American journal of critical care : an official publication, American Association of Critical-Care Nurses
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HIV infection is associated with increased infections. ⋯ HIV infection was not associated with increased mortality in patients with sepsis.
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Observational Study
Mortality and Discharge Location of Intensive Care Patients With Alzheimer Disease and Related Dementia.
Intensive care unit (ICU) utilization has increased among patients with Alzheimer disease and related dementia (ADRD), although outcomes are poor. ⋯ Patients with ADRD have lower home discharge rates and greater mortality after an ICU stay than patients without ADRD.
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Critical care nurses working in urban settings have reported obstacles in caring for dying patients. However, the perceptions of such obstacles by nurses working in critical access hospitals (CAHs), which are located in rural areas, are unknown. ⋯ Family issues and physician behaviors are common obstacles in rural nurses' provision of end-of-life care. Education of family members on end-of-life care is challenging because it is most families' first experience with intensive care unit terminology and technology. Further research on end-of-life care in CAHs is needed.