American journal of critical care : an official publication, American Association of Critical-Care Nurses
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Randomized Controlled Trial
Effect of Delirium on Physical Function in Noncardiac Thoracic Surgery Patients.
The effect of delirium on physical function in patients undergoing noncardiac thoracic surgery has not been well described and may differ from that in other surgical populations. ⋯ Postoperative delirium was not associated with change in muscle strength. Follow-up studies using other muscle measures may be needed.
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Societal attitudes about end-of-life events are at odds with how, where, and when children die. In addition, parents' ideas about what constitutes a "good death" in a pediatric intensive care unit vary widely. ⋯ Conceptual knowledge of what constitutes a good death from a parent's perspective may allow pediatric nurses to care for dying children in a way that promotes parents' coping with bereavement and continued bonds and memories of the deceased child. The proposed conceptual model synthesizes characteristics of a good death into actionable attributes to guide bedside nursing care of the dying child.
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Randomized Controlled Trial
Decreasing Delirium Through Music: A Randomized Pilot Trial.
Management of delirium in intensive care units is challenging because effective therapies are lacking. Music is a promising nonpharmacological intervention. ⋯ Music delivery is acceptable to patients and is feasible in intensive care units. Further research testing use of this promising intervention to reduce delirium is warranted.
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Physical restraints are frequently used for intensive care patients and are associated with substantial morbidity. The effects of common evidence-based critical care interventions on use of physical restraints remain unclear. ⋯ Several potentially modifiable risk factors are associated with next-day use of physical restraints.