Rehabilitation Concerns in the Geriatric Critically Ill and Injured - Part 2
As life expectancy increases and birth rates decline, the geriatric population continues to grow faster than any other age group. Aging is characterized by a progressive physiologic decline that promotes the onset of functional limitation and disability. With the increasing geriatric population, more elderly patients are presenting to emergency departments after trauma, and intensive care units are being met with increasing demand. Rehabilitation is critical in improving quality of life by maximizing physical, cognitive, and psychological recovery from injury or disease. (Source: Critical Care Clinics)
Source: Critical Care Clinics - November 14, 2020 Category: Intensive Care Authors: Brittany Nowak, Cherisse Berry Source Type: research
Critical Care of the Cancer Patient & Geriatric Critical Care
CRITICAL CARE CLINICS (Source: Critical Care Clinics)
Source: Critical Care Clinics - November 14, 2020 Category: Intensive Care Authors: Stephen M. Pastores, Wendy R. Greene, Maxwell A. Hockstein Source Type: research
Copyright
ELSEVIER (Source: Critical Care Clinics)
Source: Critical Care Clinics - November 14, 2020 Category: Intensive Care Source Type: research
Contributors
JOHN A. KELLUM, MD, MCCM (Source: Critical Care Clinics)
Source: Critical Care Clinics - November 14, 2020 Category: Intensive Care Source Type: research
Contents
Stephen M. Pastores (Source: Critical Care Clinics)
Source: Critical Care Clinics - November 14, 2020 Category: Intensive Care Source Type: research
Forthcoming Issues
Acute Kidney Injury (Source: Critical Care Clinics)
Source: Critical Care Clinics - November 14, 2020 Category: Intensive Care Source Type: research
Infectious Disease Complications in Patients with Cancer
Critically ill patients with cancer are vulnerable to infections because of the underlying malignancy, tumor-directed therapy, immunosuppression, breaches in mucosa or skin, malnutrition, and other factors. Neutropenia remains the most important risk factor for infection. Infectious complications occurring in critically ill patients with cancer can affect the bloodstream, lungs, gastrointestinal tract, central nervous system, urinary tract, and the skin. Pneumonias are the leading cause of infection in patients with cancer admitted to the intensive care unit. Consideration of opportunistic pathogens in the differential dia...
Source: Critical Care Clinics - October 31, 2020 Category: Intensive Care Authors: Susan K. Seo, Catherine Liu, Sanjeet S. Dadwal Source Type: research
Caring for the Elderly in the Intensive Care Unit
In this issue of Geriatric Critical Care Clinics, we focus on older adults admitted to the intensive care unit (ICU) and the importance of assessing their baseline states of health, understanding their unique physiology, and synthesizing appropriate care plans. (Source: Critical Care Clinics)
Source: Critical Care Clinics - October 31, 2020 Category: Intensive Care Authors: Wendy R. Greene, Maxwell A. Hockstein Tags: Preface Source Type: research
Nutritional Assessment
This article focuses on tools for the nutritional assessment of geriatric intensive care unit patients, including a review of imaging and other standardized techniques for evaluation of muscle mass, an indicator of malnutrition and sarcopenia. It concludes with a discussion of the interplay of malnutrition, reduced muscle mass/sarcopenia, and frailty. The goal of this multidimensional assessment is to identify those at risk and thereby initiate interventions to improve outcomes. (Source: Critical Care Clinics)
Source: Critical Care Clinics - October 30, 2020 Category: Intensive Care Authors: Randeep S. Jawa, Rajeev B. Patel, David H. Young Source Type: research
Triage and Prognostication of Cancer Patients Admitted to the Intensive Care Unit
Cancer remains a leading cause of morbidity and mortality. Advances in cancer screening, early detection, targeted therapies, and supportive care have led to improvements in outcomes and quality of life. The rapid increase in novel cancer therapies can cause life-threatening adverse events. The need for intensive care unit (ICU) care is projected to increase. Until 2 decades ago, cancer diagnosis often precluded ICU admission. Recently, substantial cancer survival has been achieved; therefore, ICU denial is not recommended. ICU resources are limited and expensive; hence, appropriate utilization is needed. This review foc...
Source: Critical Care Clinics - October 29, 2020 Category: Intensive Care Authors: Dereddi Raja Shekar Reddy, Gregory H. Botz Source Type: research
Oncologic Emergencies
This article discusses aspects of diagnosis and management for important malignancy-associated emergencies. (Source: Critical Care Clinics)
Source: Critical Care Clinics - October 29, 2020 Category: Intensive Care Authors: Jenna Spring, Laveena Munshi Source Type: research
The Effect of Aging Physiology on Critical Care
Older patients experience a decline in their physiologic reserves as well as chronic low-grade inflammation named “inflammaging.” Both of these contribute significantly to aging-related factors that alter the acute, subacute, and chronic response of these patients to critical illness, such as sepsis. Unfortunately, this altered response to stressors can lead to chronic critical illness followed by dismal ou tcomes and death. The primary goal of this review is to briefly highlight age-specific changes in physiologic systems majorly affected in critical illness, especially because it pertains to sepsis and trauma, which ...
Source: Critical Care Clinics - October 28, 2020 Category: Intensive Care Authors: Dijoia B. Darden, Frederick A. Moore, Scott C. Brakenridge, Eduardo B. Navarro, Stephen D. Anton, Christiaan Leeuwenburgh, Lyle L. Moldawer, Alicia M. Mohr, Philip A. Efron, Robert T. Mankowski Source Type: research
The Frailty Syndrome
The number of older adults with cancer is growing in the United States, and there is a relative paucity of data relating the presence of frailty with its outcomes of interest. The authors present the surgical oncology, radiation oncology, and medical oncology literature with respect to the presence of frailty in older adults with cancer. More research is needed to understand how the presence of frailty should be used by surgical, radiation, and medical oncologists to guide patient counseling and treatment planning. (Source: Critical Care Clinics)
Source: Critical Care Clinics - October 28, 2020 Category: Intensive Care Authors: Christina A. Minami, Zara Cooper Source Type: research
Rehabilitation Concerns in the Geriatric Critically Ill and Injured - Part 1
Elderly patients who are critically ill have unique challenges that must be considered when attempting to prognosticate survival and determine expectations for physical rehabilitation and meaningful recovery. Furthermore, frail elderly patients present unique rehabilitation and clinical challenges when suffering from critical illness. There are multiple symptoms and syndromes that affect morbidity and mortality of elderly patients who require intensive care unit management including delirium, dementia, pain, and constipation. Rehabilitation goals should be based on patient values, clinical course, and functional status. Pa...
Source: Critical Care Clinics - October 28, 2020 Category: Intensive Care Authors: Corey X. Tapper, Kimberly Curseen Source Type: research
Evidence-Based Communication with Critically Ill Older Adults
Communication is a critical component of patient-centered care. Critically ill, mechanically ventilated patients are unable to speak and this condition is frightening, frustrating, and stressful. Impaired communication in the intensive care unit (ICU) contributes to poor symptom identification and restricts effective patient engagement. Older adults are at higher risk for communication impairments in the ICU because of pre-illness communication disorders and cognitive dysfunction that often accompanies or precedes critical illness. Assessing communication disorders and developing patient-centered strategies to enhance comm...
Source: Critical Care Clinics - October 28, 2020 Category: Intensive Care Authors: JiYeon Choi, Judith A. Tate Source Type: research
