Crit Care Nurs Clin North Am
· 2025 Mar · PMID 39890343
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Many hospitals have a lack of Certified Diabetes Care and Education Specialists leaving a gap in providing the education necessary for patients with diabetes to manage their diabetes after discharge. Training hospital nu...Many hospitals have a lack of Certified Diabetes Care and Education Specialists leaving a gap in providing the education necessary for patients with diabetes to manage their diabetes after discharge. Training hospital nurses to become diabetes nurse champions can help fill in the gap. In addition to providing the patient with diabetes education, the diabetes nurse champion can advocate for glycemic management in the hospital to improve glycemic goals, reducing the incidence of hypoglycemia and severe hyperglycemia. This article will discuss ways to train nurses to be diabetes nurse champions.
Crit Care Nurs Clin North Am
· 2025 Mar · PMID 39890342
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Approximately 38% of the patient population in community hospitals throughout the United States has diabetes mellitus. Hypoglycemia is defined as less than 70 mg/dL. Patients with hypoglycemia are at more risk for clinic...Approximately 38% of the patient population in community hospitals throughout the United States has diabetes mellitus. Hypoglycemia is defined as less than 70 mg/dL. Patients with hypoglycemia are at more risk for clinically adverse outcomes including death. Critical care nurses must recognize the signs and symptoms of hypoglycemia and initiate prompt intervention to reduce the risk of mortality.
Crit Care Nurs Clin North Am
· 2025 Mar · PMID 39890341
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Hyperglycemia and diabetes place hospitalized patients at a greater risk for serious complications such as infections, diabetic ketoacidosis, hyperosmolar hyperglycemic state, dehydration, electrolyte imbalances, polypha...Hyperglycemia and diabetes place hospitalized patients at a greater risk for serious complications such as infections, diabetic ketoacidosis, hyperosmolar hyperglycemic state, dehydration, electrolyte imbalances, polypharmacy, and lengthened hospitalization. Identification and proper treatment of hyperglycemia and diabetes are essential to reduce morbidity and mortality, as well as to conserve limited health care resources. This article will summarize the current American Diabetes Association and Endocrine Society recommendations for the management of hospitalized patients with hyperglycemia and diabetes. It will discuss the diagnostic criteria for the identification of diabetes and hyperglycemia, glycemic targets, pharmacologic management of hyperglycemia, and the transition to outpatient care.
Crit Care Nurs Clin North Am
· 2024 Dec · PMID 39490080
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Nurses practicing in critical care units manage all forms of traumatic, acute, and chronic pain. Chronic pain must be managed in critical care scenarios to facilitate patient comfort and eventual recovery and healing. Pa...Nurses practicing in critical care units manage all forms of traumatic, acute, and chronic pain. Chronic pain must be managed in critical care scenarios to facilitate patient comfort and eventual recovery and healing. Patients with orthopedic injuries and conditions have distinct care needs that require specialized knowledge on the provider's part. Critical care nurses manage orthopedic traumatic injuries while simultaneously managing underlying acute orthopedic conditions. Pain experiences are individual to the person experiencing pain. The Internet is a rich source for pain-management materials that the critical care nurse should have in their resource repertoire.
Crit Care Nurs Clin North Am
· 2024 Dec · PMID 39490079
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Palliative care has evolved from its religious and historical roots to a specialized medical discipline, emphasizing quality of life for patients with serious illnesses. The foundational work of pioneers in palliative ca...Palliative care has evolved from its religious and historical roots to a specialized medical discipline, emphasizing quality of life for patients with serious illnesses. The foundational work of pioneers in palliative care has shaped modern practices in symptom management, emotional support, and holistic care. Despite challenges in integrating palliative care in critical care settings and overcoming barriers such as limited provider availability, enhancing training and broadening the application of palliative principles remain essential. Palliative care is crucial, not just for end-of-life scenarios, but for managing severe illness at any stage, ensuring compassionate, patient-centered care.
Crit Care Nurs Clin North Am
· 2024 Dec · PMID 39490078
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Chronic pain is a devastating condition that impacts more than 50 million adults nationwide. It can lead to chronic opioid addiction, reduced quality of life, economic collapse, divorce, homelessness, and suicide. Chroni...Chronic pain is a devastating condition that impacts more than 50 million adults nationwide. It can lead to chronic opioid addiction, reduced quality of life, economic collapse, divorce, homelessness, and suicide. Chronic pain associated with surgical interventions is a common, but often misunderstood and misdiagnosed condition. Understanding chronic pain and the physical, psychological, and psychosocial links to chronic postsurgical pain can help nurses identify, prevent, or better treat the condition.
Crit Care Nurs Clin North Am
· 2024 Dec · PMID 39490077
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Hip fractures in women are a serious health concern, demanding prompt treatment and pain control methods. This study examines fracture frequency, diagnostic techniques, and classification, focusing on femoral neck and in...Hip fractures in women are a serious health concern, demanding prompt treatment and pain control methods. This study examines fracture frequency, diagnostic techniques, and classification, focusing on femoral neck and intertrochanteric fractures. It discusses risk factors including age, gender, bone strength, and medication and their impact on fracture risk. Treatments range from noninvasive care to surgeries such as internal fixation and joint replacement. Perioperative measures such as anesthesia, antibiotics, and clot prevention to improve outcomes and lessen complications are also discussed. Postsurgery care emphasizes pain relief strategies, including opioids, nerve blocks, and modern methods such as real-time messaging for pain control.
Crit Care Nurs Clin North Am
· 2024 Dec · PMID 39490076
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Nurses have an ethical responsibility to manage pain and the suffering derived from it. Given the complexity of patients in the critical care setting and the high incidence of pain experienced by critically ill patients,...Nurses have an ethical responsibility to manage pain and the suffering derived from it. Given the complexity of patients in the critical care setting and the high incidence of pain experienced by critically ill patients, critical care nurses may experience moral distress when pain is inadequately managed. To address moral distress associated with pain management, critical care nurses should be provided with education on evidence-based pain management practices and encouraged to evaluate their personal biases and beliefs regarding pain management. Furthermore, organizations should consider the implementation of programs to address moral distress stemming from pain management and other precipitating factors.
Crit Care Nurs Clin North Am
· 2024 Dec · PMID 39490075
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Pain experienced by mechanically ventilated patients in intensive care units (ICUs) is often overlooked, but it is a significant issue. With over 5 million annual ICU admissions in the United States, the prevalence of pa...Pain experienced by mechanically ventilated patients in intensive care units (ICUs) is often overlooked, but it is a significant issue. With over 5 million annual ICU admissions in the United States, the prevalence of pain during hospitalization and its aftermath is a pressing concern. Chronic pain in ICU survivors has been linked to post-traumatic stress disorder, poor quality of life, and long-term impairments known as postintensive care syndrome. Barriers to effective pain management include psychological factors, sedation restrictions, and inadequate use of valid assessment tools.
Crit Care Nurs Clin North Am
· 2024 Dec · PMID 39490074
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For centuries, pharmacologic interventions have been the primary intervention for pain in intensive care patients. Opioid use has significant side effects and long-term risks including addiction and loss of life. Critica...For centuries, pharmacologic interventions have been the primary intervention for pain in intensive care patients. Opioid use has significant side effects and long-term risks including addiction and loss of life. Critical care nurses and other health care professionals can include effective nonpharmacological complementary modalities to reduce pain. Approaches discussed include guided imagery, acupuncture, music and sound therapy, cold therapy, massage, and physical and occupational therapy. Evidence-based research that examined the efficacy of these complementary methods found significant reduction in pain, trauma, length of stay, or post-intensive care syndrome in critical care patients.
Crit Care Nurs Clin North Am
· 2024 Dec · PMID 39490073
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The primary objective of this article is to share effective strategies for integrating patients and their families into the critical care setting. Additionally, it aims to address lack of pain management knowledge, burno...The primary objective of this article is to share effective strategies for integrating patients and their families into the critical care setting. Additionally, it aims to address lack of pain management knowledge, burnout syndrome, and stress management tactics tailored for practicing critical care registered nurses.
Crit Care Nurs Clin North Am
· 2024 Dec · PMID 39490072
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Circumcision is a painful procedure that may be performed on newborns. Pain management is provided through pharmacologic and nonpharmacological methods such as administration of anesthetics, analgesia, nutritive sucking,...Circumcision is a painful procedure that may be performed on newborns. Pain management is provided through pharmacologic and nonpharmacological methods such as administration of anesthetics, analgesia, nutritive sucking, music, and touch during and post procedure. Pain scales may be used to assess physiologic and behavioral changes in the newborn as part of the pain management process. The role of the nurse includes assisting the provider with pain management, assessing newborn pain, and teaching the family how to care and comfort the newborn post circumcision.
Crit Care Nurs Clin North Am
· 2024 Dec · PMID 39490071
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Around 51.6 million adults are living with chronic pain that has been linked to mental health disorders, substance use, and suicidal ideation. The high incidence of chronic pain poses a challenge for health care educator...Around 51.6 million adults are living with chronic pain that has been linked to mental health disorders, substance use, and suicidal ideation. The high incidence of chronic pain poses a challenge for health care educators to ensure that health care professionals receive training to assess, prevent, and manage chronic pain for a diverse patient population. While simulation-based learning is known as an effective educational strategy, little is known about its use to illustrate pain. This review aims to determine the current evidence related to using simulation-based learning for training and teaching the assessment and management of pain in nursing.
Zangaro GA, Howie WO, McMullen PC
… +1 more, Fujita-Howie BA
Crit Care Nurs Clin North Am
· 2024 Dec · PMID 39490070
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The study is a longitudinal review of pain management claims filed in the state of Maryland. Adverse outcomes associated with pain-related claims are often severe and include death, brain damage, and back and spinal cord...The study is a longitudinal review of pain management claims filed in the state of Maryland. Adverse outcomes associated with pain-related claims are often severe and include death, brain damage, and back and spinal cord sequelae. There is a lot to be learned from past experiences, identified in closed pain management claims, specifically on how to improve patient education, outcomes, quality, and safety.
Crit Care Nurs Clin North Am
· 2024 Dec · PMID 39490069
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This article examines the pivotal role of critical care nurses in managing pediatric pain, emphasizing the multifaceted nature of care. It covers the challenges and opportunities nurses face, stressing the importance of...This article examines the pivotal role of critical care nurses in managing pediatric pain, emphasizing the multifaceted nature of care. It covers the challenges and opportunities nurses face, stressing the importance of education and training. The background section underscores the global issue of inadequately managed pediatric pain and the importance of addressing social determinants of health while recognizing perceptions, beliefs, stereotypes, and biases on pain management. A multimodal approach in treatment is detailed in pharmacologic and non-pharmacologic approaches. Barriers nurses encounter are discussed, with recommendations for a holistic and individualized approach to pediatric pain management in critical care settings.
Crit Care Nurs Clin North Am
· 2024 Dec · PMID 39490068
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Managing pain, whether acute or chronic, has taken a whole new look during the past 3 decades. Pain management continues to be a long-standing public health concern. The ongoing opioid epidemic has changed how the term p...Managing pain, whether acute or chronic, has taken a whole new look during the past 3 decades. Pain management continues to be a long-standing public health concern. The ongoing opioid epidemic has changed how the term pain is not only treated but viewed throughout all lenses of society. The following content will focus on pain management of clients aged 18 years or older with acute and/or chronic pain in the outpatient setting. As advocates and gatekeepers, primary care providers must have knowledge of evidence-based guidelines and recommendations of pain management to provide the competent, holistic care and education clients deserve.
Crit Care Nurs Clin North Am
· 2024 Sep · PMID 39069363
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Health care delivery science, according to Faerber, "focuses on ways to improve health and services to individuals and populations." The triple aim, described as improving population health, enhancing the care experience...Health care delivery science, according to Faerber, "focuses on ways to improve health and services to individuals and populations." The triple aim, described as improving population health, enhancing the care experience, and reducing costs; is a model for health care improvement. In 2014, the triple aim expanded to the quadruple aim to include the health and satisfaction of health care professionals.
Connelly L, Cunha C, Wholey K
… +1 more, DiLibero JH
Crit Care Nurs Clin North Am
· 2024 Sep · PMID 39069362
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This article examines the multifaceted impact of the coronavirus disease 2019 pandemic on nursing education, with a focus on implications for critical care. Issues including the rapid transition to remote learning, stres...This article examines the multifaceted impact of the coronavirus disease 2019 pandemic on nursing education, with a focus on implications for critical care. Issues including the rapid transition to remote learning, stress and burnout, disengagement, challenges in clinical education, ethical dilemmas, and the influence of workforce dynamics on nursing education are discussed. The article explores challenges, opportunities, and the invaluable lessons learned from this unprecedented crisis. Understanding the evolving dynamics is essential for nursing education and practice, offering a pathway toward a more resilient and promising future for both individuals and the nursing profession as a whole.