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AACN Advanced Critical Care

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https://www.readbyqxmd.com/read/29496717/ketogenic-therapy-first-line-management-of-intractable-seizures-in-children
#1
Lori Williams
No abstract text is available yet for this article.
2018: AACN Advanced Critical Care
https://www.readbyqxmd.com/read/29496716/clinical-nurse-specialists-fostering-palliative-care-skills
#2
Deborah M Price, Mary Jo Kocan
No abstract text is available yet for this article.
2018: AACN Advanced Critical Care
https://www.readbyqxmd.com/read/29496715/lung-disease-and-genomics
#3
Kenneth Wysocki
Research and application of genomic medicine in lung disease during the past century has clarified our understanding and focus on specific phenotypes, helping clinicians tailor treatment for individual patients. Cystic fibrosis and lung cancer have been researched extensively; specific genotypes have been instrumental in precision medicine to treat these lung diseases. Asthma and chronic obstructive pulmonary disease are more complex and heterogeneous in their pathogenesis, genotypic profile, and phenotypic expression, making treatment more difficult with increasing disease severity...
2018: AACN Advanced Critical Care
https://www.readbyqxmd.com/read/29496714/genetics-and-genomics-of-acute-neurologic-disorders
#4
Megan Maserati, Sheila A Alexander
Neurologic diseases and injuries are complex and multifactorial, making risk prediction, targeted treatment modalities, and outcome prognostication difficult and elusive. Genetics and genomics have affected clinical practice in many aspects in medicine, particularly cancer treatment. Advancements in knowledge of genetic and genomic variability in neurologic disease and injury are growing rapidly. Although these data are not yet ready for use in clinical practice, research continues to progress and elucidate information that eventually will provide answers to complex neurologic questions and serve as a platform to provide individualized care plans aimed at improving outcomes...
2018: AACN Advanced Critical Care
https://www.readbyqxmd.com/read/29496713/cardiac-channelopathies-recognition-treatment-management
#5
Kathleen T Hickey, Amir Elzomor
The discovery of the human genome has ushered in a new era of molecular testing, advancing our knowledge and ability to identify cardiac channelopathies. Genetic variations can affect the opening and closing of the potassium, sodium, and calcium channels, resulting in arrhythmias and sudden death. Cardiac arrhythmias caused by disorders of ion channels are known as cardiac channelopathies. Nurses are important members of many interdisciplinary teams and must have a general understanding of the pathophysiology of the most commonly encountered cardiac channelopathies, electrocardiogram characteristics, approaches to treatment, and care for patients and their families...
2018: AACN Advanced Critical Care
https://www.readbyqxmd.com/read/29496712/pharmacogenomics-in-critical-care
#6
Dennis Cheek, Lynnette Howington
Since the successful completion of the Human Genome Project in 2003, extensive genomic research has continued to alter pathophysiology at the molecular level. This research includes investigation of the specific receptors and metabolizing enzymes in drug pharmacodynamics and pharmacokinetics, specifically the cytochrome P450 system located primarily in the liver. In this article, pharmacogenomics and the role of the cytochrome P450 system in metabolism of various drugs are discussed. Specifically, drugs that are used in the critical care setting and are of clinical significance to the bedside critical care nurse are examined...
2018: AACN Advanced Critical Care
https://www.readbyqxmd.com/read/29496711/genomics-and-precision-medicine-implications-for-critical-care
#7
Christine Kessler
A new paradigm for disease diagnosis and treatment is emerging that will bring about changes in health care delivery in and out of the hospital setting. Over the past several decades, genomic medicine has been one of the fastest growing fields in acute and chronic health care. This quick growth has created a lag in genomics knowledge and preparation among nurses and health care providers. Genomic medicine may lead to more precise evaluation, diagnosis, and management of selected acute care conditions. This article reviews the current state of genetic and genomics science and looks at the expanding field of genomic medicine's integration into precision medicine...
2018: AACN Advanced Critical Care
https://www.readbyqxmd.com/read/29496710/genomics-and-precision-medicine
#8
Christine Kessler
No abstract text is available yet for this article.
2018: AACN Advanced Critical Care
https://www.readbyqxmd.com/read/29496709/residual-neuromuscular-blockade-in-the-critical-care-setting
#9
Nicole Stawicki, Patty Gessner
Residual neuromuscular blockade is a widespread challenge for providers in the acute care setting that, if left unrecognized or untreated, places patients at higher risk for morbidity and mortality. The condition is estimated to occur in 26% to 88% of patients undergoing general anesthesia. The role of the advanced practice nurse in the acute care setting is to facilitate a safe recovery process by identifying early signs of deterioration and supporting the patient until full muscular strength has returned...
2018: AACN Advanced Critical Care
https://www.readbyqxmd.com/read/29496708/exponential-technology
#10
Linda Harrington
No abstract text is available yet for this article.
2018: AACN Advanced Critical Care
https://www.readbyqxmd.com/read/29496707/management-of-nosocomial-pneumonia
#11
Kathryn A Connor
No abstract text is available yet for this article.
2018: AACN Advanced Critical Care
https://www.readbyqxmd.com/read/29212649/ventricular-aneurysm-diagnosis-and-treatment
#12
Karen M Marzlin
No abstract text is available yet for this article.
2017: AACN Advanced Critical Care
https://www.readbyqxmd.com/read/29212648/reflections-on-how-we-teach-ethics-moral-failure-in-critical-care
#13
Georgina Morley, Jonathan Ives
No abstract text is available yet for this article.
2017: AACN Advanced Critical Care
https://www.readbyqxmd.com/read/29212647/evaluating-application-of-research-findings-to-new-settings-and-populations
#14
Sandra Hagstrom
No abstract text is available yet for this article.
2017: AACN Advanced Critical Care
https://www.readbyqxmd.com/read/29212644/creating-healthy-work-environments-for-second-victims-of-adverse-events
#15
Linda M Tamburri
Adverse events may cause a patient serious harm or death; the patient becomes the first victim of these events. The health care providers who become traumatized by the events are the second victims. These second victims experience feelings such as guilt, shame, sadness, and grief, which can lead to profound personal and professional consequences. An organizational culture of blame and a lack of support can intensify the provider's suffering. Second victims, as they move through predictable stages of recovery, can be positively influenced by a supportive organizational culture and the compassionate actions of peers, managers, advanced practice nurses, educators, and senior leaders...
2017: AACN Advanced Critical Care
https://www.readbyqxmd.com/read/29212643/designing-a-resilience-program-for-critical-care-nurses
#16
Meredith Mealer, Rachel Hodapp, David Conrad, Sona Dimidjian, Barbara O Rothbaum, Marc Moss
BACKGROUND: Workplace stress can affect job satisfaction, increase staff turnover and hospital costs, and reduce quality of patient care. Highly resilient nurses adapt to stress and use a variety of skills to cope effectively. OBJECTIVE: To gain data on a mindfulness-based cognitive therapy resilience intervention for intensive care unit nurses to see if the intervention program would be feasible and acceptable. METHODS: Focus-group interviews were conducted by videoconference with critical care nurses who were members of the American Association of Critical-Care Nurses...
2017: AACN Advanced Critical Care
https://www.readbyqxmd.com/read/29212642/compassion-fatigue-and-the-healthy-work-environment
#17
Lesly Kelly, Michael Todd
BACKGROUND: Burnout is a concern for critical care nurses in high-intensity environments. Studies have highlighted the importance of a healthy work environment in promoting optimal nurse and patient outcomes, but research examining the relationship between a healthy work environment and burnout is limited. OBJECTIVE: To examine how healthy work environment components relate to compassion fatigue (eg, burnout, secondary trauma) and compassion satisfaction. METHODS: Nurses (n = 105) in 3 intensive care units at an academic medical center completed a survey including the Professional Quality of Life and the American Association of Critical-Care Nurses' Healthy Work Environment standards...
2017: AACN Advanced Critical Care
https://www.readbyqxmd.com/read/29212641/incivility-and-professional-comportment-in-critical-care-nurses
#18
Kenneth John Oja
BACKGROUND: Civility among critical care nurses is important for achieving positive patient outcomes. Professional comportment refers to nurse behaviors that are respectful, knowledgeable, deliberate, and compassionate. OBJECTIVE: To examine the relationship between perceptions of nurse-to-nurse incivility and professional comportment among critical care nurses, and the extent to which nurse characteristics influence their perceptions. METHODS: Data were collected from nurses in 14 critical care units...
2017: AACN Advanced Critical Care
https://www.readbyqxmd.com/read/29212640/supporting-nurses-in-the-critical-care-environment
#19
Mary Fran Tracy
No abstract text is available yet for this article.
2017: AACN Advanced Critical Care
https://www.readbyqxmd.com/read/29212639/advanced-practice-registered-nurses-on-therapeutic-hypothermia-response-teams
#20
Jason Wannemacher, Dana Tschannen, Kim Biery, Cynthia Arslanian-Engoren
BACKGROUND: Therapeutic hypothermia can improve neurological recovery after cardiac arrest when implemented quickly. OBJECTIVE: To determine whether outcomes are improved among patients undergoing therapeutic hypothermia by adding advanced practice registered nurses to a therapeutic hypothermia response team. METHODS: A pilot quality improvement project was conducted in a Midwest community teaching hospital using a retrospective chart review of all adult patients undergoing therapeutic hypothermia before and after the addition of advanced practice registered nurses to the therapeutic hypothermia response team...
2017: AACN Advanced Critical Care
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