Dimensions of critical care nursing : DCCN
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It is estimated that only 17% of patients survive an in-hospital cardiac arrest. Yet, more lives could be saved if the early signs of clinical deterioration were detected and promptly addressed on a consistent basis. ⋯ However, to achieve these results, bedside caregivers must have access to a highly functioning, efficient team with whom they consult regularly in appropriate patient care situations. This article describes one hospital's efforts to rejuvenate its team to achieve the best possible outcomes for its patients and staff.
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Dimens Crit Care Nurs · Mar 2008
ReviewThe use of beta-blockers to decrease adverse perioperative cardiac events.
As the population ages, more surgeries are performed on patients with increased risk factors. Many of these surgeries will result in complications and mortality. Myocardial ischemia is often associated with cardiac complications in the perioperative patient. ⋯ Perioperative patients are complex because of their atypical presentation, incisional pain, and the effects of analgesia. The critical care nurse must be able to determine a patient's risk factors and surgical risks and then take measures to ensure that the patient receives adequate treatment both before and after surgery. beta-Blockers may decrease a patient's risk of developing myocardial ischemia, yet they are often underused. A multidisciplinary approach is needed to ensure the proper use of beta-blockers in an effort to reduce cardiac complications in the perioperative elderly patient.
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Dimens Crit Care Nurs · Jan 2008
ReviewSpirituality: a dimension of holistic critical care nursing.
Although many patients face significant physical needs, their mind and spirit may be ill as well. Three facets make up an individual: physical, mental, and spiritual. ⋯ Spirituality is one such area of patient care that, when addressed, can reap positive benefits for both the client and the healthcare provider. This article explores all aspects of spirituality for the critical care nurse.
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Dimens Crit Care Nurs · Jan 2008
ReviewUsing the Synergy Model as best practice in endotracheal tube suctioning of critically ill patients.
Endotracheal suctioning with normal saline is a common practice in intensive care units. This unit reviews research concerning this practice as well as the adverse effects of saline instillation. In addition, the role of the critical care nurse as it pertains to the synergy model when caring for these patients is highlighted.