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Use of Diaries in Intensive Care Unit Delirium Patients
Diaries are written for patients in intensive care units by staff and relatives, especially when patients experience a disorder of their consciousness, such as delirium. Diary entries are written in common language, describing the situation of the patient. The diary can be read by the patient and the family and support the coping and understanding of what happened. It can function as a tool for supporting communication about different experiences and views of critical illness. (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - December 23, 2020 Category: Nursing Authors: Peter Nydahl, Teresa Deffner Source Type: research

Critical Care Nursing in India
This article describes the organization and practice of critical care nursing in India. (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - December 22, 2020 Category: Nursing Authors: Angela Gnanadurai Source Type: research

The Glasgow Coma Scale
Although the Glasgow Coma Scale has made a positive contribution to the care of people with neurologic orders, variance exists in its understanding and application secondary to inconsistency in guidelines, their interpretation, and the educational approach to the use of the tool. This fragmentation has been evidenced to result in variances in practice, some potentially harmful. Also, recent evidence demonstrates human factors, such as distress, have not been addressed within such education and guidelines for use. An opportunity now exists to take a new, unified approach to education and standards for use of the tool, frame...
Source: Critical Care Nursing Clinics of North America - December 22, 2020 Category: Nursing Authors: Neal F. Cook Source Type: research

Care of the Patient with Acquired Brain Injury in Latin America and the Caribbean
Traumatic brain injury and stroke are the leading causes of death and disability in Latin American and Caribbean countries. Specific characteristics, models of health care systems, and risk factors may influence the patient's outcome in this region. Relevant literature suggest that important delay problems exist in seeking care, reaching care, and receiving care in patients with acute neurologic injuries. Minimizing the time lost before care can be provided are vital to reduce the morbidity, long-term disability, and improved survival. (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - December 22, 2020 Category: Nursing Authors: Stefany Ortega-Perez, Mar ía Consuelo Amaya-Rey, Virginia Soto Lesmes Source Type: research

Risk Factors for Pressure Injury Development Among Critical Care Patients
Identification of the appropriate pressure injury (PI) risk factors is the first step in successful PI prevention. Measuring PI risk through formalized PI risk assessment is an essential component of any PI prevention program. Major PI risk factors identified in the empirical literature in the critical care population include age, diabetes, hypotension, mobility, prolonged intensive care unit admission, mechanical ventilation and vasopressor administration. Future risk assessment using sophisticated data analytics available in the electronic medical record may result in earlier, targeted PI prevention and will improve our ...
Source: Critical Care Nursing Clinics of North America - October 29, 2020 Category: Nursing Authors: Jill Cox Source Type: research

Pressure Injury Prevention Considerations for Older Adults
This article discusses aging as a risk factor for pressure injury (PrI). Topics include evidence for advancing age as a significant PrI risk factor, identifying pathophysiologic changes/mechanisms of aging, and specific PrI preventive interventions to consider in older adults. (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - October 29, 2020 Category: Nursing Authors: Linda Cowan, Vianna Broderick, Jenny G. Alderden Source Type: research

Pressure Injuries Among Critical Care Patients
CRITICAL CARE NURSING CLINICS OF NORTH AMERICA (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - October 29, 2020 Category: Nursing Authors: Jenny G. Alderden Source Type: research

Copyright
ELSEVIER (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - October 29, 2020 Category: Nursing Source Type: research

Contributors
CYNTHIA BAUTISTA, PhD, APRN, FNCS, FCNS (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - October 29, 2020 Category: Nursing Source Type: research

Contents
Jenny G. Alderden (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - October 29, 2020 Category: Nursing Source Type: research

Forthcoming Issues
International Perspectives in Critical Care Nursing (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - October 29, 2020 Category: Nursing Source Type: research

Best Practice in Pressure Injury Prevention Among Critical Care Patients
Pressure injuries are areas of damage to the skin and underlying tissue caused by pressure or pressure in combination with shear. Pressure injury prevention in the critical care population necessitates risk assessment, selection of appropriate preventive interventions, and ongoing assessment to determine the adequacy of the preventive interventions. Best practices in preventive interventions among critical care patients, including skin and tissue assessment, skin care, repositioning, nutrition, support surfaces, and early mobilization, are described. Unique considerations in special populations including older adults and i...
Source: Critical Care Nursing Clinics of North America - October 6, 2020 Category: Nursing Authors: Jenny Alderden, Faygah Shibily, Linda Cowan Source Type: research

Best Practices in Pressure Injury Treatment
Pressure injury treatments are tailored to the characteristics of the wound. Wound depth, exudate, presence of infection, and patient goals of care will guide appropriate dressing and treatment selection. The interprofessional team, patient, and family should collaborate to create a plan of care for wound healing. (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - October 6, 2020 Category: Nursing Authors: Andrea L. Roufogalis, Melissa L. Hutchinson Source Type: research

Pressure Injury Prevention and Treatment in Critically Ill Children
Pressure injury prevention in critically ill pediatric patients can be challenging. The current article discusses pressure injury prevention and treatment with attention to unique aspects of pediatric physiology that influence risk for pressure injury. Medical device –related pressure injuries are particularly problematic in pediatric patients; therefore, this article presents best practice in preventing pediatric medical device-related pressure injuries. Treatment of pressure injuries is also discussed, with special attention to products that should be used w ith caution or avoided. (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - October 6, 2020 Category: Nursing Authors: Ann Marie Nie Source Type: research

Medical Device –Related Pressure Injuries
This article provides evidence-based information regarding the most common devices that cause pressure injuries in adults and describes current best evidence-based prevention strategi es. Evidence-based prevention strategies are key to minimizing the harm devices can cause. (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - October 6, 2020 Category: Nursing Authors: Joyce Pittman, Carroll Gillespie Source Type: research