{"title":"Current perspectives in oxygenation and ventilation--Part II.","authors":"C Pooler-Lunse, P Price","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This is the second part of the discussion on current perspectives in oxygenation and ventilation. The focus is on modes of ventilation. Intended goals of ventilation therapy are discussed, particularly in relation to work of breathing and oxygen delivery. Current modes of ventilation are reviewed, with advantages and disadvantages of the types of therapy presented in summary tables. Consideration is given to the broader perspective of ventilation therapy, that is, improving the balance between oxygen delivery and tissue oxygen needs. Optimizing the oxygen balance includes nursing interventions directed toward decreasing oxygen demands.</p>","PeriodicalId":79699,"journal":{"name":"Official journal of the Canadian Association of Critical Care Nurses","volume":"8 3","pages":"10-5; quiz 16-7"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20514656","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}
{"title":"An innovative approach to pain management in critical care: therapeutic touch.","authors":"M Apostle-Mitchell, G MacDonald","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Nursing research suggests that pain in critically ill patients is inadequately controlled and has deleterious effects. The critical care nurse must depend on the patient's perception of pain and its expression in physiological and behavioural responses. Ventilatory support, fluctuating levels of consciousness, hemodynamic instability and severity of illness are often barriers to the expression and interpretation of pain. This article includes a review of the nursing literature pertaining to pain management in the critically ill patient. Existing practices are examined and alternative approaches explored. Therapeutic touch (TT), one innovative approach, is proposed as an adjunct to pharmacological intervention TT is a non-invasive, holistic practice that promotes comfort, relaxation, stress reduction and heating. Clinical studies suggest that TT prolongs the interval between analgesies. The authors highlight the 10-year clinical experience of a critical care nurse practising TT in a 30-bed critical care and trauma centre.</p>","PeriodicalId":79699,"journal":{"name":"Official journal of the Canadian Association of Critical Care Nurses","volume":"8 3","pages":"19-22"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20514657","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}
{"title":"Sometimes it seems that the only thing constant in today's society is change.","authors":"P Price","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79699,"journal":{"name":"Official journal of the Canadian Association of Critical Care Nurses","volume":"8 3","pages":"5"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20514655","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}
{"title":"Critical thinking. Painting health care red.","authors":"C Shelton","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79699,"journal":{"name":"Official journal of the Canadian Association of Critical Care Nurses","volume":"8 3","pages":"4-5"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20514654","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}