American journal of critical care : an official publication, American Association of Critical-Care Nurses
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Patients with acute respiratory failure have multiple risk factors for disability following their intensive care unit stay. Interventions to facilitate independence at hospital discharge may be more effective if personalized for patient subtypes. ⋯ Acute respiratory failure survivor subtypes identified from clinical data available early in the intensive care unit stay differ in post-intensive care functional disability. Future research should target high-risk patients in early rehabilitation trials in the intensive care unit. Additional investigation of contextual factors and mechanisms of disability is critical to improving quality of life in acute respiratory failure survivors.
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Function-focused care is an approach used to increase physical activity in hospitalized older adults with dementia. ⋯ For hospitalized patients with dementia, the focus of care should be on treating pain and behavioral symptoms, reducing the use of tethers, and improving the quality of care interactions in order to optimize physical resilience, function, and participation in function-focused care.
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Family intensive care unit (ICU) syndrome, a comorbid response to another person's stay in the ICU, is characterized by emotional distress, poor sleep health, and decision fatigue. ⋯ Understanding the temporal dynamics and mechanisms of the symptoms of family ICU syndrome can inform clinical, research, and policy initiatives that enhance the provision of family-centered critical care.
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Observational Study
Mortality and Discharge Location of Intensive Care Patients With Alzheimer Disease and Related Dementia.
Intensive care unit (ICU) utilization has increased among patients with Alzheimer disease and related dementia (ADRD), although outcomes are poor. ⋯ Patients with ADRD have lower home discharge rates and greater mortality after an ICU stay than patients without ADRD.
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HIV infection is associated with increased infections. ⋯ HIV infection was not associated with increased mortality in patients with sepsis.