Abstract：
:A fearful stranger to the healthcare sector when she became a frequent user 2 years ago, Goeltz clearly is now a sophisticated and creative partner. She is fully engaged in decision-making and holds the decisions made as her own. Physicians often worry that their patients don't fully consent to the treatment given them because they don't fully understand the risks. This is often a factor in malpractice litigation. Goeltz's healers don't have that worry. When it comes to the complicated process of treatment, Goeltz doesn't take for granted that the system will operate optimally and holds herself accountable for doing what she can to deliver good outcomes for herself and her loved ones. She knows her active participation keeps the system safer. She challenges those she meets who want to discount her role and refuses to be treated by those who can't meet and adapt to those challenges. She has a lot to teach us all. The circumstances of my brother's death are what taught me the crucial importance of active participation in my own health care. The best tribute I can pay to him is to continue trying to show consumers and those in health care how they can partner with each other to truly improve safety. To those health care workers who are willing to work with me and put up with my challenging them from time to time, please accept my deepest gratitude. I would not be as healthy as I am today without you, and maybe I wouldn't even be alive. I know your jobs aren't easy, and you have earned my greatest respect.
journal_name
Crit Care Nurs Clin North Amjournal_title
Critical care nursing clinics of North Americaauthors
Goeltz R,Hatlie MJdoi
10.1016/s0899-5885(02)00033-3subject
Has Abstractpub_date
2002-12-01 00:00:00pages
391-9issue
4eissn
0899-5885issn
1558-3481pii
S0899-5885(02)00033-3journal_volume
14pub_type
杂志文章abstract：:Sudden infant death syndrome (SIDS) is a perplexing and troubling problem for health care professionals and the community. This article discusses the epidemiology of SIDS and nursing interventions to meet the needs of families affected by SIDS. ...
journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章,评审
doi：
更新日期：1995-09-01 00:00:00
abstract：:Endocrine disorders can affect the cardiovascular system in many ways. Patients admitted to an intensive care unit with primary cardiovascular diagnoses may have underlying endocrine dysfunction that can cause or adversely influence cardiovascular problems. Early diagnosis and treatment of endocrine disease can often ...
journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章,评审
doi：
更新日期：1994-12-01 00:00:00
abstract：:With an estimated 90% of all hospitalized patients receiving intravenous medications via infusion pumps, intravenous infusion pump systems are among the most frequently used technologies in health care. This article reviews important issues regarding clinical usability, intravenous medication administration error, and...
journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.cnc.2018.02.004
更新日期：2018-06-01 00:00:00
abstract：:HIV infection is a chronic illness that affects individuals of all ages. The pulmonary system is the most common body system affected by the disease. Management of these complications has improved over the years and has resulted in a decline in mortality. Critical care nurses should understand the complications that d...
journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章,评审
doi：
更新日期：1999-12-01 00:00:00
abstract：:Pediatric brain tumors are the most common solid tumor and the second most common neoplasm in childhood. Diagnosis is made by CT scan and MR imaging. Treatment includes surgery followed by observation, chemotherapy, or radiation therapy. A multidisciplinary approach in the treatment of these children is necessary with...
journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章,评审
doi：
更新日期：1995-03-01 00:00:00
abstract：:Most women who quit smoking during pregnancy return to tobacco use within 6 months after delivery. Findings demonstrate that minimal intervention effectiveness exists with strategies to prevent postpartum smoking relapse. This article provides a synthesis of current research on postpartum tobacco use. Whether in the l...
journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.ccell.2005.10.004
更新日期：2006-03-01 00:00:00
abstract：:This article reviews how to identify and risk-stratify patients at risk for developing coronary artery disease (CAD) or who already have CAD (or coronary risk equivalents), and how to manage their lipids. This discussion is directed toward nurses, nurse practitioners, and physician assistants, who can and should play ...
journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.ccell.2008.03.014
更新日期：2008-09-01 00:00:00
abstract：:In the move to increase effectiveness in valued-based organizational cultures, mindfulness leaders are charged to create environments that foster curiosity and creativity in uncertain times. Mindfulness increases situational awareness and improved communication enhances a culture of safety and better patient outcomes....
journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.cnc.2019.02.003
更新日期：2019-06-01 00:00:00
abstract：:Traumatic cerebral vasospasm is a relatively frequent occurrence after an individual suffers a severe head injury, and therefore poses a real threat for these individuals. Although vasospasm is a physiologic defense response, it can cause a decrease in CBF, ischemia, infarction, and death. A review of the literature h...
journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章
doi：
更新日期：1990-03-01 00:00:00
abstract：:The pharmacology and pharmacokinetics of diuretics are unique among therapeutic drugs. Knowledge of these principles can be used to great advantage in the management of heart failure, whereas ignoring them can lead to either minor or life-threatening adverse consequences. Two major categories of potential therapeutic ...
journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/s0899-5885(02)00092-8
更新日期：2003-12-01 00:00:00
abstract：:Acute respiratory distress syndrome (ARDS) represents the ultimate pulmonary response to a wide range of injuries, from septicemia to trauma. Optimal nutrition is vital to enhancing oxygen delivery, supporting adequate cardiac contractility and respiratory musculature, eliminating fluid and electrolyte imbalances, and...
journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.ccell.2004.04.001
更新日期：2004-09-01 00:00:00
abstract：:Mass casualty incidents are events where the number of injured patients exceeds the resources of the health care institution to the degree that care may not be available or may be limited for a portion of the casualties. Mass casualty incidents are increasing in frequency throughout the United States. Managing mass ca...
journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.cnc.2015.02.008
更新日期：2015-06-01 00:00:00
abstract：:Despite advances in understanding the cause of ischemic stroke, cryptogenic stroke remains a diagnostic and therapeutic challenge for clinicians. Approximately 15% to 40% of all ischemic strokes have no identifiable cause. CS is a diagnosis of exclusion after completing the standard stroke work-up. Further investigati...
journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.cnc.2019.11.008
更新日期：2020-03-01 00:00:00
abstract：:Advances in medical technology during the past 3 decades altered the scenarios of our dying. It is now possible to prolong life, with the frightening reality that we also can extend death. This paper examines challenges to dying well in America, defines key end-of-life dilemmas faced by critical care nurses, and exami...
journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章
doi：10.1016/s0899-5885(01)00004-1
更新日期：2002-06-01 00:00:00
abstract：:Pressure injury prevention is required in all health care environments. Respiratory technology includes invasive and noninvasive positive pressure ventilation methods of support and life-saving equipment. Pressure injury can occur from tracheostomy tubes and their securement devices, or use of noninvasive positive pre...
journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.cnc.2017.01.006
更新日期：2017-06-01 00:00:00
abstract：:To improve the past statistics of high mortality and morbidity in patients with TEN, definitive measures are required. Early referral and transfer to a burn center and withholding or withdrawing steroid therapy are two crucial factors. Therapeutic goals must be directed toward promotion of wound healing; correction of...
journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章
doi：
更新日期：1991-06-01 00:00:00
abstract：:Even though coronary artery disease is the leading cause of death in women, a diagnostic dilemma still remains owing to the high rate of false-positive results observed with noninvasive testing. It still is not clear why a gender bias exists in the noninvasive and invasive evaluation of women suspected of coronary art...
journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章,评审
doi：
更新日期：1997-12-01 00:00:00
abstract：:Work-related musculoskeletal disorders (MSD) have a multifactorial etiology that includes not only physical stressors but also psychosocial risk factors, such as job strain, social support at work, and job dissatisfaction. Once an injury has occurred, psychosocial factors, such as depression and maladaptive pain respo...
journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.ccell.2007.02.006
更新日期：2007-06-01 00:00:00
abstract：:Resuscitation documentation assists health care professionals in trending patient status, determining what treatments may be most effective, and determining where opportunities for improvement may exist. An overview of what is known about resuscitation documentation is provided in this article, as are implications for...
journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.ccell.2004.09.012
更新日期：2005-03-01 00:00:00
abstract：:As IPV increases in our society, hospitals need to prepare to best meet the needs of these individuals. Hospitals should have policies that encourage critical care nurses to consider abuse with the patients they serve. These policies need to ensure private, confidential interviewing of all patients and standardize the...
journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.ccell.2011.12.003
更新日期：2012-03-01 00:00:00
abstract：:Sex and gender-based differences in responses to infection and sepsis are evident. Estrogens increase immune function, sometimes to the point of inducing autoimmune disease. Testosterone suppresses immune function, sometimes leading to a worsened outcome following traumatic injury. Therapies using sex hormones to impr...
journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/s0899-5885(02)00028-x
更新日期：2003-03-01 00:00:00
abstract：:Nurses can play a major role in injury prevention. Nurses are, by nature, educators and role models to their families, patients, and communities. Knowing the magnitude and impact of injuries on both children and their families, nurses must become more informed about the necessity of injury prevention. They must also h...
journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章,评审
doi：
更新日期：1991-09-01 00:00:00
abstract：:Conscious sedation has become an important component of practice for many ambulatory procedures. Important factors to maintain the safety of this technique are proper patient selection, slow titration of the medication, continuous patient monitoring, proper education of the individuals administering the medication and...
journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章,评审
doi：
更新日期：1997-09-01 00:00:00
abstract：:The successful management of burns and related injuries requires a comprehensive team approach at a designated burn center. This team should consist of burn surgeons, burn nurses, respiratory therapists, physical therapists, occupational therapists, clinical nutritionists, social workers, chaplains, and other clinical...
journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.ccell.2006.05.003
更新日期：2006-09-01 00:00:00
abstract：:Liver transplantation has evolved into an accepted treatment for many suffering from end-stage liver failure. The complex nature of the liver results in every organ system being impacted by either the failing or the transplanted liver. Organ shortage remains problematic, and work to ensure maximizing the organ donor p...
journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.ccell.2011.08.002
更新日期：2011-09-01 00:00:00
abstract：:Preclinical and clinical trial investigations are now underway for a variety of ventricular assist devices at centers around the country. The current progress of the HEMOPUMP is encouraging, and survival rates show the potential for a successful outcome. This article describes the HEMOPUMP system, and discusses patien...
journal_title：Critical care nursing clinics of North America
pub_type： 临床试验,杂志文章
doi：
更新日期：1989-09-01 00:00:00
abstract：:Interventional nutritional support is a complex therapeutic entity. Metabolic complications associated with this therapy are numerous. It is imperative to monitor electrolytes very closely during parenteral and enteral nutritional support and to correct deficiencies or to compensate for increases in serum concentratio...
journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章
doi：
更新日期：1993-03-01 00:00:00
abstract：:Patients presenting with active infections or at increased risk for infections pose a significant challenge in critical care nursing. It is important for critical care nurses to use effective antimicrobial strategies in patient management to reduce the potential development of antimicrobial resistance. They should be ...
journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.ccell.2006.10.006
更新日期：2007-03-01 00:00:00
abstract：:Sepsis and septic shock are complex, clinical conditions associated with high morbidity and mortality rates. There are evidence-based guidelines outlining priority care areas for sepsis, including early screening outside the intensive care unit. Nurses are directly involved with patient care and must be able to provid...
journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.cnc.2018.05.005
更新日期：2018-09-01 00:00:00
abstract：:Throughout the years, bum care treatment in the United States has made major strides in the ability to save the lives of those once rendered helpless as a result of an extensive bum injury. Bum care professionals are able to assist these individuals to live as normal a life as possible as they heal from one of the mos...
journal_title：Critical care nursing clinics of North America
pub_type： 杂志文章,评审
doi：10.1016/j.ccell.2003.10.003
更新日期：2004-03-01 00:00:00
