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Critical Care Nursing Clinics of North America

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https://www.readbyqxmd.com/read/29107313/pain-today
#1
EDITORIAL
Stephen D Krau, Maria Overstreet
No abstract text is available yet for this article.
December 2017: Critical Care Nursing Clinics of North America
https://www.readbyqxmd.com/read/29107312/using-complementary-and-alternative-medicine-to-treat-pain-and-agitation-in-dementia-a-review-of-randomized-controlled-trials-from-long-term-care-with-potential-use-in-critical-care
#2
REVIEW
Alison R Anderson, Jie Deng, Robert S Anthony, Sebastian A Atalla, Todd B Monroe
The risk of pain in adults with dementia worsens with advancing age. Painful comorbidities may be underassessed and inadequately treated. Receiving treatment in critical care settings may indicate greater occurrences of pain and complications. Pain may exacerbate behavioral and psychological symptoms of dementia (BPSD), such as agitation. Complementary and alternative medicine (CAM) therapies may alleviate pain and BPSD, and continuity of therapy may bolster these therapeutic effects. This review did not reveal an apparent benefit of aromatherapy; however, improvements in BPSD have been shown previously...
December 2017: Critical Care Nursing Clinics of North America
https://www.readbyqxmd.com/read/29107311/the-use-of-remifentanil-as-the-primary-agent-for-analgesia-in-parturients
#3
REVIEW
Bryan Anderson
Pain control in parturients can be particularly challenging for the hospital staff. To achieve optimal outcomes in anesthesia patients, it is important to consider multiple options for pain control, especially when traditional options pose a problem or are not options. In particular, there are parturient clients for whom the use of neuraxial anesthesia (epidural and spinal blockade) is not an option. One option that warrants consideration for patient centered anesthesia practice is the use of remifentanil.
December 2017: Critical Care Nursing Clinics of North America
https://www.readbyqxmd.com/read/29107310/management-of-chronic-stable-angina
#4
REVIEW
Michele Ann Walters
Chronic stable angina (CSA) is a symptomatic problem that is precipitated by ischemic heart disease. CSA is diagnosed when symptoms are present for at least 2 months without changes in severity, character, or triggering circumstances. This article is a summary of current treatment strategies aimed to prevent progression of atherosclerosis, and medication therapies to control angina symptoms and improve quality of life for the individual.
December 2017: Critical Care Nursing Clinics of North America
https://www.readbyqxmd.com/read/29107309/pain-management-in-obstetrics
#5
REVIEW
Jennifer G Hensley, Michelle R Collins, Claire L Leezer
Critical care clinicians may be called on to care for a laboring woman. Comprehension of the anatomic changes associated with pregnancy, and labor and birth, is essential. A working knowledge of the current options for pain management in labor, both pharmacologic and nonpharmacologic, is necessary to facilitate patient-centered care. Pharmacologic options include intravenous or intramuscular agents, inhalational agents, and neuraxial anesthesia. Each modality has contraindications, risks, and benefits that must be considered when choosing the most appropriate method...
December 2017: Critical Care Nursing Clinics of North America
https://www.readbyqxmd.com/read/29107308/dyspnea
#6
REVIEW
Margaret L Campbell
Dyspnea is a subjective experience of breathing discomfort that can only be known through a patient's report. Numeric rating or visual analog scales allow assessment of intensity when the patient can self-report. The Respiratory Distress Observation Scale is a valid, reliable tool for estimating distress when self-report cannot be elicited. Treating dyspnea begins with managing the underlying condition. Other dyspnea-specific evidence-based interventions include morphine and fentanyl, upright positioning, oxygen, invasive and noninvasive ventilation, and balancing rest with activity...
December 2017: Critical Care Nursing Clinics of North America
https://www.readbyqxmd.com/read/29107307/pain-and-complementary-therapies
#7
REVIEW
Amy S Hamlin, T Michelle Robertson
Treatment of both acute and chronic pain typically involves a combination of pharmacologic and provider-based interventions, which is effective for some patients but not for others. Use of pain medications, especially repeated and frequent usage, involves the risk of adverse reactions, overuse, and dependency. Complementary and alternative therapies (CAT) offer an alternative or adjunctive method to decrease the pain experience and enhance function and quality of life. Various evidence-based CAT methods have been proved to be effective in the management of both acute and chronic pain...
December 2017: Critical Care Nursing Clinics of North America
https://www.readbyqxmd.com/read/29107306/pharmacologic-interventions-for-pain-management
#8
REVIEW
Francisca Cisneros Farrar, Danielle White, Linda Darnell
Serious life-threatening respiratory depression may occur with pharmacologic pain intervention. The nurse has an ethical and legal duty to provide safe, quality, and accountable pain management. The nurse must acquire self-efficacy for the administration of pain medications for critically ill patients to prevent serious side effects and adverse reactions. This article presents a clinical toolkit for acute pain pharmacologic management by presenting professional guidelines, evidence-based pain assessment tools, common pain medication therapy, and focused monitoring specific to the drug...
December 2017: Critical Care Nursing Clinics of North America
https://www.readbyqxmd.com/read/29107305/postoperative-visual-analog-pain-scores-and-overall-anesthesia-patient-satisfaction
#9
REVIEW
Tony Burch, Scott J Seipel, Nina Coyle, Keri H Ortega, Ozzie DeJesus
Patient satisfaction is evolving into an important measure of high-quality health care and anesthesia care is no exception. Pain management is an integral part of anesthesia care and must be assessed to determine patient satisfaction; therefore, it is a measure for quality of care. One issue is how patients reflect individual experiences into their overall anesthesia experience. There is a need to identify how postoperative pain scores correlate with anesthesia patient satisfaction survey results. Postoperative pain is not a dominant measure in determining anesthesia patient satisfaction...
December 2017: Critical Care Nursing Clinics of North America
https://www.readbyqxmd.com/read/29107304/the-role-of-pain-classification-systems-in-pain-management
#10
REVIEW
Patty Montgomery Orr, Bettina Cobb Shank, Amy Conner Black
Pain is a multidimensional experience that can significantly impair an individual's quality of life. This article describes the pain classification systems, including anatomic, etiologic, intensity, duration, pathophysiological, and conditions that are not easily classified. A holistic approach is taken by addressing key components to assist with effective pain management, including the psychological and spiritual aspects of care. A case study scenario demonstrates the implementation of pain classifications in pain management...
December 2017: Critical Care Nursing Clinics of North America
https://www.readbyqxmd.com/read/29107303/physiology-of-pain
#11
REVIEW
Deborah L Ellison
Acutely ill patients are challenging to frontline nurses because they frequently also have multiple chronic conditions. This article empowers all nurses to develop a foundational understanding of the physiology of acute and chronic pain. The skills, knowledge, and attitude to care for patients experiencing pain are a legal and ethical responsibility of all nurses. This article discusses the physiology of pain to include the neuronal receptors that respond to various painful stimuli, substances that stimulate nociceptors, the nerve pathways, modulation of the perception of pain, and acute verses chronic physiologic changes...
December 2017: Critical Care Nursing Clinics of North America
https://www.readbyqxmd.com/read/28778299/preface
#12
EDITORIAL
Patricia O'Malley
No abstract text is available yet for this article.
September 2017: Critical Care Nursing Clinics of North America
https://www.readbyqxmd.com/read/28778298/the-lived-experience-of-anemia-without-a-cause
#13
REVIEW
Patricia O'Malley
This article explores anemia without an obvious cause from two perspectives: a patient and the evidence. Although evidence is required to drive favorable patient outcomes, the focus on evidence often hides the patient experience during diagnosis and treatment. Knowledge of experience with evidence can provide a deeper perspective for clinical decision making and meet nursing's ethical mandate to relieve suffering. Although one patient experience does not reflect every patient experience, this patient's experience demonstrates how difficult and dark anemia can be...
September 2017: Critical Care Nursing Clinics of North America
https://www.readbyqxmd.com/read/28778297/resources-for-hematology-on-and-off-the-web
#14
REVIEW
Shirley Sebald-Kinder, Janet L Petty
Searching the literature can be challenging because of the large volume of information. It can be time consuming to locate and determine what evidence will provide the best health outcomes for patients. In addition, locating hematology information for patients and family members is one of the most challenging of all health care topics. Hematology can be technical and difficult for most people to understand, especially for those with little or no science background and poor reading skills. This article provides guidance on how and where to locate information to address the needs of both clinicians and patients...
September 2017: Critical Care Nursing Clinics of North America
https://www.readbyqxmd.com/read/28778296/use-of-high-fidelity-simulation-to-increase-knowledge-and-skills-in-caring-for-patients-receiving-blood-products
#15
REVIEW
Tonya Breymier, Tonya Rutherford-Hemming
Simulation has emerged in health care education programs over the past few decades. Acute-care institutions now provide simulation and high-fidelity simulation (HFS) experiences, nurse development, competency training, and evaluation. The International Association for Clinical Simulation and Learning has established best practice guidelines and a framework for multiple skills, such as blood transfusion. The Institute of Medicine report, To Err Is Human, brought patient safety issues to the forefront. Blood transfusion management is a skill for which HFS can provide a safe environment to educate and evaluate nurse competencies for blood transfusion management processes...
September 2017: Critical Care Nursing Clinics of North America
https://www.readbyqxmd.com/read/28778295/hidden-anemias-in-the-critically-ill
#16
REVIEW
Patricia O'Malley
With increasing knowledge of the risks associated with receiving blood transfusions, a new paradigm of bloodless medicine is needed. Principles of bloodless medicine include careful monitoring for obvious and hidden anemias, rapid intervention, minimizing blood losses from laboratory testing and procedures, and careful management of bleeding diatheses. As evidence is revealed and refined, standard treatment of anemia in the intensive care unit will include erythropoietin-stimulating agents, iron, folate, and vitamin B12, which will reduce risks associated with blood transfusions...
September 2017: Critical Care Nursing Clinics of North America
https://www.readbyqxmd.com/read/28778294/coagulopathy-in-and-outside-the-intensive-care-unit
#17
REVIEW
Marie Bashaw, Stephanie Triplett
Coagulopathy is life threatening. Through technologic advances of today, early recognition of the signs and symptoms of coagulopathy and the complicating factors is possible in most settings. By implementing appropriate treatment modalities early, the progression of coagulopathy can be halted, reducing morbidity and mortality.
September 2017: Critical Care Nursing Clinics of North America
https://www.readbyqxmd.com/read/28778293/nursing-care-of-adult-hematopoietic-stem-cell-transplant-patients-and-families-in-the-intensive-care-unit-an-evidence-based-review
#18
REVIEW
Linda K Young, Brianne Mansfield, Jared Mandoza
This article addresses evidence-based practice related to adult hematopoietic stem cell transplant (HSCT) patients when admitted to the intensive care unit. Specifically, it addresses non-HSCT staff, patient, and family needs and the strategies to address those needs.
September 2017: Critical Care Nursing Clinics of North America
https://www.readbyqxmd.com/read/28778292/balance-between-the-proinflammatory-and-anti-inflammatory-immune-responses-with-blood-transfusion-in-sepsis
#19
REVIEW
Teresa C Rice, Amanda M Pugh, Charles C Caldwell, Barbara St Pierre Schneider
Blood product transfusion may exacerbate the initial immunosuppressive response of sepsis. Nurses and other patient care providers must be diligent in recognizing and managing a worsening immune status, using flow cytometry to monitor patients' immune status. This type of monitoring may be instrumental in reducing morbidity and mortality in persons with sepsis. This article discusses the recent literature on the associated inflammatory responses that occur with blood transfusion and provides an analysis of alterations in key inflammatory pathways in response to transfusion in a sepsis population...
September 2017: Critical Care Nursing Clinics of North America
https://www.readbyqxmd.com/read/28778291/collaborative-strategies-for-management-of-obstetric-hemorrhage
#20
REVIEW
Betsy Babb Kennedy, Suzanne McMurtry Baird
Obstetric hemorrhage is a significant cause of perinatal morbidity and mortality that requires prompt recognition and collaborative intervention to prevent poor outcomes. Medical and surgical management goals include controlling bleeding, supporting tissue oxygenation and perfusion, and monitoring for coagulopathies and complications.
September 2017: Critical Care Nursing Clinics of North America
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