Critical care nurse
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Critical care nurse · Dec 2024
ReviewMedication Transitions of Care in Trauma and Acute Care Surgery Patients.
Although the benefits of improved transitions of care regarding medications are widely known, implementation is variable among inpatient settings and populations and requires an interprofessional effort. This article reviews the body of published research on challenges with medication history taking and reconciliation for inpatients requiring treatment of traumatic injuries or surgical intervention. ⋯ Clear guidelines are needed for performing medication assessments at the bedside, including the role of each health care professional who conducts them and how the process is coordinated.
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Critical care nurse · Dec 2024
ReviewResilience in Intensive Care Unit Nurses: An Integrative Review.
The intensive care unit environment exposes nurses to high-stress situations that potentially affect their mental and physical health. Resilience is a protective factor that can enhance the well-being of intensive care unit nurses. ⋯ More research is needed to comprehend the factors that impact resilience and devise interventions to boost resilience in intensive care nurses.
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Critical care nurse · Dec 2024
Case ReportsAssistive Communication Device Used During Pediatric Noninvasive Ventilation.
Noninvasive ventilation therapy is a common approach in acute respiratory failure as an alternative to invasive mechanical ventilation. Assistive communication strategies are necessary to overcome communication impairments and anxiety caused by oronasal obstruction in pediatric intensive care unit patients undergoing noninvasive ventilation. ⋯ The implementation of assistive communication devices can alleviate communication barriers in pediatric bilevel positive airway pressure users, contributing to increased compliance and diminished anxiety for patients and caregivers. Providing a pathway for effective communication may reduce sedation use, minimizing risks of sedation-related delirium and improving overall quality of life in these patients.
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Coronary artery bypass graft surgery is one of the most common cardiac procedures performed worldwide. The longer these patients remain in bed, the greater their risk of postoperative complications and prolonged length of stay. ⋯ Early mobility may help improve patient outcomes by reducing hospital length of stay and minimizing complications associated with prolonged immobility.
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Critical care nurse · Dec 2024
Case ReportsUsing Compressed Virtual Reality Exposure Therapy for an Adult Critical Illness Survivor: A Case Report.
Nearly one-quarter of adult critical illness survivors develop posttraumatic stress disorder symptoms triggered by sensory stimuli after intensive care unit discharge. Intensive care unit delirium is a risk factor for posttraumatic stress disorder. Compressed virtual reality exposure therapy (C-VRET) incorporates sensory stimuli to reduce posttraumatic stress disorder symptoms through habituation. ⋯ This report highlights the severity of posttraumatic stress disorder symptoms in critical illness survivors and the importance of strategies to limit delirium and posttraumatic stress disorder. Compressed virtual reality exposure therapy may reduce posttraumatic stress disorder symptoms in critical illness survivors.