Abstract：
:A patient with a new tracheostomy will face threatening changes upon discharge from hospital support. Nurses, particularly in the critical care unit, frequently and closely support a patient and family through new and often difficult situations during hospitalization. The patient leaving the hospital with a new tracheostomy will face problems with secretion management, increased risk of infections, alterations in body image, and impaired vocalization. To ensure a safe transition from the hospital to home, the patient and family must demonstrate competence in all aspects of tracheostomy care, must be able to recognize signs and symptoms that should be reported to the physician, and must have adequate support at home (such as homecare nurses, properly functioning equipment, and access to necessary supplies). These "musts" form the basis of the discharge care plan. Nurses can help a patient successfully manage these problems through comprehensive discharge planning. Although the critical care nurses who initiate the multidisciplinary discharge planning process may not remain involved in that process throughout the patient's hospitalization, their early efforts can provide an orderly, comprehensive discharge plan optimally suited to ensure that the patient and family acquire the necessary skills, confidence, supplies, and support for the eventual transition home. The information, encouragement, skills demonstrations, and referrals to other resources that critical care nurses provide help the patient adjust to a new tracheostomy.
journal_name
Crit Care Nursejournal_title
Critical care nurseauthors
Wilson EB,Malley Nsubject
Has Abstractpub_date
1990-07-01 00:00:00pages
73-9issue
7eissn
0279-5442issn
1940-8250journal_volume
10pub_type
杂志文章abstract：OBJECTIVE:Preparation of drug solutions used with electronic syringe infusion pumps plays a crucial role in the delivery of an accurate drug concentration. Is there a correlation between drug concentrations during syringe pump infusion and preparation protocols? METHOD:Norepinephrine, insulin, and sufentanil were prep...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：10.4037/ccn2016756
更新日期：2016-08-01 00:00:00
abstract：:Instruction in the use of the automated external defibrillator is now a mandatory component of ACLS certification. Here's a review of changes to the ACLS algorithm. ...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：
更新日期：1992-06-01 00:00:00
abstract：:IL-2 is a biotherapeutic drug and a biological response modifier. This drug has not been approved by the Food and Drug Administration for general use but continues to undergo clinical trials. Candidates for this therapy are patients with advanced carcinoma that has not responded to standard modalities of treatment. Ad...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：
更新日期：1994-12-01 00:00:00
abstract：:Music therapy is an effective intervention for critically ill patients for such purposes as anxiety reduction and stress management. The therapy is readily accepted by patients and is an intervention patients thoroughly enjoy. The MAIT is one resource that nurses caring for critically ill patients can use to implement...
journal_title：Critical care nurse
pub_type： 杂志文章,评审
doi：
更新日期：1999-06-01 00:00:00
abstract：:Critical care nurses are constantly challenged to provide safe, high-quality patient care at a low cost with increasingly scarce resources while implementing the latest evidence-based practices into their own clinical practice. This article is the first in a 4-part series to provide a practical quality improvement gui...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：10.4037/ccn2014177
更新日期：2014-12-01 00:00:00
abstract：:Clinical practice varies regarding the choice of agent to treat hypertensive emergencies. With the development of national guidelines, a standardized pharmacotherapeutic approach would be recommended on the basis of evidence in the published literature. Such an approach might decrease the variability among practitione...
journal_title：Critical care nurse
pub_type： 杂志文章,评审
doi：10.4037/ccn2010664
更新日期：2010-10-01 00:00:00
abstract：BACKGROUND:Although critical care nurses gain satisfaction from providing compassionate care to patients and patients' families, the nurses are also at risk for fatigue. The balance between satisfaction and fatigue is considered professional quality of life. OBJECTIVES:To establish the prevalence of compassion satisfa...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：10.4037/ccn2015392
更新日期：2015-08-01 00:00:00
abstract：:The most common measurements of pulmonary hypertension include systolic and mean pulmonary artery pressures, PVR, and transpulmonary gradient. Pulmonary artery pressures greater than 50 mm Hg, PVR greater than 6 Woods units, and transpulmonary gradient greater than 15 mm Hg that are unresponsive to optimal vasodilator...
journal_title：Critical care nurse
pub_type： 杂志文章,评审
doi：
更新日期：2000-04-01 00:00:00
abstract：BACKGROUND:The outcome focus for survivors of critical care has shifted from mortality to patient-centered outcomes. Multidimensional outcome assessments performed in critically ill patients typically exclude those with primary neurological injuries. OBJECTIVE:To determine the feasibility of measurements of physical f...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：10.4037/ccn2020681
更新日期：2020-06-01 00:00:00
abstract：:Designed for independent study, this module explores some of the common, but often missed, pupillary abnormalities and eye movement irregularities. Part 3 concludes the module and provides the posttest and answer keys for the posttest and the three review exercises in Part 2. ...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：
更新日期：1991-09-01 00:00:00
abstract：BACKGROUND:Delirium is a common neuropsychiatric diagnosis in intensive care units and often leads to extended hospital stays and an increased rate of complications. Delirium can be classified as hypoactive, hyperactive, or mixed. Hyperactive delirium is often accompanied by agitation, which is a predictive factor for ...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：10.4037/ccn2020697
更新日期：2020-04-01 00:00:00
abstract：:Clostridia are organisms which, in the right environment, can cause a rapidly spreading, fulminant myonecrosis. Early diagnosis and a combined management program are clearly paramount to a successful outcome. Knowledge of this disease and ongoing meticulous assessment are the tools that a nurse must use when dealing w...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：
更新日期：1989-11-01 00:00:00
abstract：:This article discusses congenital heart defects that are marginal candidates for biventricular repair and highlights the anatomic considerations upon which the surgical decision is based. Specifically, the article reviews the importance of capacitance and compliance of the ventricles and their associated atrioventricu...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：10.4037/ccn2018679
更新日期：2018-10-01 00:00:00
abstract：:Because of the potential severity of the associated complications, nurses have an essential role in the care of patients with HAT. Bedside nurses have the opportunity to report information that may indicate a change in a patient's condition after administration of heparin. This information could lead to diagnosis of h...
journal_title：Critical care nurse
pub_type： 杂志文章,评审
doi：
更新日期：1998-12-01 00:00:00
abstract：:The most common cause of death due to the H1N1 subtype of influenza A virus (swine flu) in the 2009 to 2010 epidemic was severe acute respiratory failure that persisted despite advanced mechanical ventilation strategies. Extracorporeal membrane oxygenation (ECMO) was used as a salvage therapy for patients refractory t...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：10.4037/ccn2011186
更新日期：2011-10-01 00:00:00
abstract：BACKGROUND:Immobility contributes to many adverse effects in critically ill patients. Early progressive mobility can mitigate these negative sequelae but is not widely implemented. Appreciative inquiry is a quality improvement method/change philosophy that builds on what works well in an organization. OBJECTIVES:To ex...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：10.4037/ccn2020251
更新日期：2020-08-01 00:00:00
abstract：:In patients with chronic heart failure, fluid retention (or hypervolemia) is often the stimulus for acute decompensated heart failure that requires hospitalization. The pathophysiology of fluid retention is complex and involves both hemodynamic and clinical congestion. Signs and symptoms of both hemodynamic and clinic...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：10.4037/ccn2012877
更新日期：2012-04-01 00:00:00
abstract：:Status epilepticus is a medical emergency that requires rapid diagnosis and treatment. Nonconvulsive status epilepticus is frequently underdiagnosed and therefore undertreated, which can lead to permanent neuronal damage resulting in disability or death. Despite the frequent occurrence and morbidity associated with st...
journal_title：Critical care nurse
pub_type： 杂志文章,评审
doi：10.4037/ccn2016892
更新日期：2016-04-01 00:00:00
abstract：CLINICAL RELEVANCE:Clostridioides (formerly Clostridium) difficile infection is among the most identified causes of health care-associated infections in US hospitals and remains a major public health problem. The incidence and severity of C difficile infection are high among critically ill patients. Treating critically...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：10.4037/ccn2019841
更新日期：2019-10-01 00:00:00
abstract：:BACKGROUND Many hospitals have well-planned nursing competency assessment programs, but these are meant to measure competency in traditional bedside roles, not in tele-intensive care unit (tele-ICU) nurses practicing remotely. OBJECTIVE To determine whether current tele-ICU programs have a formal competency assessment...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：10.4037/ccn2011552
更新日期：2011-10-01 00:00:00
abstract：TOPIC:Acute respiratory distress syndrome is a complex respiratory disease that can be induced by influenza virus infection. Critical care providers are uniquely positioned to manage this pathological progression in adult patients through evidence-based practice. CLINICAL RELEVANCE:Influenza and subsequent acute respi...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：10.4037/ccn2020746
更新日期：2020-10-01 00:00:00
abstract：:TEB is proving to be an exciting hemodynamic monitoring technique. It has been shown to accurately measure trends in the patient's volume and vasoactive state without the risks and discomfort of invasive monitoring. It can be applied easily and does not require specialized skill of nurses or physicians. A broad range ...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：
更新日期：1994-10-01 00:00:00
abstract：:Sjo2 monitoring has several important limitations, such as catheter reliability, sampling error, and lack of regional specificity. However, combining Sjo2 monitoring with other available technologies can facilitate optimization of treatment and improve outcomes in patients with severe brain injuries. ...
journal_title：Critical care nurse
pub_type： 杂志文章,评审
doi：
更新日期：2001-12-01 00:00:00
abstract：:This 6-month retrospective study provided our medical center with a profile of the population of patients readmitted within 31 days of discharge. We found that chronic illness and age greater than 65 years were the high risk factors related to patient readmissions. These 2 attributes are common in critical care patien...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：
更新日期：2001-04-01 00:00:00
abstract：:During the springs and summers of 2009 to 2012, military and nongovernment organization nurses served side by side on hospital ships USNS Comfort and USNS Mercy to offer free humanitarian clinical services to developing nations in Central and South America and Southeast Asia. Translators were engaged to facilitate com...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：10.4037/ccn2013584
更新日期：2013-08-01 00:00:00
abstract：:Malnutrition is common in critically ill patients and is associated with poor outcomes for patients and increased health care spending. Enteral nutrition is the method of choice for nutrition delivery. Enteral nutrition delivery practices vary widely, and underfeeding is widespread in critical care. Interruptions in e...
journal_title：Critical care nurse
pub_type： 杂志文章,评审
doi：10.4037/ccn2014243
更新日期：2014-08-01 00:00:00
abstract：:Background Vanderbilt University Hospital's original rapid response team included a critical care charge nurse and a respiratory therapist. A frequently identified barrier to care was the time delay between arrival of the rapid response team and arrival of the primary health care team. Objective To assess the impact o...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：10.4037/ccn2014847
更新日期：2014-02-01 00:00:00
abstract：:Hypoplastic left heart syndrome is a severe form of congenital heart disease that results in single-ventricle physiology. Although surgical palliation in infants with this syndrome is widely agreed on in practice, variation occurs in both surgical and medical management. Perinatal factors that affect preoperative mana...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：10.4037/ccn2016461
更新日期：2016-02-01 00:00:00
abstract：BACKGROUND:Hospital-acquired pressure ulcers are serious clinical complications that can lead to increased length of stay, pain, infection, and, potentially, death. The surgical progressive care unit at Sharp Grossmont Hospital, San Diego, California, developed the multidisciplinary Healthy Skin Project to decrease the...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：10.4037/ccn2013290
更新日期：2013-06-01 00:00:00
abstract：:Both pharmacological and nonpharmacological methods are used to control shivering in therapeutic hypothermia. An evidence-based protocol based on the most current research has been developed for the management of shivering during therapeutic hypothermia. Meperidine is the drug of choice and provides the greatest reduc...
journal_title：Critical care nurse
pub_type： 杂志文章
doi：10.4037/ccn2011618
更新日期：2011-12-01 00:00:00
