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Couplet Care —The Next Frontier of Care in the Newborn Intensive Care Unit
Couplet care of mother and newborn intensive care unit (NICU) baby in the same room is a new, rapidly evolving option for the care of NICU babies. This change has structural and operational challenges that require careful planning but its successful implementation is likely to drive enhanced family participation in the care of their baby throughout the NICU stay as well as improve collaboration between obstetric and neonatal providers. (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - September 7, 2023 Category: Nursing Authors: Robert D. White Source Type: research

Dangerous Things We Used to Do in Neonatology
This article explores errors made in the past as we look forward to the future. (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - September 7, 2023 Category: Nursing Authors: Catherine Lewis Witt Source Type: research

An Interprofessional Precision Health Model for Assessment of Caregiver Impact on Polypharmacy in Elderly Intensive Care Unit Patients
Elderly critical care patients are one of the largest growing patient population groups according to Medicare data. More than 51% of elderly patients are discharged on inappropriate medications that have the potential to cause harm or interact adversely with other medications. Precision health has the potential to prevent adverse drug events and prescription of inappropriate medications. The purpose of this literature review was to define the concept of precision health and determine the state of science regarding interprofessional models of precision health for assessment of caregiver impact on polypharmacy in elderly int...
Source: Critical Care Nursing Clinics of North America - August 18, 2023 Category: Nursing Authors: Debbra Pogue, Mary O'Keefe Source Type: research

Acute Pain Management Protocols in Pediatric Intensive Care Units
Pediatric pain has historically been difficult to assess and even more difficult to treat. It is encouraging that there is current research regarding pain control in pediatric patients that provide evidence for treating pediatric pain. Patients in a pediatric intensive care setting demonstrate a great deal of patient variability with regard to patient diagnosis, age, developmental level, weight, and amount of pain control needed. The use of an evidence-based protocol for pediatric pain control can decrease variability in pain control and decrease potential adverse effects such as respiratory depression, constipation, withd...
Source: Critical Care Nursing Clinics of North America - August 1, 2023 Category: Nursing Authors: Alicia Kleinhans Source Type: research

Pediatric Intensive Care Nursing
CRITICAL CARE NURSING CLINICS OF NORTH AMERICA (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - August 1, 2023 Category: Nursing Authors: Melissa Nunn Source Type: research

Copyright
ELSEVIER (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - August 1, 2023 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 - August 1, 2023 Category: Nursing Source Type: research

Contents
Melissa Nunn (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - August 1, 2023 Category: Nursing Source Type: research

Forthcoming Issues
Older Adults in Critical Care (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - August 1, 2023 Category: Nursing Source Type: research

A Team Approach to Bundle Compliance
Hospitals are always looking to improve the quality of patient care and avoid hospital-acquired conditions such as ventilator-associated pneumonia (VAP). Currently, there are no set standards regarding interventions to prevent VAP, and there is not a single element that has a direct impact on VAP prevention. By creating an interprofessional team to work together, the quality improvement project was able to evaluate current practice compared with evidence-based practice in the literature to develop a critical care VAP bundle practice, which demonstrated improvement in compliance. (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - July 25, 2023 Category: Nursing Authors: Joseph Eppling, Rachel Nickel Source Type: research

Identification and Best Practice Management of Comorbid Geri-Psych Conditions in Critical Care
Mental illnesses among critically ill patients are approximately 2.5 times that of the general population. Although older adults with physical –mental multimorbidity represent more than 50% of critical care admissions, health-care professionals caring for geriatric patients are not adequately educated to effectively recognize and treat serious mental illness. Additionally, critical care nurses feel vulnerable, unsupported, and unable to provide the best and safest possible patient-centered care for patients with mental illness. Hospitals can reduce these burdens by creating critical care policies and practices that are i...
Source: Critical Care Nursing Clinics of North America - July 21, 2023 Category: Nursing Authors: Noel Koller-Ditto Source Type: research

Do We Really Listen, Improving End-of-Life Conversations
Having end-of-life (EOL) conversations is often difficult for even seasoned clinicians. There are many well-developed conversation guidelines used in the specialty of palliative medicine. There is no one ultimate guide that makes having an emotion-filled conversation easy. However, using the tenets of medical ethics, cloaked with experience, compassion, empathy, and respect makes EOL conversations less traumatic for the patient –family system and for the provider. Palliative specialists have the training and experience in effectively having EOL conversations, especially when death is unavoidable. Utilizing shared decisio...
Source: Critical Care Nursing Clinics of North America - July 20, 2023 Category: Nursing Authors: Cinnamon Brooke Tucker Source Type: research

Biofilm and Hospital-Acquired Infections in Older Adults
Biofilm infections are a serious threat to public health, resistant to traditional treatments and host immune defenses. Biofilm infections are often polymicrobial, related to chronic wounds, medical devices (eg, knee replacements, catheters, tubes, contact lenses, or prosthetic valves) and chronic recurring diseases. Biofilms are more complex than nonadhered planktonic bacteria and produce a structure that prevents damage to the bacteria within the biofilm structure. The structure provides a hidden route to feed and nurture the bacteria allowing for ongoing spread of the bacteria. (Source: Critical Care Nursing Clinics of North America)
Source: Critical Care Nursing Clinics of North America - July 14, 2023 Category: Nursing Authors: Patricia Stevenson, Melissa Marguet, Matthew Regulski Source Type: research

The 4M Model
Engaging the health care team, including older adults and their caregivers, with the Institute for Healthcare Improvement 4M Model can help ensure every older adult receives (1) optimal health care, (2) is not harmed by health care, and (3) is satisfied with their health care. The evidence-based 4  Ms Model includes 4 significant concepts specific to older adult care: What matters, Mentation, Mobility, and Medication. Unfortunately, clinicians do not consistently apply the 4 Ms Model when caring for older adults. Personalized, age-friendly care based on the 4 Ms Model can improve outcomes for older adult patients. (Sour...
Source: Critical Care Nursing Clinics of North America - July 14, 2023 Category: Nursing Authors: Jennifer M. Manning Source Type: research

Substance Use Disorder in Critical Care
Substance use disorders are increasing in the growing older adult population in the U.S. and abroad. Most interventions fail to account for the unique physical and psychosocial risk factors associated with substance use disorder. The older adult makes up a large portion of ICU admits and it is imperative to identify appropriate methods of prevention and treatment in this patient population. Important components of substance use disorder assessment and treatment in the older ICU patient were identified from the literature. Increased morbidity related to age-related conditions, pharmacologic concerns, withdrawals, and stigma...
Source: Critical Care Nursing Clinics of North America - July 14, 2023 Category: Nursing Authors: Monchielle Bolds Source Type: research