A5009699793- Intensive Care Unit Cognitive Disorders
- Anesthesia and Sedative Agents
- Anesthesia and Neurotoxicity Research
- Family and Patient Care in Intensive Care Units
- Cardiac Arrest and Resuscitation
- Respiratory Support and Mechanisms
- Traumatic Brain Injury and Neurovascular Disturbances
- Healthcare Decision-Making and Restraints
- Dementia and Cognitive Impairment Research
- Cardiac, Anesthesia and Surgical Outcomes
- Health and Lifestyle Studies
- Healthcare Policy and Management
- Emergency and Acute Care Studies
- Sepsis Diagnosis and Treatment
- Alzheimer's disease research and treatments
- Mental Health and Psychiatry
- Quality and Safety in Healthcare
- Stroke Rehabilitation and Recovery
- Nursing Diagnosis and Documentation
- Long-Term Effects of COVID-19
- Cardiovascular Health and Risk Factors
- Workplace Violence and Bullying
- Amyotrophic Lateral Sclerosis Research
- Primary Care and Health Outcomes
- Acute Ischemic Stroke Management
University of South Carolina
2022-2024
University of Milano-Bicocca
2024
Indiana University – Purdue University Indianapolis
2020-2023
Rex Hospital
2021-2023
RELX Group (United States)
2023
University School
2023
Indiana University
2023
National Institute of Nursing Research
2022
Louisburg College
2022
Weatherford College
2021
To determine if an early mobilization protocol increased mobility and improved clinical psychological outcomes. Currently, there is minimal research on the effects of in patients with primary neurologic injury.Prospective, two-group pre/post comparative design data collection 4 months pre- postintervention a 4-month run-in period.Twenty-two-bed ICU 1,200-bed urban, quaternary-care, academic hospital Northeast Ohio.Critically ill injury admitted to ICU.An program included progressive...
Delirium is an acute brain dysfunction associated with increased risk of mortality and future dementia. To describe the prevalence clinically documented delirium in United States on World Awareness Day 2023. This a sub-analysis prospective, cross-sectional, online, international survey. All health care settings were eligible, exception operating rooms outpatient clinics. Health clinicians, administrators, researchers completed The primary outcome was at 8:00 a.m. p.m. March 15, Secondary...
Abstract As many as 80% of critically ill patients develop delirium increasing the need for institutionalization and higher morbidity mortality. Clinicians detect less than 40% when using a validated screening tool. EEG is criterion standard but resource intensive thus not feasible widespread monitoring. This study evaluated use limited-lead rapid-response supervised deep learning methods with vision transformer to predict delirium. proof-of-concept used prospective design evaluate device...
Abstract Purpose Delirium, a common medical emergency among hospitalized patients, requires effective detection and management protocols. This study aims to evaluate the delirium point prevalence its across Italian hospitals, categorized by literacy levels. Additionally, it seeks identify prevailing barriers future priorities in practice research. Methods We analyzed data from World Delirium Awareness Day (WDAD) on March 15th, 2023, collected participating clinicians hospitals. High (HL) was...
Nurses are expected to participate in research and scholarly inquiry; despite ongoing attempts, the practice-research gap continues be fraught with significant barriers. System strategies have not addressed concerns at individual nurse level. Given implications on quality safety, focusing identification of should an important focus attention for nursing leaders researchers. This article seeks describe barriers, potential solutions, leaders.
Post-intensive care syndrome is a collection of symptoms that more than half patients who survive critical illness, and their family caregivers, experience after the illness. Those include weakness/ fatigue, sleep disturbances/insomnia, cognitive dysfunction, posttraumatic stress disorder, other mental health conditions, lack effective coping strategies.To minimize risk patient developing post-intensive syndrome, intensive unit nurses must adopt practices reduce severity disability optimize...
Patients treated in a neuroscience intensive care unit (NICU) are often viewed as too sick to tolerate physical activity. In this study, mobility status NICU was assessed, and factors outcomes associated with were examined.Using prospective design, daily status, medical history, demographics, Acute Physiology Chronic Health Evaluation (APACHE) III score, clinical collected by records database review. Depression, anxiety, hostility assessed before discharge. Analyses included comparative...
Abstract Delirium is an acute disorder affecting up to 80% of intensive care unit (ICU) patients. It associated with a 10‐fold increase in cognitive impairment, triples the rate in‐hospital mortality, and costs $164 billion annually. acutely affects attention global function fluctuating symptoms caused by underlying organic etiologies. Early detection crucial because longer patient experiences delirium worse it becomes harder treat. Currently, identification through intermittent clinical...
ABSTRACT In 2018, the Society of Critical Care Medicine published Pain Agitation Delirium Immobility and Sleep Disruption guidelines that recommend protocol assessment-based pain sedation management. Since publication these guidelines, multiple studies meta-analyses have been conducted comparing sedative options in Intensive Unit (ICU) setting including dexmedetomidine propofol. Sedatives are on a continuum when it comes to delirium risk. Propofol, like benzodiazepines, causes changes sleep...
Abstract Background Studies suggest Angiotensin‐Converting Enzyme inhibitors (ACEI) and Angiotensin Receptor Blockers (ARB) may slow the decline of memory function in individuals with mild to moderate Alzheimer's disease by regulating migroglial activation oxidative stress within brain's reticular activating system. Therefore, we evaluated relationship between delirium prevalence being prescribed ACEI ARB participants admitted intensive care units (ICU). Methods A secondary analysis data...
Topic Assessing functional cognition is a critical need for intensive care unit survivors transitioning to another level of care. Clinical Relevance Up 62% patients discharged from an have significant cognitive impairment that not associated with severity illness, number comorbidities, or length hospital stay. For more than 20 years, researchers published array potentially effective interventions, including case management, patient and informal caregiver education, home health services....
Patients with alterations in level of consciousness are among the most difficult to assess, so knowledge how assess these patients is important for tracking trends and identifying changes. This article discusses methods used admitted an altered describes neurological assessment potential causes consciousness. Identifying understanding certain examination findings enable faster recognition intervention life-threatening events, directly impacting outcomes neurologically compromised individuals.
Abstract Delirium is defined as a mental disorder characterized by an abnormal state of cognition and awareness. associated with annual cost $350 billion between the United States Europe. Approximately 80% delirium cases are either not identified or misdiagnosed. Older adults have highest incidence due to consequences aging. Hypoactive “quite delirium” most common subtype experienced older adults. delirium, difficult recognize has worse outcomes than other subtypes. If detected, symptoms...
Fronto-temporal dementia, also known as fronto-temporal lobular degeneration, is the second most common form of early-onset dementia with a prevalence equal to Alzheimer's dementia. Behavioural variant primarily involves frontal and temporal lobes brain. Myelination nerve fibres in these areas allow for highly synchronized action potential timing. Diagnosis often significantly delayed because symptoms are insidious appear personality behavioural changes such lack inhibition, apathy,...
Caring for patients experiencing alcohol withdrawal syndrome can be challenging. Patients 65 and older are at increased risk related complications. The higher prevalence of co-morbidities, including cognitive impairment, longer drinking history greater sensitivity to treatment the result decreased ability brain adapt stressors such as illness, trauma, or surgery.Symptoms may appear earlier from last drink present with a wide range symptoms. most effective interventions require high-quality...
Delirium-related biochemical derangements lead to electrical changes that can be detected in electroencephalographic (EEG) patterns followed by behavioral signs and symptoms. Studies using limited EEG show a large difference between patients with without delirium while discriminating from other causes. Handheld rapid devices may capable of detecting before symptom onset, thus providing an objective physiological method detect when it is most amenable interventions.The aim this study was...
Negative behaviors often are directed toward nursing staff in verbal or physical assaults. Nursing on non-psychiatric units may not be prepared to manage such situations and need additional support. Behavioral Emergency Response Teams (BERTs) have been effective supporting faced with patients exhibiting these behaviors.
Agitation is a symptom of many medical and psychiatric disorders that can manifest along spectrum severity. often delays treatment onset, potentially impacting morbidity mortality, may require emergency interventions. Management acute agitation centers around three main goals: early recognition the underlying etiology, rapid control behavior, prevention harm to patient personnel. Nurses should increase use validated techniques, including frequent sufficient reality orientation, validation...