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

authors： Beery TA

更新日期：2003-03-01 00:00:00

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 the...

journal_title：Critical care nursing clinics of North America

authors： Goeltz R,Hatlie MJ

更新日期：2002-12-01 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：: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：:One essential component of AD that many mistakenly overlook is that health care wishes should not be kept secret. Copies of the document should not be locked up; several should be distributed among family, health care providers, and significant others. Resistance can be expected with discussion of AD and ultimate deci...

journal_title：Critical care nursing clinics of North America

authors： Basile CM

更新日期：2002-06-01 00:00:00

abstract：UNLABELLED:NO has been used successfully to treat PPHN, reducing the need for ECMO. NO has also been used in the cardiac catheterization laboratory to determine if pulmonary hypertension will decrease with NO. Patients who do not respond to NO are at higher risk after open-heart surgery, because their pulmonary hyperte...

journal_title：Critical care nursing clinics of North America

authors： Ware LE

更新日期：2002-03-01 00:00:00

abstract：:Transplant pharmacotherapy evolves as new agents are investigated and approved for use. Clinical immunosuppression has been plagued with maintaining a balance between rejection of the transplanted organ and complications of over-immunosuppression, including infection and malignancy. Clinicians must understand current ...

journal_title：Critical care nursing clinics of North America

authors： Sims TW,Good EW

更新日期：2002-03-01 00:00:00

abstract：:Most public education about the clinical symptoms of MI and the appropriate response to those symptoms has been designed to reach educated segments of the white population based on data gathered from white men. As a result, AAs and Korean-Americans may be less alert to chest pain, less likely to relate this symptom to...

journal_title：Critical care nursing clinics of North America

authors： Lee H,Bahler R,Park OJ,Kim CJ,Lee HY,Kim YJ

更新日期：2001-12-01 00:00:00

abstract：:To sustain optimal pain-relieving care for acutely and critically ill patients, organizations must have systems in place to support evidence-based interventions, facilitate expert practice in the area of pain management, and encourage ongoing communication among patients, families, and providers. The key to success ma...

journal_title：Critical care nursing clinics of North America

authors： Wild LR

更新日期：2001-06-01 00:00:00

abstract：:Clinician involvement in critical care research will be essential if we are ever to achieve optimal patient outcomes. Educators and unit leadership play a pivotal role in facilitating, mentoring, and coaching clinicians both conduct research on important issues or problems in critical care and to ensure that practice ...

journal_title：Critical care nursing clinics of North America

authors： Chulay M

更新日期：2001-03-01 00:00:00

abstract：:A basic understanding of metabolic alterations that occur following neurotrauma is essential for addressing nutritional requirements. Interventions must be research based and must focus on the support of metabolic alterations, minimizing the effect of catabolism and optimizing caloric delivery to meet metabolic demand...

journal_title：Critical care nursing clinics of North America

authors： Donaldson J,Borzatta MA,Matossian D

更新日期：2000-12-01 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：:Commendable long-term care of cardiac transplant recipients begins with excellent discharge preparation. Routine follow-up allows for prompt detection of myriad problems commonly associated with long-term survival after transplantation. Long-term complications, including rejection, infection, hypertension, nephrotoxic...

journal_title：Critical care nursing clinics of North America

authors： Augustine SM

更新日期：2000-03-01 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：:Dating from the inception of percutaneous coronary angioplasty, restenosis has been the postprocedural Achilles heel. Despite a decade of research, with a myriad of mechanical devices and pharmacologic agents, this vexing problem has yet to be resolved. Although intracoronary stents have proved effective at restenosis...

journal_title：Critical care nursing clinics of North America

authors： Morris NB

更新日期：1999-09-01 00:00:00

abstract：:This article examines one institution's transition into rapid progression after cardiac surgery. This includes clinical guidelines and the integral use of outcomes measures to govern care. Fast-track initiatives are examined in the scope of cost containment. A comprehensive, multidisciplinary approach is emphasized th...

journal_title：Critical care nursing clinics of North America

authors： Clark JA,Kotyra LG,Brocious T

更新日期：1999-06-01 00:00:00

abstract：:Educational institutions are being asked to develop more meaningful ways to measure student learning. The critical care nursing faculty at this baccalaureate institution have delineated a process of outcomes-based education that they use as evidence of successful learning in their course. The faculty regard this as an...

journal_title：Critical care nursing clinics of North America

authors： Myer SA

更新日期：1999-06-01 00:00:00

abstract：:This article has reviewed some of the current airway management practices as well as technologic advances in adult tracheal tube design in the critically ill patient. Although the primary goals of airway protection and facilitation of positive pressure ventilation remain unchanged, a better understanding of the limita...

journal_title：Critical care nursing clinics of North America

authors： St John RE

更新日期：1999-03-01 00:00:00

abstract：:The critical care nurse is responsible for monitoring the effects of parenteral therapy. If the nurse is to collaborate with the physician on the type of solution appropriate for the patient, it is imperative that the nurse understand how the solution will impact the patient. Only through comprehending the effects and...

journal_title：Critical care nursing clinics of North America

authors： Krau SD

更新日期：1998-12-01 00:00:00

abstract：:The high-tech homecare nurse is operationalizing the trend to bring critical care nursing and medical services directly to the homecare environment. With the continuing advancement in technologic capability, the role of this newly emerging critical care nurse clinician will grow in scope of practice. As the health car...

journal_title：Critical care nursing clinics of North America

authors： McNeal GJ

更新日期：1998-09-01 00:00:00

abstract：:Health care providers rely on quality continuing education programs to increase their knowledge and to acquire new skills. Participation in programs such as CVVH: Implications for Clinical Practice-the Patient, the Circuit, the Team can potentially improve patient outcomes. While this study identifies critical care nu...

journal_title：Critical care nursing clinics of North America

authors： Politoski G,Mayer B,Davy T,Swartz MD

更新日期：1998-06-01 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

authors： Laurienzo JM

更新日期：1997-12-01 00:00:00

abstract：:It is clear that as a chronic illness, heart disease can create multiple stressors for women, including limitations on the performance of daily activities, difficulties managing symptoms and treatment, changes in role performance, lack of social support, and a reduced quality of life. Although available studies provid...

journal_title：Critical care nursing clinics of North America

authors： Fleury J,Cameron-Go K

更新日期：1997-12-01 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：:Workplace violence is increasing, but through education, prevention, and man aging escalating crises, critical care nurses can help to minimize the negative consequences of violence. Critical care nurses are particularly prone to acts of aggression and acts of violence due to the stressful environment for them, their ...

journal_title：Critical care nursing clinics of North America

authors： Williams ML,Robertson K

更新日期：1997-06-01 00:00:00

abstract：:Insight into the experience of family-member decision making regarding treatment of incompetent ICU patients can be gained through an exploration of the literature regarding the ICU environment, normative bioethics, and the decision-making process (see Fig. 1). The review of these relevant bodies of literature has sug...

journal_title：Critical care nursing clinics of North America

authors： Jacob D

更新日期：1997-03-01 00:00:00

abstract：:The balloon pressure waveform provides the clinician with a valuable tool for assessing the operating environment within the balloon and the catheter. The use of a calibrated balloon pressure waveform allows the clinician to assess gas leakage and catheter restriction alarms and implement corrective action. By combini...

journal_title：Critical care nursing clinics of North America

authors： Beaver K

更新日期：1996-12-01 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：:Major traumatic wounds cause a chain of complex localized and systemic events. Understanding these physiologic processes, potential complications, and treatment priorities can assist the nurse in facilitating wound healing and optimizing patient outcomes. ...

journal_title：Critical care nursing clinics of North America

authors： Byers JF

更新日期：1996-06-01 00:00:00

abstract：:Sepsis in the elderly occurs frequently and carries a high rate of mortality. With increasing numbers of elderly patients being cared for in critical care units, the critical care nurse must have a thorough understanding of the unique aspects of this patient population. Nurses must be prepared to deliver expert nursin...

journal_title：Critical care nursing clinics of North America

authors： Stanley M

更新日期：1996-03-01 00:00:00

abstract：:This article summarizes a critical analysis of 18 studies that examined the link between hand washing and infection. Although several factors made it difficult to evaluate the effect of hand washing, the authors conclude that (1) hand washing can add incremental value to infection-control strategies in acute care sett...

journal_title：Critical care nursing clinics of North America

authors： Bryan JL,Cohran J,Larson EL

更新日期：1995-12-01 00:00:00

abstract：:Scientifically valid data about the risks and rates of nosocomial infection are important to assist critical care nurses in developing clinical care improvement strategies. Contemporary epidemiologic methods should be used to facilitate the accurate assessment of data, whether for intrahospital or interhospital compar...

journal_title：Critical care nursing clinics of North America

authors： Baker OG

更新日期：1995-12-01 00:00:00

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

authors： O'Donnell JK,Gaedeke MK

更新日期：1995-09-01 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：:Availability of oxygen and adequate blood flow to wounded tissues are important factors for the prevention of impaired wound healing. Oxygen is essential for the growth of new blood vessels, formation of collagen, and the prevention of infection. Subcutaneous tissue oximetry, an experimental technology for evaluating ...

journal_title：Critical care nursing clinics of North America

authors： Wipke-Tevis DD

更新日期：1995-06-01 00:00:00

abstract：:In order for nurses to be effective advocates, they must practice in an environment that fosters competency, collaboration, communication, and ethical values. This article addresses the meaning of advocacy, explores whether nurses can be effective advocates in complex practice environments, identifies barriers to advo...

journal_title：Critical care nursing clinics of North America

authors： Rushton CH

更新日期：1995-06-01 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

authors： Shiminski-Maher T,Wisoff JH

更新日期：1995-03-01 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：: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

authors： Coffland FI

更新日期：1994-12-01 00:00:00

abstract：:Multiple organ dysfunction syndrome (MODS) is a common complication following traumatic surgery. Aggressive volume resuscitation, restoration of perfusion, and preventive interventions may prevent or lessen the severity of MODS. The nurse, as an integral member of the multidisciplinary team, can affect the ultimate ou...

journal_title：Critical care nursing clinics of North America

authors： Aragon D,Parson R

更新日期：1994-12-01 00:00:00