Palliative Care in Critical Care An Issue of Critical Care

Author: Tonja Hartjes
Publisher: Elsevier Health Sciences
ISBN: 0323395597
Format: PDF
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Intensive care units (ICUs) provide comprehensive, advanced care to patients with serious or life-threatening conditions and consequently, a significant amount of end-of-life care (EOLC). Indeed, approximately 20% of deaths in the U.S. are associated with an ICU stay, and nearly half of U.S. patients who die in hospitals experience an ICU stay during the last 3 days of life. Despite the commonality of the ICU experience, ICU patients typically suffer from a range of distressing symptoms such as pain, fatigue, anxiety, and dyspnea, causing families significant distress on their behalf. Thus, there is a growing imperative for better provision of palliative care (PC) in the ICU, which may prevent and relieve suffering for patients with life threatening illnesses. Effective palliative care is accomplished through aggressive symptom management, communication about the patient and family's physical, psychosocial and spiritual concerns, and aligning treatments with each patient's goals, values, and preferences. PC is also patient-centered and uses a multidisciplinary, team-based approach that can be provided in conjunction with other life-sustaining treatments, or as a primary treatment approach. Failure to align treatment goals with individual and family preferences can create distress for patients, families, and providers. If implemented appropriately, palliative care may significantly reduce the health care costs associated with intensive hospital care, and help patients avoid the common, non-person centered treatment that is wasteful, distressing, and potentially harmful. Due to the success of many PC programs, administrators, providers, and accrediting bodies are beginning to understand that palliative care in the ICU is vital to optimal patient outcomes.

Quality An Issue of Critical Nursing Clinics of North America

Author: Barbara Leeper
Publisher: Elsevier Health Sciences
ISBN: 0323326455
Format: PDF, ePub
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This issue contains a series of articles focused on various initiatives aimed at improving the quality of patient care delivery and promoting safe passage across the continuum of care. Exemplary, evidence-based nursing practice is the cornerstone of quality care, and this issue highlights many ways in which nurses have led changes to optimize patient outcomes. In addition, quality care enhances cost-effectiveness by reducing avoidable complications and diminishing avoidable hospital readmissions, a concept more important than ever due to value-based purchasing and the Affordable Care Act. Articles are specifically devoted to prevention of delirium in critical care patients, palliative care in the intensive care unit, prevention of pressure ulcers, fall prevention in high-risk patients, prevention readmissions, preventing sepsis mortality, and nursing interventions in the elderly critical care patient, to name a few.

Palliative Care in Critical Care An Issue of Critical Care Nursing Clinics of North America

Author: Tonja Hartjes
Publisher: Elsevier Health Sciences
ISBN: 0323395600
Format: PDF, Kindle
Download and Read
Intensive care units (ICUs) provide comprehensive, advanced care to patients with serious or life-threatening conditions and consequently, a significant amount of end-of-life care (EOLC). Indeed, approximately 20% of deaths in the U.S. are associated with an ICU stay, and nearly half of U.S. patients who die in hospitals experience an ICU stay during the last 3 days of life. Despite the commonality of the ICU experience, ICU patients typically suffer from a range of distressing symptoms such as pain, fatigue, anxiety, and dyspnea, causing families significant distress on their behalf. Thus, there is a growing imperative for better provision of palliative care (PC) in the ICU, which may prevent and relieve suffering for patients with life threatening illnesses. Effective palliative care is accomplished through aggressive symptom management, communication about the patient and family’s physical, psychosocial and spiritual concerns, and aligning treatments with each patient’s goals, values, and preferences. PC is also patient-centered and uses a multidisciplinary, team-based approach that can be provided in conjunction with other life-sustaining treatments, or as a primary treatment approach. Failure to align treatment goals with individual and family preferences can create distress for patients, families, and providers. If implemented appropriately, palliative care may significantly reduce the health care costs associated with intensive hospital care, and help patients avoid the common, non-person centered treatment that is wasteful, distressing, and potentially harmful. Due to the success of many PC programs, administrators, providers, and accrediting bodies are beginning to understand that palliative care in the ICU is vital to optimal patient outcomes.

Infection in the Intensive Care Unit An Issue of Critical Care Nursing Clinics of North America E Book

Author: Todd Tartavoulle
Publisher: Elsevier Health Sciences
ISBN: 0323477585
Format: PDF, Kindle
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Critical care units are high-risk areas which contribute to increased health care costs and increased patient morbidity and mortality. Patients in critical care units are commonly confronted with existing and the potential to develop infections. Critical care practitioners play a crucial role as initial providers to critically ill patients with infections through the delivery of timely and appropriate therapies aimed to prevent and treat patient infections. The responsibility of critical care practitioners include prudent delivery of care to treat current infections as well as ensuring the delivery of care does not increase the development of new infections. Aggressive infection control measures are needed to reduce infections in critical care settings. Dissemination of scholarly work on the topic of infection in critically ill patients can play a role in improving patient outcomes. The information provided on infections in this issue of Critical Care Nursing Clinics promotes the dissemination of current literature on a series of timely and relevant infection topics in critical care environments.

Neuromonitoring and Assessment An Issue of Critical Care Nursing Clinics of North America

Author: Catherine Harris
Publisher: Elsevier Health Sciences
ISBN: 0323416446
Format: PDF, ePub, Mobi
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Neuromonitoring is a broad term that essentially accounts for the essence of neuroscience nursing. Nurses working with critically ill, neurologically impaired patients should have a foundation in not only in invasive neuromonitoring, but the more subtle aspects of care. Nurses must understand that they are the most important tool in monitoring patients and interpreting the data. This issue of Critical Care Nursing Clinics will bring together the critical aspects of neuromonitoring in the intensive care units that can be used as a resource for nurses. Some articles included are devoted to Temperature Targeted Management; Refractory Intracranial Pressure Management; Blood pressure monitoring controversies; Invasive Neuromonitoring; Neuroradiology Review; Nursing Monitoring of Critically Ill Neurological Patients; Case Studies in EEG monitoring; and Neuromonitoring in the Operating Room.

Heart Failure An Issue of Critical Nursing Clinics

Author: Jennifer Kitchens
Publisher: Elsevier Health Sciences
ISBN: 0323402437
Format: PDF, Docs
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Heart failure is the only cardiovascular disease that is increasing. The impact on the critical care environment and the health care system, as a whole, is significant from both a cost and burden to the system perspective. There are 6.5 million hospital days a year and nearly $40 billion dollars in yearly health care costs attributed to heart failure in the United States. There are more Medicare monies spent for diagnosing and treating heart failure than any other Diagnosis Related Group. There is a 24% hospital re-admission rate for this diagnosis which leads to financial implications for health care systems. The human cost is also significant. Less than half of Americans diagnosed with heart failure survive greater than 5 years. The ongoing health care needs and cost of this chronic disease takes a significant toll on patients’ finances, time and quality of life. Over $2.9 billion dollars is spent annually on the pharmaceutical management of heart failure in the United States. This diagnosis is the leading cause of hospitalization for patients who are 65 years of age and older. Few health care providers in the critical care environment are not affected by heart failure on a routine basis. Caring for these patients and their families is both a challenging and yet a rewarding experience. This edition will provide critical care nurses with a comprehensive heart failure review which is essential in caring for this challenging population given the dynamic health and critical care environments.

Management of Complex Wounds An Issue of Critical Care Nursing Clinics E Book

Author: Janet Foster
Publisher: Elsevier Health Sciences
ISBN: 145574560X
Format: PDF, ePub, Docs
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This issue of Critical Care Nursing Clinics, Guest Edited by Janet Foster, PhD, RN, CNS, will focus on Wound Care, with article topics including: Wound management; wound debridement; acute wounds; nutrition and wound healing; biology of acute wound failure; psychological stress and wound healing; chronic wound management in the elderly; and adjuncts to preparing wounds for closure: growth factors, skin substitutes, negative pressure therapy and hyperbaric oxygen.

Advanced Practice Nursing E Book

Author: Ann B. Hamric
Publisher: Elsevier Health Sciences
ISBN: 1437720080
Format: PDF, Kindle
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Covering all advanced practice competencies and roles, this book offers strategies for enhancing patient care and legitimizing your role within today’s health care system. It covers the history of advanced practice nursing, the theory behind the practice, and emerging issues. Offering a comprehensive exploration of advanced practice nursing, this edition also adds a focus on topics including the APN scope of practice, certification, and the ethical and legal issues that occur in clinical practice. The development of all major competencies of advanced practice nursing is discussed: direct clinical practice, consultation, coaching/guidance, research, leadership, collaboration, and ethical decision-making. Advanced practice competencies are discussed in relation to all advanced practice nursing and blended CNS-NP roles (case manager, acute care nurse practitioner), highlighting the shared aims and distinctions of each role. In-depth discussions on educational strategies explain how competencies develop as the nurses’ practice progresses. A chapter on research competencies demonstrates how to use evidence-based research in practice, and how to promote these research competencies to other APNs. A conceptual framework shows the clear relationship between the competencies, roles, and challenges in today’s health care environment. Practical strategies are provided for business management, contracting, and marketing. Comprehensive information covers the essential competencies of the new Doctor of Nursing Practice degree. More exemplars (case studies) provide real-life scenarios showing APN competencies in action. A new chapter shows how to provide reliable and valid data to substantiate your impact and justify equitable reimbursement for APN services, also enhancing your skills in quality improvement strategies, informatics, and systems thinking. Information on telehealth considerations covers the new sources of electronic healthcare information available to patients and describes how to counsel them on using reliable resources.

Clinical Cases Nursing care case studies Inkling

Author: Margaret Webb
Publisher: Elsevier Health Sciences
ISBN: 072958433X
Format: PDF, Kindle
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Perfect for: • Diploma of Nursing Students. Apply theory to practice with the Clinical Cases textbook series! Clinical Cases: Nursing Care Studies is the perfect textbook for nursing students completing their Diploma. This nursing book offers a variety of case studies based on common real-life examples that you are likely to encounter in practice. Written by Margaret Webb and Ellie Kirov, Nursing Care Studies focusses on key nursing care topics, including: Vital Signs, Skin Integrity and Wound Care, Community-based Care, General Health Assessment, Medications and Palliative Care. Benefit from the logical structure of this nursing book, where each case study begins with an introduction of the presenting condition and associated symptoms. As the scenario develops, more information is provided, such as the patient’s condition, medications, tests and other important factors. Best of all, the conclusion of each case study emphasises patient outcomes and emphasises key points, providing you a great summary to reflect on. Make the most of Clinical Cases: Nursing Care Studies by using it in conjunction with Tabbner's Nursing Care: Theory and Practice, 6th Edition by Gabby Koutoukidis, Kate Stainton and Jodie Hughson as you progress through your Diploma of Nursing. Used together, these nursing textbooks provide a strong foundation for your knowledge of important themes and issues in nursing care. Support your nursing education by purchasing the other great titles available in the Clinical Cases textbook series. Other titles in this series: • Clinical Cases: Fundamentals of Nursing Case Studies by Natashia Scully and Damian Wilson. • Clinical Cases: Medical-Surgical Nursing Case Studies by Janine Bothe. Other formats: This book is also available as an App via the Apple App Store https://itunes.apple.com/au/app/clinical-cases-nursing-care/id659030265?mt=8 • Easy-to-understand, logical layout. • 24 case studies covering key topics in nursing care. • Multiple choice questions to test your knowledge throughout the textbook. • Rationales provided for all answers. • References for further reading and research. • Designed as an exam preparation and revision tool.

Improving Nursing Home Care of the Dying

Author: Martha L. Henderson, MSN, Dr Min
Publisher: Springer Publishing Company
ISBN: 9780826119261
Format: PDF
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In eight innovative sessions, Henderson, Hanson, and Reynolds provide sage advice, numerous case studies, a wide variety of assessment tools, intructional guidelines, and practical exercises to educate nursing home staff about care of the dying. A Multidisciplinary focus outlines important roles for all staff members in providing competent and compassionate end-of-life care.