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The Long Shadow: Collateral Impact and Finding Resilience Amidst a Global Pandemic < em > Pediatric Palliative Care Social Work During COVID-19 < /em >
J Soc Work End Life Palliat Care. 2021 Mar 15:1-19. doi: 10.1080/15524256.2021.1894312. Online ahead of print.ABSTRACTThis manuscript illuminates the nuanced ways in which the COVID-19 pandemic has impacted the pediatric palliative care social work role and clinical care in caring for children with life-limiting illnesses and their families throughout the country. The authors discuss memorable moments, logistical impacts, telehealth usage, decision-making experiences, end of life care, bereavement practices, specialized interventions, and self-care. The paper concludes with lessons learned and practical recommendations for...
Source: Journal of Social Work in End-of-Life and Palliative Care - March 16, 2021 Category: Palliative Care Authors: Danielle Faye Jonas Kristin Drouin Jennifer Greenman Victoria Klein Caitlin Scanlon Eleanor Frechette Lauren Cramer Arielle Eagan Rachel Rusch Marsha Joselow Nicholas Purol Source Type: research

The extent and application of patient diaries in Australian intensive care units: A national survey
Critical illness can be a psychological stressor for patients and family members. Scandinavian studies have portrayed patient diaries as a supporting catalyst for patients and their families through a process of reflection and fact presentation. However, the small number of randomisation trials exhibits theoretical and methodological limitations. Given the increased interest amongst Australian Critical Care Nurses, further understanding of nurses’ perceptions and use of patient diaries was warranted.
Source: Australian Critical Care - October 30, 2014 Category: Nursing Authors: Rajni Nair, Marion Mitchell, Samantha Keogh Tags: Research paper Source Type: research

Measuring and monitoring lean body mass in critical illness
Purpose of review To help guide metabolic support in critical care, an understanding of patients’ nutritional status and risk is important. Several methods to monitor lean body mass are increasingly used in the ICU and knowledge about their advantages and limitations is essential. Recent findings Computed tomography scan analysis, musculoskeletal ultrasound, and bioelectrical impedance analysis are emerging as powerful clinical tools to monitor lean body mass during ICU stay. Accuracy, expertise, ease of use at the bedside, and costs are important factors which play a role in determining which method is most suitabl...
Source: Current Opinion in Critical Care - July 2, 2018 Category: Nursing Tags: METABOLIC SUPPORT: Edited by Arthur R.H. van Zanten Source Type: research

Characteristics, treatment, outcomes and cause of death of invasively ventilated patients with COVID-19 ARDS in Milan, Italy.
Conclusions: Despite multiple advanced critical care interventions, COVID-19 ARDS was associated with prolonged ventilation and high short term mortality. Older age and pre-admission hypertension were key mortality risk factors. Trial registration: ClinicalTrials.gov identifier: NCT04318366. PMID: 32353223 [PubMed - as supplied by publisher]
Source: Critical Care and Resuscitation - May 1, 2020 Category: Intensive Care Tags: Crit Care Resusc Source Type: research

Dabigatran etexilate: management in acute ischemic stroke.
Abstract A 54-year-old man treated with dabigatran experienced new onset of a stroke with a score of 9 on the National Institutes of Health Stroke Scale. Administration of recombinant tissue plasminogen activator (rtPA) was not recommended because of the dabigatran therapy. Angiography showed occlusion of the left middle cerebral artery by an embolic thrombus. Suction thrombectomy achieved flow through the inferior division of the artery. Computed tomography of the head showed possible intracranial hemorrhage, and dabigatran reversal was attempted with prothrombin complex concentrate and recombinant factor VIIa. C...
Source: American Journal of Critical Care - March 1, 2013 Category: Nursing Authors: Javedani PP, Horowitz BZ, Clark WM, Lutsep HL Tags: Am J Crit Care Source Type: research

Neuromonitoring in the Intensive Care Unit
This issue of Critical Care Nursing Clinics of North America is focused on neuromonitoring in the intensive care unit (ICU). Neuromonitoring is a broad umbrella term that elicits different concepts depending on a person’s role in the ICU. For instance, a trauma nurse may associate neuromonitoring with intracranial bolts, whereas an ultrasound technician may immediately think of transcranial Dopplers. A neuro ICU nurse may have visions of going to multiple scans or working with external ventricular drains.
Source: Critical Care Nursing Clinics of North America - February 11, 2016 Category: Nursing Authors: Catherine Harris Tags: Preface Source Type: research

Accuracy of Measuring Bladder Volumes With Ultrasound and Bladder Scanning.
CONCLUSIONS: Bladder volume can be measured accurately with bladder scanning or US, but abdominal fluid remains a confounding factor limiting accuracy of bladder scanning. PMID: 33130866 [PubMed - in process]
Source: American Journal of Critical Care - November 1, 2020 Category: Nursing Authors: Schallom M, Prentice D, Sona C, Vyers K, Arroyo C, Wessman B, Ablordeppey E Tags: Am J Crit Care Source Type: research

Postinterventional critical care management of aneurysmal subarachnoid hemorrhage
Purpose of review: Subarachnoid hemorrhage from a ruptured aneurysm (aSAH) is a complex disorder with the potential to have devastating effects on the brain as well as other organ systems. After more than 3 decades of research, the underlying pathophysiologic mechanisms remain incompletely understood and important questions remain regarding the evaluation and management of these patients. The purpose of this review is to analyze the recent literature and improve our understanding of certain key clinical aspects. Recent findings: Growing body of evidence highlights the usefulness of CT perfusion scans in the diagnosis of v...
Source: Current Opinion in Critical Care - March 10, 2017 Category: Nursing Tags: NEUROSCIENCE: Edited by Raimund Helbok Source Type: research