Challenges Caring for Adults With Congenital Heart Disease in Pediatric Settings: How Nurses Can Aid in the Transition.

Abstract:

:As surgery for complex congenital heart disease is becoming more advanced, an increasing number of patients are surviving into adulthood, yet many of these adult patients remain in the pediatric hospital system. Caring for adult patients is often a challenge for pediatric nurses, because the nurses have less experience and comfort with adult care, medications, comorbid conditions, and rehabilitation techniques. As these patients age, the increased risk of complications and comorbid conditions from their heart disease may complicate their care further. Although these patients are admitted on a pediatric unit, nurses can aid in promoting their independence and help prepare them to transition into the adult medical system. Nurses, the comprehensive medical teams, and patients' families can all effectively influence the process of preparing these patients for transition to adult care.

journal_name

Crit Care Nurse

journal_title

Critical care nurse

authors

Anton K

doi

10.4037/ccn2016131

subject

Has Abstract

pub_date

2016-08-01 00:00:00

pages

e1-8

issue

4

eissn

0279-5442

issn

1940-8250

pii

36/4/e1

journal_volume

36

pub_type

杂志文章,评审
  • Music therapy in critical care: indications and guidelines for intervention.

    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:

    authors: Chlan L,Tracy MF

    更新日期:1999-06-01 00:00:00

  • Critically ill patients with H1N1 influenza A undergoing extracorporeal membrane oxygenation.

    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

    authors: Bibro C,Lasich C,Rickman F Jr,Foley NE,Kunugiyama SK,Moore E,O'Brien A,Sherman N,Schulman CS

    更新日期:2011-10-01 00:00:00

  • Interruptions in enteral nutrition delivery in critically ill patients and recommendations for clinical practice.

    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

    authors: Stewart ML

    更新日期:2014-08-01 00:00:00

  • Compassion Satisfaction and Compassion Fatigue Among Critical Care Nurses.

    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

    authors: Sacco TL,Ciurzynski SM,Harvey ME,Ingersoll GL

    更新日期:2015-08-01 00:00:00

  • Status Epilepticus in Adults: A Review of Diagnosis and Treatment.

    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

    authors: Lawson T,Yeager S

    更新日期:2016-04-01 00:00:00

  • The Healthy Skin Project: changing nursing practice to prevent and treat hospital-acquired pressure ulcers.

    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

    authors: Armour-Burton T,Fields W,Outlaw L,Deleon E

    更新日期:2013-06-01 00:00:00

  • Interleukin-2 therapy: needs of the patient in a critical care setting.

    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:

    authors: Raymond BA,Haney PE,Gimesky J

    更新日期:1994-12-01 00:00:00

  • Feeding critically ill patients: current concepts.

    abstract::Provision of nutritional support to critically ill patients can be challenging. Critical care nurses must be aware of which patients require specific nutritional support, when to initiate nutritional support, and by which route to provide nutritional support. Consultation with a dietitian or nutritional support servic...

    journal_title:Critical care nurse

    pub_type: 杂志文章,评审

    doi:

    authors: Trujillo EB,Robinson MK,Jacobs DO

    更新日期:2001-08-01 00:00:00

  • Hereditary Hemorrhagic Telangiectasia: A Primer for Critical Care Nurses.

    abstract::Hereditary hemorrhagic telangiectasia is a rare, autosomal dominant genetic disease that causes abnormal growth of blood vessels and, subsequently, life-threatening arteriovenous malformations in vital organs. Epistaxis may be one of the initial clues that a patient has more serious, generalized arteriovenous malforma...

    journal_title:Critical care nurse

    pub_type: 杂志文章,评审

    doi:10.4037/ccn2016270

    authors: Sacco KM,Barkley TW Jr

    更新日期:2016-06-01 00:00:00

  • Epidural sympathetic blockade to relieve vascular insufficiency in an infant with purpura fulminans.

    abstract::The patient in septic shock who develops vascular insufficiency secondary to purpura fulminans is a challenge to the healthcare team. Initial management is directed toward reversing the disease process by administering antibiotics immediately and initiating life-support measures. Emergency measures include optimizing ...

    journal_title:Critical care nurse

    pub_type: 杂志文章

    doi:

    authors: Chiafery MC,Stephany RA,Holliday KJ

    更新日期:1993-06-01 00:00:00

  • Decreasing Catheter-Associated Urinary Tract Infections in the Neurological Intensive Care Unit: One Unit's Success.

    abstract:BACKGROUND:Catheter-associated urinary tract infections are preventable adverse outcomes that increase hospital morbidity, mortality, and costs. These infections are particularly prevalent in intensive care units. OBJECTIVES:To describe the success of an 18-bed neurological intensive care unit in using several nurse-i...

    journal_title:Critical care nurse

    pub_type: 杂志文章

    doi:10.4037/ccn2017742

    authors: Richards B,Sebastian B,Sullivan H,Reyes R,D'Agostino JF,Hagerty T

    更新日期:2017-06-01 00:00:00

  • Management of an open abdominal wound with a synthetic covering.

    abstract::The insertion of Silastic sheeting provides an opportunity for improved survival of patients with severe abdominal trauma. This new treatment modality represents a challenge to nurses to expand their knowledge base. ...

    journal_title:Critical care nurse

    pub_type: 杂志文章

    doi:

    authors: Bolton PJ,Von Rotz NP

    更新日期:1994-04-01 00:00:00

  • Automated external defibrillators: an update of additions to the ACLS algorithms.

    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:

    authors: Barbiere CC,Liberatore K

    更新日期:1992-06-01 00:00:00

  • Pulmonary edema associated with the treatment of preterm labor: what critical care nurses need to know.

    abstract::Knowledge of the physiologic changes, conditions, and therapies of pregnancy that increase the risk of pulmonary edema enables nurses to influence the outcome of their patients who develop medical complications while undergoing tocolytic therapy. Cooperation between perinatal and critical care nurses ensures optimal c...

    journal_title:Critical care nurse

    pub_type: 杂志文章,评审

    doi:

    authors: Dabbs AD,Kraemer KL,Hoops S

    更新日期:1996-06-01 00:00:00

  • Smartphone applications: potential tools for use in preparing for CCRN certification examinations.

    abstract::Recent advances in smartphone technology now allow clinicians to use commercially produced applications when studying for nursing certification examinations. The quality of currently available CCRN review applications varies in this first generation of products. Most are limited to multiple-choice practice questions, ...

    journal_title:Critical care nurse

    pub_type: 杂志文章

    doi:10.4037/ccn2014842

    authors: Curran C

    更新日期:2014-06-01 00:00:00

  • Postoperative nausea and vomiting in adults: implications for critical care.

    abstract::Postoperative nausea and vomiting is a dreaded, uncomfortable, and unpleasant patient experience that is also a factor contributing to adverse outcomes in postoperative recovery. The key to management of this concern is to identify high-risk patients and to develop a systematic method of assessment, intervention, and ...

    journal_title:Critical care nurse

    pub_type: 杂志文章

    doi:10.4037/ccn2011470

    authors: Collins AS

    更新日期:2011-12-01 00:00:00

  • Congenital Cardiac Defects That Are Borderline Candidates for Biventricular Repair.

    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

    authors: Tracey M

    更新日期:2018-10-01 00:00:00

  • Introducing the Basic Knowledge Assessment Tool for pediatric critical care nursing (PEDS-BKAT).

    abstract::A 9-member educational task force and a 4-member panel of experts was used to establish the validity of the PEDS-BKAT, which was modified from version 4 of the adult BKAT for critical care nursing. A sample of 105 pediatric ICU nurses from 6 settings took the PEDS-BKAT. Test results include a mean score of 78.9 points...

    journal_title:Critical care nurse

    pub_type: 杂志文章

    doi:

    authors: Runton NG,Toth JC

    更新日期:1998-06-01 00:00:00

  • Development of a Tele-ICU Postorientation Support Program for Bedside Nurses.

    abstract::The end of the formal unit orientation program is a stressful time of adjustment for nurses hired into critical care without previous critical care experience. Although most units offer reassurance that experienced colleagues will provide the needed guidance, consistent support may not be available for many reasons. D...

    journal_title:Critical care nurse

    pub_type: 杂志文章

    doi:10.4037/ccn2015368

    authors: Brindise T,Baker MP,Juarez P

    更新日期:2015-08-01 00:00:00

  • The basics of building a presentation.

    abstract::To prepare a presentation, the critical care staff member must be willing to invest time and effort. Time and effort combined with an organized approach to the development process should result in a quality presentation. ...

    journal_title:Critical care nurse

    pub_type: 杂志文章

    doi:

    authors: Thomassy CS

    更新日期:1989-07-01 00:00:00

  • Methemoglobinemia: the hidden diagnosis.

    abstract::Although methemoglobinemia is not commonly seen in the ER or the critical care setting, it can be life threatening if unrecognized and left untreated. A detailed case history illustrates the symptoms and some of the possible precipitating factors, and outlines treatment for a successful patient outcome. ...

    journal_title:Critical care nurse

    pub_type: 杂志文章

    doi:

    authors: Baker SA,Young DJ

    更新日期:1990-03-01 00:00:00

  • Preparing Drugs for Infusion Via Syringe Pump: A Key Step to Ensure Homogeneous Concentration.

    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

    authors: Garrigue B,Dehu Y,Girault F,Figadère B,Leblanc K,Briole N,Capitani GA,Lagadec S,Laborne FX

    更新日期:2016-08-01 00:00:00

  • Beyond the bloody mess: hematologic assessment.

    abstract::Hematologic assessment is part of the routine assessment of acute and critically ill patients. Nurses must be aware of the reference ranges for complete blood cell counts and common coagulation profiles. A case study is presented of an elderly patient, taking warfarin for atrial fibrillation, who falls and sustains a ...

    journal_title:Critical care nurse

    pub_type: 杂志文章

    doi:10.4037/ccn2012596

    authors: Rauen CA

    更新日期:2012-10-01 00:00:00

  • Pressure Injuries at Intensive Care Unit Admission as a Prognostic Indicator of Patient Outcomes.

    abstract:BACKGROUND:Pressure injuries, also known as pressure ulcers, are a serious complication of immobility. Patients should be thoroughly examined for pressure injuries when admitted to the intensive care unit to optimize treatment. Whether community-acquired pressure injuries correlate with poor hospital outcomes among cri...

    journal_title:Critical care nurse

    pub_type: 杂志文章

    doi:10.4037/ccn2019530

    authors: McGee WT,Nathanson BH,Lederman E,Higgins TL

    更新日期:2019-06-01 00:00:00

  • Feasibility of Nurse-Led Multidimensional Outcome Assessments in the Neuroscience Intensive Care Unit.

    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

    authors: Schlichter E,Lopez O,Scott R,Ngwenya L,Kreitzer N,Dangayach NS,Ferioli S,Foreman B

    更新日期:2020-06-01 00:00:00

  • Caring for the victim of near drowning.

    abstract::If no complications arise, the near-drowning victim is usually discharged within 48 hours. However, some patients require complex care because of multisystem failure. These patients challenge the critical care nurse, who must understand the interrelationships of the problems to provide quality care. The major focus of...

    journal_title:Critical care nurse

    pub_type: 杂志文章

    doi:

    authors: Glankler DM

    更新日期:1993-08-01 00:00:00

  • Nursing Care and Treatment of Ambulatory Patients With Percutaneously Placed Axillary Intra-aortic Balloon Pump Before Heart Transplant.

    abstract::Transplant cardiologists in our hospital have performed the percutaneously placed axillary-subclavian intra-aortic balloon pump procedure since 2007. This procedure allows patients to mobilize and walk while they wait for a heart transplant, rather than remaining on bed rest as they would with a traditional femoral in...

    journal_title:Critical care nurse

    pub_type: 杂志文章,评审

    doi:10.4037/ccn2019729

    authors: Macapagal FR,McClellan E,Macapagal RO,Green L,Bonuel N

    更新日期:2019-04-01 00:00:00

  • Using the Mehran risk scoring tool to predict risk for contrast medium-induced nephropathy in patients undergoing percutaneous angiography.

    abstract:BACKGROUND:Patients who have radiological imaging with contrast material are at risk for contrast medium-induced nephropathy, reduced renal function, longer hospitalizations, and renal failure requiring dialysis. OBJECTIVE:To determine whether the Mehran risk scoring tool can be used to predict changes in hospitalized...

    journal_title:Critical care nurse

    pub_type: 杂志文章

    doi:10.4037/ccn2011746

    authors: Raingruber B,Kirkland-Walsh H,Chahon N,Kellermann M

    更新日期:2011-02-01 00:00:00

  • Tales from the sea: critical care nurses serving aboard the USNS Comfort and USNS Mercy.

    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

    authors: Faulk JF,Hanly MA

    更新日期:2013-08-01 00:00:00

  • Recent advances in the treatment of hypertensive emergencies.

    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

    authors: Smithburger PL,Kane-Gill SL,Nestor BL,Seybert AL

    更新日期:2010-10-01 00:00:00