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AACN Advanced Critical Care最新文献

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Advancing a Nursing Culture of Inquiry: Strategies for the Community. 推进护理探究文化：社区战略。
IF 1.5
AACN Advanced Critical Care Pub Date : 2024-09-15 DOI: 10.4037/aacnacc2024444
Elizabeth J Bridges, JoAnne D Whitney, Elaine Walsh, Pamela Christiansen, Frances Chu, Mary Jo Kelly, Terry Lynch, Rebekah Marsh, Mary McCarthy, Margaret Orn, Anne Poppe, Joy Selchow, Nancy Unger, Suzanne White, Cathy Wolkow
{"title":"Advancing a Nursing Culture of Inquiry: Strategies for the Community.","authors":"Elizabeth J Bridges, JoAnne D Whitney, Elaine Walsh, Pamela Christiansen, Frances Chu, Mary Jo Kelly, Terry Lynch, Rebekah Marsh, Mary McCarthy, Margaret Orn, Anne Poppe, Joy Selchow, Nancy Unger, Suzanne White, Cathy Wolkow","doi":"10.4037/aacnacc2024444","DOIUrl":"10.4037/aacnacc2024444","url":null,"abstract":"","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"35 3","pages":"265-271"},"PeriodicalIF":1.5,"publicationDate":"2024-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Acute Streptococcus pneumoniae Meningitis: A Case Report. 急性肺炎链球菌脑膜炎：病例报告。
IF 1.5
AACN Advanced Critical Care Pub Date : 2024-09-15 DOI: 10.4037/aacnacc2024820
Sarah McCarthy, Nicholas Villarreal, Mandy Sailor
{"title":"Acute Streptococcus pneumoniae Meningitis: A Case Report.","authors":"Sarah McCarthy, Nicholas Villarreal, Mandy Sailor","doi":"10.4037/aacnacc2024820","DOIUrl":"10.4037/aacnacc2024820","url":null,"abstract":"<p><p>A 69-year-old woman without significant medical history presented to an emergency department for evaluation and management of altered mental status and a 10-day history of worsening symptoms of upper respiratory infection. Two days previously, she had been evaluated at an urgent care center, where she reported productive cough and neck pain. Evaluation in the emergency department aroused suspicions of sepsis and meningitis, and computed tomography of the head revealed nontraumatic pneumocephalus with evidence of bony erosion of the sinus into the brain. Culture results revealed disseminated Streptococcus pneumoniae. Cerebral vasculopathy secondary to the meningitis caused bilateral acute ischemic strokes in areas of the brain, with the potential to lead to significant disability.</p>","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"35 3","pages":"244-250"},"PeriodicalIF":1.5,"publicationDate":"2024-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113297","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Ethical Decision-making Using Trauma-Informed Principles: A Case Example. 使用创伤知情原则进行伦理决策：一个案例。
IF 1.5
AACN Advanced Critical Care Pub Date : 2024-09-15 DOI: 10.4037/aacnacc2024114
Pamela J Grace, Kelly Kathleen Everhart, Evie G Marcolini
{"title":"Ethical Decision-making Using Trauma-Informed Principles: A Case Example.","authors":"Pamela J Grace, Kelly Kathleen Everhart, Evie G Marcolini","doi":"10.4037/aacnacc2024114","DOIUrl":"10.4037/aacnacc2024114","url":null,"abstract":"","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"35 3","pages":"272-279"},"PeriodicalIF":1.5,"publicationDate":"2024-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pediatric Suicide: Supporting Nurses on the Front Lines. 儿科自杀：支持前线护士。
IF 1.5
AACN Advanced Critical Care Pub Date : 2024-09-15 DOI: 10.4037/aacnacc2024854
Elena Camacho, Fatimah A Masood
{"title":"Pediatric Suicide: Supporting Nurses on the Front Lines.","authors":"Elena Camacho, Fatimah A Masood","doi":"10.4037/aacnacc2024854","DOIUrl":"10.4037/aacnacc2024854","url":null,"abstract":"","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"35 3","pages":"258-264"},"PeriodicalIF":1.5,"publicationDate":"2024-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Competency Assessment of New Registered Nurses Using Immersive Virtual Reality. 使用沉浸式虚拟现实技术评估新注册护士的能力。
IF 1.5
AACN Advanced Critical Care Pub Date : 2024-09-15 DOI: 10.4037/aacnacc2024866
Cynthia Sherraden Bradley, Katie Pitzl, Lisa Marien, Laura Toomey
{"title":"Competency Assessment of New Registered Nurses Using Immersive Virtual Reality.","authors":"Cynthia Sherraden Bradley, Katie Pitzl, Lisa Marien, Laura Toomey","doi":"10.4037/aacnacc2024866","DOIUrl":"10.4037/aacnacc2024866","url":null,"abstract":"","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"35 3","pages":"215-218"},"PeriodicalIF":1.5,"publicationDate":"2024-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Identification of Ventricular Ectopy. 识别心室异位
IF 1.5
AACN Advanced Critical Care Pub Date : 2024-09-15 DOI: 10.4037/aacnacc2024626
Barbara Bobbi Leeper
{"title":"Identification of Ventricular Ectopy.","authors":"Barbara Bobbi Leeper","doi":"10.4037/aacnacc2024626","DOIUrl":"10.4037/aacnacc2024626","url":null,"abstract":"","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"35 3","pages":"280-285"},"PeriodicalIF":1.5,"publicationDate":"2024-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Virtual Reality Strategies for Promoting Mobility in the Intensive Care Unit: A Case Report. 促进重症监护室移动性的虚拟现实策略：病例报告。
IF 1.5
AACN Advanced Critical Care Pub Date : 2024-09-15 DOI: 10.4037/aacnacc2024315
Anna Mall, Jason Stokes, Gabriel Streisfeld, Michael Zychowicz, Bradi B Granger
{"title":"Virtual Reality Strategies for Promoting Mobility in the Intensive Care Unit: A Case Report.","authors":"Anna Mall, Jason Stokes, Gabriel Streisfeld, Michael Zychowicz, Bradi B Granger","doi":"10.4037/aacnacc2024315","DOIUrl":"10.4037/aacnacc2024315","url":null,"abstract":"<p><p>Prolonged bed rest is a known contributor to muscle atrophy, weakness, and deconditioning. Early active mobilization protocols aim to combat acquired weakness and loss of function in patients in the intensive care unit. Despite these benefits, mobilization of patients in the intensive care unit remains a challenge, most notably for patients with limited ability to get out of bed because of invasive devices and prolonged hospitalization. Virtual reality has gained favor for use in critical care to mitigate patients' stress, pain, and anxiety and to provide distraction and socialization. This case report demonstrates a novel application of virtual reality and the ease with which virtual reality can be used to facilitate early mobility and activity progression in the critically ill.</p>","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"35 3","pages":"238-243"},"PeriodicalIF":1.5,"publicationDate":"2024-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Autonomous by Extension: Balancing Patient Autonomy and Vulnerability in Surrogate Decision-making. 自主延伸：在代理决策中平衡患者自主权和脆弱性。
IF 1.5
AACN Advanced Critical Care Pub Date : 2024-09-15 DOI: 10.4037/aacnacc2024399
Caitlin B McGeehan, Lauren Berninger
{"title":"Autonomous by Extension: Balancing Patient Autonomy and Vulnerability in Surrogate Decision-making.","authors":"Caitlin B McGeehan, Lauren Berninger","doi":"10.4037/aacnacc2024399","DOIUrl":"10.4037/aacnacc2024399","url":null,"abstract":"<p><p>The experience of serious illness or injury frequently results in increased vulnerability. In cases in which decision-making capacity is compromised, this vulnerability is compounded by threats to a patient's autonomy. This case report presents an opportunity to explore the elaborately entwined relationship between autonomy and vulnerability in patients with severe impairment who are reliant on surrogate decision-makers. Expanded views of autonomy and vulnerability are applied to the case of a young woman with a severe and life-altering spinal cord injury and iatrogenic loss of decisional capacity to illustrate how one can experience enhanced autonomy despite special vulnerability and can be made less vulnerable through surrogate-mediated autonomy. Also revealed is how attitudes and actions of surrogates can potentiate pathogenic vulnerability and disturb the balance between patient autonomy and vulnerability. Through methodical review and robust deliberation, clinical ethics committees can play a stabilizing role in helping distressed care teams reconcile the two.</p>","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"35 3","pages":"228-237"},"PeriodicalIF":1.5,"publicationDate":"2024-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
β-Adrenergic Agonist-Induced Lactic Acidosis: A Case Report. β-肾上腺素能激动剂诱发的乳酸酸中毒：病例报告。
IF 1.5
AACN Advanced Critical Care Pub Date : 2024-09-15 DOI: 10.4037/aacnacc2024787
Raymond R Blush
{"title":"β-Adrenergic Agonist-Induced Lactic Acidosis: A Case Report.","authors":"Raymond R Blush","doi":"10.4037/aacnacc2024787","DOIUrl":"10.4037/aacnacc2024787","url":null,"abstract":"<p><p>β-Adrenergic agonist medications such as albuterol are the mainstay for treatment of patients with acute asthma exacerbations. Patients who present to the emergency department with severe symptoms are often treated with multiple albuterol doses in sequence to maximize the impact of the medications, relax bronchoconstriction, and relieve their breathlessness. Patients who present with acute dyspnea have numerous potential causes of hyperlactatemia and acidosis including an uncommonly recognized outcome of albuterol administration. This clinical case report outlines a scenario where a patient who was treated for an acute asthma exacerbation had rising lactate levels despite improving clinically. Causes of elevated lactate levels are discussed, particularly related to β-adrenergic agonist use, and considerations for monitoring and withdrawal of albuterol administration are outlined.</p>","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"35 3","pages":"222-227"},"PeriodicalIF":1.5,"publicationDate":"2024-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Case Reports in Critical Care. 重症监护病例报告》。
IF 1.5
AACN Advanced Critical Care Pub Date : 2024-09-15 DOI: 10.4037/aacnacc2024405
Mary Fran Tracy
{"title":"Case Reports in Critical Care.","authors":"Mary Fran Tracy","doi":"10.4037/aacnacc2024405","DOIUrl":"10.4037/aacnacc2024405","url":null,"abstract":"","PeriodicalId":46461,"journal":{"name":"AACN Advanced Critical Care","volume":"35 3","pages":"220-221"},"PeriodicalIF":1.5,"publicationDate":"2024-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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