Critical care nurse
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Critical care nurse · Dec 2019
Early Mobilization of Infants Intubated for Acute Respiratory Failure.
Early mobility in the intensive care unit is being promoted as a way to improve outcomes but has not been studied in young infants. ⋯ Holding intubated infants in the intensive care unit was well tolerated, without an increase in adverse events.
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Critical care nurse · Oct 2019
Early Therapeutic Mobility and Changes in Scores for Pain and Fatigue.
This report is a secondary analysis of data from a larger study of a nurse-led early therapeutic mobility intervention among patients receiving mechanical ventilation. This analysis evaluated whether intervention frequency or intensity was associated with pain or fatigue. Frequency was defined as once-daily versus twice-daily interventions. ⋯ Four patients reported decrements in pain; 1 reported a decrease in fatigue. Less than 5% of enrolled patients indicated a score change of +4 to +6 for pain or fatigue, typically with the first intervention that included sitting at the edge of the bed. Future research could examine the distress associated with these symptoms in critically ill adults receiving early therapeutic mobility interventions.
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Critical care nurse · Oct 2019
Palliative Care and Moral Distress: An Institutional Survey of Critical Care Nurses.
The need for palliative care in the intensive care unit is increasing. Whether gaps and variations in palliative care education and use are associated with moral distress among critical care nurses is unknown. ⋯ Many critical care nurses do not feel prepared to provide palliative care. When palliative care access is perceived as inadequate, nurses may be more apt to experience moral distress. Health system leaders should prioritize palliative care training for critical care nurses and their colleagues and empower them to reduce barriers to palliative care.