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Perspectives on Optimizing the Care of People with Heart Failure and Transcatheter Aortic Valve Replacement
As a nursing profession and in collaboration with our interprofessional team colleagues, nurses have access to a wealth of clinical guidelines, consensus statements, and research evidence about how to best care for patients with heart failure. Our patient education resources are endless. Why is care not optimized for everyone? New perspectives may help us partner with our patients and colleagues to improve care through better understanding. Appreciating the beliefs of a heart failure patient, his family, and other influential individuals may help to close gaps in self-care. (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - April 23, 2022 Category: Nursing Authors: Nicole Judice Jones Tags: Preface Source Type: research

Impact-icu
The IMPACT-ICU program provides staff with tools that make difficult palliative conversations easier; introduces the “3 conversations,” incorporates role-play activities, and provides for continued coaching. This program is highly relevant to the military health system, which typically lacks a specialized palliative care service. It is easily transferable to any environment to include austere locations as well as other disparate health care institutions. Although titled IMPACT-ICU, it uses communication skills that are appropriate for any difficult conversation in any situation, which makes it appropriate for empowerin...
Source: Critical Care Nursing Clinics of North America - February 22, 2022 Category: Nursing Authors: Dawn M. Blanchard, Joleen G. Pangelinan, Mernie Miyasato –Crawford, Patricia W. Nishimoto, Nicole E. Crouch, Richell A. Vannieuwenhuyzen, Judy L. Cruz, Ronel P. Estorgio, Cheryl (Moana) Kaaialii Source Type: research

Palliative Care and Dementia
Dementia is a progressive, incurable condition that causes limitations in life and should be recognized as a life-limiting condition. Health care professionals should understand its trajectory to better manage symptoms and to provide early and ongoing advance care planning. Advanced practice registered nurses are uniquely qualified to work with patients and their families to identify care preferences and then to align treatments to them. Palliative care and hospice are important interventions that should be integrated into the management of patients with dementia. Additionally, early integration of palliative medicine can ...
Source: Critical Care Nursing Clinics of North America - February 22, 2022 Category: Nursing Authors: Phyllis Whitehead Source Type: research

Perinatal Palliative Care in the Neonatal Intensive Care Unit
With the frequency of infant deaths in the United States, many attributed to congenital malformations and prematurity, the neonatal intensive care unit (NICU) nurse must be adept at planning and providing perinatal palliative care. The NICU nurse requires education and training to proficiently contribute to the care planning and delivery of care and facilitate memory-making activities. The provision of perinatal palliative care may precipitate moral distress and needs to be addressed with education and resilience-fostering activities. To further perinatal palliative care effectiveness, research needs to be conducted. (Sour...
Source: Critical Care Nursing Clinics of North America - February 22, 2022 Category: Nursing Authors: Cathy Maher-Griffiths Source Type: research

Palliative Care
CRITICAL CARE NURSING CLINICS OF NORTH AMERICA (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - February 22, 2022 Category: Nursing Authors: Angie Malone Source Type: research

Copyright
ELSEVIER (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - February 22, 2022 Category: Nursing Source Type: research

Contributors
DEBORAH GARBEE PhD, APRN, ACNS-BC, FCNS (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - February 22, 2022 Category: Nursing Source Type: research

Contents
Angie Malone (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - February 22, 2022 Category: Nursing Source Type: research

Forthcoming Issues
Heart Failure and Transcatheter Aortic Valve Replacement (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - February 22, 2022 Category: Nursing Source Type: research

New Graduate Nurses in the Intensive Care Setting
The COVID-19 pandemic and nursing shortage has impacted new graduate nurse (NGN) careers. Many NGNs gain initial employment with intensive care areas, encountering unprecedented stress due to high patient acuities, technology, and deaths. Having not yet transitioned into nursing practice, the NGN can experience a reality shock. Nurses are responsible for the care of the dying patient in the intensive care setting, despite inconsistencies in undergraduate curricula on death and dying. Nurse residency programs provide transition-to-practice support and reduce the stressors experienced by NGNs. Residency programs which specif...
Source: Critical Care Nursing Clinics of North America - January 22, 2022 Category: Nursing Authors: Colette D. Baudoin, Aimme Jo McCauley, Alison H. Davis Source Type: research

Palliative Care and Population Management
Historically, the goal of care in a pediatric or neonatal intensive care unit was to do everything medically possible to cure illness or prolong life. When curative therapies were no longer appropriate, the approach was to turn to end-of-life care. Currently, some children are surviving illnesses that formerly resulted in death or significant disability. Their lives may be viewed as lacking in quality. A palliative care approach can be used in select pediatric populations to improve quality of life, clarify treatment decisions to be aligned with the child's goals and values, and minimize suffering. (Source: Critical Care N...
Source: Critical Care Nursing Clinics of North America - January 22, 2022 Category: Nursing Authors: Lori Jean Williams Source Type: research

Hearing their Voice
Homeless individuals are seldom offered the opportunity to complete advance directives and designate decision makers. During a catastrophic illness, health care providers are left to do aggressive, life-prolonging treatments that the patient may not want while seeking decision makers who may not be familiar with the patient or what their wishes would be. The authors spearheaded a program to offer homeless individuals the opportunity to review and complete an advance directive and parlayed that work into a secondary project to provide a comfortable end-of-life experience for homeless patients. (Source: Critical Care Nursing...
Source: Critical Care Nursing Clinics of North America - January 22, 2022 Category: Nursing Authors: Delia M. Cortez, Jeannette Meyer Source Type: research

Critical Care Nursing: Expanding the Skill Set in Palliative Care
Health care as we know it has undergone a major change and shift over the last year in part due to the COVID-19 pandemic. As health care providers, we have been forced to reevaluate how we provide care in a more holistic patient-centered manner. Palliative care is even more important to help guide nursing practice to ensure quality care is delivered to patients in all settings, including the intensive care unit (ICU) and other critical care areas. Roughly 20% of people in the United States die in an ICU setting each year and will experience a myriad of debilitating symptoms, such as pain, dyspnea, delirium, or psychologica...
Source: Critical Care Nursing Clinics of North America - January 22, 2022 Category: Nursing Authors: Angie Malone Tags: Preface Source Type: research

Minority Populations and the Use of Palliative Care
Empirical data show benefits to palliative care (PC) early across the disease trajectory. In the United States, compelling racial inequities exist in access to PC services for minority populations. Minorities who are diagnosed with advanced disease later than nonminorities report adversity accessing treatment availabilities. Thus, poverty, racial discrimination, insurance coverage, and education barriers can affect a person's access to PC assistance. These barriers ultimately result in delayed diagnosis and overall poorer health outcomes. Social and health care inequalities are broad among the sphere of the vulnerable and ...
Source: Critical Care Nursing Clinics of North America - January 21, 2022 Category: Nursing Authors: Dorothy N. Pierce Source Type: research

A Scoping Review of the Experiences of Adolescents and Young Adults in the ICU, Their Family Members, and Their Health Care Team
Adolescents and young adults (AYAs) may be cared for in a pediatric or adult ICU. Specific needs of AYAs differ from those of populations typically found in either ICU. This review identifies research focused on experiences of AYAs in ICUs, their family members, and the health care professionals who care for them, revealing limited research about AYAs in ICUs: 10 articles met inclusion criteria and findings revealed that AYAs want to be treated as individuals and need health care professionals to partner with them. Further research is needed to inform developmentally appropriate care and improve serious illness communicati...
Source: Critical Care Nursing Clinics of North America - January 21, 2022 Category: Nursing Authors: Natalie S. McAndrew, Jeanne M. Erickson, Jill Guttormson, Alexandria Bear, Sean Marks, Jayshil Patel, Eric S. Harding Source Type: research