patient and family education in critical care

... by Saka and colleagues, however, included additional data from the clinical course before they entered the intensive care unit (age, gender, and ethnicity), thus ‘recreating individual patients’ ... expanding the use of simulations Microsimulation in critical care is no experiment, no hobby; it is present and part of the very near future If intensivists remain at the barrier, they will definitely ... disease progression in patients with pneumonia-related sepsis Crit Care 2007, 11:R65 Maudsley GS: Science, critical thinking and competency for tomorrow’s doctors: a review of terms and concepts J...

Ngày tải lên: 13/08/2014, 03:21

... participants and in public trust in the research enterprise Challenges in oversight and monitoring The lack of effective oversight and monitoring in clinical research makes it similar in many respects ... their monitoring and oversight We not see it that way Although perplexing challenges related to monitoring and oversight in critical care research will invariably arise [13–15], such as informed ... research administration, we are forging what we believe is a fruitful new direction in research monitoring and oversight We are working to create a climate and culture within the institution...

Ngày tải lên: 12/08/2014, 20:20

... numerous investigations in sepsis Goscinski and colleagues [21] investigated the ability of tobramycin and ceftazidime to alter the inflammatory response to endotoxin infusion Prior to endotoxin administration, ... department patients, Chan and colleagues [8] tested whether procalcitonin and C-reactive protein could discriminate between patients with and without bacterial infections Among patients requiring admission ... the alcoholic patients This suggests that alcoholism may blunt the early proinflammatory response to infection in patients with septic shock Insulin and glycemia in sepsis Rusavy and colleagues...

Ngày tải lên: 12/08/2014, 22:22

... during and after liberation from mechanical ventilation using pressure support, CPAP, and T-piece (n = 20 each) During weaning, plasma insulin and glucose as well as urinary vanilmandelic acid increased ... patients Michalopoulos and coworkers [27] reviewed eight patients treated with aerosolized colistin as an adjunct to intravenous antimicrobial therapy (including intravenous colistin in 6/8 patients) ... protocol-based weaning procedure helped reduce duration of MV and ICU stay Koksal and coworkers [17] compared plasma insulin, cortisol, glucose and urinary vanilmandelic acid in patients ventilated...

Ngày tải lên: 12/08/2014, 22:22

... decrease in MRSA infections was seen in the medical ICU after increasing compliance with on-admission screening and linking the rapid test to preemptive isolation and cohorting of MRSA patients ... saved using the qMRSA test • A substantial decrease in MRSA infections was seen in the medical ICU after increasing compliance with onadmission screening and implementing a strategy that linked ... vertical line on the figure indicates the initiation of rapid on-admission screening in November 2003 (phase II) The dashed vertical line indicates the initiation of pre-emptive isolation for all patients...

Ngày tải lên: 12/08/2014, 23:21

... Critical Care Vol 10 No Pepe and Wigginton survivors, who typically remained in coma for significant periods [10,11], these rapidly wakening patients clearly did not ... survivors had never been trained how to use them [9] In essence, technology has now made the average person readily capable of delivering life-saving critical care Considering that sudden cardiac ... laypersons and health professionals with significant life-saving effects [12] However, its infrequent performance has been cited as perhaps the weakest link in the worldwide chain of survival and a...

Ngày tải lên: 12/08/2014, 23:21

... those pertaining to sleep measurement in adult patients during their critical care admission and published in full in English Study comparing different sleep measurement techniques In the context ... of assessing the efficacy of interventions in attempting to improve individual patients’ sleep Patient assessment Using the patients’ own assessment of their sleep during their critical care stay ... patients receiving intensive care Crit Care Med 2001, 29:277-282 44 Frisk U, Nordstrom G: Patients’ sleep in an intensive care unit patients’ and nurses’ perception Intensive Crit Care Nurs 2003,...

Ngày tải lên: 13/08/2014, 08:20

... treatment effect with individual patient characteristics [29], ideally using individual patient data Individual patient data meta-analysis Analysing data at an individual patient level is the ... uses individual patient data and is prospectively planned, suggesting future clinical investigators should carefully consider the advantages and disadvantages of this approach Competing interests ... A: A comparison of sucralfate and ranitidine for the prevention of upper gastrointestinal bleeding in patients requiring mechanical ventilation Canadian Critical Care Trials Group N Engl J Med...

Ngày tải lên: 13/08/2014, 11:22

... above brain death in the needs assessment listing In summary, the authors should be complimented for conducting a needs assessment and also for reporting strong concurrence between trainees and supervisors ... ensuring that acute and critical care topics are covered within a comprehensive curriculum spanning the entire training period The fact that a condition might not be reversible should not diminish ... Critical Care Vol 12 No Buchman failure, and the strategies that reverse those conditions or else indicate the need for transplantation, can only be learned in the ICU Yet acute and fulminant...

Ngày tải lên: 13/08/2014, 11:23

... hormone-producing and cytokine-producing machinery, adipose tissue cannot stand passively by in the face of severe threat to life, and is involved in numerous inflammatory responses including production ... Pratley RE, Tataranni PA: Hypoadiponectinemia in obesity and type diabetes: close association with insulin resistance and hyperinsulinemia J Clin Endocrinol Metab 2001, 86:1930-1935 13 Kern PA, ... Nisbett J, Cohen J, Prins J: Changes in serum adiponectin concentrations in critical illness: a preliminary investigation Crit Care 2009, 13:R105 Friedman JM: Obesity in the new millennium Nature 2000,...

Ngày tải lên: 13/08/2014, 18:22

... the activity Nursing Continuing Education Credits The NewYork-Presbyterian Hospital School of Continuing Education for Nurses is an approved provider of continuing nursing education by the New ... hypertension and its management • Learn the advances in electrophysiology and pacemakers • Understand the indications and best practices in extracorporeal support in pediatric critically ill patients ... Current Concepts in Pediatric and Adult Congenital Cardiac Critical Care Introduction This one-day educational symposium will focus on the innovations in the care of pediatric and adult congenital...

Ngày tải lên: 14/12/2015, 20:33

... errors involving continuously infused medications in a surgical intensive care unit Crit Care Med 2004, 32:428-432 80 Stambouly JJ, McLaughlin LL, Mandel FS, Boxer RA: Complications of care in a ... interception Intensivist participation in ICU care Adequate staffing Pharmacist participation in ICU care Incorporation of quality assurance into academic education ICU, intensive care unit Bar ... errors in critical care are frequent, serious, and predictable Human factor research in nonmedical settings suggests that demanding greater vigilance from providers of medical care may not result in...

Ngày tải lên: 25/10/2012, 10:35

... in the critical care unit Infectious diseases maintain their preeminence in the critical care unit setting because of their frequency and importance in the critical unit patient population Since ... Colonization and Infection in the Critical Care Unit 102 C Glen Mayhall PART II: CLINICAL SYNDROMES IN CRITICAL CARE Clinical Approach to Sepsis and Its Mimics in Critical Care Burke A Cunha Meningitis and ... important in critical care In the critical care unit, infectious diseases are seen in the differential diagnoses of the majority of patients, and maybe patients acquire infections in the critical care...

Ngày tải lên: 06/03/2014, 06:20

... means including patient- specific reminders, continuing education and training, and clinical audit 8.2 KEY POINTS FOR AUDIT n n n n n Are primary care workers opportunistically identifying people ... n n n initial discussion and support advice regarding non-hazardous drinking levels and ways to reduce drinking counselling and therapy for the individual counselling and therapy for the family ... examination recognised by experts as linked to heavy drinking, such as injuries (including in the elderly), tremor of the hands and tongue, and excessive capillarisation of the facial skin and...

Ngày tải lên: 08/03/2014, 14:20

... work in this region Similar findings from surveys carried out in the mid-1990s show a continuing pattern of high co-residence in the Philippines, Singapore, Taiwan Province of China and Thailand ... Knodel and Saengtienchai (1999) in rural Thailand is instructive in demonstrating the limitations of survey instruments and the importance of a case-study approach in delineating the dynamics of intergenerational ... B., and C Haber (1993) Rethinking industrialization: old age and the family economy In Voices and Visions of Aging, T R Cole and others, eds New York: Springer Hashimoto, Akiko (1991) Living...

Ngày tải lên: 14/03/2014, 17:20

... disciplines !! Recognition of unifying principles in food preservation and processing, and need for approaching problems and developments in the fast growing food industry on scientific basis !! ... enrolling in Food Science !! Information explosion and acquiring skills and Knowledge !! Social media and attention gap !! Faculty recruitment, retention and rewards !! Graduate students training ... communication, team work and taking initiative !! Support Develop and Encourage participation in international and study abroad programs Summary !! Food science education in the US is facing many challenges...

Ngày tải lên: 18/03/2014, 00:20

... of sport and PE in China In his introductory chapter, he sets the tone for our book in maintaining that, to understand the contextual position of sport in China—its ‘Chineseness’—demands a much ... is evidence in the Book of Songs that women enjoyed fishing, boating, singing and dancing, and certain activities were engaged in beside the river in March, and linked directly or indirectly to ... and forward looking and modern (in Olympic sport) This combination of tradition and the modern is a constantly recurring theme in China and can Sport in China be seen in many ways: in cliches such...

Ngày tải lên: 24/03/2014, 02:20

... Understanding Clinical Decision-Making and the Roles of Stereotyping, Uncertainty, and Bias, 236 Understanding Patient- Level Influences on Care, 237 Understanding the Influence of Healthcare Systems ... law define discrimination in varying ways, some focusing on intent and others emphasizing disparate impact Finally, in defining racial and ethnic minority groups, the committee uses the definitions ... racial and ethnic disparities in healthcare, including the role of bias, discrimination, and stereotyping at the individual (provider and patient) , institutional, and health system levels; and •...

Ngày tải lên: 28/03/2014, 23:20

... adequate for training in basic CCE for most critical care residents when combined with a 12-hour learning program blending didactics, interactive clinical cases, and tutored hands on sessions ... reviewed) In Australia and New Zealand, the critical care community has developed a two-tier system for training in CCE Basic level training requires 10 hours of course Mayo Annals of Intensive Care ... when presenting themselves as trained in advanced CCE Training fellows is less challenging than training attending level intensivists who did not have opportunity to gain experience during their...

Ngày tải lên: 21/06/2014, 00:20

... undergraduate and postgraduate curriculum offer training in palliative care in a patient- centered model, including spiritual care and cultural diversity issues Students are skilled in the understanding ... family medicine 22 Contemporary and Innovative Practice in Palliative Care Family Medicine’s focus and action fields are: primary care, medical education and leadership Trained in a specialty ... regarding medical decision making; dealing with dificult questions ; eliciting and responding to patients' fears ; assessing spiritual needs as part of the initial assessment and ongoing care...

Ngày tải lên: 27/06/2014, 13:20