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Articles 1 - 3 of 3
Full-Text Articles in Medicine and Health Sciences
Delirium Reduction Strategies For The Critically Ill, June Chaves, Sam Canonico, Will Cheney, Tammy Corey, Gil Fraser, Alex Kowalewski, Jen Low, Cardiac Intensive Care Unit, Haley Pelletier, Cathy Palleschi, Stephen Tyzik, Suneela Nayak, Ruth Hanselman
Delirium Reduction Strategies For The Critically Ill, June Chaves, Sam Canonico, Will Cheney, Tammy Corey, Gil Fraser, Alex Kowalewski, Jen Low, Cardiac Intensive Care Unit, Haley Pelletier, Cathy Palleschi, Stephen Tyzik, Suneela Nayak, Ruth Hanselman
MaineHealth Maine Medical Center
Delirium, an acute and fluctuating disturbance of consciousness and cognition, is a common manifestation of acute brain dysfunction in critically ill patients. Patients with delirium have longer hospital stays and a lower 6-month survival rate than do patients without delirium. Preliminary research suggests that delirium may be associated with cognitive impairment that persists months to years after discharge.
In a large acute care hospital, the cardiac intensive care staff became interested in mitigating their unit’s high delirium rate of ventilated patients. At baseline, many members of the healthcare team did not believe that delirium could be prevented and the predominant …
Creating A Culture Of Mobility: A Quality Improvement Project, Vincent K. Samuel
Creating A Culture Of Mobility: A Quality Improvement Project, Vincent K. Samuel
Master's Projects and Capstones
Abstract title: Creating A Culture of Patient Mobility in An Acute Care Setting.
Unit: Medical Surgical unit.
Author: Vincent Samuel RN, BSN
Institution: University of San Francisco; Kaiser Permanente Nurse Scholar Academy; Kaiser Permanente Hospital, San Francisco (CNL practicum site).
Background Information
The medical/surgical unit had the average ambulation score of 54% in the year 2015, much below the benchmark of 65% set for the year. The direct impact of low ambulation score was the increase in patient’s length of stay. The micro-system analysis revealed various factors that contributes to this problem such as, inadequate staffing, unit culture, unavailability of …
Physiotherapy In Upper Abdominal Surgery - What Is Current Practice In Australia?, S Patman, A Bartley, A Ferraz, C Bunting
Physiotherapy In Upper Abdominal Surgery - What Is Current Practice In Australia?, S Patman, A Bartley, A Ferraz, C Bunting
Physiotherapy Papers and Journal Articles
Background: Upper abdominal surgery (UAS) has the potential to cause post-operative pulmonary complications (PPCs). In the absence of high-quality research regarding post-operative physiotherapy management, consensus-based best practice guidelines formulated by Hanekom et al. (2012) are available to clinicians providing recommendations for post-UAS treatment. Such best practice guidelines have recommended that physiotherapists should be using early mobilisation and respiratory intervention to minimise risk of PPCs. However, recent evidence supports the implementation of mobilisation as a standalone treatment in PPC prevention, though the diversity in literature poses questions regarding ideal current practice. This project aimed to document and report the assessment measures …