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AACN clinical issues in critical care nursing最新文献

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Care of the child supported on high frequency oscillatory ventilation. 在高频振荡通气的支持下照顾孩子。
AACN clinical issues in critical care nursing Pub Date : 1994-02-01 DOI: 10.1097/00044067-199402000-00008
M A Curley, J Molengraft
{"title":"Care of the child supported on high frequency oscillatory ventilation.","authors":"M A Curley,&nbsp;J Molengraft","doi":"10.1097/00044067-199402000-00008","DOIUrl":"https://doi.org/10.1097/00044067-199402000-00008","url":null,"abstract":"<p><p>High frequency oscillatory ventilation is a new mode of ventilatory support of acute respiratory failure in the pediatric population. Delineating the nursing care required of this fragile group of infants and children is challenging, because there is a paucity of published data and national clinical experience. The author reviews a management plan that was used to guide the care of over 40 patients, ranging in age from 1 months to 24 years, with acute respiratory failure supported on high frequency oscillatory ventilation. In total, seven patient-care problems and associated interventions are delineated.</p>","PeriodicalId":76963,"journal":{"name":"AACN clinical issues in critical care nursing","volume":"5 1","pages":"49-58; quiz 95-6"},"PeriodicalIF":0.0,"publicationDate":"1994-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18767579","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: 1
Psychologic distress of patients and their spouses after coronary artery bypass surgery. 冠状动脉搭桥术后患者及其配偶的心理困扰。
AACN clinical issues in critical care nursing Pub Date : 1994-02-01 DOI: 10.1097/00044067-199402000-00009
S M Moore
{"title":"Psychologic distress of patients and their spouses after coronary artery bypass surgery.","authors":"S M Moore","doi":"10.1097/00044067-199402000-00009","DOIUrl":"https://doi.org/10.1097/00044067-199402000-00009","url":null,"abstract":"<p><p>The first 6 weeks of recovery from coronary artery bypass graft surgery is a source of stress for both patients and their spouses. Attempts by patients and spouses to manage the stress associated with this post-hospitalization recovery are associated with alterations in psychologic functioning. This study consisted of a secondary analysis of a larger study evaluating the effects of a homegoing family information intervention. The authors identify and compare the psychologic distress of patients and spouses 6 weeks after coronary artery bypass graft surgery. Patients and spouses were individually interviewed in their homes 6 weeks after surgery. They were asked about their psychologic functioning by using the Profile of Moods States. Results indicated that spouses experienced more psychologic distress than patients at 6 weeks after surgery. Younger spouses reported more anger than older spouses. These results support the need for discharge and home interventions to reduce the psychologic distress of spouses as well as patients. Younger spouses, in particular, may need targeted interventions. Additionally, the effect of gender on measures of psychologic distress needs further exploration.</p>","PeriodicalId":76963,"journal":{"name":"AACN clinical issues in critical care nursing","volume":"5 1","pages":"59-65"},"PeriodicalIF":0.0,"publicationDate":"1994-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18767580","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: 41
Caring for patients with acute intermittent porphyria. 急性间歇性卟啉症患者的护理。
AACN clinical issues in critical care nursing Pub Date : 1994-02-01 DOI: 10.1097/00044067-199402000-00006
B D Shively, J M Clochesy, J P Briones, D L Spositio, J A Kloos
{"title":"Caring for patients with acute intermittent porphyria.","authors":"B D Shively,&nbsp;J M Clochesy,&nbsp;J P Briones,&nbsp;D L Spositio,&nbsp;J A Kloos","doi":"10.1097/00044067-199402000-00006","DOIUrl":"https://doi.org/10.1097/00044067-199402000-00006","url":null,"abstract":"<p><p>The porphyrias are a group of metabolic disorders of heme biosynthesis genetically determined defects. Acute intermittent porphyria is the most common form of porphyria found in the United States. It is caused by a genetic defect in chromosome 11, where one of two genes for porphobilinogen deaminase is defective. Acute intermittent porphyria is characterized by intermittent, acute, occasionally fatal attacks of abdominal, neurologic, psychiatric, and renal symptoms. Attacks are often confused with acute abdomen or bowel obstruction. A variety of drug, hormonal, nutritional, and infectious factors can precipitate clinical symptoms. Managing patients with acute intermittent porphyria involves removing the precipitating factors, increasing carbohydrate intake, controlling pain, and administering medications. A case study is provided.</p>","PeriodicalId":76963,"journal":{"name":"AACN clinical issues in critical care nursing","volume":"5 1","pages":"36-41"},"PeriodicalIF":0.0,"publicationDate":"1994-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18767577","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
Be an expert witness for critical care nursing. 成为重症监护护理的专家证人。
AACN clinical issues in critical care nursing Pub Date : 1994-02-01 DOI: 10.1097/00044067-199402000-00010
G W Guido
{"title":"Be an expert witness for critical care nursing.","authors":"G W Guido","doi":"10.1097/00044067-199402000-00010","DOIUrl":"https://doi.org/10.1097/00044067-199402000-00010","url":null,"abstract":"<p><p>This presentation concerning the role of a nurse expert witness in cases involving critical care nursing standards of care may be used in determining if the individual nurse would want to serve as an expert witness and in alerting the potential expert witness to role expectations. All phases of the process are described, including discovery, deposition, and trial level testimony.</p>","PeriodicalId":76963,"journal":{"name":"AACN clinical issues in critical care nursing","volume":"5 1","pages":"66-70"},"PeriodicalIF":0.0,"publicationDate":"1994-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18767581","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: 3
Futility. 徒劳无益。
AACN clinical issues in critical care nursing Pub Date : 1994-02-01 DOI: 10.1097/00044067-199402000-00012
B J Daly
{"title":"Futility.","authors":"B J Daly","doi":"10.1097/00044067-199402000-00012","DOIUrl":"https://doi.org/10.1097/00044067-199402000-00012","url":null,"abstract":"<p><p>Futility is a complex concept with several possible meanings. It has become an important concept in acute care as situations arise in which patients or their families request interventions that caregivers believe serve no purpose. Resolving these dilemmas requires an understanding of the concept of futility, knowledge of empirical data relevant to the particular situation, and unambiguous communication. The definitions, criteria, and application of the concept of futility are presented, followed by a discussion of the implications of decisions about futile care for nurses and others.</p>","PeriodicalId":76963,"journal":{"name":"AACN clinical issues in critical care nursing","volume":"5 1","pages":"77-85"},"PeriodicalIF":0.0,"publicationDate":"1994-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18767583","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
Laser angioplasty and intracoronary stents: going beyond the balloon. 激光血管成形术和冠状动脉内支架:超越球囊。
AACN clinical issues in critical care nursing Pub Date : 1994-02-01 DOI: 10.1097/00044067-199402000-00003
N M Albert
{"title":"Laser angioplasty and intracoronary stents: going beyond the balloon.","authors":"N M Albert","doi":"10.1097/00044067-199402000-00003","DOIUrl":"https://doi.org/10.1097/00044067-199402000-00003","url":null,"abstract":"<p><p>Laser angioplasty and balloon-expandable intracoronary stenting are two valuable clinical devices that are now used in interventional cardiology. The description, rationale, and clinical application of each device are examined to enhance the nurse's understanding of intervention choices. Primary nursing diagnoses are described, and special nursing considerations are discussed to aid the critical-care nurse in assessing patient needs, monitoring therapies, optimizing care, and being a mediator of stress between the patient and new technology.</p>","PeriodicalId":76963,"journal":{"name":"AACN clinical issues in critical care nursing","volume":"5 1","pages":"15-20"},"PeriodicalIF":0.0,"publicationDate":"1994-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18767574","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
Children's understanding of illness: developmental aspects. 儿童对疾病的理解:发展方面。
AACN clinical issues in critical care nursing Pub Date : 1994-02-01 DOI: 10.1097/00044067-199402000-00007
J M Youngblut
{"title":"Children's understanding of illness: developmental aspects.","authors":"J M Youngblut","doi":"10.1097/00044067-199402000-00007","DOIUrl":"https://doi.org/10.1097/00044067-199402000-00007","url":null,"abstract":"<p><p>Acutely and critically ill children, like adults, want information about their illness. Children put information they gather into the context of their understanding of the world around them, which is influenced by their level of cognitive development. The development of their understanding of the world is also apparent in their understanding of their bodies and of illness etiology, prevention, and cure. Research generally supports the expected developmental progression of children's understanding of body parts and functions and of illness etiology. Implications for practice are provided.</p>","PeriodicalId":76963,"journal":{"name":"AACN clinical issues in critical care nursing","volume":"5 1","pages":"42-8"},"PeriodicalIF":0.0,"publicationDate":"1994-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18767578","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: 3
Advances in managing increased intracranial pressure: a decade of selected research. 颅内压增高的治疗进展:十年精选研究。
AACN clinical issues in critical care nursing Pub Date : 1994-02-01 DOI: 10.1097/00044067-199402000-00002
C Winkelman
{"title":"Advances in managing increased intracranial pressure: a decade of selected research.","authors":"C Winkelman","doi":"10.1097/00044067-199402000-00002","DOIUrl":"https://doi.org/10.1097/00044067-199402000-00002","url":null,"abstract":"<p><p>There have been tremendous advances in the diagnosis and treatment of increased intracranial pressure in the past decade. The author presents a review of the pathophysiology of intracranial hypertension, incorporating recent data from neuroscience research. Additional investigations that have implications for the nursing care of patients with actual or potential intracranial pressure also are described.</p>","PeriodicalId":76963,"journal":{"name":"AACN clinical issues in critical care nursing","volume":"5 1","pages":"9-14"},"PeriodicalIF":0.0,"publicationDate":"1994-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18768121","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
Anticoagulants and thrombolytics: what's the difference? 抗凝剂和溶栓剂:有什么区别?
AACN clinical issues in critical care nursing Pub Date : 1994-02-01 DOI: 10.1097/00044067-199402000-00005
M L Workman
{"title":"Anticoagulants and thrombolytics: what's the difference?","authors":"M L Workman","doi":"10.1097/00044067-199402000-00005","DOIUrl":"https://doi.org/10.1097/00044067-199402000-00005","url":null,"abstract":"<p><p>Drug therapy for dissolution of formed clots is a first-line approach in the treatment of myocardial infarction and thrombotic stroke. In addition, drug therapy for inhibition of the intrinsic and extrinsic pathways in the blood clotting cascade is used widely in ambulatory, acute care, and intensive care settings. Many health care providers mistakenly view these therapeutic approaches as identical. The authors review the physiology of intrinsic and extrinsic pathways in the blood clotting cascade and present the essential differences between anticoagulant and thrombolytic therapies.</p>","PeriodicalId":76963,"journal":{"name":"AACN clinical issues in critical care nursing","volume":"5 1","pages":"26-35"},"PeriodicalIF":0.0,"publicationDate":"1994-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18767576","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: 3
Advanced nursing practice. 高级护理实践。
AACN clinical issues in critical care nursing Pub Date : 1994-02-01 DOI: 10.1097/00044067-199402000-00011
J E Steel
{"title":"Advanced nursing practice.","authors":"J E Steel","doi":"10.1097/00044067-199402000-00011","DOIUrl":"https://doi.org/10.1097/00044067-199402000-00011","url":null,"abstract":"<p><p>The focus on advanced practice is now critical, as the nation begins to reform our health care system. President Clinton has called for a plan that incorporates \"security, simplicity, savings, choice, quality, and responsibility\". These are major efforts for health care providers, including nurses who deliver direct care and designers of these health care systems. The future work of the advanced nurse practitioner evolves from today's practitioners and their vision. Now, nurses in advanced practice can help design and implement systems of the future. The author highlights some of the issues involved in advanced practice, remarking on how advanced practice might be implemented in the critical care setting. The specifics of implementation is the responsibility of specialists in acute care. As a primary care nurse practitioner, the author provides ideas of application and examines some of the barriers to the continuing growth of nursing practice.</p>","PeriodicalId":76963,"journal":{"name":"AACN clinical issues in critical care nursing","volume":"5 1","pages":"71-6"},"PeriodicalIF":0.0,"publicationDate":"1994-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18767582","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: 2
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