American journal of critical care : an official publication, American Association of Critical-Care Nurses
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Discharge from critical care to a general care unit is a difficult period, and more effective information is needed to support patients and their families at this time. ⋯ This focus group study provides unique user insight into what influences successful and unsuccessful information giving. Based on real experiences, it adds to the limited international body of current evidence. Findings will be of value in designing future critical care discharge information and identifying the related resource implications.
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Comparative Study
Adverse drug events in intensive care units: a cross-sectional study of prevalence and risk factors.
Adverse drug events are considered determinants of patient safety and quality of care. ⋯ Adverse drug events were common in intensive care unit patients and were associated with illness severity and nursing workload.
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Difficulties in communication in intensive care patients receiving mechanical ventilation are a source of stressful experiences and psychoemotional distress. ⋯ Patients treated with mechanical ventilation experience a moderate to extreme level of psychoemotional distress because they cannot speak and communicate their needs. Nurses should be aware of the patients' need to communicate. Decreasing stressful experiences associated with the endotracheal tube and implementing more appropriate communication methods may reduce patients' distress.
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Locked-in syndrome is an extremely rare neurological state caused by injury of the ventral pons. The syndrome is characterized by quadriplegia and anarthria with concomitant preservation of cortical function. ⋯ Because patients retain consciousness throughout their illness, a dependable method for titrating sedation may improve their quality of life. The case presented suggests that bispectral index monitoring may be a cost-effective and reliable method for managing sedation in patients with locked-in syndrome.