MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Nursing in Critical Care' source. Fri, 19 Mar 2010 15:56:31 +0100 http://www.medworm.com/index.php?rid=3252585&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2010.00390.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=3252585 Tue, 09 Feb 2010 14:51:17 +0100 3252585 http://www.medworm.com/index.php?rid=3252597&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2010.00397_5.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=3252597 Tue, 09 Feb 2010 00:00:00 +0100 3252597 http://www.medworm.com/index.php?rid=3252596&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2010.00397_4.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=3252596 Tue, 09 Feb 2010 00:00:00 +0100 3252596 http://www.medworm.com/index.php?rid=3252595&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2010.00397_3.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=3252595 Tue, 09 Feb 2010 00:00:00 +0100 3252595 http://www.medworm.com/index.php?rid=3252594&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2010.00397_2.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=3252594 Tue, 09 Feb 2010 00:00:00 +0100 3252594 http://www.medworm.com/index.php?rid=3252593&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2010.00397_1.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=3252593 Tue, 09 Feb 2010 00:00:00 +0100 3252593 http://www.medworm.com/index.php?rid=3252592&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2010.00366.x The aim of this paper is to discuss the recognition, treatment and investigation of anaphylaxis. Anaphylaxis is a severe, life-threatening, generalized or systemic hypersensitivity reaction. It is characterized by rapidly developing life-threatening airway and/or breathing and/or circulation problems usually associated with skin and/or mucosal changes. The incidence of anaphylaxis appears to be increasing. A wide range of triggers can cause anaphylaxis. Drugs are the commonest cause of anaphylaxis in hospital and foods in the out-of-hospital setting. Patients having anaphylaxis should be treated using the airway, breathing, circulation, disability, exposure (ABCDE) approach. Early treatment with intramuscular adrenaline is the treatment of choice for patients having anaphylaxis. Intravenou... Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=3252592 Tue, 09 Feb 2010 00:00:00 +0100 3252592 http://www.medworm.com/index.php?rid=3252591&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2010.00387.x Conclusion: Standardised assessment of an intensive care experience is important. It provides information about the patient experience which can inform care practice within ICU, following discharge to the ward and, in the longer term, rehabilitation. (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=3252591 Tue, 09 Feb 2010 00:00:00 +0100 3252591 http://www.medworm.com/index.php?rid=3252590&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2010.00386.x Conclusions: Although best practice is applied to the care of tracheostomized adult patients in some areas, including support for ward staff from specialist nurses or teams, this is not always formalized or consistent. Furthermore studies indicate a lack of medical follow-up once the patient is discharged from specialized areas with a tracheostomy. Research is very limited in relation to the care and management of tracheostomized adult patients outside specialized areas, yet there is morbidity and mortality associated with this patient group. Staff education is widely recommended, but further development is needed to determine the best methods of delivering education, especially for health care professionals who care for tracheostomized patients on an infrequent basis. Relevance to clinica... Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=3252590 Tue, 09 Feb 2010 00:00:00 +0100 3252590 http://www.medworm.com/index.php?rid=3252589&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2010.00379.x Conclusion: Families where the patient had suffered permanent brain damage experience an ambiguous loss. In this situation a caring scenario emerged which had a fundamental impact on the family's future. The dimension of 'mapping the future' draws out these implications for different family members. Relevance to clinical practice: Nurses need to be aware of the implications an ambiguous loss can have on families. (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=3252589 Tue, 09 Feb 2010 00:00:00 +0100 3252589 http://www.medworm.com/index.php?rid=3252588&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2010.00382.x Conclusions: Our experience demonstrates that it is feasible to deliver ward-based rehabilitation after critical illness using the GRA service delivery model. Relevance to clinical practice: This model of service delivery offers the potential to improve outcomes for patients after a critical illness. Further research evaluating this model of care is required before implementation into clinical practice. (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=3252588 Tue, 09 Feb 2010 00:00:00 +0100 3252588 http://www.medworm.com/index.php?rid=3252587&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2010.00389.x Conclusion: There are many varieties in the approaches clinicians use when weaning long-term ventilated patients, which acts on the continuity of their care. A shift of focus to identify ways of maintaining continuity of care and a combined 'wake and wean' approach needs to be considered. (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=3252587 Tue, 09 Feb 2010 00:00:00 +0100 3252587 http://www.medworm.com/index.php?rid=3252586&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2010.00391.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=3252586 Tue, 09 Feb 2010 00:00:00 +0100 3252586 http://www.medworm.com/index.php?rid=3138300&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2009.00380_7.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=3138300 Mon, 04 Jan 2010 00:00:00 +0100 3138300 http://www.medworm.com/index.php?rid=3138299&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2009.00380_6.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=3138299 Mon, 04 Jan 2010 00:00:00 +0100 3138299 http://www.medworm.com/index.php?rid=3138298&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2009.00380_5.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=3138298 Mon, 04 Jan 2010 00:00:00 +0100 3138298 http://www.medworm.com/index.php?rid=3138297&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2009.00380_4.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=3138297 Mon, 04 Jan 2010 00:00:00 +0100 3138297 http://www.medworm.com/index.php?rid=3138296&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2009.00380_3.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=3138296 Mon, 04 Jan 2010 00:00:00 +0100 3138296 http://www.medworm.com/index.php?rid=3138295&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2009.00380_2.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=3138295 Mon, 04 Jan 2010 00:00:00 +0100 3138295 http://www.medworm.com/index.php?rid=3138294&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2009.00380_1.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=3138294 Mon, 04 Jan 2010 00:00:00 +0100 3138294 http://www.medworm.com/index.php?rid=3138293&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2009.00369.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=3138293 Mon, 04 Jan 2010 00:00:00 +0100 3138293 http://www.medworm.com/index.php?rid=3138292&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2009.00361.x The objectives are to: define an ECG; describe how the ECG relates to cardiac contraction, with specific reference to the conduction system of the heart; recognize sinus rhythm; list the indications for ECG monitoring; discuss the important features of a modern bedside cardiac monitor; describe where to position ECG electrodes; outline a suggested procedure for ECG monitoring; discuss the infection control issues related to ECG monitoring. (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=3138292 Mon, 04 Jan 2010 00:00:00 +0100 3138292 http://www.medworm.com/index.php?rid=3138291&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2009.00364.x Conclusion: The uses of diaries in post ICU follow up were found to be common in Sweden. A majority used defined goals and content structure. However, there were differences in practice and patient recruitment among the levels of ICUs. These discrepancies seemed not to be based on evidence-based data nor on ongoing research or evaluation but merely on professional judgement. As ICU follow-up is resource intense and time consuming, it is paramount that solid criteria for patient selection and guidelines for the structure and use of diaries in post-ICU follow-up are defined. (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=3138291 Mon, 04 Jan 2010 00:00:00 +0100 3138291 http://www.medworm.com/index.php?rid=3138290&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2009.00377.x Conclusion: Research papers published in the journal reflect a wide range of interests and broad spread of research methods. Qualitative and quantitative data are used by authors but to distinguish papers into these two categories would be over simplistic. Systematic reviews along with randomized control trials and studies using a quasi-experimental design are the least frequently occurring approaches in the published papers, although they are growing in number in recent years. All the papers make explicit the implications for clinical practice and as such contribute to the growing body of knowledge to inform critical care nursing practice. (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=3138290 Mon, 04 Jan 2010 00:00:00 +0100 3138290 http://www.medworm.com/index.php?rid=3138289&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2009.00376.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=3138289 Mon, 04 Jan 2010 00:00:00 +0100 3138289 http://www.medworm.com/index.php?rid=3138288&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2009.00371.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=3138288 Mon, 04 Jan 2010 00:00:00 +0100 3138288 http://www.medworm.com/index.php?rid=3138287&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2009.00370.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=3138287 Mon, 04 Jan 2010 00:00:00 +0100 3138287 http://www.medworm.com/index.php?rid=3138286&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2009.00372.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=3138286 Mon, 04 Jan 2010 00:00:00 +0100 3138286 http://www.medworm.com/index.php?rid=3138285&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2009.00375.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=3138285 Mon, 04 Jan 2010 00:00:00 +0100 3138285 http://www.medworm.com/index.php?rid=3138284&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2009.00374.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=3138284 Mon, 04 Jan 2010 00:00:00 +0100 3138284 http://www.medworm.com/index.php?rid=3138283&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2009.00373.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=3138283 Mon, 04 Jan 2010 00:00:00 +0100 3138283 http://www.medworm.com/index.php?rid=3138282&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2009.00381.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=3138282 Fri, 01 Jan 2010 00:00:00 +0100 3138282 http://www.medworm.com/index.php?rid=2884789&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2009.00367.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=2884789 Tue, 13 Oct 2009 13:42:52 +0100 2884789 http://www.medworm.com/index.php?rid=2884794&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2009.00368.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=2884794 Mon, 12 Oct 2009 23:00:00 +0100 2884794 http://www.medworm.com/index.php?rid=2884793&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2009.00352.x Discussion: At the present time, there is insufficient evidence for recommending standard placement for mean arterial pressure (MAP) measurements for patients with TBI. There are implications to consider as the treatment prescribed will differ depending on where the arterial transducer is placed because the MAP and CPP displayed will fall by 15 mm Hg at a head elevation of 30 degrees. This poses a number of questions: is the CPP underestimated with the arterial transducer placed at head level? Is the CPP overestimated if the transducer is placed at mid axilla level?Recommendations: Further research is recommended. However, studies would be difficult to power as head-injured patients constitute a heterogeneous population. Professional consensus should be applied and standardized benchmarks ... Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=2884793 Mon, 12 Oct 2009 23:00:00 +0100 2884793 http://www.medworm.com/index.php?rid=2884792&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2009.00358.x Conclusion: Student feedback reported that the ILS course helped them understand what constituted the acutely ill patient and the role of the nurse in managing a deteriorating situation. Students also reported that they valued the experience as highlighting gaps in their knowledge. (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=2884792 Mon, 12 Oct 2009 23:00:00 +0100 2884792 http://www.medworm.com/index.php?rid=2884791&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2009.00355.x Conclusion: 'Knowing the patient' was implied during the interviews as essential to the delivery of patient-centred care. There were two main factors that needed to be present in order for nurses to know their patients: continuity of care and expertise. 'Ways of knowing' was reliant on gaining information about the patient. The role of the patient was a passive recipient of treatment.Implications for practice: Knowing the patient has been defined as a characteristic of expert nursing. To be truly patient-centred nursing needs to address the barriers that prevent nurses from getting to 'know' their patients. (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=2884791 Mon, 12 Oct 2009 23:00:00 +0100 2884791 http://www.medworm.com/index.php?rid=2884790&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2009.00354.x Conclusions: In order to recover psychologically, some ICU patients need help overcoming obstacles to their ability to construct an adequately coherent narrative of their experience.Relevance to clinical practice: ICU follow-up clinics could gain increased clarity of purpose from this narrative conceptual framework, eventually evaluating and validating benchmarks for assessing psychological recovery in relation to specified dimensions of narrative processing. Practice development informed by narrative process theory could also enhance ICU nursing communication. Since story construction is central to a person's core identity processes, person-centred nursing would also be implicated. (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=2884790 Mon, 12 Oct 2009 23:00:00 +0100 2884790 http://www.medworm.com/index.php?rid=2726371&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2009.00356.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=2726371 Mon, 24 Aug 2009 12:32:15 +0100 2726371 http://www.medworm.com/index.php?rid=2726382&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2009.00362_3.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=2726382 Sun, 23 Aug 2009 23:00:00 +0100 2726382 http://www.medworm.com/index.php?rid=2726381&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2009.00362_2.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=2726381 Sun, 23 Aug 2009 23:00:00 +0100 2726381 http://www.medworm.com/index.php?rid=2726380&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2009.00362_1.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=2726380 Sun, 23 Aug 2009 23:00:00 +0100 2726380 http://www.medworm.com/index.php?rid=2726379&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2009.00360.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=2726379 Sun, 23 Aug 2009 23:00:00 +0100 2726379 http://www.medworm.com/index.php?rid=2726378&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2009.00359.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=2726378 Sun, 23 Aug 2009 23:00:00 +0100 2726378 http://www.medworm.com/index.php?rid=2726377&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2009.00347.x Conclusion: The nurses' outcome expectations and self-efficacy in terms of knowledge and skills interacting with relatives were high. There was considerable variation in the nurses' agreement on when to involve relatives in caring activities or allowing them to be with the patient in critical situations. The self-efficacy theory was not supported as a result of lack of correlation between nurses' self-efficacy and outcome expectations and their attitude towards involving relatives in ICU.Relevance to clinical practice: The study provides important knowledge to clinicians, educators and managers on how to educate and supervise ICU-nurses to support their efforts to interact proficiently with relatives. (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=2726377 Sun, 23 Aug 2009 23:00:00 +0100 2726377 http://www.medworm.com/index.php?rid=2726376&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2009.00336.x Conclusion: The development and preliminary evaluation of this nurse-led intensive care programme resulted in a feasible programme, requiring modest resources, with a high level of patient and relative satisfaction.Relevance to clinical practice: This paper attempts to share with professional colleagues important steps during the developmental process of establishing an intensive care follow-up service and presents the content and preliminary evaluation of a nurse-led intensive care after-care programme focusing on the patients' and relatives' perspectives. (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=2726376 Sun, 23 Aug 2009 23:00:00 +0100 2726376 http://www.medworm.com/index.php?rid=2726375&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2009.00350.x Conclusion: The findings from this audit highlight the importance of regular blood glucose testing to enable early detection of hyperglycaemia and timely initiation of appropriate treatments regimes for diabetic patients undergoing cardiac surgery. Findings also show that hyperglycaemia derangement may make a difference in the recovery phase. While patients will benefit from lesser wound infections, hospitals might save costs involved with treating postoperative complications.Relevance to practice: More consistent blood glucose testing might be achieved through the use of evidence-based protocols. However, the education of staff is as important as it develops knowledge on the complex metabolic interactions of diabetic patients undergoing cardiac surgery. While this means investing in staff... Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=2726375 Sun, 23 Aug 2009 23:00:00 +0100 2726375 http://www.medworm.com/index.php?rid=2726374&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2009.00348.x Conclusion: End-of-life care is an important facet of paediatric intensive nursing/medicine. Ten years on from the Royal College of Paediatrics and Child Health publication 'Withholding or withdrawing life sustaining treatment in children: A framework for practice', this study found managed withdrawal of MWLSMT to be the most commonly practised mode of death in a tertiary PICU, and this was consistent over the study period. (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=2726374 Sun, 23 Aug 2009 23:00:00 +0100 2726374 http://www.medworm.com/index.php?rid=2726373&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2009.00343.x Conclusions: The position statement is based upon evidence from the literature, National Health Service policy and the Nursing and Midwifery Council regulations. It takes account of the critical care patient pathway before, during and after an admission to critical care. (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=2726373 Sun, 23 Aug 2009 23:00:00 +0100 2726373 http://www.medworm.com/index.php?rid=2726372&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2009.00357.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=2726372 Sun, 23 Aug 2009 23:00:00 +0100 2726372 http://www.medworm.com/index.php?rid=2480944&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2009.00346.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=2480944 Wed, 17 Jun 2009 04:43:13 +0100 2480944 http://www.medworm.com/index.php?rid=2480958&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2009.00351_5.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=2480958 Mon, 15 Jun 2009 04:00:00 +0100 2480958 http://www.medworm.com/index.php?rid=2480957&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2009.00351_4.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=2480957 Mon, 15 Jun 2009 04:00:00 +0100 2480957 http://www.medworm.com/index.php?rid=2480956&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2009.00351_3.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=2480956 Mon, 15 Jun 2009 04:00:00 +0100 2480956 http://www.medworm.com/index.php?rid=2480955&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2009.00351_2.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=2480955 Mon, 15 Jun 2009 04:00:00 +0100 2480955 http://www.medworm.com/index.php?rid=2480954&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2009.00351_1.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=2480954 Mon, 15 Jun 2009 04:00:00 +0100 2480954 http://www.medworm.com/index.php?rid=2480953&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2009.00345.x Conclusion: These results showed that HCWs hands and their mobile phones were contaminated with various types of micro-organisms. Mobile phones used by HCWs in daily practice may be a source of nosocomial infections in hospitals. Abstract reprinted from Annals of Clinical Microbiology and Antimicrobials, volume 8, Ulger F et al., 'Are we aware how contaminated our mobile phones with nosocomial pathogens?', doi:10.1186/1476-0711-8-7. © 2009, reproduced with permission from BioMed Central Ltd. (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=2480953 Mon, 15 Jun 2009 04:00:00 +0100 2480953 http://www.medworm.com/index.php?rid=2480952&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2009.00335.x Conclusion: AKI is associated with increased mortality in ICU, and RRT should be considered early in the disease process. Continuous haemofiltration is the most common modality of treatment in this group of patients, and a detailed knowledge of the management of such patients is required. (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=2480952 Mon, 15 Jun 2009 04:00:00 +0100 2480952 http://www.medworm.com/index.php?rid=2480951&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2009.00333.x Conclusions: The study was conducted on a limited sample; no statistically significant differences were detected; QC is the quickest and more cost-effective method. (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=2480951 Mon, 15 Jun 2009 04:00:00 +0100 2480951 http://www.medworm.com/index.php?rid=2480950&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2009.00339.x Conclusions: The studies examined lacked reference to the power of the studies and strength in the presentation of the results. Because of the lack of reliability in the studies, it would be suggested that further research is needed on this topic in order to produce rigorous high-quality reviews with limited bias. The use of citrate, as with all treatments in clinical practice, should be used with caution and assessed on an individual patient basis. Reviewing this evidence helps to gain an insight into different treatment options available, identifying some of the risks and benefits. (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=2480950 Mon, 15 Jun 2009 04:00:00 +0100 2480950 http://www.medworm.com/index.php?rid=2480949&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2009.00334.x Weaning from mechanical ventilation has attracted a growing interest recently in the medical and nursing press. Attempts have been made to determine a patient's readiness to wean, define criteria for successful weaning and enhance the weaning process through the developments of protocols. Key to this work is the role of the critical care nurse. Transferring the role and the responsibility of weaning from the traditional perspective of the intensivist to the nurse is not without challenges. Inherent is the need for skill and expertise and the willingness to accept this level of responsibility, not questioned in the medical role, but worthy of consideration when transferred to nurses. Key to successful weaning and weaning is redefined for the purposes of this paper, is continuity of care, kn... Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=2480949 Mon, 15 Jun 2009 04:00:00 +0100 2480949 http://www.medworm.com/index.php?rid=2480948&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2009.00344.x Conclusions: Earplug use improved the subjective experience of sleep for un-medicated critical care patients without interfering with care delivery.Relevance to Practice: The negligible cost and low level of invasiveness of earplugs makes this preferable as a primary intervention to promote sleep while avoiding unnecessary sedating medications. (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=2480948 Mon, 15 Jun 2009 04:00:00 +0100 2480948 http://www.medworm.com/index.php?rid=2480947&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2009.00332.x Conclusion: There is still much more research to be performed and evidence to be gained regarding the input into communication, swallowing and feeding in the ICU; however, a full-team approach to these areas can have very positive effects on the patient's experience. (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=2480947 Mon, 15 Jun 2009 04:00:00 +0100 2480947 http://www.medworm.com/index.php?rid=2480946&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2009.00331.x Conclusions: The patients' views of nutritional care during their stay in the ICU may contribute to understanding of how patients make sense of their nutritional changes and how they are involved in their nutritional care. This study shows that grasping the nutrition can be a way to regain some control in a situation where the patients are highly dependent on professional care. Further research is needed to develop this substantive theory in other intensive care settings to support patients' nutritional journey in intensive care.Relevance to clinical practice: Nurses can promote patients' abilities to grasp their nutritional situation during their recovery process. There is a need to focus not only on the patients' physical needs but also on their emotional and social needs. (Source: Nursi... Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=2480946 Mon, 15 Jun 2009 04:00:00 +0100 2480946 http://www.medworm.com/index.php?rid=2480945&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2009.00349.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=2480945 Mon, 15 Jun 2009 04:00:00 +0100 2480945 http://www.medworm.com/index.php?rid=2314197&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2009.00337.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=2314197 Thu, 09 Apr 2009 11:06:59 +0100 2314197 http://www.medworm.com/index.php?rid=2314212&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2009.00341_3.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=2314212 Wed, 01 Apr 2009 04:00:00 +0100 2314212 http://www.medworm.com/index.php?rid=2314211&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2009.00341_2.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=2314211 Wed, 01 Apr 2009 04:00:00 +0100 2314211 http://www.medworm.com/index.php?rid=2314210&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2009.00341_1.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=2314210 Wed, 01 Apr 2009 04:00:00 +0100 2314210 http://www.medworm.com/index.php?rid=2314209&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2009.00342.x Conclusions: Survivors of critical illnesses are likely to experience clinically significant symptoms of anxiety and depression following their discharge from hospital. The prospective diary intervention was designed to help patients understand what happened to them in intensive care, and it has a significant positive impact on anxiety and depression scores almost 2 months after patients' discharge from ICU. Attempts to replicate these results using larger samples are therefore encouraged, with the aim of informing best practice guidelines. Abstract reprinted from the Critical Care Medicine, volume 37, Knowles and Tarrier, '(2009) Evaluation of the effect of prospective patient diaries on emotional well-being in intensive care unit survivors: A randomized control trial', pages 184[ndash]19... Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=2314209 Wed, 01 Apr 2009 04:00:00 +0100 2314209 http://www.medworm.com/index.php?rid=2314208&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2008.00324.x Conclusions: Routine screening of all patients in the ICU for the presence of delirium is crucial to its successful management. Nurses are on the front line to detect, manage and even prevent delirium. (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=2314208 Wed, 01 Apr 2009 04:00:00 +0100 2314208 http://www.medworm.com/index.php?rid=2314207&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2009.00326.x Conclusions: Forces of 20[ndash]30 N are adequate to occlude the oesophagus and minimize the risk of acid aspiration. However, it is difficult for practitioners to accurately estimate this force in everyday practice. Various methods of assessing force were discussed, with the use of a 50-mL syringe suggested as a cost-effective and simple method to utilize in practice.Relevance to clinical practice: The literature review demonstrated that the subject of cricoid pressure is relevant in critical care practice in order to ensure patient safety during RSI. Thus, all critical care nurses have a duty to gain a working knowledge on the subject if patient safety is to be maintained. This paper provides a source of information on cricoid pressure and realistic methods of maintaining best practice. ... Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=2314207 Wed, 01 Apr 2009 04:00:00 +0100 2314207 http://www.medworm.com/index.php?rid=2314206&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2008.00325.x Conclusion: Although the findings from the study were not statistically significant, they can be seen as clinically significant in terms of patient comfort and reduced dependency in care by a reduction of time with a tracheostomy. It is recommended that a larger scale study be carried out to determine if a tracheostomy weaning protocol does make an impact on length of time to extubation in wider care settings. (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=2314206 Wed, 01 Apr 2009 04:00:00 +0100 2314206 http://www.medworm.com/index.php?rid=2314205&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2009.00323.x Conclusions: The COMFORT-B scale was a more reliable measure of children's sedation than bedside subjective assessment and gives more substantial information about sedation than the FLACC scale. Concurrent validity for assessment of pain was supported for both scales. The modified FLACC showed construct validity for measuring pain.Relevance to clinical practice: The use of validated scales may improve the assessment and management of pain and sedation in intubated children. (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=2314205 Wed, 01 Apr 2009 04:00:00 +0100 2314205 http://www.medworm.com/index.php?rid=2314203&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2008.00328.x Conclusions: The involvement of European intensive care nurses in EOL care discussions and decisions is reasonably consistent with many engaged in initiating dialogue with coworkers. In general, views and experiences of EOL care were similar, with the exception of the provision of nutrition and use of sedation.Relevance to practice: Use of formal guidelines and education may increase nurses' involvement and confidence with EOL decisions. (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=2314203 Wed, 01 Apr 2009 04:00:00 +0100 2314203 http://www.medworm.com/index.php?rid=2314201&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2009.00338.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=2314201 Wed, 01 Apr 2009 04:00:00 +0100 2314201 http://www.medworm.com/index.php?rid=2314199&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2009.00340.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=2314199 Wed, 01 Apr 2009 04:00:00 +0100 2314199 http://www.medworm.com/index.php?rid=2206561&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2009.00327.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=2206561 Mon, 23 Feb 2009 12:15:24 +0100 2206561 http://www.medworm.com/index.php?rid=2206574&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2009.00329.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=2206574 Sun, 22 Feb 2009 05:00:00 +0100 2206574 http://www.medworm.com/index.php?rid=2206573&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2008.00330_5.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=2206573 Sun, 22 Feb 2009 05:00:00 +0100 2206573 http://www.medworm.com/index.php?rid=2206572&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2008.00330_4.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=2206572 Sun, 22 Feb 2009 05:00:00 +0100 2206572 http://www.medworm.com/index.php?rid=2206571&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2008.00330_3.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=2206571 Sun, 22 Feb 2009 05:00:00 +0100 2206571 http://www.medworm.com/index.php?rid=2206570&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2008.00330_2.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=2206570 Sun, 22 Feb 2009 05:00:00 +0100 2206570 http://www.medworm.com/index.php?rid=2206569&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2008.00330_1.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=2206569 Sun, 22 Feb 2009 05:00:00 +0100 2206569 http://www.medworm.com/index.php?rid=2206568&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2008.00317.x Conclusions: The aim of the developed senior role was to expedite respiratory care for critical care patients, specifically, requesting chest X ray and supplying and administrating limited respiratory drugs for the deteriorating patient. To enable this, an education framework was required to support new policy formulation. Wider organization issues confronted during this policy construction are additionally explored. (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=2206568 Sun, 22 Feb 2009 05:00:00 +0100 2206568 http://www.medworm.com/index.php?rid=2206567&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2008.00318.x Conclusions: In conclusion, further knowledge acquisition and its relationship with previously held theory and experience will enable individual practitioners to advance their own practice as well as being a resource for others. (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=2206567 Sun, 22 Feb 2009 05:00:00 +0100 2206567 http://www.medworm.com/index.php?rid=2206566&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2008.00322.x Conclusions: This reflective analysis highlights the benefits and importance of the nurse-patient relationship during what was a very protracted ventilatory wean. This shared trajectory enabled significant patient empowerment, and this case study gives the patient the voice she temporarily lost. (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=2206566 Sun, 22 Feb 2009 05:00:00 +0100 2206566 http://www.medworm.com/index.php?rid=2206565&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2008.00320.x Conclusion: The medical doctor and nurse should fully evaluate a patient's oxygenation status, decrease the length of the extubation training session for patients and extubate patients promptly when extubation criteria are met.Relevance to clinical practice: Adopting a proactive approach to patient extubation will improve the overall quality of care. (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=2206565 Sun, 22 Feb 2009 05:00:00 +0100 2206565 http://www.medworm.com/index.php?rid=2206564&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2008.00312.x Conclusions and relevance to clinical practice: It is suggested that a diary may be a tool that can help formerly critically ill people to gain a sense of coherence concerning their critical illness experience, but reading it can be painful and demanding. (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=2206564 Sun, 22 Feb 2009 05:00:00 +0100 2206564 http://www.medworm.com/index.php?rid=2206563&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2008.00313.x Conclusions: Attention to the management of dyspnoea, anxiety and treatment decision-making are priority concerns when providing EOL care in the ICU to patients with COPD. (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=2206563 Sun, 22 Feb 2009 05:00:00 +0100 2206563 http://www.medworm.com/index.php?rid=2206562&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2009.00321.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=2206562 Sun, 22 Feb 2009 05:00:00 +0100 2206562 http://www.medworm.com/index.php?rid=2072497&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2008.00316_4.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=2072497 Fri, 02 Jan 2009 05:00:00 +0100 2072497 http://www.medworm.com/index.php?rid=2072496&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2008.00316_3.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=2072496 Fri, 02 Jan 2009 05:00:00 +0100 2072496 http://www.medworm.com/index.php?rid=2072495&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2008.00316_2.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=2072495 Fri, 02 Jan 2009 05:00:00 +0100 2072495 http://www.medworm.com/index.php?rid=2072494&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2008.00316_1.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=2072494 Fri, 02 Jan 2009 05:00:00 +0100 2072494 http://www.medworm.com/index.php?rid=2072493&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2008.00319.x Conclusions: Higher dental plaque scores confer greater risk for VAP, particularly for patients with greater severity of illness. Salivary volume and lactoferrin may affect the risk. Abstract reprinted from American Journal of Critical Care, volume 15, Munro CL et al., 'Oral health status and development of ventilator-associated pneumonia: a descriptive study.', pages 453[ndash]460. © 2006, reproduced with permission from American Association of Critical Care Nurses. (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=2072493 Fri, 02 Jan 2009 05:00:00 +0100 2072493 http://www.medworm.com/index.php?rid=2072492&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2008.00311.x Conclusions: Withdrawal syndromes may affect 20% of exposed children and are related to infusion duration and total dose. Fifty-one symptoms are described in the literature. Future studies need accurate, validated clinical tools to be effective. Risk factors, signs and symptoms have been identified, and validation studies must now take place.Relevance to clinical practice: Withdrawal syndromes continue to be widespread and difficult to diagnose. Awareness of their causes and treatments should influence clinical decisions at the bedside. (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=2072492 Fri, 02 Jan 2009 05:00:00 +0100 2072492 http://www.medworm.com/index.php?rid=2072491&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2008.00310.x Conclusions: This paper has used a narrative account to uncover those salient skills needed to enhance the therapeutic relationship with a patient requiring the services of outreach. Furthermore, the application of a recognized consultation model was used to elucidate the underpinning knowledge of systematic history taking and assessment as well as demonstrating the communication skills and strategies needed to increase the patient's participation and empowerment throughout the consultation.Relevance to clinical practice: Effective communication skills encompassed in a consultative model are integral to the success in safeguarding the well-being of patients requiring advanced levels of care. Prejudging or pre-empting information being conveyed can be detrimental to patient safety and may... Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=2072491 Fri, 02 Jan 2009 05:00:00 +0100 2072491 http://www.medworm.com/index.php?rid=2072490&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2008.00303.x Conclusions: Incorporating the Integrated Nursing Care module into the undergraduate nursing curriculum provides pre-registration students the opportunity to develop their knowledge and skills in acute care.Relevance to clinical practice: The provision of undergraduate education in care of the acutely ill patient in hospital is essential to improve nurses' competence and confidence in assessing and managing deteriorating patients in general wards at the point of registration. (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=2072490 Fri, 02 Jan 2009 05:00:00 +0100 2072490 http://www.medworm.com/index.php?rid=2072489&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2008.00302.x Conclusions: Our experience has shown there is a need that can be met simply with minimal investment of time and funding but that addresses a gap in patient support that otherwise goes unmet. Although this was a service development in one local area, it could be adapted to ICU patients and relatives more widely. (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=2072489 Fri, 02 Jan 2009 05:00:00 +0100 2072489 http://www.medworm.com/index.php?rid=2072488&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2008.00315.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=2072488 Fri, 02 Jan 2009 05:00:00 +0100 2072488 http://www.medworm.com/index.php?rid=2072487&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2008.00314.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=2072487 Thu, 01 Jan 2009 05:00:00 +0100 2072487 http://www.medworm.com/index.php?rid=1888906&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2008.00306.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=1888906 Mon, 20 Oct 2008 09:13:53 +0100 1888906 http://www.medworm.com/index.php?rid=1888918&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2008.00309_5.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=1888918 Sun, 19 Oct 2008 04:00:00 +0100 1888918 http://www.medworm.com/index.php?rid=1888917&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2008.00309_4.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=1888917 Sun, 19 Oct 2008 04:00:00 +0100 1888917 http://www.medworm.com/index.php?rid=1888916&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2008.00309_3.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=1888916 Sun, 19 Oct 2008 04:00:00 +0100 1888916 http://www.medworm.com/index.php?rid=1888915&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2008.00309_2.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=1888915 Sun, 19 Oct 2008 04:00:00 +0100 1888915 http://www.medworm.com/index.php?rid=1888914&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2008.00309_1.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=1888914 Sun, 19 Oct 2008 04:00:00 +0100 1888914 http://www.medworm.com/index.php?rid=1888913&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2008.00308.x Conclusions: This study does not confirm the highest rates of UE previously reported in orally intubated medical patients in the ICU or the association with mortality in this scenario. However, UE increased the need for MV and ICU care. We found a moderate to high prevalence of potentially modifiable risk factors for UE, suggesting unsatisfactory ICU practices. Abstract reprinted from Heart & Lung, volume 36, Bouza C et al., 'Unplanned extubation in orally intubated medical patients in the ICU: a prospective cohort study.', pages 270[ndash]276. ©2007, reproduced with permission from Elsevier Limited. (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=1888913 Sun, 19 Oct 2008 04:00:00 +0100 1888913 http://www.medworm.com/index.php?rid=1888912&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2008.00305.x Conclusions: Although the SERAT can correctly identify patients at risk for deliberate self-extubation, its use also produces a high number of false-positive identifications. Further research is necessary to evaluate how the false-positive rate can be reduced, and subsequently, the predictive validity of the SERAT can be improved.Relevance to clinical practice: Because of the high number of false positives, the use of the SERAT in clinical practice to date is not advocated. The positive predictive value has to be improved to avoid the implementation of intensive interventions in patients who are not at risk. (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=1888912 Sun, 19 Oct 2008 04:00:00 +0100 1888912 http://www.medworm.com/index.php?rid=1888911&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2008.00298.x Conclusions: Nurses are open to using a variety of different interventions to manage temperature in critically ill patients. The time required to complete any one intervention varies significantly, but the combination of interventions most certainly has a significant impact on the workload for bedside nurses. (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=1888911 Sun, 19 Oct 2008 04:00:00 +0100 1888911 http://www.medworm.com/index.php?rid=1888910&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2008.00299.x Conclusion: A non-invasive high-flow respiratory support system can be effective at improving oxygenation in hypoxic patients. Patients were generally satisfied with the system and the system seems suitable for use in an adult surgical high dependency setting. (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=1888910 Sun, 19 Oct 2008 04:00:00 +0100 1888910 http://www.medworm.com/index.php?rid=1888909&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2008.00294.x Conclusions: The Behavioural Pain Scale (BPS) has been tested among the broadest range of patients and was found to be a reliable and valid tool in three studies. Research is needed to further demonstrate the reliability and validity of the Critical-Care Pain Observation Tool (CPOT), as the paper of Gelinas et al. did not test its internal consistency and domain structure. The CPOT also needs testing among different critical care populations. The design of Odhner et al. study did not allow adequate testing of the Non-verbal Pain Scale (NVPS).Implications for practice: The implementation of the BPS can be recommended in intensive care units and may improve the management of pain among sedated patients by providing a systematic and consistent approach to pain assessment to guide intervention... Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=1888909 Sun, 19 Oct 2008 04:00:00 +0100 1888909 http://www.medworm.com/index.php?rid=1888908&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2008.00307.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=1888908 Sun, 19 Oct 2008 04:00:00 +0100 1888908 http://www.medworm.com/index.php?rid=1888907&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2008.00304.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=1888907 Sun, 19 Oct 2008 04:00:00 +0100 1888907 http://www.medworm.com/index.php?rid=1722842&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2008.00296.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=1722842 Fri, 22 Aug 2008 09:00:11 +0100 1722842 http://www.medworm.com/index.php?rid=1722852&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2008.00295_2.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=1722852 Thu, 21 Aug 2008 04:00:00 +0100 1722852 http://www.medworm.com/index.php?rid=1722851&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2008.00295_1.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=1722851 Thu, 21 Aug 2008 04:00:00 +0100 1722851 http://www.medworm.com/index.php?rid=1722850&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2008.00300.x Conclusions: Staffing is a key determinant of HCAI in critically ill patients. Assuming causality, a substantial proportion of all infections could be avoided if nurse staffing were to be maintained at a higher level. Abstract reprinted from Critical Care Medicine, volume 35, Hugonnet S et al., 'The effect of workload on infection risk in critically ill patients.', pages 76[ndash]81. © 2007, reproduced with permission from Lippincott Williams & Wilkins. (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=1722850 Thu, 21 Aug 2008 04:00:00 +0100 1722850 http://www.medworm.com/index.php?rid=1722849&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2008.00293.x Conclusions: Mentor update opportunities must be delivered alongside the competing demands of safe and effective patient care and the need to ensure the development of individuals as well as the profession as a whole through fostering its students.Relevance to practice: To ensure future generations of patients enjoy quality critical care, we must invest time and resources in mentoring the nurses who will deliver critical care in the future. (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=1722849 Thu, 21 Aug 2008 04:00:00 +0100 1722849 http://www.medworm.com/index.php?rid=1722848&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2008.00286.x Conclusion: The LoTrach system has been designed to facilitate the provision of a number of evidence-based interventions that have been shown to reduce VAP. Pulmonary aspiration is ubiquitous with conventional cuffs but prevented by the cuff of the LoTrach system when held at a constant and safe pressure against the tracheal wall with a cuff pressure controller. Other aspects incorporated in the ETT are aimed at clearing the secretions from the subglottic space, preventing tube occlusion and accidental extubation, and avoiding damage to the airway. In this way the LoTrach system employs a multifactorial approach to the prevention of VAP and the cost savings from LoTrach rather than a standard ETT will be considerable because of an average 3 day reduction in ICU length of stay related to th... Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=1722848 Thu, 21 Aug 2008 04:00:00 +0100 1722848 http://www.medworm.com/index.php?rid=1722847&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2008.00289.x Conclusions: Patient responses in MODS appear to conform to the principles of chaotic systems. Death is illustrated not as a consequence of homeostatic failure but as a 'deliberate' self-organized phenomenon entailing multiple dynamically evolving mechanisms.Relevance to clinical practice: Some of the principles of chaotic complex systems may need to be taken into account to advance care in MODS. An alternative theoretical perspective may support nurses to conceptualize both MODS and their role in a way that will help them to cope better with this devastating syndrome and develop practice. (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=1722847 Thu, 21 Aug 2008 04:00:00 +0100 1722847 http://www.medworm.com/index.php?rid=1722846&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2008.00290.x Conclusions: While inadequate paediatric research exists, extrapolating from adult research suggests that the financial and health costs of VAP are substantial and can be reduced by introducing simple low-cost measures. Such measures include improving education surrounding VAP and its implications and making small changes in practice to improve and maintain oral hygiene standards.Implications: With a growing cohort of paediatric patients requiring short- and long-term ventilation, progress must be made in identifying the extent and impact of VAP in paediatric ICUs and among the community ventilated patients. This will require changes in practice and attitudes towards VAP for which an appropriate knowledge base would need to be established using audit and research. These issues are particul... Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=1722846 Thu, 21 Aug 2008 04:00:00 +0100 1722846 http://www.medworm.com/index.php?rid=1722845&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2008.00285.x Conclusions: Further research is needed specifically into the effect of ETS on ICP and cerebral perfusion pressure of children with severe TBI, taking into account all the known confounding variables. (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=1722845 Thu, 21 Aug 2008 04:00:00 +0100 1722845 http://www.medworm.com/index.php?rid=1722844&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2008.00292.x Conclusions: This research created novel ways of viewing family and offers strategies to address asymmetry between families and ICU professionals.Relevance to clinical practice: Positive steps to redress asymmetrical relationships can help ensure that family care is better integrated into ICU practice. (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=1722844 Thu, 21 Aug 2008 04:00:00 +0100 1722844 http://www.medworm.com/index.php?rid=1722843&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2008.00297.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=1722843 Thu, 21 Aug 2008 04:00:00 +0100 1722843 http://www.medworm.com/index.php?rid=1614951&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2008.00287.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=1614951 Tue, 01 Jul 2008 04:00:00 +0100 1614951 http://www.medworm.com/index.php?rid=1614962&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2008.00283_5.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=1614962 Sat, 28 Jun 2008 04:00:00 +0100 1614962 http://www.medworm.com/index.php?rid=1614961&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2008.00283_4.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=1614961 Sat, 28 Jun 2008 04:00:00 +0100 1614961 http://www.medworm.com/index.php?rid=1614960&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2008.00283_3.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=1614960 Sat, 28 Jun 2008 04:00:00 +0100 1614960 http://www.medworm.com/index.php?rid=1614959&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2008.00283_2.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=1614959 Sat, 28 Jun 2008 04:00:00 +0100 1614959 http://www.medworm.com/index.php?rid=1614958&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2008.00283_1.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=1614958 Sat, 28 Jun 2008 04:00:00 +0100 1614958 http://www.medworm.com/index.php?rid=1614957&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2008.00284.x Post-traumatic stress disorder (PTSD) is a potentially serious psychiatric disorder that has traditionally been associated with traumatic stressors such as participation in combat, violent assault and survival of natural disasters. Recently, investigators have reported that the experience of critical illness can also lead to PTSD, although details of the association between critical illness and PTSD remain unclear. We conducted keyword searches of MEDLINE and Psych Info and investigations of secondary references for all articles pertaining to PTSD in medical intensive care unit (ICU) survivors. From 78 screened papers, 16 studies (representing 15 cohorts) and approximately 920 medical ICU patients met the inclusion criteria. A total of 10 investigations used brief PTSD screening tools excl... Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=1614957 Sat, 28 Jun 2008 04:00:00 +0100 1614957 http://www.medworm.com/index.php?rid=1614956&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2008.00280.x Conclusion: A key issue for EoLC in critical care is a lack of robust systems to prospectively identify individuals who are most at risk of dying. A further challenge is divergent perspectives within and across clinical teams on treatment withdrawal and limitation practices. To streamline patient management and underpin a hospice approach to care, EoLC policies are currently being used within the UK. While this provides a national framework to address some key critical care clinical issues in the UK, there is a need for further refinement of the tool to reflect the reality of EoLC for the critically ill. It is important that international best practice exemplars are examined and clinicians actively engage and contribute to ensure that any local EoLC frameworks are fit for purpose. (Source:... Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=1614956 Sat, 28 Jun 2008 04:00:00 +0100 1614956 http://www.medworm.com/index.php?rid=1614955&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2008.00279.x Conclusion/Implications: Daily care bundle audits showed a positive impact on compliance. However, without a robust method to collect data on prevalence of VAP, the impact of the care bundles on improving outcomes for this aspect of care is unknown. (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=1614955 Sat, 28 Jun 2008 04:00:00 +0100 1614955 http://www.medworm.com/index.php?rid=1614954&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2008.00278.x Conclusions: Sedative and analgesic drugs have an important role in the prevention and treatment of delirium in intensive care patients. Routine delirium screening should be included as part of sedation monitoring practice. When detected, treatment is focused on the prompt correction of precipitating factors, non-pharmacological interventions and appropriate drug therapy for symptom control. (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=1614954 Sat, 28 Jun 2008 04:00:00 +0100 1614954 http://www.medworm.com/index.php?rid=1614953&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2008.00282.x Conclusion: This paper reinforces the potential benefits to patients as a direct result of implementing the SAS scoring tool and clinical guidelines. Furthermore, it highlights the reluctance of a number of staff to adhere to such guidelines and discusses the concerns regarding less experienced nurses administering sedative agents. Attention was also drawn to the educational requirements of nursing and medical staff when using the SAS scoring tool. (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=1614953 Sat, 28 Jun 2008 04:00:00 +0100 1614953 http://www.medworm.com/index.php?rid=1614952&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1478-5153.2008.00288.x (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=1614952 Sat, 28 Jun 2008 04:00:00 +0100 1614952 http://www.medworm.com/index.php?rid=1525049&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fwww.blackwell-synergy.com%2Fdoi%2Fabs%2F10.1111%2Fj.1478-5153.2008.00287.x%3Fai%3D41e%26af%3DR Nursing in Critical Care, Volume 13, Issue 4, Page 181-183, July and August 2008. (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=1525049 Wed, 18 Jun 2008 18:37:55 +0100 1525049 http://www.medworm.com/index.php?rid=1525050&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fwww.blackwell-synergy.com%2Fdoi%2Fabs%2F10.1111%2Fj.1478-5153.2008.00288.x%3Fai%3D41e%26af%3DR Nursing in Critical Care, Volume 13, Issue 4, Page 184, July and August 2008. (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=1525050 Wed, 18 Jun 2008 13:30:31 +0100 1525050 http://www.medworm.com/index.php?rid=1525054&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fwww.blackwell-synergy.com%2Fdoi%2Fabs%2F10.1111%2Fj.1478-5153.2008.00280.x%3Fai%3D41e%26af%3DR Nursing in Critical Care, Volume 13, Issue 4, Page 208-214, July and August 2008. AbstractAim: This paper discusses end-of-life care (EoLC) in critical care through exploration of what is known from the international literature and what is currently presented within UK policy.Background and context: EoLC is an important international ... (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=1525054 Wed, 18 Jun 2008 13:30:29 +0100 1525054 http://www.medworm.com/index.php?rid=1525055&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fwww.blackwell-synergy.com%2Fdoi%2Fabs%2F10.1111%2Fj.1478-5153.2008.00284.x%3Fai%3D41e%26af%3DR Nursing in Critical Care, Volume 13, Issue 4, Page 215-217, July and August 2008. AbstractPost-traumatic stress disorder (PTSD) is a potentially serious psychiatric disorder that has traditionally been associated with traumatic stressors such as participation in combat, violent assault and survival of natural disasters. Recently, ... (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=1525055 Wed, 18 Jun 2008 13:30:28 +0100 1525055 http://www.medworm.com/index.php?rid=1525053&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fwww.blackwell-synergy.com%2Fdoi%2Fabs%2F10.1111%2Fj.1478-5153.2008.00279.x%3Fai%3D41e%26af%3DR Nursing in Critical Care, Volume 13, Issue 4, Page 203-207, July and August 2008. AbstractBackground: Ventilator-associated pneumonia (VAP), in addition to causing distress to patients, is associated with increased length of stay in intensive care, higher rates of morbidity and mortality and pressure on critical care capacity and ... (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=1525053 Wed, 18 Jun 2008 13:30:28 +0100 1525053 http://www.medworm.com/index.php?rid=1525056&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fwww.blackwell-synergy.com%2Fdoi%2Fabs%2F10.1111%2Fj.1478-5153.2008.00283_1.x%3Fai%3D41e%26af%3DR Nursing in Critical Care, Volume 13, Issue 4, Page 218-219, July and August 2008. (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=1525056 Wed, 18 Jun 2008 13:30:27 +0100 1525056 http://www.medworm.com/index.php?rid=1525051&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fwww.blackwell-synergy.com%2Fdoi%2Fabs%2F10.1111%2Fj.1478-5153.2008.00282.x%3Fai%3D41e%26af%3DR Nursing in Critical Care, Volume 13, Issue 4, Page 185-194, July and August 2008. AbstractBackground: Patients admitted to the intensive care unit (ICU) will more often than not require sedative and analgesic drugs to enable them to tolerate the invasive procedures and therapies caused as a result of their underlying condition and/or ... (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=1525051 Wed, 18 Jun 2008 13:30:24 +0100 1525051 http://www.medworm.com/index.php?rid=1525060&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fwww.blackwell-synergy.com%2Fdoi%2Fabs%2F10.1111%2Fj.1478-5153.2008.00283_5.x%3Fai%3D41e%26af%3DR Nursing in Critical Care, Volume 13, Issue 4, Page 220, July and August 2008. (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=1525060 Wed, 18 Jun 2008 13:30:19 +0100 1525060 http://www.medworm.com/index.php?rid=1525058&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fwww.blackwell-synergy.com%2Fdoi%2Fabs%2F10.1111%2Fj.1478-5153.2008.00283_3.x%3Fai%3D41e%26af%3DR Nursing in Critical Care, Volume 13, Issue 4, Page 219, July and August 2008. (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=1525058 Wed, 18 Jun 2008 13:30:18 +0100 1525058 http://www.medworm.com/index.php?rid=1525052&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fwww.blackwell-synergy.com%2Fdoi%2Fabs%2F10.1111%2Fj.1478-5153.2008.00278.x%3Fai%3D41e%26af%3DR Nursing in Critical Care, Volume 13, Issue 4, Page 195-202, July and August 2008. AbstractAim: The aim of the review was to consider the relationship between delirium and aspects of sedative and analgesic drug use in mechanically ventilated intensive care patients. The basis for routine delirium screening and the implications for ... (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=1525052 Wed, 18 Jun 2008 13:30:17 +0100 1525052 http://www.medworm.com/index.php?rid=1525057&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fwww.blackwell-synergy.com%2Fdoi%2Fabs%2F10.1111%2Fj.1478-5153.2008.00283_2.x%3Fai%3D41e%26af%3DR Nursing in Critical Care, Volume 13, Issue 4, Page 219, July and August 2008. (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=1525057 Wed, 18 Jun 2008 13:30:16 +0100 1525057 http://www.medworm.com/index.php?rid=1525059&cid=s_32333_27_f&fid=32333&url=http%3A%2F%2Fwww.blackwell-synergy.com%2Fdoi%2Fabs%2F10.1111%2Fj.1478-5153.2008.00283_4.x%3Fai%3D41e%26af%3DR Nursing in Critical Care, Volume 13, Issue 4, Page 219-220, July and August 2008. (Source: Nursing in Critical Care) Nursing in Critical Care journals http://www.medworm.com/rss/comments.php?id=1525059 Wed, 18 Jun 2008 13:30:15 +0100 1525059