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Unstageable Pressure Injuries
Unstageable pressure injuries are widely understood to be full-thickness pressure injuries in which the base is obscured by slough and/or eschar. Correct identification of these pressure injuries can be challenging among health care professionals and, although treatments vary, d ébridement is key. Although the available research on unstageable pressure injuries is growing, there still is considerable need for advancements in the science regarding identification, treatment, and outcomes in critical care patients. (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - October 6, 2020 Category: Nursing Authors: Sunniva Zaratkiewicz, Mark Goetcheus, Holly Vance Source Type: research

Deep Tissue Pressure Injuries
Deep tissue pressure injury (DTPI) is a serious form of pressure injuries. The condition remains invisible for up to 48  hours and then progresses rapidly to full-thickness skin and soft tissue loss. Many other conditions that lead to purple skin can be misidentified as DTPI, making the diagnosis difficult at times. A thorough history exploring exposure to pressure is imperative. (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - October 6, 2020 Category: Nursing Authors: Joyce M. Black, Christine T. Berke Source Type: research

Pressure Injuries Among Critical Care Patients
Nutrition is an important component in the prevention and treatment of pressure injuries. Although the point at which insufficient nutrient consumption affects the body ’s capability to support skin integrity has not been demarcated, what is known is that reduced intake of food and fluids/water and weight loss can increase the risk of developing pressure injuries. Protein and its building blocks, amino acids, are essential for tissue growth and repair during all phases of wound healing. Sufficient macronutrients (carbohydrates, protein, fats, and water) and micronutrients (vitamins and minerals) are vital for the body to...
Source: Critical Care Nursing Clinics of North America - October 6, 2020 Category: Nursing Authors: Nancy Munoz Source Type: research

Heel Pressure Injuries in the Adult Critical Care Population
Patients in critical care units have a multitude of diseases and conditions that contribute to their illness and as such are susceptible to comorbid conditions such as heel pressure injuries. Prevention is a key strategy to avoid heel pressure injury occurrence. Risk factor identification can help a clinician identify those patients at risk for a heel pressure injury requiring timely prevention strategies. The purpose of this article is to raise awareness regarding the critical care patient ’s vulnerability to heel pressure injuries and strategies that can help avoid their occurrence or expedite their healing if occur. (...
Source: Critical Care Nursing Clinics of North America - October 6, 2020 Category: Nursing Authors: Barbara Delmore, Elizabeth A. Ayello Source Type: research

Pressure Injuries Among Critical Care Patients
Pressure injuries (PrI), formerly known as pressure ulcers, decubitus ulcers, or bed sores, are one of the oldest documented medical problems. In the nineteenth century, Jean-Martin Charcot, a prominent French physician, described PrI and referred to them as “decubitus ominosus,” recognizing the presence of a PrI as an ominous finding. Despite major advances in prevention and treatment, PrI remain a major source of human suffering, particularly in the critical care environment. (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - September 30, 2020 Category: Nursing Authors: Jenny Alderden Tags: Preface Source Type: research

Replenish at Work
Intensive care unit (ICU) nurses report some of the highest levels of stress and burnout because they are exposed to excessive workloads, end-of-life concerns, prolonged care, and ethical dilemmas. Supporting ICU staff through self-care and mindfulness programs is successful in improving stress and burnout and in promoting resilience. Addressing barriers to engaging in self-care practices and identifying unit-specific needs are important to consider when implementing wellness programs. Micro-restorative practices can alleviate immediate stress generated from patient care and provide a moment of peace in busy ICUs. Leadersh...
Source: Critical Care Nursing Clinics of North America - August 13, 2020 Category: Nursing Authors: Catherine Alvarez Source Type: research

Moral Resilience for Critical Care Nurses
Ethically challenging situations are an increasing phenomenon in the nurse's environment, and literature on the subject is growing. Morally challenging experiences common in the critical care environment include end-of-life situations, barriers to providing the best care possible, and lack of organizational resources. These experiences can lead to moral distress and subsequent negative impacts on the clinician. Emerging in the literature are strategies to address the impact of moral distress through the development of moral resilience. Moral resilience is gained through personal commitment and organizational support. (Sour...
Source: Critical Care Nursing Clinics of North America - August 13, 2020 Category: Nursing Authors: Karen Stutzer, Anna M. Rodriguez Source Type: research

Promoting the Well-Being of the Critical Care Nurse
CRITICAL CARE NURSING CLINICS OF NORTH AMERICA (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - August 13, 2020 Category: Nursing Authors: Susan Bartos Source Type: research

Copyright
ELSEVIER (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - August 13, 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 - August 13, 2020 Category: Nursing Source Type: research

Contents
Susan Bartos (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - August 13, 2020 Category: Nursing Source Type: research

Forthcoming Issues
Pressure Injuries Among Critical Care Patients (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - August 13, 2020 Category: Nursing Source Type: research

Is It Me or You? A Team Approach to Mitigate Burnout in Critical Care
This article reviews burnout in critical care nursing through the lens of emotio nal contagion. We offer suggestions for team-based interventions to address burnout in critical care nurses. (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - July 10, 2020 Category: Nursing Authors: Jin Jun, Deena Kelly Costa Source Type: research

Integrative Health and Wellness Assessment Tool
This article discusses the role of the IHWA and a coaching process to aid critical care nurses in implementing sustainable self-care strategies. (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - July 10, 2020 Category: Nursing Authors: Deborah McElligott, Joanne Turnier Source Type: research

Extinguish Burnout in Critical Care Nursing
Burnout is reaching epidemic levels among health care providers. It negatively impacts individual providers, the care team, facility, and patients. Increased employee turnover, job dissatisfaction, and conflict are found whenever staff becomes burned out. Patient outcomes and satisfaction are negatively impacted. Although burnout is increasing in health care, much can be done to change the level of burnout and improve employee satisfaction. Individuals can learn the factors that lead to burnout and specific actions that can help prevent and recover from burnout. This information can be used to transform health care and dec...
Source: Critical Care Nursing Clinics of North America - July 10, 2020 Category: Nursing Authors: Terri L. Bogue, Robert L. Bogue Source Type: research