Oncologic issues in the older adult in critical care.

abstract：:The number of patients with heart failure is growing; the associated morbidity and mortality remains dismal. Advance care planning, end-of-life conversations, and palliative care referrals are appropriate, but do not occur regularly. Palliative care focuses on patients and families from diagnosis, to hospice, death, a...

journal_title：Critical care nursing clinics of North America

authors： Hupcey JE,Kitko L,Alonso W

更新日期：2015-12-01 00:00:00

abstract：:This brief overview of the role of source control in sepsis emphasizes the underlying principles rather than the empiric evidence from well-performed clinical studies. The reasons for this are several. First there is a paucity of high-level published evidence, with few rigorous large clinical series, and even fewer cl...

journal_title：Critical care nursing clinics of North America

authors： Marshall JC,Al Naqbi A

更新日期：2011-03-01 00:00:00

abstract：:An unexpected death is a traumatic event for everyone affected by it, especially family members. The manner in which a family is told that a death has occurred has a profound effect on their grief and bereavement process. The task of the health care professional working with these patients and their families is to ass...

journal_title：Critical care nursing clinics of North America

authors： McQuay JE,Schwartz R,Goldblatt PC,Giangrasso VM

更新日期：1995-09-01 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

authors： Jones KM

更新日期：1999-12-01 00:00:00

abstract：:Critical care nurses work in challenging environments that are often sterile, impersonal, noisy, and frightening to patients and their families. Nurses act as liaisons between medical professionals and patients and their families in multiple specialty intensive care units. Critical care nursing practice, guided by the...

journal_title：Critical care nursing clinics of North America

authors： Parsons LC,Walters MA

更新日期：2019-12-01 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

authors： DePew CL

更新日期：1991-06-01 00:00:00

abstract：:This article reviews the nursing care of the patient who receives a lung transplant, starting with preparation for admission to the ICU. Issues of oxygenation, airway clearance, hemodynamic and fluid assessment, infection control, incisional assessment, and pain are addressed throughout the hospitalization. Emotional ...

journal_title：Critical care nursing clinics of North America

authors： Meyer SB,Bass M,Ash R,Duffy S,Gazarian GG,Parello AP,Parmenter KL,Snowden SM,Toomey MP

更新日期：1996-09-01 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

authors： Paul RV

更新日期：2003-12-01 00:00:00

abstract：:The detailed evaluation of a patient for liver transplant candidacy involves health care professionals from various disciplines to ensure that liver transplantation is optimal for patient morbidity and mortality from the medical and psychosocial perspective. The national liver allocation policy is complex and should b...

journal_title：Critical care nursing clinics of North America

authors： Mathews SB,Allison W,Lin S

更新日期：2010-09-01 00:00:00

abstract：:Several studies suggest that the incidence of brain tumors is rising, an increase that cannot be accounted for by improved diagnostic abilities. Brain tumors can be subdivided according to their histology and location. When approached from this standpoint, survival statistics and treatment options can vary greatly. Un...

journal_title：Critical care nursing clinics of North America

authors： Bronstein KS

更新日期：1995-03-01 00:00:00

abstract：:Trauma providers are engaged in a constant struggle to improve quality and to assure positive outcomes in an unpredictable disease process. Traditional quality assurance has been unsuccessful in achieving these goals. Continuous quality improvement methodologies hold promise as the tools to balance quality, outcomes, ...

journal_title：Critical care nursing clinics of North America

authors： Eastes LE

更新日期：1994-09-01 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

authors： Menzel NN

更新日期：2007-06-01 00:00:00

abstract：:This article discuss the pathophysiology of traumatic brain injury and increased intracranial pressure, the consequences and treatment of secondary insults, and strategies for the medical and nursing management of the patient who has traumatic brain injury. ...

journal_title：Critical care nursing clinics of North America

authors： Saiki RL

更新日期：2009-12-01 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

authors： Widner-Kolberg MR

更新日期：1991-09-01 00:00:00

abstract：:Critical care nurses constitute front-line care provision for patients in the intensive care unit (ICU). Hypoxemic respiratory compromise/failure is a primary reason that patients require ICU admission and mechanical ventilation. Critical care nurses must possess advanced knowledge, skill, and judgment when caring for...

journal_title：Critical care nursing clinics of North America

authors： Barton G,Vanderspank-Wright B,Shea J

更新日期：2016-12-01 00:00:00

abstract：:Continuity of nursing care between the preoperative and postoperative phases of the patient with congenital heart disease is the goal of the perioperative nurse. Good assessment and planning are essential to efficient participation in the various stages of the operative course, from premedication to transport to the I...

journal_title：Critical care nursing clinics of North America

authors： Foldy SM,Gorman JB

更新日期：1989-06-01 00:00:00

abstract：:Critically ill obese patients have many challenging pulmonary problems. The first key is to understand pathophysiology in the pulmonary system related to obesity. Second, it is important to identify the altered physical assessments and diagnostics that occur because of the pulmonary pathophysiology of obesity. Lastly,...

journal_title：Critical care nursing clinics of North America

authors： Siela D

更新日期：2009-09-01 00:00:00

abstract：:In critical care, nurses are expected to react quickly to urgent and emergent situations. It is imperative that nurses have the ability to recognize signs and symptoms in patients that require diagnostic intervention. This article begins with a brief description of angiography and its role in the critical care environ...

journal_title：Critical care nursing clinics of North America

authors： McInnis LA,Parsons L,Krau SD

更新日期：2010-03-01 00:00:00

abstract：:Congenital coagulopathies in the pediatric population continue to be a serious cause of morbidity and mortality. Familiarity with such disorders is essential for individuals responsible for the care of children. This article discusses a variety of congenital and inherited coagulation disorders, classifying them in eit...

journal_title：Critical care nursing clinics of North America

authors： Srnec P

更新日期：1993-09-01 00:00:00

abstract：:A multisite APN role presents a unique perspective. You may see this in terms of opportunities or as frustrations. Ultimately it is your response, not the situation, that determines the outcome. As with any major transition, it can be a catalyst to transform yourself and reenergize your practice. Careful attention to ...

journal_title：Critical care nursing clinics of North America

authors： Stahl MA,Myers J

更新日期：2002-09-01 00:00:00

abstract：:Health care is a primary need and an important goal for individuals and for society overall. From an ethical perspective, resources should be allocated appropriately so everyone can enjoy the best health care possible. With limited resources available from an economic reimbursement perspective, we need to analyze the ...

journal_title：Critical care nursing clinics of North America

authors： Marsee VD

更新日期：2000-09-01 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

authors： Odom J

更新日期：1997-09-01 00:00:00

abstract：:Rabies is a devastating encephalitis caused by RNA viruses that use mammals as reservoirs. In the United States, most naturally acquired human cases have come from bats. The use of appropriate preexposure and postexposure prophylaxis can be nearly 100% effective. If prophylaxis is not used, or is implemented incorrect...

journal_title：Critical care nursing clinics of North America

authors： Weant KA,Baker SN

更新日期：2013-06-01 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

authors： Howard PK

更新日期：2005-03-01 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

authors： Kyba FC

更新日期：2002-06-01 00:00:00

abstract：:Pressure injury treatments are tailored to the characteristics of the wound. Wound depth, exudate, presence of infection, and patient goals of care will guide appropriate dressing and treatment selection. The interprofessional team, patient, and family should collaborate to create a plan of care for wound healing. ...

journal_title：Critical care nursing clinics of North America

authors： Roufogalis AL,Hutchinson ML

更新日期：2020-12-01 00:00:00

abstract：:The gut organs are vulnerable to injury during shock because of ischemia and reperfusion of the microcirculation. These injuries result in upper GI hemorrhage, liver dysfunction, and pancreatic and mesenteric necrosis. Toxic mediators, released via lymph drainage and with reperfusion, contribute to the failure of othe...

journal_title：Critical care nursing clinics of North America

authors： Collins AS

更新日期：1990-06-01 00:00:00

abstract：:It is important that pediatric critical care nurses possess a thorough understanding of their patient and be able to provide exceptional care, especially during emergent situations in the operating room. This care is accomplished by assessing the pediatric patient, dosing medications accurately and effectively, and pe...

journal_title：Critical care nursing clinics of North America

authors： Ryan E

更新日期：2015-03-01 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

authors： Giuliano KK

更新日期：2018-06-01 00:00:00

abstract：:Transition from hospital to home is a vulnerable period for older adults with multiple chronic conditions. A pilot of the Transitional Care Model at a community hospital reduced readmission rates for patients with heart failure by 48%. This article shares the experience of a large metropolitan health care system in ex...

journal_title：Critical care nursing clinics of North America

authors： Centeno MM,Kahveci KL

更新日期：2014-12-01 00:00:00