Nursing in critical care
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This study explores the experiences of relatives of patients who died in an ITU. It describes bereaved relatives' perceptions of a follow-up programme. ⋯ Bereaved relatives' perceptions of social support are included. Other problems present following the death of a loved one are discussed, including disposal of belongings.
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Nursing in critical care · Mar 1998
A reliability study of the modified new Sheffield Sedation Scale.
Summaries of what sleep is, the need for sleep and the effects of lack of sleep, in relation to sedation, have been reviewed. The reliability of a modified sedation scale in one intensive care unit is examined and demonstrated. All available sedation scales were critiqued and the most suitable one chosen and developed for use within one intensive care unit. The modified new Sheffield Sedation Scale is recommended for use in intensive care when recording patients' level of sedation.
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Nursing in critical care · Nov 1997
ReviewThe need for assessment of sedation in the critically ill.
There is a need for assessment of sedation in ICU as sedative agents are potent drugs that are used frequently but not regularly monitored for their efficacy. Critical care nurses are accountable when administering potent intravenous drugs, such as sedative agents. ⋯ A number of sedative drugs commonly used in ICU, such as propofol, are highlighted. Sedation assessment tools available are considered but each may be appropriate in different situations.
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Ten years ago' endothelium derived relaxing factor' was identified as nitric oxide (NO.). This highly significant discovery revealed the importance of NO. in normal physiology and pathophysiology. ⋯ The effect of NO. in multi-system failure is not yet established. Formal evaluation in the form of clinical trials has yet to be undertaken, and further study of all the potential side effects and toxicity are required for conclusive evidence of the value of inhaled NO. in the treatment of ARDS.
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Nursing in critical care · Sep 1997
ReviewThe impact of the ageing population on intensive care provision.
This paper explores the impact of the ageing population on the health service and intensive care provision. The concept of rationing is discussed. The paper concludes that age alone is not a reliable prediction of outcome (e.g. length of stay; mortality). The review highlights the lack of literature available offering a comparison of costs associated with intensive care management of the elderly.