involving intensive care unit admissions and discharges. Throughout the country the total number of intensive care unit (ICU) beds are on the rise, but the current supply still outnumbers the demand (Cognet & Coyer, 2014). The cost of staying in an ICU is continuing to increase with technology, and there are limitations that insurance companies and the government have set forth to the number of days a patient can reside there dependent upon his diagnosis and condition. Intensive care units will continue
inattention and either a change in cognition or perceptual disturbances (Allen and Alexander, 2012). Delirium in critical care patients is very common, it actually occurs in 2 out of 3 intensive care patients who are on a ventilator, but often goes undetected because delirium monitoring is considered too time consuming or unreliable (Reade and Finfer, 2014). Intensive care unit (ICU) patients that have delirium spend more days on a ventilator, remain on sedation longer, have increased chance for infections
Ventilator-associated (VAP) is the number one cause of health care associated infection in the intensive care unit. (ICU). It is a major cause of mortality in patients and increase in healthcare cost. Risk of VAP is increased in hospitalized patients in ICU unit on a mechanical ventilator. The risk may be due to inability of caring out good and adequate infection control measures to prevent the spread of disease. A reduction of VAP incidence in ICU setting could be accomplished by implementing Chlorhexidine
Background of the Study Delirium is a major concern in the intensive care unit (ICU) as it is directly related to increases in hospital stays and mortality (Bakker et al., 2012; Inouye et al., 1990; Inouye, 2006). In response to the poliomyelitis epidemic in 1950, the specialty of critical care medicine came into existence (Wenham & Pittard, 2009). Accordingly, the significance of critical care medicine has expanded since the inception of this specialty and has vigorously been revolutionized with
electronic intensive care unit (eICU ) support center can provide care to patients in multiple hospitals. The goal of an eICU initiative is to optimize clinical expertise and facilitate 24-hour-a-day care by ICU caregivers, whether the caregivers are down the hall from the patient that's being monitored or in another city. While ICU telemedicine is not conceived as a replacement for on-site care, it may serve as a means of ensuring continuous proactive care and prompt intervention when on-site care is not
Medical Specialties [ABMS] recognizes palliative care as a medical subspecialty classified under internal medicine (ABMS, 2015). Currently, there are only 5,000 board-certified palliative care specialists in the US (Quill & Abernethy, 2013). The demand for palliative care physicians outweighs the supply. This opens the door for other medical disciplines, such as intensive care unit (ICU) doctors or anesthesia personnel to step-in and assume some care of this unique patient population. Only 75-85% of
continuous. This is especially evident when referring to nurses who work in the intensive care unit as they must care for patients with more severe illnesses (Intensive Care Unit, 2016). One possible way to improve the quality of patient care besides technological advancements is the use of teamwork. The purpose of this paper is to determine if teamwork among health care professionals in the intensive care unit benefits patient care, as opposed to working as individuals. It is important to first understand
ABSTRACT Saline instillation down the endotracheal tube or tracheotomy to aid in secretion removal is a common practice in the intensive care unit (ICU). Normal saline instillation is used to decrease the viscosity of mucous in order to mobilize secretions and aid in suctioning mechanically ventilated patients in the intensive care units. Many respiratory therapists and nurses are currently using saline with endotracheal suctioning without an adequate knowledge of any existing evidence-based research
palliative care to patients in the intensive care unit (ICU) setting was an area identified as an area requiring further of investigation for this quantitative research study. Review of literature revealed that Uutilization of palliative care has been associated with a reduction in direct hospital costs as well as an improvement in patients’ quality of care and quality of life. The purpose of this study was to assess knowledge levels of palliative care in nurses who work in an ICU setting to determine
Chapter I Introduction Admission to an Intensive Care Unit (ICU) is recognized as an extremely stressful experience for both patients and their families (Williams, 2005). The ICU admission creates a vast uncertainty, which could produce stress, lack of sleep and anxiety for both patients and family members. The uncertainty is whether the patient’s health outcomes will be survival, disability, or death. The longstanding practice of nurses in the ICU has been to restrict visitation to promote a