Transcultural adaptation and validity of a pictogram to assess communication needs in adults with artificial airway in intensive care

2021 ◽  
Author(s):  
Y. Manrique-Anaya ◽  
Z. Cogollo Milanés ◽  
M. Simancas Pallares
Keyword(s):  
Intensive Care ◽  
Artificial Airway ◽  
Transcultural Adaptation ◽  
Communication Needs

scholarly journals Nurses’ perspectives about communication with patients in an intensive care setting using a communication board: A pilot study

2019 ◽  
Vol 24 ◽  
Author(s):  
Martelize Gropp ◽  
Ensa Johnson ◽  
Juan Bornman ◽  
Rajinder Koul
Keyword(s):  
Intensive Care ◽  
Care Setting ◽  
Test Group ◽  
Control Group ◽  
Intensive Care Setting ◽  
Before And After ◽  
Post Test ◽  
Quasi Experimental ◽  
Communication Needs ◽  
Communication Board

Background: Communication in the intensive care setting (ICS) is critical for both the patient and the medical staff to provide efficient care and thus alleviate possible patient adverse effects. Persons with complex communication needs are particularly vulnerable in ICSs and therefore require additional communication support.Aim: This study focused on the perspectives of nurses about communication with patients with communication needs in ICSs using paper-based communication boards, namely the translated Vidatak EZ Board, before and after a training session.Setting: A 1650-bed public hospital with a 26-bed ICS in a semi-urban, low socio-economic area in South Africa served as the research setting.Methods: A quasi-experimental pre-test post-test group design with withdrawal and a control group was used. Data were gathered using a custom-designed questionnaire completed by ICS nurse participants recruited from a public hospital.Results: Responses of some nurses did not change in post-test 1, but their responses did change in post-test 2. Some of the nurses’ perspectives changed, as expected from the pre-test to post-test 1. Nurses recommended specific adaptations to the communication board.Conclusions: Most nurses agreed that communication is crucial in ICSs and that a communication board can be implemented; however, limited success was observed implementing the board following a short training. The inter-professional collaboration between nurses and speech-language therapists to provide optimal health care to patients in ICS is emphasised.

scholarly journals COVID-19 health and social care access for autistic people and individuals with intellectual disability: A European policy review.

2020 ◽  
Author(s):  
Bethany Oakley ◽  
Julian Tillmann ◽  
Amber Ruigrok ◽  
Aurélie Baranger ◽  
Christian Takow ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intellectual Disability ◽  
Social Care ◽  
Severe Illness ◽  
International Human Rights Law ◽  
Care Access ◽  
Autistic People ◽  
Health And Social Care ◽  
Care Systems ◽  
Communication Needs

Background: The global COVID-19 pandemic has had an unprecedented impact on European health and social care systems, with demands on testing, hospital and intensive care capacity exceeding available resources in many regions. This has led to concerns that some groups, including autistic people/ those with intellectual disability (ID), may become excluded from services. Methods: We reviewed policies from 15 European member states, published March-July 2020, pertaining to: 1) accessibility of COVID-19 testing; 2) provisions for treatment, hospitalisation and intensive care units (ICU); and 3) changes to standard health and social care. In parallel, we analysed survey data on the lived experiences of 1,301 autistic people and caregivers.Results: Autistic people/ those with ID experienced significant barriers accessing COVID-19 services. First, despite these groups being at elevated risk for severe illness due to co-morbid health conditions, there was a lack of access to COVID-19 testing. Second, many COVID-19 outpatient and inpatient treatment services were reported to be inaccessible - predominantly resulting from individual differences in communication needs. Third, ICU triage protocols (directly or indirectly) resulted in discriminatory exclusion from lifesaving treatments. Last, interruptions to standard health and social care left over 70% of autistic people without everyday support.Conclusions: The COVID-19 pandemic has further emphasised healthcare inequalities for autistic people/ those with ID, likely contributing to disproportionate increases in morbidity and mortality in these groups. Current policies and guidelines regarding the accessibility of COVID-19 services require urgent revision to prevent the widespread exclusion of autistic people and those with ID from services, which represents a violation of international human rights law.

Management of Communication and Swallowing in Intensive Care

2008 ◽  
Vol 19 (4) ◽  
pp. 433-443 ◽  
Author(s):  
Christina A. Baumgartner ◽  
Emily Bewyer ◽  
Diane Bruner
Keyword(s):  
Critical Care ◽  
Intensive Care ◽  
Neonatal Intensive Care ◽  
Oral Intake ◽  
Critical Care Nurses ◽  
Artificial Airway ◽  
Speech Language Pathologist ◽  
Speech Pathologist ◽  
Vital Component ◽  
Risk Of Aspiration

Patients in adult, pediatric, and neonatal intensive care settings often require the services of a speech-language pathologist. It is common practice to consult a speech pathologist to determine whether a patient is ready to initiate oral intake or help a patient with an artificial airway communicate. Assessments for dysphagia are initially clinical and conducted at bedside. Results from the clinical evaluation help determine if and when an instrumental examination should be completed. Patients who are tracheostomized, or had been, and those who were intubated for a prolonged period are at risk for aspiration. Speaking valves allow patients to communicate orally. Some studies have shown that speaking valves might also reduce the risk of aspiration with oral intake. Collaboration between speech-language pathologists and critical care nurses is a vital component for ensuring patient safety and success in both communication and eating.

scholarly journals Factors Related to Delirium of Intensive Care Unit Patients in Korea: A Systematic Review

2021 ◽  
Author(s):  
Nam Young Kim ◽  
Se Ang Ryu ◽  
Yun Hee Kim
Keyword(s):  
Risk Factors ◽  
Intensive Care ◽  
Data Extraction ◽  
Extraction Methods ◽  
Apache Ii Score ◽  
Unplanned Extubation ◽  
Icu Patients ◽  
Artificial Airway ◽  
Associated Risk Factors ◽  
High Level

Background: The delirium in Intensive Care Units (ICU) patients is a major cause of unplanned extubation, increased length of hospital day. This study aimed to review systematically risk factors associated with the occurrence of delirium among ICU patients in South Korea. Methods: Data collection was done with domestic literature search databases including KMbase, KoreaMed, KISS, and KisTi and also with hand searching, from February 17 to May 19, 2019. Two researchers independently selected research literatures, and three researchers summarized and identified related variables based on data extraction methods. Results: Overall, 140 articles were identified, 18 articles met the inclusion criteria for review. According to the results of the methodological quality, one article was found to have a high level of quality, while the remaining 17 articles belonged to the medium level. Those factors were highly associated with delirium by more than 9 out of the 18 selected studies were listed as follows; age, the application of ventilator, APACHE II score, comorbidity, the application of restraint, and educational level. In addition, catheter insertion and the application of artificial airway had significant relevance with the occurrence of delirium. Conclusion: For management of delirium among ICU patients, it is necessary to eliminate and prevent delirium-associated risk factors, and also to detect and treat the delirium early through regular monitoring using an appropriate screening tool for delirium.

scholarly journals COVID-19 health and social care access for autistic people: European policy review

BMJ Open ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. e045341
Author(s):  
Bethany Oakley ◽  
Julian Tillmann ◽  
Amber Ruigrok ◽  
Aurélie Baranger ◽  
Christian Takow ◽  
...  
Keyword(s):  
Intensive Care ◽  
Social Care ◽  
Vulnerable Groups ◽  
Severe Illness ◽  
International Human Rights Law ◽  
Care Access ◽  
Autistic People ◽  
Health And Social Care ◽  
Care Systems ◽  
Communication Needs

BackgroundThe global COVID-19 pandemic has had an unprecedented impact on European health and social care systems, with demands on testing, hospital and intensive care capacity exceeding available resources in many regions. This has led to concerns that some vulnerable groups, including autistic people, may be excluded from services.MethodsWe reviewed policies from 15 European member states, published in March–July 2020, pertaining to (1) access to COVID-19 tests; (2) provisions for treatment, hospitalisation and intensive care units (ICUs); and (3) changes to standard health and social care. In parallel, we analysed survey data on the lived experiences of 1301 autistic people and caregivers.ResultsAutistic people experienced significant barriers when accessing COVID-19 services. First, despite being at elevated risk of severe illness due to co-occurring health conditions, there was a lack of accessibility of COVID-19 testing. Second, many COVID-19 outpatient and inpatient treatment services were reported to be inaccessible, predominantly resulting from individual differences in communication needs. Third, ICU triage protocols in many European countries (directly or indirectly) resulted in discriminatory exclusion from lifesaving treatments. Finally, interruptions to standard health and social care left over 70% of autistic people without everyday support.ConclusionsThe COVID-19 pandemic has further exacerbated existing healthcare inequalities for autistic people, probably contributing to disproportionate increases in morbidity and mortality, mental health and behavioural difficulties, and reduced quality of life. An urgent need exists for policies and guidelines on accessibility of COVID-19 services to be updated to prevent the widespread exclusion of autistic people from services, which represents a violation of international human rights law.

scholarly journals Towards Safer Transport of Sick and Injured Children

1983 ◽  
Vol 11 (2) ◽  
pp. 113-117 ◽  
Author(s):  
H. Owen ◽  
A. W. Duncan
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Paediatric Intensive Care Unit ◽  
Paediatric Intensive Care ◽  
Transport Service ◽  
Artificial Airway ◽  
Paediatric Emergency ◽  
Educational Role ◽  
Emergency Transport

A Paediatric Emergency Transport Service has been operating from the Paediatric Intensive Care Unit of the Royal Children's Hospital, Melbourne, for the last three years. The records of the first 158 patients evacuated have been analysed and are reported. Problems relating to the care of the airway and artificial airway have been the most common. The need for careful pre-transport resuscitation and stabilisation is emphasised. The educational role of a transport service both at the time of initial consultation and at the time of retrieval is stressed.

scholarly journals Translation to serbian, transcultural adaptation and validation of the Confusion Assessment Method for the Intensive Care Unit (CAM- ICU)

2016 ◽  
Vol 3 (2) ◽  
pp. 68 ◽  
Author(s):  
IvanaStašević Karlicic ◽  
Milena Stašević ◽  
Slobodan Janković ◽  
SlavicaĐukić Dejanović ◽  
Aleksandra Dutina ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Confusion Assessment Method ◽  
Assessment Method ◽  
Confusion Assessment ◽  
Transcultural Adaptation

scholarly journals Factors Affecting Adherence to Early Mobilization in an Intensive Care Unit: An Analysis of Data Collected Prospectively Over a Three-Year Period by Clinical Information System

2021 ◽  
Author(s):  
Paula Perelló ◽  
Josep Gómez ◽  
Judith Mariné ◽  
Maria Teresa Cabas ◽  
Alba Arasa ◽  
...  
Keyword(s):  
Information System ◽  
Intensive Care ◽  
Adverse Events ◽  
Clinical Information System ◽  
Ventilatory Support ◽  
Early Mobilization ◽  
Clinical Information ◽  
Artificial Airway ◽  
Icu Stay ◽  
Clinical Stability

Abstract Background: Early mobilization benefits critically ill patients. Scant information is available about adherence to early mobilization protocols in intensive care units (ICU). With the aim of optimizing the application of our early mobilization protocol in mechanically ventilated patients in routine daily practice, this study analyzed adherence to the protocol, impediments to adherence, and adverse eventsin our ICU. Methods: This observational study analyzed data collected prospectively at a 24-bed polyvalent ICU over a three-year period (2017–2019). Data from adult patients on mechanical ventilation > 48 hours who met the inclusion criteria for the early mobilization protocol were included. We analyzed demographics, adherence to the protocol, total number of mobilizations, impediments to early mobilization, artificial airway/ventilatory support at each mobilization level, and adverse events during mobilization. All data was automatically obtained from the clinical information system by extract, transform, and load processes using Python 3.0. The unit of analysis was ICU stay-day. Results: We analyzed 3269 stay-days from 388 patients with median age of 63 (51–72) years, median APACHE II 23 (18–29) and median ICU stay of 10.1 (6.2–16.5) days. Adherence to the protocol was 56.6% (1850 stay-days), but patients were mobilized in only 32.2% (1472) of all stay-days. The most common reasons for not mobilizing patients were failure to meeting the criteria for clinical stability in 241 (42%) stay-days and unavailability of physiotherapists in 190 (33%) stay-days. Adverse events occurred in only 6 (0.4%) stay-days mobilizations. Conclusions: Although adherence to the protocol was high, patients were mobilized in only one-third of all stay-days. This study points to ways we can improve early mobilization in our ICU, including assessing the suitability of the criteria for clinical stability and increasing the presence of physiotherapists.

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