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Dr. Wung is addressing an important component of critical care nursing: the role of technology in patient care. She has assembled top authors to provide current clinical information in the following areas: Sensory overload and technology in critical care; Alarm fatigue; Nurse-technology Interactions; Safety steps to prevent Infusion errors; Product design and medical devices for nurses ; Technologies to assess physiologic parameters (hemodynamics/cardio output); Technologies to support hemodynamics (e.g., balloon pump. ECMO, etc); Interactive computer programs for application of critical thinking skills; Information technology Electronic health records (EHR); Real-time detection of clinical care deviations in ICU; Medication safety technology; and eICU/iCARE. Readers will come away with the updates they need to improve patient outcomes.
Intensive care units (ICUs) provide comprehensive, advanced care to patients with serious or life-threatening conditions and consequently, a significant amount of end-of-life care (EOLC). Indeed, approximately 20% of deaths in the U.S. are associated with an ICU stay, and nearly half of U.S. patients who die in hospitals experience an ICU stay during the last 3 days of life. Despite the commonality of the ICU experience, ICU patients typically suffer from a range of distressing symptoms such as pain, fatigue, anxiety, and dyspnea, causing families significant distress on their behalf. Thus, there is a growing imperative for better provision of palliative care (PC) in the ICU, which may prevent and relieve suffering for patients with life threatening illnesses. Effective palliative care is accomplished through aggressive symptom management, communication about the patient and family’s physical, psychosocial and spiritual concerns, and aligning treatments with each patient’s goals, values, and preferences. PC is also patient-centered and uses a multidisciplinary, team-based approach that can be provided in conjunction with other life-sustaining treatments, or as a primary treatment approach. Failure to align treatment goals with individual and family preferences can create distress for patients, families, and providers. If implemented appropriately, palliative care may significantly reduce the health care costs associated with intensive hospital care, and help patients avoid the common, non-person centered treatment that is wasteful, distressing, and potentially harmful. Due to the success of many PC programs, administrators, providers, and accrediting bodies are beginning to understand that palliative care in the ICU is vital to optimal patient outcomes.
Neuromonitoring is a broad term that essentially accounts for the essence of neuroscience nursing. Nurses working with critically ill, neurologically impaired patients should have a foundation in not only in invasive neuromonitoring, but the more subtle aspects of care. Nurses must understand that they are the most important tool in monitoring patients and interpreting the data. This issue of Critical Care Nursing Clinics will bring together the critical aspects of neuromonitoring in the intensive care units that can be used as a resource for nurses. Some articles included are devoted to Temperature Targeted Management; Refractory Intracranial Pressure Management; Blood pressure monitoring controversies; Invasive Neuromonitoring; Neuroradiology Review; Nursing Monitoring of Critically Ill Neurological Patients; Case Studies in EEG monitoring; and Neuromonitoring in the Operating Room.
Optimizing Sleep in the Intensive Care Unit, An Issue of Critical Care Nursing Clinics of North America , E-Book
In this issue of Critical Care Nursing Clinics, Guest Editor May M. Riley brings her considerable expertise to the topic of Infection Challenges in the Critical Care Unit. Top experts in the field cover key topics such as Implementing an Antimicrobial Stewardship Program, Pulmonary Infections, Including Ventilator-Associated Pneumonia (VAP), Preventing Central Line-Associated Bloodstream Infection (CLABSI), and more. - Provides in-depth, clinical reviews on Infection Challenges in the Critical Care Unit, providing actionable insights for clinical practice. - Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field; Authors synthesize and distill the latest research and practice guidelines to create these timely topic-based reviews. - Contains 8 relevant, practice-oriented topics including Epidemiology of Invasive Fungal Disease; Management of Sepsis; Multidrug-Resistant Candida Species and Candidiasis Infections; Infections in Geriatric Patients; Transmission and Multidrug-Resistant Organisms; and more.
In collaboration with Consulting Editor, Dr. Cynthia Bautista, Dr. Mary Amatangelo has put together a comprehensive issue on nursing priorities for the stroke patient. Expert authors have contributed clinical review articles on the following topics: The Neurologic Exam; Large Vessel Occlusion; Blood Pressure Control for Ischemic Stroke; Malignant Hemispheric Stroke; Priority Nursing Interventions Caring for the Stroke Patient; Monitoring for Post-Stroke Seizures; Cryptogenic Stroke; In-House Stroke Code; Why Stroke Certification Matters; Stroke Rehabilitation; and Ethical Concerns in Caring for the Stroke Patient. Readers will come away with the information they need to improve outcomes for stroke patients in the ICU.
In this issue of Critical Care Clinics, guest editor Dr. Hannah Wunsch brings her considerable expertise to the topic of History of Critical Care Medicine. The term "Critical Care Medicine was first introduced in the 1950s at the University of Southern California—making 2023 the 70th anniversary of this subspecialty. This issue provides a fascinating look at important aspects of the history of the field, which originated with the concept that immediately life-endangered patients, the critically ill and injured, may have substantially better chances of survival if provided with professionally advanced minute-to-minute objective measurements.Contains 10 practice-oriented topics including early pediatric ICU care; mechanical ventilation: negative to positive and back again; airway management over the last 100 years; critical care nursing from the 1950s to the 2020s; from strict bedrest to early mobilization: a history of physiotherapy in the ICU; visiting hours and the changing place of family in the ICU; and more.
In consultation with Consulting Editor, Dr. Jan Foster, Drs. Garbee and Danna have put together a state-of the-art issue of the Critical Care Nursing Clinics devoted to Quality Outcomes and Costs. Clinical review articles are specifically devoted to the following: Information Technology, Electronic Medical Records, and Practice Alerts; Telehealth Use to Promote Quality Outcomes and Reduce Costs; Impact of a Mobility Team on ICU Patient Outcomes; MACRA and MIPS Impact on Quality and Cost Outcomes; Leadership’s Impact on Quality, Outcomes, and Costs; Big Data Sets Use for Quality, Outcomes, and Cost; Pediatric Quality Metrics Related to Quality Outcomes and Cost; Geriatric Outcomes Related to Quality and Cost; Mental Health/Behavioral Health Metrics; Obstetric Quality Outcomes and Cost; Emergency Department Throughput; and Veteran Outcomes. Readers will come away with the latest information they need to improve quality and improve out comes in critically ill patients.
In this issue of Critical Care Nursing Clinics, guest editors Sharon C. O'Donoghue and Justin H. DiLibero bring their considerable expertise to the topic of Moving Forward in Critical Care Nursing: Lessons Learned from the COVID-19 Pandemic. The COVID-19 pandemic brought considerable pressure on nurses worldwide, and many new opportunities have occurred to help ease the burden and move forward. In this issue, top experts examine the changes the pandemic has ushered in and look to the future of making improvements for critical care nurses, covering topics like health inequities, healthy work environments, nursing management, and patient safety. Contains 12 relevant, practice-oriented topics including supporting and retaining nurses in trying times; nurse leadership and healthy work environments; what the pandemic taught us about clinical documentation and quality of care; health equities with limited English proficiency; Long COVID, critical illness, and recovery; nursing education post-COVID; and more. Provides in-depth clinical reviews on lessons learned from the COVID-19 pandemic, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.
Dr. Chapa has assembled top-notch authors to write clinical reviews on the important topic of psychologic issues in the ICU. The issue focuses not only psychologic issues of patients in the ICU but also on issues facing critical care nurses working in the ICU. Articles are devoted to the following topics: Caring for the Caregiver in the ICU; Delirium vs. Dementia in ICU; Pediatric Delirium in ICU; Sarcopenia and Psychosocial Variables in ICU; Impact of Early Mobility in ICU on Psychological Issues; Intensive Care Syndrome; PTSD in ICU Nurses; Burnout Syndrome; Management Strategies in the ICU to Improve Psychosocial outcomes; and Psychologic Issues of Patient Transition from Intensive Care to Palliative Care. Readers will come away with current information they need to provide quality care with positive patient outcomes.