Nursing in critical care
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Nursing in critical care · Mar 2013
New Zealand nurses perceptions of caring for patients with influenza A (H1N1).
This study aimed to explore the perceptions of the highly specialized nurses who provided extracorporeal membrane oxygenation therapy for the mostly young and critically ill patients during the 2009 H1N1 pandemic. ⋯ For future pandemics, this study identified the need for all staff to have a basic understanding of extracorporeal membrane oxygenation; strengthen inter-professional collaboration and communication; provision for more support and recognition of these highly specialized nurses, along with providing regular pandemic updates and offering counselling services.
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Nursing in critical care · Jan 2013
Practice GuidelineNICE CG83 - rehabilitation after critical illness: implementation across a network.
The National Institute for Health and Clinical Excellence (NICE) Clinical Guideline (CG) 83: Rehabilitation after Critical Illness was published to focus attention on a group of patients who can potentially endure a multitude of physical and non-physical complications following a serious illness. Historically the sequelae of critical illness have not been adequately assessed or managed despite growing knowledge in this area of health care. ⋯ Increasingly, hospitals have an obligation to comply with NICE guidelines for the benefit of patients. Rehabilitation following critical illness is important for patients to regain their former or best possible quality of life in a timely manner.
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Nursing in critical care · Jan 2013
Introducing delirium screening in a cardiothoracic critical care unit.
To share an experience of introducing Delirium scoring into a Cardiothoracic Critical Care Unit and the lessons learnt. ⋯ The introduction of delirium scoring and audit of its practice has highlighted the incidence of delirium in critically ill patients and has resulted in; Improved quality of care by development of a delirium care bundle Improved recognition of delirium Instigation of practices to prevent and treat delirium.