Surgical Interventions for COPD
Chronic obstructive pulmonary disease (COPD) treatment is aimed at managing the disease rather than cure, with a focus on improving quality of life and decreasing exacerbations. Interventional therapies, including lung volume reduction surgery, bullectomy, lung transplantation, and bronchoscopic lung volume reduction treatment using endobronchial valves, are treatment options for patients with COPD who are symptomatic due to hyperinflation despite optimal medical management. We will review the current literature to provide a comprehensive summary of the currently available scientific data, discuss typical treatment-related...
Source: Critical Care Nursing Quarterly - December 1, 2020 Category: Nursing Tags: Original Articles Source Type: research
Smoking Addiction and Strategies for Cessation
Cigarette smoking is the leading cause of chronic obstructive pulmonary disease (COPD) worldwide. Smoking cessation is thus integral to the treatment of COPD. Nicotine addiction is a disease dependent on the complex interactions of neurotransmitter pathways, conditioned behaviors, environmental cues, genetic predisposition, and personal life circumstances, which render some more susceptible to tobacco abuse than others. The most successful smoking cessation programs are individualized, comprehensive, and utilize combinations of clinician counseling, behavioral reinforcement, community resources, advanced technology support...
Source: Critical Care Nursing Quarterly - December 1, 2020 Category: Nursing Tags: Original Articles Source Type: research
Nonpharmacological Therapies in COPD
Chronic obstructive pulmonary disease has recently been gaining more attention, as beyond impacting roughly 10% of the world's population, it also carries high morbidity and mortality. The mainstay of management is optimizing pharmacological therapy, but various nonpharmacological therapies have shown benefits in providing symptom improvement and relief, prevention and mitigation of exacerbations, quality of life, and even mortality rate. Such modalities include supplemental oxygen therapy, pulmonary rehabilitation, viral and bacterial vaccinations, and noninvasive positive pressure ventilation therapy. (Source: Critical C...
Source: Critical Care Nursing Quarterly - December 1, 2020 Category: Nursing Tags: Original Articles Source Type: research
COPD Maintenance Pharmacotherapy
This article focuses on pharmacological therapy in a stable COPD patient. Pharmacological treatment of a stable COPD patient focuses on minimizing symptoms, improving exercise tolerance, and preventing exacerbations. Nonpharmacological management of stable COPD, smoking cessation, and treatment of exacerbations are covered in other sections. (Source: Critical Care Nursing Quarterly)
Source: Critical Care Nursing Quarterly - December 1, 2020 Category: Nursing Tags: Original Articles Source Type: research
Chronic Obstructive Pulmonary Disease: Diagnosis and GOLD Classification
This article describes the various steps required to confirm the diagnosis of chronic obstructive pulmonary disease (COPD). The GOLD Criteria developed by the Global Initiative for COPD will be outlined as they relate to the diagnosis and management of COPD. Pulmonary function testing, imaging, and symptom assessment will be explored. (Source: Critical Care Nursing Quarterly)
Source: Critical Care Nursing Quarterly - December 1, 2020 Category: Nursing Tags: Original Articles Source Type: research
Pathophysiology of COPD
This article provides an overview of the pathophysiology of chronic obstructive pulmonary disease including the physiological mechanisms that are known precursors. The roles of environmental and genetic causes are considered. α1-Antitrypsin deficiency is also discussed as it relates to the development of airflow obstruction. (Source: Critical Care Nursing Quarterly)
Source: Critical Care Nursing Quarterly - December 1, 2020 Category: Nursing Tags: Original Articles Source Type: research
Foreword
No abstract available (Source: Critical Care Nursing Quarterly)
Source: Critical Care Nursing Quarterly - December 1, 2020 Category: Nursing Tags: Foreword Source Type: research
Providing Quality Care to the Intellectually Disadvantaged Patient Population During the COVID-19 Pandemic
This article discusses the experience at a large urban teaching hospital in regard to the care of intellectually disadvantaged patients with COVID-19 infection. (Source: Critical Care Nursing Quarterly)
Source: Critical Care Nursing Quarterly - August 25, 2020 Category: Nursing Tags: Original Articles Source Type: research
COVID-19: The Nursing Administration Response
The COVID-19 pandemic presented an unprecedented opportunity to test the emergency management plan of one large urban teaching hospital. In this article, a detailed description of the hospital's surge planning process with lessons learned has been provided. (Source: Critical Care Nursing Quarterly)
Source: Critical Care Nursing Quarterly - August 25, 2020 Category: Nursing Tags: Original Articles Source Type: research
Leading Through the Unknown: A Network Perspective of the COVID-19 Pandemic
This article provides a road map to swiftly operationalize the structure and process for organizational readiness in response to the COVID-19 pandemic. The pandemic forced network leaders to face an unprecedented public health crisis while navigating circumstances driven by a widely impactful disease with minimal empirical evidence regarding disease spread, containment, and treatment. Key leaders across the enterprise planned, executed, and continually refined a strategy against the pandemic surge. Mission-driven decisions, communication, and actions were critical in connecting and informing the stakeholders about the evol...
Source: Critical Care Nursing Quarterly - August 25, 2020 Category: Nursing Tags: Original Articles Source Type: research
Determining Nursing Education Needs During a Rapidly Changing COVID-19 Environment
This study aims at developing and implementing education on infection prevention and management of patients with suspected or known COVID-19 for the nursing staff providing care. Following guidelines from the hospital's COVID-19 oversight committee, the Department of Professional Practice and Education rapidly initiated education on several key topics. This was accomplished by teamwork within the department to quickly identify priorities and suspend noncritical programs. Multiple training methods were deployed while a smaller group of educators developed additional training. Sixty to seventy percent of 1015 staff were trai...
Source: Critical Care Nursing Quarterly - August 25, 2020 Category: Nursing Tags: Original Articles Source Type: research
Institutional COVID-19 Protocols: Focused on Preparation, Safety, and Care Consolidation
As the confirmed cases of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) continue to grow with over 1 million documented infections in the United States alone, researchers and health care workers race to find effective treatment options for this potentially fatal disease. Mortality remains high in patients whose disease course requires mechanical ventilation and admission to intensive care units. While focusing on therapies to decrease mortality is essential, we must also consider the logistical hurdles faced with regard to safely and effectively delivering treatment while limiting the risk of harm to hospita...
Source: Critical Care Nursing Quarterly - August 25, 2020 Category: Nursing Tags: Original Articles Source Type: research
Isolation Requirements and Personal Protective Equipment in the COVID-19 Pandemic
This article addresses isolation requirements, appropriate PPE use, and strategies to overcome challenges such as PPE shortage. (Source: Critical Care Nursing Quarterly)
Source: Critical Care Nursing Quarterly - August 25, 2020 Category: Nursing Tags: Original Articles Source Type: research
Health Care Workers' Challenges in the Care of a COVID-19 Patient
This article defines the various health care worker challenges, both at the bedside and on a personal front. Therapeutic strategies are discussed. (Source: Critical Care Nursing Quarterly)
Source: Critical Care Nursing Quarterly - August 25, 2020 Category: Nursing Tags: Original Articles Source Type: research
Systemic Complications of COVID-19
This article discusses the multisystem responses to the physical insults created by this corona virus. (Source: Critical Care Nursing Quarterly)
Source: Critical Care Nursing Quarterly - August 25, 2020 Category: Nursing Tags: Original Articles Source Type: research
