481 |
Neonatal Intensive Care Unit Speech-Language Pathologists’ Perception of Infants With Neonatal Abstinence SyndromeFabrize, Lauren, Proctor-Williams, Kerry, Louw, Brenda 22 November 2019 (has links)
This survey research explores neonatal intensive care unit speech-language pathologists’ perceptions of infants with neonatal abstinence syndrome; specifically, how NAS affects infants’ feeding skills, along with structural and oral-motor characteristics. The findings of this research will contribute to this population’s information base. The results are expected to inform the field and current evidence-based practice care for infants with NAS.Learner Outcome(s): Explain Neonatal Abstinence Syndrome (NAS) Describe infants with NAS and how NAS affects the infants’ feeding skills from the perspective of Neonatal Intensive Care Unit (NICU) Speech-Language Pathologists (SLPs) Identify how SLPs in the NICU participate in intervention for infants with NAS and their families
|
482 |
Sepsis Mortality Is high in Patients With Connective Tissue Diseases Admitted to the Intensive Care Unit (ICU)Krasselt, Marco, Baerwald, Christoph, Petros, Sirak, Seifert, Olga 27 April 2023 (has links)
Patients with connective tissue diseases (CTD) such as systemic lupus erythematosus (SLE) have an increased risk for infections. This study investigated the outcome and characteristics of CTD patients under intensive care unit (ICU) treatment for sepsis
|
483 |
Mobilization in Adult Patients Dependent on Extracorporeal Membrane Oxygenation TherapyJividen, Rachael A. 23 March 2023 (has links)
No description available.
|
484 |
[pt] MEDICAMENTOS COM EXCIPIENTE ALCOÓLICO ADMINISTRADOS A NEONATOS NO SISTEMA DE SAÚDE BRASILEIRO / [en] MEDICATIONS WITH ALCOHOLIC EXCIPIENTS ADMINISTERED TO NEONATES IN THE BRAZILIAN HEALTH SYSTEMRAFAEL CARNAVALE DETOGNI 24 March 2022 (has links)
[pt] Diversas drogas administradas em neonatos possuem excipientes
alcoólicos como etanol, álcool benzílico e propilenoglicol, que são potencialmente
perigosos para o desenvolvimento do recém-nascido, principalmente se
apresentarem fatores agravantes como prematuridade e baixo peso ao nascer.
Foram selecionados estudos que utilizaram drogas com excipientes alcoólicos em
neonatos em serviço hospitalar brasileiro. A lista de medicamentos contendo
excipientes alcoólicos foi extraída da regulamentação da Agência Nacional de
Vigilância Sanitária (ANVISA). Foram coletados dados relacionados à dose do
medicamento, período de administração, número de recém-nascidos expostos,
hospital responsável pela pesquisa e se esses bebês são a termo ou pré-termo. / [en] Several drugs administered to neonates have alcoholic excipients such as
ethanol, benzyl alcohol and propylene glycol, which are potentially dangerous for
the development of the newborn, especially if they present aggravating factors
such as prematurity and low birth weight. Studies that used drugs with alcoholic
excipients in neonates in the brazilian health system were selected. The list of
drugs containing alcoholic excipients was extracted from the regulations of the
National Health Surveillance Agency (ANVISA). Data related to the drug dose,
period of administration, number of newborns exposed, hospital responsible for
the research and whether these babies are term or preterm were collected.
|
485 |
The Effects of Auditory Stimuli on Stress Levels of Adult Patients in the Critical Care SettingEllermets, Jessica 01 August 2015 (has links)
The purpose of this review of literature is to explore the effects of interventional and environmental auditory stimuli on the adult critical care population. Current research has yet to compare and contrast the effectiveness of various interventional auditory stimuli on stress relief, an oversight this thesis aims to remedy. Modern day critical care settings demand the identification of the most therapeutic interventional auditory stimulus and the most stress-inducing environmental stimuli, so that interventions can be made to optimize patient stress levels and improve outcomes. Suggestions will be made on how to simultaneously reduce harmful or stress inducing auditory stimuli in the critical care setting and implement the optimal stress-relieving interventional auditory stimuli.
|
486 |
An investigation of the economic viability and ethical ramifications of video surveillance in the ICUBagge, Laura 01 August 2013 (has links)
The purpose of this review of literature is to investigate the various roles of video surveillance (VS) in the hospital's intensive care unit (ICU) as well as its legal and ethical implications. Today, hospitals spend more money on the ICU than on any other unit. By 2030, the population of those 65 and over is expected to double. 80% of older adults have at least one chronic diseases (Centers for Disease Control and Prevention, 2013). As a consequence, the demand for ICU services will likely increase, which may burden hospital with additional costs. Because of increasing economic pressures, more hospitals are using video surveillance to enhance quality care and reduce ICU costs (Goran, 2012). Research shows that VS enhances positive outcomes among patients and best practice compliance among hospital staff. The results are fewer reports of patient complications and days spent in the ICU, and an increase in reported hospital savings. In addition, VS is becoming an important tool for the families of newborns in the neonatal ICU (NICU). The belief is that the VS can facilitate parent-baby bonding. In the United States of America, privacy rights impose legal restrictions on VS. These rights come from the U.S. Constitution, Statutory law, Regulatory law, and State law. HIPPA authorizes the patient to control the use and disclosure of his or her health information. Accordingly, hospitals are under obligation to inform patients on their right to protected health information. It is appropriate that hospitals use VS for diagnostic purposes as long as they have obtained patient consent. According to modern day privacy experts Charles Fried and Alan Westin, a violation of a person's privacy equates a violation on their liberty and morality. However, if a physician suspects that a third party person is causing harm to the patient, than the use of covert VS is justifiable.
|
487 |
État des connaissances sur les critères neurologiques pour guider la mobilisation précoce chez lepatient ventilé mécaniquement à l’unité des soins intensifs : une revue de la portéeVuu, Isabel Tran 06 1900 (has links)
Problématique : Les milieux cliniques ont généralement recours à des critères afin d’assurer
l’éligibilité et la sécurité de la mobilisation précoce chez les patients mécaniquement ventilés à
l’unité des soins intensifs (USI). Considérant que les protocoles de mobilisation et les critères
neurologiques qui y sont associés sont peu définis malgré le fait que les altérations neurologiques
soient courantes chez le patient ventilé, ce mémoire avait pour but d’investiguer les protocoles et
les critères neurologiques qui peuvent être utilisés pour guider la mobilisation précoce à l’USI.
Méthode : Les bases de données CINAHL, MEDLINE (OVID), PubMed, EMBASE, PsycINFO
et Web of Science ont été explorées en septembre 2022 et 32 articles ont été retenus. La
méthodologie d’une revue de la portée décrite par Arksey et O’Malley (2005) a été suivie en tenant
pour compte des recommandations supplémentaires formulées par Levac et collaborateurs (2010).
Le cadre de référence Knowledge to Action, pertinent à la génération et au transfert d’évidences
en sciences infirmières, a permis de structurer la formulation des recommandations pour la
pratique. Critères de sélection : adultes (> 18ans) sous ventilation mécanique, intervention de
mobilisation précoce initiée dans les deux à cinq jours suivant l’admission à l’USI, énoncer
clairement les critères neurologiques. Résultats : Concernant la mobilisation précoce, 24 écrits
(75%) ont décrit un protocole progressif d’exercices pouvant s’adapter aux fluctuations de l’état
neurologique du patient à l’USI, alors que huit autres (25%) se sont intéressés par une intervention
unique pour assurer la mobilité de leurs patients. En regard des critères neurologiques recensés, ils
ont été rassemblés sous deux catégories : 1) l’état de sédation-agitation et 2) l’état de conscience.
La majorité des écrits (n=20, 63%) ont eu recours à une échelle validée afin de structurer
l’évaluation de ces critères, notamment par le biais du Richmond Agitation-Sedation Scale (RASS)
(n=16, 50%), de l’Échelle de coma de Glasgow (n=2, 6%) et du Ramsey Sedation Scale (RSS)
(n=1, 3%). En revanche, 12 écrits (38%) n’ont pas eu recours à une échelle pour l’évaluation de
ces critères. Conclusion : L’utilisation de protocoles pouvant s’adapter à l’état neurologique des
patients ventilés mécaniquement en combinaison à des critères neurologiques pouvant être
mesurés à l’aide d’échelle validée est recommandée pour encadrer la pratique de mobilisation
précoce ainsi que pour promouvoir cette intervention à l’USI. Des études supplémentaires sont
nécessaires pour comprendre l’impact de la mobilisation sur la récupération neurologique à l’USI. / Background. Clinical settings typically use criteria to ensure the eligibility and safety of early
mobilization in mechanically ventilated patients in the intensive care unit (ICU). Considering that
mobilization protocols and associated neurological criteria are poorly defined despite the
prevalence of neurological impairments in ventilated patients, this study aimed to investigate the
protocols and neurological criteria that can be used to guide early mobilization in the ICU.
Methods. In September 2022, CINAHL, MEDLINE (OVID), PubMed, EMBASE, PsycINFO and
Web of Science databases were explored, and the selection processes resulted in a final number of
32 articles. The methodology of a scoping review described by Arskey and O’Malley (2005) was
followed, and the recommendations by Levac and al., (2010) were also taken into account. The
Knowledge to Action framework, relevant to the transfer of evidence in nursing sciences, was used
to formulate recommendations for the practice. Selection criteria. adults (>18 years old) under
mechanical ventilation, early mobilization intervention initiated within 2-5 days following
admission to the ICU, neurological criteria stated by authors Results. Regarding early
mobilization, 24 authors (75%) suggested a progressive exercises protocol, while eight (25%)
focused on the use of a device or single type of exercises. The neurological criteria are represented
under two categories, the level of sedation-agitation and the level of consciousness. Among the
reviewed articles, evaluation was structured with a validated scale for the majority (n=20, 63%),
as the Richmond Agitation Sedation Scale (RASS) (n=16, 50%), the Glasgow Coma Scale (n=2,
6%) and the Ramsey Sedation Scale (RSS) (n=1, 3%) were used. Conclusion. The use of protocols
adapted to the neurological status of mechanically ventilated patients, with the combinaison of
neurological criteria defined by validated scale is recommended to guide practice and promote this
intervention. Additional studies could be conducted to better understand the impact of mobilization
in the neurological recovery in the ICU.
|
488 |
Sjuksköterskans upplevelse av att vårda intoxikerade barn : En intervjustudie inom akutsjukvård / Nurses experience of caring for intoxicated children : An interview study in emergency careJohansson, Sara, Alamattila, Emma January 2023 (has links)
Bakgrund: I arbetet som sjuksköterska på allmänna akutmottagningar och allmänna intensivvårdsavdelningar där majoriteten av patienterna är vuxna ingår även akut omhändertagande av barn. Avsiktlig som oavsiktlig intoxikation hos barn anses som ett globalt hälsoproblem som orsakar många sjukhusinläggningar och i vissa fall döden. Tidigare forskning om sjuksköterskors upplevelse av att vårda barn som vårdas på grund av intoxikation är fokuserad på sjuksköterskor inom psykiatrin och skolhälsovård. Syfte: Syftet var att beskriva sjuksköterskans upplevelse av att vårda barn i åldern 0–18 år som vårdas på en allmän akutmottagning eller allmän intensivvårdsavdelning på grund av intoxikation. Metod: Deltagarna valdes ut genom ett ändamålsenligt urval. Urvalet består av nio sjuksköterskor. Semistrukturerade intervjuer användes för att samla in data som sedan analyserades genom en kvalitativ innehållsanalys. Resultat: Dataanalysen resulterade i fyra kategorier: “Att vårda med fingertoppskänsla”, “Att möta anhöriga som tillgång eller utmaning”, “Att arbeta mot samma mål eller inte” och “Kunskap och emotionella utmaningar”. Slutsats: Vård av intoxikerade barn är komplext och tvärprofessionellt då det berör flera professioner, men även organisationer som måste arbeta tillsammans för att ge barnet de bästa förutsättningarna. Studien visar att sjuksköterskor inom akutsjukvård är i behov av utbildning kring bemötande och samtal med barn som utfört självmordsförsök, och att gemensamma utbildningsdagar mellan akutsjukvård och psykiatri är motiverat för att öka samarbete och förbättra omhändertagande av intoxikerade barn.
|
489 |
Douleur prolongée chez les nouveau-nés prématurés à l’unité néonatale : une revue de la portéeBreton-Piette, Alexandra 10 1900 (has links)
Introduction. L’exposition à la douleur répétée pendant la période néonatale a des effets nocifs
sur le développement neurologique des nouveau-nés prématurés et peut contribuer à une douleur
prolongée. Une taxonomie précise de la douleur néonatale est absente due à l’existence d’une
terminologie ambigüe qui persiste en néonatologie. Par conséquent, l’évaluation et la gestion de
ce type de douleur dans le milieu clinique sont sous-optimales.
Objectif. Établir la portée, l'étendue et la nature des écrits scientifiques liées à la douleur prolongée
des nouveau-nés prématurés hospitalisés dans l’unité de soins intensifs néonatals (USIN), par le
biais d’une revue de la portée.
Méthodologie. La revue de la portée suit les lignes directrices du Joanna Briggs Institute (JBI).
Une stratégie de recherche a été effectuée dans les bases de données CINAHL, PubMed, Medline,
Web of Science, Google Scholar, GeryLit.org et Grey Source Index.
Résultats. La revue de la portée a identifié 78 articles pertinents qui abordaient des définitions
(n=25), des indicateurs (n=37), des contextes de soins (n=47), des outils d’évaluation (n=49), des
conséquences (n=29) et des interventions (n=21) pour soulager la douleur prolongée néonatale. La
revue soutien que les contextes de soins des nouveau-nés prématurés devraient toujours être
considérés indépendamment de la présence ou non d’indicateurs de la douleur prolongée afin de
guider l’évaluation et le soulagement de la douleur prolongée.
Conclusion. Ce mémoire a recensé les éléments essentiels de la douleur prolongée et a permis
d’émettre des recommandations pour la pratique, la formation, la gestion et le recherche infirmière,
guidé par le cadre théorique de Huth et Moore (1998). / Introduction. Exposure to repetitive pain during the neonatal period has been shown to have
important long-term effects on the neurodevelopment of the premature neonate and can contribute
to experienced prolonged pain. Since a uniform taxonomy of neonatal prolonged pain is still
lacking to this day in neonatology, prolonged pain management remains suboptimal in neonatal
intensive care units (NICU).
Aim. This master’s thesis aims to determine the scope, extent, and nature of the available literature
on prolonged pain in premature neonates hospitalized in the NICU by way of a scoping review.
Methodology. An electronic search was conducted in the databases of CINAHL, PubMed,
Medline, Web of Science, GeryLit.org and Grey Source Index. This scoping review follows the
JBI guidelines for scoping reviews.
Results. A total of 78 articles were included in the scoping review which identified key elements
of neonatal prolonged pain such as definitions (n=25), indicators (n=37), contexts (n=47), pain
scales (n=49), consequences (n=29) and possible interventions (n=21) for prolonged pain
management. The contexts of care were identified as being more indicative of prolonged pain and
should guide pain evaluation and management.
Conclusion. This master’s thesis contributes to the foundation of growing knowledge in neonatal
prolonged pain and sheds light on the ambiguity that currently exists on this topic in the scientific
literature and informs nursing prolonged pain management in NICU with the ultimate goal of
improving developmental outcomes of premature neonates.
|
490 |
Managing the Margin: A Cognitive Systems Engineering Analysis of Emergency Department Patient BoardingStephens, Robert Joseph 17 December 2010 (has links)
No description available.
|
Page generated in 0.0856 seconds