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Practicing safety: a quality improvement intervention to test tools to enhance pediatric psychosocial care for children 0-3 years.
CONCLUSION: Lessons learned included that practices appreciate and can adopt brief interventions that have meaningful and useful tools and process to enhance psychosocial care for children 0-3 and that do not place a burden on pediatric practice. An innovative, quality improvement strategy, intuitive to pediatricians, with a brief intervention may help prevent child maltreatment. PMID: 29248033 [PubMed - as supplied by publisher]
Source: Primary Care - December 18, 2017 Category: Primary Care Authors: Abatemarco DJ, Gubernick RS, LaNoue MD, Pohlig RT, Slovin SR, Healy JA, Kairys S Tags: Prim Health Care Res Dev Source Type: research

Cardiopulmonary arrest and extracorporeal membrane oxygenation: Case report and review
Alexander Robinson, Aniket S Rali, Zubair Shah, Travis Abicht, Eric Hockstad, Andrew SauerIndian Journal of Critical Care Medicine 2018 22(7):544-546 National trends suggest that less than one in four patients experiencing in-hospital cardiac arrest (IHCA) in the United States survive to discharge. This is especially relevant as the rates of IHCA are expected to rise in the years to come. Only a modest upward trend in survival to discharge among patients with IHCA over the past decade warrants evaluation of novel ideas to improve outcomes postcardiopulmonary resuscitation. One such idea is that the use of veno-arterial-ex...
Source: Indian Journal of Critical Care Medicine - July 17, 2018 Category: Intensive Care Authors: Alexander Robinson Aniket S Rali Zubair Shah Travis Abicht Eric Hockstad Andrew Sauer Source Type: research

Brain Oxygen Optimization in Severe Traumatic Brain Injury Phase-II: A Phase II Randomized Trial*
Objectives: Objectives:A relationship between reduced brain tissue oxygenation and poor outcome following severe traumatic brain injury has been reported in observational studies. We designed a Phase II trial to assess whether a neurocritical care management protocol could improve brain tissue oxygenation levels in patients with severe traumatic brain injury and the feasibility of a Phase III efficacy study. Design: Design:Randomized prospective clinical trial. Setting: Setting:Ten ICUs in the United States. Patients: Patients:One hundred nineteen severe traumatic brain injury patients. Interventions: Interventions:Pat...
Source: Critical Care Medicine - October 17, 2017 Category: Emergency Medicine Tags: Neurologic Critical Care Source Type: research

SCCM Pod 134 CCM: Resolving End-of-Life Conflicts in the ICU
M. Luce, MD, FCCM, discusses his latest article: A history of resolving conflicts over end-of-life care in intensive care units in the United States
Source: SCCM PodCast - iCritical Care - August 5, 2010 Category: Intensive Care Authors: The Society of Critical Care Medicine (SCCM) Tags: Medicine Source Type: podcasts

Aromatherapy improves nausea, pain, and mood for patients receiving pediatric palliative care symptom-based consults: A pilot design trial.
Abstract OBJECTIVE: The role of aromatherapy in supportive symptom management for pediatric patients receiving palliative care has been underexplored. This pilot study aimed to measure the impact of aromatherapy using validated child-reported nausea, pain, and mood scales 5 minutes and 60 minutes after aromatherapy exposure. METHODS: The 3 intervention arms included use of a symptom-specific aromatherapy sachet scent involving deep breathing. The parallel default control arm (for those children with medical exclusion criteria to aromatherapy) included use of a visual imagery picture envelope and deep breathin...
Source: Palliative and Supportive Care - August 18, 2019 Category: Palliative Care Authors: Weaver MS, Robinson J, Wichman C Tags: Palliat Support Care Source Type: research

Critical-Care Nurses' Perceptions of Hope: Original Qualitative Research
Discussion Nurses have the power to assess, inspire, and evaluate hope. Nurses use similar hope-inspiring strategies regardless of their specialty area of critical-care practice. Findings from this qualitative study added to knowledge on hope-inspiring strategies of critical-care nurses.
Source: Dimensions of Critical Care Nursing - January 31, 2020 Category: Nursing Tags: Research DIMENSION Source Type: research

SCCM Pod 134 CCM: Resolving End-of-Life Conflicts in the ICU
M. Luce, MD, FCCM, discusses his latest article: A history of resolving conflicts over end-of-life care in intensive care units in the United States
Source: SCCM PodCast - iCritical Care - August 5, 2010 Category: Intensive Care Authors: The Society of Critical Care Medicine (SCCM) Tags: Medicine Source Type: podcasts

Adapting to a New Normal After Severe Acute Brain Injury: An Observational Cohort Using a Sequential Explanatory Design
CONCLUSIONS AND RELEVANCE: Six months after severe acute brain injury, most patients survived to a state their families initially thought would not be acceptable. Survivors and their families need more support and guidance as they adapt to a new normal and struggle with persistent uncertainty.
Source: Critical Care Medicine - July 26, 2021 Category: Emergency Medicine Tags: Neurologic Critical Care Source Type: research

A cross-sectional pilot study of compassion fatigue, burnout, and compassion satisfaction in pediatric palliative care providers in the United States.
Abstract OBJECTIVE: Compassion fatigue (CF) is secondary traumatic distress experienced by providers from contact with patients' suffering. Burnout (BO) is job-related distress resulting from uncontrollable workplace factors that manifest in career dissatisfaction. Compassion satisfaction (CS) is emotional fulfillment derived from caring for others. The literature on BO in healthcare providers is extensive, whereas CF and CS have not been comprehensively studied. Because of ongoing exposure to patient and family distress, pediatric palliative care (PPC) providers may be at particular risk for CF. We conducted a cr...
Source: Palliative and Supportive Care - February 5, 2018 Category: Palliative Care Authors: Kase SM, Waldman ED, Weintraub AS Tags: Palliat Support Care Source Type: research

Improvement of Psychosocial Outcomes in Patients with Critical Care Illness Positively Impacts Outcomes for Patients and Caregivers
Psychosocial issues in patients and families impact outcomes for patients who have critical illness. In the United States, it has been estimated that $3500 per day is spent on critical care admissions and may account for 13% of hospital costs. Half of all people in the United States may spend time in critical care during their final year of life. There is a new condition arising termed chronic critical illness. Children who spend time in critical care may be at risk for long-term psychosocial disadvantage.
Source: Critical Care Nursing Clinics of North America - September 24, 2019 Category: Nursing Authors: Deborah W. Chapa Tags: Preface Source Type: research

Implementing a Comfort Care Cart: A Quality Improvement Nurse-Driven Initiative in the Intensive Care Unit.
Authors: Stolzman KA, Connors JM Abstract The field of critical care nursing is multidimensional and filled with opportunities to bring change to current practice. In the United States, nearly 13% of patients (range, 8%-24%) admitted to an intensive care unit (ICU) die during or after the admission (https://www.dartmouthatlas.org/interactive-apps/end-of-life-care/). Critical care nurses provide care at every stage of acute and chronic illness. Often this includes care of the patient and family at end of life, guided by palliative care principles supported by the national guidelines including the American Associatio...
Source: Dimensions in Critical Care Nursing - April 8, 2020 Category: Nursing Tags: Dimens Crit Care Nurs Source Type: research

Benefits of Peer Support for Intensive Care Unit Survivors: Sharing Experiences, Care Debriefing, and Altruism.
CONCLUSION: Peer support is a relatively simple intervention that could be implemented to support patients during recovery from critical illness. However, more research is required into how these programs can be implemented in a safe and sustainable way in clinical practice. PMID: 33566086 [PubMed - as supplied by publisher]
Source: American Journal of Critical Care - February 10, 2021 Category: Nursing Authors: McPeake J, Iwashyna TJ, Boehm LM, Hibbert E, Bakhru RN, Bastin AJ, Butcher BW, Eaton TL, Harris W, Hope AA, Jackson J, Johnson A, Kloos JA, Korzick KA, Meyer J, Montgomery-Yates A, Mikkelsen ME, Slack A, Wade D, Still M, Netzer G, Hopkins RO, Quasim T, Se Tags: Am J Crit Care Source Type: research

SCCM Pod-471: Mitigating Diagnostic Delays and Errors With Emphasis on Sepsis
Diagnostic delays and errors are significant contributors to patient illness, injury, and death in the United States. According to the Society to Improve Diagnosis in Medicine, diagnostic errors impact nearly 12 million Americans every year, leading to prolonged hospital stays, increased nonreimbursed healthcare costs, and even more harm when combined with other medical errors. Maureen Madden, DNP, RN, CPNP-AC, CCRN, FCCM, is joined by Mary Jo C. Grant, ACNP, PhD, FAAN, to discuss how to reduce diagnostic delays and errors, with an emphasis on sepsis. This podcast is funded by the Gordon and Betty Moore Foundation through ...
Source: SCCM PodCast - iCritical Care - March 8, 2023 Category: Intensive Care Authors: The Society of Critical Care Medicine (SCCM) Tags: Medicine Source Type: podcasts

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 psychological distress.
Source: Critical Care Nursing Clinics of North America - January 22, 2022 Category: Nursing Authors: Angie Malone Tags: Preface Source Type: research

Cardiothoracic Surgical Critical Care
Heart and lung diseases are two of the leading causes of death in the United States and worldwide. Despite advances in medical care, for many patients, surgery still represents their best hope for improved quality of life and even survival. Owing to the very nature of cardiothoracic surgery, the majority of these patients will spend time in the intensive care unit (ICU), either before or after their operations. Critical care nurses and a growing number of advanced practice nurses are directly involved in the care of these patients.
Source: Critical Care Nursing Clinics of North America - July 4, 2019 Category: Nursing Authors: Bryan Boling Tags: Preface Source Type: research