American Journal of Critical Care最新文献_第7页

Discussion Guide for the Woods Article. 森林》文章讨论指南。

IF 2.7 3区医学

American Journal of Critical Care Pub Date : 2024-01-01 DOI: 10.4037/ajcc2024895

Grant A Pignatiello

引用次数: 0

Human Suffering and Armed Conflict. 人类苦难与武装冲突。

IF 2.7 3区医学

American Journal of Critical Care Pub Date : 2024-01-01 DOI: 10.4037/ajcc2024997

Cindy L Munro, Aluko A Hope

引用次数: 0

Patients' Perceptions of Virtual Live Music in the Intensive Care Unit. 病人对重症监护室虚拟现场音乐的看法。

IF 2.7 3区医学

American Journal of Critical Care Pub Date : 2024-01-01 DOI: 10.4037/ajcc2024140

Alexandra L Bruder, Akash Gururaja, Nikita Narayani, Ruth Kleinpell, Joseph J Schlesinger

{"title":"Patients' Perceptions of Virtual Live Music in the Intensive Care Unit.","authors":"Alexandra L Bruder, Akash Gururaja, Nikita Narayani, Ruth Kleinpell, Joseph J Schlesinger","doi":"10.4037/ajcc2024140","DOIUrl":"10.4037/ajcc2024140","url":null,"abstract":"Background: Implementing music in the intensive care unit has increased in popularity because the environment can be stressful and anxiety inducing for many patients. In hospital settings, therapeutic music can be beneficial for patients' well-being and recovery. Although live music typically involves a face-to-face encounter between the musician and patient, the COVID-19 pandemic has prompted a change to virtual live therapeutic music, using technology to present music in real time (eg, with a tablet computer).Objective: To generate novel findings regarding patients' perceptions of virtual live therapeutic music, which has been little studied compared with live or recorded music..Methods: Fifty patients in Vanderbilt University Medical Center intensive care units listened to virtual live music played by a volunteer musician via an online video communication platform. Patients' responses to 5 survey questions were transcribed and analyzed qualitatively and quantitatively using data analysis software.Results: Seven major themes describing the familiarity and significance of music for patients were identified. Forty-seven patients (94%) experienced positive emotions from the music, 46 (92%) indicated that music was a significant part of their lives, 28 (56%) accessed a cherished memory, and 45 (90%) indicated that they would not change anything.Conclusions: Therapeutic virtual music was well received and provided tangible benefits to patients. Additional research would provide information on patients' outcomes and differences between live and virtual live music.","PeriodicalId":7607,"journal":{"name":"American Journal of Critical Care","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139073093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Use of the 3 Wishes Project to Help Individualize End-of-Life Care in a Medical Intensive Care Unit. 利用 "3 个愿望 "项目帮助医疗重症监护室实现个性化临终关怀。

IF 2.7 3区医学

American Journal of Critical Care Pub Date : 2024-01-01 DOI: 10.4037/ajcc2024985

Brittany H Harrison, Elizabeth Hundt, Clareen Wiencek

{"title":"Use of the 3 Wishes Project to Help Individualize End-of-Life Care in a Medical Intensive Care Unit.","authors":"Brittany H Harrison, Elizabeth Hundt, Clareen Wiencek","doi":"10.4037/ajcc2024985","DOIUrl":"10.4037/ajcc2024985","url":null,"abstract":"Background: Multiple organizations recommend that individualized end-of-life (EOL) care should be standard practice. However, a standardized approach does not exist because EOL care should be individually tailored. The 3 Wishes Project is an EOL intervention that provides direction for individualized care with 3 goals: dignify death, celebrate the patient's life, and support family members and the intensive care unit clinicians caring for the patient. Patients and families are given the opportunity to choose 3 wishes during the dying process.Objective: To ascertain if the implementation of the 3 Wishes Project allowed the medical team to provide individualized EOL care.Methods: The Iowa Model was used for this evidence-based project. The project was implemented in the medical intensive care unit at an academic medical center. Outcomes were evaluated by the collection and analysis of qualitative and quantitative data.Results: From the 57 patients who died during the 2-month implementation period, 32 wish forms were collected; 31 patients participated and 1 declined. Overall participation among patients was 56%. The top 5 wishes were cloth hearts, blankets, heartbeat printouts, fingerprints and handprints, and music. The total cost was $992, and the average cost per wish was $6.98. Eighty-five percent (33 of 39) of the respondents to the medical team survey indicated that they either agreed or strongly agreed that the project allowed the medical team to consistently provide individualized EOL care.Conclusions: The survey data support the 3 Wishes Project as a method that allowed the medical team to individualize EOL care and as a valuable tool for incorporation at the bedside.","PeriodicalId":7607,"journal":{"name":"American Journal of Critical Care","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139073095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Barriers to and Facilitators of Family Caregiving of Patients With COVID-19 Early in the Pandemic. 大流行早期新冠肺炎患者家庭护理的障碍和推动者。

IF 2.7 3区医学

American Journal of Critical Care Pub Date : 2023-11-01 DOI: 10.4037/ajcc2023364

Amanda N Leggett, Sheria G Robinson-Lane, Grace Oxford, Natalie Leonard, Alicia G Carmichael, Elaina Baker, Janeann Paratore, Amanda C Blok, Hallie C Prescott, Theodore J Iwashyna, Richard Gonzalez

{"title":"Barriers to and Facilitators of Family Caregiving of Patients With COVID-19 Early in the Pandemic.","authors":"Amanda N Leggett, Sheria G Robinson-Lane, Grace Oxford, Natalie Leonard, Alicia G Carmichael, Elaina Baker, Janeann Paratore, Amanda C Blok, Hallie C Prescott, Theodore J Iwashyna, Richard Gonzalez","doi":"10.4037/ajcc2023364","DOIUrl":"10.4037/ajcc2023364","url":null,"abstract":"Background: In 2020, many family members were thrust into the role of caregiving for a relative with COVID-19 with little preparation, training, or understanding of the disease and its symptoms.Objectives: To explore the barriers to and facilitators of caregiving experienced by family caregivers of patients with COVID-19 who had been in intensive care in the pandemic's earliest months.Methods: In-depth qualitative interviews were conducted by web conference with 16 adults recovering at home after intubation for COVID-19 in an intensive care unit at a major academic medical center and their primary caregivers from March to August 2020 (N = 32). Thematic qualitative analysis was done using Watkins' rigorous and accelerated data reduction technique with MAXQDA software.Results: Seven themes emerged regarding factors that facilitated or posed barriers to care: other health conditions that increased complexity of care, interactions and experiences in the health care system, COVID-19's proliferation into other areas of life, the psychological well-being of the patient-caregiver dyad, experience of support from the dyad's network, the role of caregiving in the dyad, and contextual circumstances of the dyad. The themes often included both barriers and facilitators, depending on the experience of the dyad (eg, feeling encouraged vs fatigued by their support network).Conclusions: Understanding how patients with COVID-19 and their caregivers experience illness management across the recovery journey can help clarify the COVID-19 care-giving process and identify intervention targets to improve overall health and well-being of the care dyad.","PeriodicalId":7607,"journal":{"name":"American Journal of Critical Care","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71419703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Skin Pigmentation and Accuracy of Pulse Oximetry Values. 皮肤色素沉着和脉搏血氧测定值的准确性。

IF 2.7 3区医学

American Journal of Critical Care Pub Date : 2023-11-01 DOI: 10.4037/ajcc2023292

Margo A Halm

引用次数: 0

Discussion Guide for the Tuozzo Article. 托佐文章讨论指南。

IF 2.7 3区医学

American Journal of Critical Care Pub Date : 2023-11-01 DOI: 10.4037/ajcc2023678

Grant A Pignatiello

引用次数: 0

Through Diversity, Dignity; Through Belonging, Justice. 通过多样性、尊严；通过归属，正义。

IF 2.7 3区医学

American Journal of Critical Care Pub Date : 2023-11-01 DOI: 10.4037/ajcc2023670

Aluko A Hope, Cindy L Munro

引用次数: 0

Anxiety Sensitivity in the Intensive Care Unit. 重症监护室的焦虑敏感性。

IF 2.7 3区医学

American Journal of Critical Care Pub Date : 2023-11-01 DOI: 10.4037/ajcc2023383

Meredith Padilla

引用次数: 0

Cognitive Impairment, Physical Impairment, and Psychological Symptoms in Intensive Care Unit Survivors. 重症监护室幸存者的认知障碍、身体障碍和心理症状。

IF 2.7 3区医学

American Journal of Critical Care Pub Date : 2023-11-01 DOI: 10.4037/ajcc2023946

Tracye Proffitt, Victoria Menzies, Mary Jo Grap, Tamara Orr, Leroy Thacker, Suzanne Ameringer

{"title":"Cognitive Impairment, Physical Impairment, and Psychological Symptoms in Intensive Care Unit Survivors.","authors":"Tracye Proffitt, Victoria Menzies, Mary Jo Grap, Tamara Orr, Leroy Thacker, Suzanne Ameringer","doi":"10.4037/ajcc2023946","DOIUrl":"10.4037/ajcc2023946","url":null,"abstract":"Background: Post-intensive care syndrome (PICS) affects 25% to 50% of adults who survive an intensive care unit (ICU) stay. Although the compounding of PICS impairments (cognitive, physical, and psychological) could intensify the syndrome, research on relationships among impairments is limited, particularly in patients with delirium.Objectives: To examine associations among PICS impairments and examine delirium status and its relationship to PICS impairments at ICU discharge and 1 month later.Methods: A descriptive, correlational study of adults who survived an ICU stay. Participants completed measures for depression, anxiety, posttraumatic stress, physical function, functional status, and cognition at ICU discharge and 1 month later. Relationships among PICS impairments were examined with Spearman correlations; differences in impairments by delirium status were assessed with t tests.Results: Of 50 enrolled participants, 46 were screened for PICS impairment at ICU discharge and 35 were screened 1 month later. Cognitive impairment was the most common impairment at both time points. A positive correlation was found between cognition and functional status at ICU discharge (ρ = 0.50, P = .001) and 1 month later (ρ = 0.54, P = .001). Cognition and physical functioning were positively correlated 1 month after discharge (ρ = 0.46, P = .006). The group with delirium had significantly lower functional status scores than the group without delirium at ICU discharge (P = .04).Conclusions: The findings suggest a moderate correlation between cognitive and physical impairments. This relationship should be explored further; ICU survivors with undiagnosed cognitive impairment may have delayed physical recovery and greater risk for injury.","PeriodicalId":7607,"journal":{"name":"American Journal of Critical Care","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71419707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0