Therapeutic Nursing Theory
Presciutti, M., Bader, M. K., & Hepburn, M. (2012). Shivering Management During Therapeutic
Temperature Modulation: Nurses' Perspective. Critical Care Nurse,32(1), 33-42. doi:10.4037/ccn2012189 This article discusses shivering as a major complication of therapeutic hypothermia treatment and the importance of its early recognition and resolution. The article describes a tool called “The Bedside Shivering Assessment Scale” which according to the text, “can be used to determine the efficacy of interventions intended to blunt thermoregulatory defenses and can provide continual evaluation of patients’ responses to the interventions” (33). Due to the severity and complexity of hypothermia patients, they must be in controlled environments therefore they are admitted to the intensive care unit (ICU) to receive the level of care they need. Hypothermia causes alterations of the body’s core temperature activating not only physiological but behavioral responses as well in an effort to maintain homeostasis (34). Upon receiving an uninterrupted sensation of cold, the skin’s motor neurons are stimulated which creates the shiver response within the muscles of the body. This response is an effort to generate heat which is stated to begin within the trunk and spread to the …show more content…
Non-pharmacological treatment of shivering as stated in the text is surface warming, and is said to be an “effective adjunct in suppressing the shiver reflex” (37). Many pharmacological agents can be used to treat the shiver response and based on their condition and state of other organs the agent may vary. Ultimately, if nothing is successful in eliminating the shivering the article explains how the usage of vecuronium (Norcuron), a neuromuscular blockade, may be effective
Temperature Modulation: Nurses' Perspective. Critical Care Nurse,32(1), 33-42. doi:10.4037/ccn2012189 This article discusses shivering as a major complication of therapeutic hypothermia treatment and the importance of its early recognition and resolution. The article describes a tool called “The Bedside Shivering Assessment Scale” which according to the text, “can be used to determine the efficacy of interventions intended to blunt thermoregulatory defenses and can provide continual evaluation of patients’ responses to the interventions” (33). Due to the severity and complexity of hypothermia patients, they must be in controlled environments therefore they are admitted to the intensive care unit (ICU) to receive the level of care they need. Hypothermia causes alterations of the body’s core temperature activating not only physiological but behavioral responses as well in an effort to maintain homeostasis (34). Upon receiving an uninterrupted sensation of cold, the skin’s motor neurons are stimulated which creates the shiver response within the muscles of the body. This response is an effort to generate heat which is stated to begin within the trunk and spread to the …show more content…
Non-pharmacological treatment of shivering as stated in the text is surface warming, and is said to be an “effective adjunct in suppressing the shiver reflex” (37). Many pharmacological agents can be used to treat the shiver response and based on their condition and state of other organs the agent may vary. Ultimately, if nothing is successful in eliminating the shivering the article explains how the usage of vecuronium (Norcuron), a neuromuscular blockade, may be effective