Great Essays
  • Improved Essays

    Ventilator associated pneumonia develops when there is bacterial invasion of the pulmonary parenchyma in a patient receiving MV (Richards et al., 2000). It occurs due to interplay of three factors - access of sufficient numbers of pathogenic bacteria to the lower respiratory tract , virulence of the organism and impaired host defense (Weber et al., 1998).Critically ill patients have impaired innate and adaptive immunity (Conway Morris et al., 2013).…

    • 69 Words
    • 1 Pages
    Improved Essays
  • Decent Essays

    1. Pneumonia is a disease where lungs are affected by germs maybe virus, bacteria or fungus. 2. It spreads from one person to another by air droplets. When one affected person coughs, he releases droplets of infection in air and when another susceptible person comes in contact with these secreted droplets he catches the infection.…

    • 335 Words
    • 2 Pages
    Decent Essays
  • Decent Essays

    Pneumonia is quite the serious illness, at least, it can be. As such, it's prudent for everyone to know about the disease as much as they can. Here are more facts about pneumonia that everyone should know. Number Eight: Speech-Language Pathologists Are Innaccurate…

    • 354 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    Diagnosing of pneumonia can be difficult because its symptoms are similar to other conditions such as flu, bronchitis, and asthma. Early detection of pneumonia will help patient to overcome this condition. However,late-diagnosed can lead to progress infection and makes it more difficult to treat. Moreover,late-diagnosed can cause death. Diagnosing the stages of pneumonia can be a challenging task for doctors.…

    • 370 Words
    • 2 Pages
    Improved Essays