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Nursing in critical care setting : an overview from basic to sensitive outcomes / Irene Comisso, Alberto Lucchini, Stefano Bambi, Gian Domenico Giusti, Matteo Manici.

By: Contributor(s): Material type: TextTextPublisher: Cham, Switzerland : Springer, 2018Copyright date: �2018Description: 1 online resourceContent type:
  • text
Media type:
  • computer
Carrier type:
  • online resource
ISBN:
  • 9783319505596
  • 3319505599
  • 3319505580
  • 9783319505589
Subject(s): Genre/Form: Additional physical formats: Printed edition:: No titleDDC classification:
  • 616.028 23
LOC classification:
  • RT120.I5 .C66 2018
Online resources:
Contents:
Intro; Preface; Contents; Contributors; Introduction; Part I: Assessment and Monitoring in ICU; Chapter 1: Monitoring Patients: What's New in Intensive Care Setting?; 1.1 Introduction; 1.2 Instrumental Monitoring; 1.3 Monitoring andScales; 1.4 Bedside Monitoring: An Overview; 1.5 A New Monitoring Model; References; Chapter 2: Neurological, Pain, Sedation, and Delirium Assessment; 2.1 Introduction; 2.2 Neurological Assessment; 2.3 Pain Assessment; 2.4 Evaluation ofAgitation and Sedation; 2.5 Delirium Assessment in ICU; 2.5.1 Risk Factors for the Development of ICU Delirium; 2.5.2 Detection.
2.5.3 PreventionReferences; Chapter 3: Respiratory and Ventilatory Assessment; 3.1 Introduction; 3.2 Basic Monitoring Tools; 3.2.1 Pulse Oximetry; 3.2.2 End-Tidal Carbon Dioxide (EtCO2) Monitoring; 3.3 Basic Monitoring During MV; 3.3.1 Basic Principles; 3.3.2 Ventilator Waveform Monitoring; 3.3.2.1 Pressure-Time Waveform; 3.3.2.2 Flow-Time Waveform; 3.3.2.3 Time-Volume Waveform; 3.3.2.4 Other Advanced Respiratory Monitoring Parameters; 3.4 Monitoring During Invasive Spontaneous Ventilation; 3.4.1 The Weaning Process; 3.5 Pressure and Flow Monitoring to Assess Asynchrony.
3.6 Noninvasive Ventilation Monitoring and Management; 3.6.1 Helmet CPAP; 3.6.1.1 Gas-Flow Management; 3.6.1.2 Basic Monitoring on CPAP: Patient and Circuit; 3.6.1.3 Noise Reduction; 3.6.1.4 Helmet Anchorage; 3.6.1.5 Airway Humidification; 3.6.2 Monitoring During Mask-PSV; 3.7 Monitoring During Extracorporeal Membrane Oxygenation (ECMO) Support; 3.7.1 The Need for ECMO Support; 3.7.2 Circuit Monitoring During ECMO; References; Chapter 4: Cardiovascular Assessment; 4.1 Introduction; 4.2 General Considerations; 4.3 Electrical Activity; 4.4 Pump Function Effectiveness; 4.4.1 Cardiac Output.
4.4.2 Arterial Pressure Monitoring; 4.4.3 Pulmonary Artery Pressure; 4.5 Oxygen Transportation and Consumption; 4.6 Volemia; 4.6.1 Filling Pressures: Central Venous Pressure and Pulmonary Artery Occlusion Pressure; 4.6.2 Volumetric Indicators; References; Chapter 5: Early Mobility, Skin, and Pressure Ulcer Risk Assessment; 5.1 Introduction; 5.2 Intensive Care Unit-Acquired Weakness (ICU-AW); 5.2.1 Prevention andTreatment of Immobility; 5.3 Skin and Pressure Ulcer Risk Assessment; 5.3.1 Definition; 5.3.2 Epidemiology; 5.3.3 Physiopathology and Main Risk Factors; 5.3.4 Risk Assessment.
5.4 Conclusions References; Part II: Basic Care in ICU; Chapter 6: Interventional Patient Hygiene Model: New Insights in Critical Care Nursing, Starting from the Basics of Care; 6.1 Introduction; 6.2 From Evidence-Based Nursing to Interventional Patient Hygiene Model: The Conceptual Framework; 6.3 The Priorities of Intensive Care Nursing; 6.4 Experiences About the IPHM Implementation; 6.5 Potential Developments of HPIM; References; Chapter 7: Eye, Mouth, Skin Care, and Bed Bath; 7.1 Introduction; 7.2 The Eye Care in ICU; 7.2.1 Main Ocular Complications in ICU; 7.2.2 Prevention andTreatment.
Summary: This book provides essential insights into how the approach to nursing care in ICU patients has markedly changed over recent years. It shows how the focus has progressively moved away from the technical approach that characterized early ICUs to a wider personalization of patient care that also highlights general problems such as basic hygiene and general comfort. It also demonstrates that, at the same time, the nurses' role has become more professionalized, with increasing competences in assessing and managing patients' problems and measuring related outcomes. It is structured in four units: Unit 1 presents the essential elements of accurate vital-function and basic-needs assessments for ICU patients, using both instrumental monitoring and specially validated assessment tools. Unit 2 addresses basic care in ICU patients, particularly hygiene and mobilization, reflecting recent developments in nursing that focus on the importance of these activities. Unit 3 highlights the main nursing outcomes in ICU patients, particularly focusing on risk prevention and complication management. Lastly, Unit 4 discusses advances in ICU nursing, from clinical, organizational and research perspectives.
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Holdings
Item type Current library Shelving location Call number Status Date due Barcode Item holds
Electronic Book Electronic Book Kuakarun Nursing Library Processing unit Online Access Eb33747
Total holds: 0

Includes bibliographical references.

Intro; Preface; Contents; Contributors; Introduction; Part I: Assessment and Monitoring in ICU; Chapter 1: Monitoring Patients: What's New in Intensive Care Setting?; 1.1 Introduction; 1.2 Instrumental Monitoring; 1.3 Monitoring andScales; 1.4 Bedside Monitoring: An Overview; 1.5 A New Monitoring Model; References; Chapter 2: Neurological, Pain, Sedation, and Delirium Assessment; 2.1 Introduction; 2.2 Neurological Assessment; 2.3 Pain Assessment; 2.4 Evaluation ofAgitation and Sedation; 2.5 Delirium Assessment in ICU; 2.5.1 Risk Factors for the Development of ICU Delirium; 2.5.2 Detection.

2.5.3 PreventionReferences; Chapter 3: Respiratory and Ventilatory Assessment; 3.1 Introduction; 3.2 Basic Monitoring Tools; 3.2.1 Pulse Oximetry; 3.2.2 End-Tidal Carbon Dioxide (EtCO2) Monitoring; 3.3 Basic Monitoring During MV; 3.3.1 Basic Principles; 3.3.2 Ventilator Waveform Monitoring; 3.3.2.1 Pressure-Time Waveform; 3.3.2.2 Flow-Time Waveform; 3.3.2.3 Time-Volume Waveform; 3.3.2.4 Other Advanced Respiratory Monitoring Parameters; 3.4 Monitoring During Invasive Spontaneous Ventilation; 3.4.1 The Weaning Process; 3.5 Pressure and Flow Monitoring to Assess Asynchrony.

3.6 Noninvasive Ventilation Monitoring and Management; 3.6.1 Helmet CPAP; 3.6.1.1 Gas-Flow Management; 3.6.1.2 Basic Monitoring on CPAP: Patient and Circuit; 3.6.1.3 Noise Reduction; 3.6.1.4 Helmet Anchorage; 3.6.1.5 Airway Humidification; 3.6.2 Monitoring During Mask-PSV; 3.7 Monitoring During Extracorporeal Membrane Oxygenation (ECMO) Support; 3.7.1 The Need for ECMO Support; 3.7.2 Circuit Monitoring During ECMO; References; Chapter 4: Cardiovascular Assessment; 4.1 Introduction; 4.2 General Considerations; 4.3 Electrical Activity; 4.4 Pump Function Effectiveness; 4.4.1 Cardiac Output.

4.4.2 Arterial Pressure Monitoring; 4.4.3 Pulmonary Artery Pressure; 4.5 Oxygen Transportation and Consumption; 4.6 Volemia; 4.6.1 Filling Pressures: Central Venous Pressure and Pulmonary Artery Occlusion Pressure; 4.6.2 Volumetric Indicators; References; Chapter 5: Early Mobility, Skin, and Pressure Ulcer Risk Assessment; 5.1 Introduction; 5.2 Intensive Care Unit-Acquired Weakness (ICU-AW); 5.2.1 Prevention andTreatment of Immobility; 5.3 Skin and Pressure Ulcer Risk Assessment; 5.3.1 Definition; 5.3.2 Epidemiology; 5.3.3 Physiopathology and Main Risk Factors; 5.3.4 Risk Assessment.

5.4 Conclusions References; Part II: Basic Care in ICU; Chapter 6: Interventional Patient Hygiene Model: New Insights in Critical Care Nursing, Starting from the Basics of Care; 6.1 Introduction; 6.2 From Evidence-Based Nursing to Interventional Patient Hygiene Model: The Conceptual Framework; 6.3 The Priorities of Intensive Care Nursing; 6.4 Experiences About the IPHM Implementation; 6.5 Potential Developments of HPIM; References; Chapter 7: Eye, Mouth, Skin Care, and Bed Bath; 7.1 Introduction; 7.2 The Eye Care in ICU; 7.2.1 Main Ocular Complications in ICU; 7.2.2 Prevention andTreatment.

This book provides essential insights into how the approach to nursing care in ICU patients has markedly changed over recent years. It shows how the focus has progressively moved away from the technical approach that characterized early ICUs to a wider personalization of patient care that also highlights general problems such as basic hygiene and general comfort. It also demonstrates that, at the same time, the nurses' role has become more professionalized, with increasing competences in assessing and managing patients' problems and measuring related outcomes. It is structured in four units: Unit 1 presents the essential elements of accurate vital-function and basic-needs assessments for ICU patients, using both instrumental monitoring and specially validated assessment tools. Unit 2 addresses basic care in ICU patients, particularly hygiene and mobilization, reflecting recent developments in nursing that focus on the importance of these activities. Unit 3 highlights the main nursing outcomes in ICU patients, particularly focusing on risk prevention and complication management. Lastly, Unit 4 discusses advances in ICU nursing, from clinical, organizational and research perspectives.

Online resource; title from PDF title page (EBSCO, viewed June 11, 2018).

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