Focus on critical care最新文献

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Pulmonary artery catheter removal by nurses. 由护士取出肺动脉导管。

Focus on critical care

Pub Date : 1992-02-01

P H Gillman

引用次数: 0

Applying standards of care in legal proceedings. 在法律程序中应用谨慎标准。

Focus on critical care

Pub Date : 1991-12-01

F M Quigley

引用次数: 0

Health care trends: a call for advanced knowledge and skills in baccalaureate graduates. 医疗保健趋势:要求本科毕业生具备先进的知识和技能。

Focus on critical care

Pub Date : 1991-12-01

K Bowles

引用次数: 0

From hopeful to hopeless ... when do we write "do not resuscitate"? 从希望到绝望……我们什么时候写“不要复苏”?

Focus on critical care

Pub Date : 1991-12-01

A L Slater, K Fassnacht-Hanrahan, H Slater, I W Goldfarb

The issue of do not resuscitate (DNR) decisions has been the subject of much discussion in the medical literature. To try to understand the factors that may be determinants of the timing of DNR decisions, we reviewed the charts of 70 consecutive burned patients who died between 1986 and 1988. When a DNR decision was written, it was within 48 hours of the patient's death (74% of patients). No statistical difference was found in the sex distribution or in the percentage of body surface area burned in the DNR group and in the resuscitation group. Physicians, nurses, social workers, the hospital attorney, the district attorney, and the coroner of our county were interviewed. The uncertainty of legal guidelines and practical considerations of family expectations preclude a uniform approach to this problem.

不复苏(DNR)决定的问题一直是医学文献中许多讨论的主题。为了试图了解可能决定DNR决定时间的因素，我们回顾了1986年至1988年间连续死亡的70例烧伤患者的图表。当做出DNR决定时，是在患者死亡后48小时内(74%的患者)。DNR组与复苏组在性别分布及体表烧伤面积百分比上无统计学差异。医生、护士、社会工作者、医院检察官、地区检察官和我们县的验尸官都接受了采访。法律准则的不确定性和家庭期望的实际考虑妨碍了对这一问题采取统一的办法。

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Strategies for developing a family support group. 发展家庭支持小组的策略。

Focus on critical care

Pub Date : 1991-12-01

M A Halm

Various interventions may be used by nurses to provide social support to critical care families. Nurses may support family members in one-to-one relationships, or by facilitating the development of supportive relationships in the group setting. The steps described here are fundamental in developing a support group for family members of adults hospitalized in a surgical ICU to meet their predetermined needs. The support needs of family members and the timing of a support group during the critical care phase must first be validated. Once this assessment is completed, the support group may be based on the educational model, mutual-peer support model, educational-mutual support model, or ventilation model. The group model selected will provide direction to the structure, membership, and leadership of the support group. Regardless of the model considered appropriate for the needs of the family population and setting, critical care nurses need to evaluate the impact of the support group on the psychologic health of the family. The four different group perspectives clearly illustrate the need for nurses to determine what types of support are needed or are most beneficial for families during various phases of illness. Perhaps family members benefit from sharing and camaraderie during the acute or critical care phase, whereas educational support groups are more effective in reviewing illness and treatment implications after the immediate threat of the illness has passed. Findings from these evaluation studies will assist nurses in shaping intervention strategies for critical care family members in clinical practice.

护士可以使用各种干预措施为重症监护家庭提供社会支持。护士可以在一对一的关系中为家庭成员提供支持，或者在小组环境中促进支持性关系的发展。这里描述的步骤是为外科ICU住院的成人家庭成员建立支持小组以满足其预定需求的基础。在重症监护阶段，必须首先确认家庭成员的支持需求和支持小组的时间安排。一旦评估完成，支持小组可以基于教育模式、同伴互助模式、教育-相互支持模式或通气模式。所选择的小组模式将为支持小组的结构、成员和领导提供方向。无论哪种模式被认为适合家庭人口和环境的需要，重症护理护士都需要评估支持小组对家庭心理健康的影响。这四种不同的群体观点清楚地说明了护士需要确定在疾病的各个阶段需要什么类型的支持或对家庭最有益。也许在急性或重症监护阶段，家庭成员从分享和友爱中受益，而在疾病的直接威胁过去后，教育支持小组在回顾疾病和治疗方面更有效。这些评估研究的结果将有助于护士在临床实践中为重症监护家庭成员制定干预策略。

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引用次数: 0

The art and science of weaning from mechanical ventilation. 脱离机械通气的艺术和科学。

Focus on critical care

Pub Date : 1991-12-01

E A Henneman

引用次数: 0

Neuromuscular blockade. 神经肌肉的封锁。

Focus on critical care

Pub Date : 1991-12-01

J E Davidson

引用次数: 0

Our caring continues: a bereavement follow-up program. 我们的关怀还在继续:一个丧亲后续项目。

Focus on critical care

Pub Date : 1991-12-01

A H Anderson, L H Bateman, K L Ingallinera, P J Woolf

引用次数: 0

Denying alcoholism. 否认酒精中毒。

Focus on critical care

Pub Date : 1991-12-01

G M Kovach, K M Weiss

引用次数: 0

Identification and treatment of acute myocardial infarction by electrocardiographic site classification. 心电图部位分类诊断和治疗急性心肌梗死。

Focus on critical care

Pub Date : 1991-12-01

P J Hanisch

The nature and severity of an acute myocardial infarction may be related to the region of myocardial involvement. Four possible sites of infarction are inferior, anterior, posterior, and lateral. Knowledge of ECG tracings common to each of these areas, the coronary artery source of each, clinical complications, and signs and symptoms is vital to subsequent nursing management.

急性心肌梗死的性质和严重程度可能与心肌受累的区域有关。四种可能的梗死部位为下、前、后、外侧。了解这些区域常见的心电图示踪，每个区域的冠状动脉来源，临床并发症以及体征和症状对后续护理管理至关重要。

引用次数: 0

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