scholarly journals Dealing with care disruption in High and Intensive Care wards: From difficult patients to difficult situations

2020 ◽  
Author(s):  
Sylvia Gerritsen ◽  
Guy Widdershoven ◽  
Lia Ham ◽  
Laura Melle ◽  
Martijn Kemper ◽  
...  
Keyword(s):  
Intensive Care ◽  
Difficult Patients ◽  
Difficult Situations

scholarly journals Music Inside an Intensive Care Unit

2004 ◽  
Vol 4 (2) ◽  
Author(s):  
Ana Maria Loureiro De Souza Delabary
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Music Therapy ◽  
Care Quality ◽  
University Hospital ◽  
Health Departments ◽  
Health Area ◽  
Valuable Element ◽  
Powerful Stimulus ◽  
Difficult Situations

This paper reports on the music therapy work performed in the intensive care unit of a university hospital. Clinical practice is inserted with in the hospital psychology department and acts jointly with some of the other health departments in the same hospital. The text presents the employed methodology, techniques, and repertoire, along with some considerations, comments, and observations on the practical side of the treatment. Music therapy imposes itself as a valuable element for the health area and becomes particularly meaningful as a part of the hospital's humanization program which is being developed in the institution. Striving for care quality, all the while it helps integrating all involved personnel interacting with the patients, music can be a powerful stimulus for the improvement of health care, particularly in the reception and support of the difficult situations terminal patients are faced with.

scholarly journals Educational Needs of European Intensive Care Nurses with Respect to Multicultural Care. A Mix-Method Study

2022 ◽  
Vol 19 (2) ◽  
pp. 724
Author(s):  
Aleksandra Gutysz-Wojnicka ◽  
Dorota Ozga ◽  
Eva Barkestad ◽  
Julie Benbenishty ◽  
Bronagh Blackwood ◽  
...  
Keyword(s):  
Intensive Care ◽  
Nursing Care ◽  
Culturally Diverse ◽  
Online Survey ◽  
Educational Needs ◽  
Mean Values ◽  
Intensive Care Nurses ◽  
Care Family ◽  
Higher Educational ◽  
Difficult Situations

The aim of the study is the analysis of educational needs of European intensive care nurses (ICNs) with regard to multicultural care. A mixed-method multinational study was performed among 591 ICNs coming from 15 European countries. An online survey was utilised with three research tools: participants’ sociodemographic details, Healthcare Provider Cultural Competence Instrument, and a tool to assess the educational needs of ICU nurses with respect to multicultural care. The highest mean values in self-assessment of preparation of ICU nurses to provide multicultural nursing care and their educational needs in this regard were detected in the case of nurses coming from Southern Europe (M = 4.09; SD = 0.43). With higher age, nurses recorded higher educational needs in the scope of multicultural care (r = 0.138; p = 0.001). In addition, speaking other languages significantly correlated with higher educational needs related to care of patients coming from different cultures (Z = −4.346; p < 0.001) as well as previous education on multicultural nursing care (Z = −2.530; p = 0.011). Experiences of difficult situations when caring for culturally diverse patients in ICU were classified into categories: ‘treatment procedures and general nursing care’, ‘family visiting’, ‘gender issues’, ‘communication challenges’, and ‘consequences of difficult experiences’. The educational needs of intensive care nurses in caring for culturally diverse patients are closely related to experiencing difficult situations when working with such patients and their families.

scholarly journals Dealing with “Difficult” Patients and Families: Making a Case for Trauma-informed Care in the Intensive Care Unit

2020 ◽  
Vol 17 (5) ◽  
pp. 541-544 ◽  
Author(s):  
Deepshikha Charan Ashana ◽  
Chrystal Lewis ◽  
Joanna Lee Hart
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Difficult Patients ◽  
Trauma Informed Care ◽  
Trauma Informed

Echocardiographic imaging of technically difficult patients in the intensive care unit: Use of Optison in combination with fundamental and harmonic imaging

2001 ◽  
Vol 14 (9) ◽  
pp. 917-920 ◽  
Author(s):  
George K. Daniel ◽  
Mohit K. Chawla ◽  
Stephen G. Sawada ◽  
Irmina Gradus-Pizlo ◽  
Harvey Feigenbaum ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Harmonic Imaging ◽  
Difficult Patients

Diagnostic accuracy and cost-effectiveness of contrast echocardiography on evaluation of cardiac function in technically very difficult patients in the intensive care unit

2002 ◽  
Vol 89 (6) ◽  
pp. 711-718 ◽  
Author(s):  
Yongqi Yong ◽  
David Wu ◽  
Valerian Fernandes ◽  
Helen A Kopelen ◽  
Sarah Shimoni ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Cost Effectiveness ◽  
Cardiac Function ◽  
Diagnostic Accuracy ◽  
Contrast Echocardiography ◽  
Difficult Patients

Chapter 21 Difficult patients and difficult situations

2008 ◽  
Author(s):  
Basant K. Puri ◽  
Ian H. Treasaden
Keyword(s):  
Difficult Patients ◽  
Difficult Situations

The Psychosocial Aspects of Feeding in the Neonatal Intensive Care Unit and Beyond

2019 ◽  
Vol 4 (6) ◽  
pp. 1507-1515
Author(s):  
Lauren L. Madhoun ◽  
Robert Dempster
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Hospital Discharge ◽  
Neonatal Intensive Care ◽  
Oral Feeding ◽  
Medical Attention ◽  
Primary Role ◽  
Speech Language Pathologists ◽  
The Family

Purpose Feeding challenges are common for infants in the neonatal intensive care unit (NICU). While sufficient oral feeding is typically a goal during NICU admission, this can be a long and complicated process for both the infant and the family. Many of the stressors related to feeding persist long after hospital discharge, which results in the parents taking the primary role of navigating the infant's course to ensure continued feeding success. This is in addition to dealing with the psychological impact of having a child requiring increased medical attention and the need to continue to fulfill the demands at home. In this clinical focus article, we examine 3 main areas that impact psychosocial stress among parents with infants in the NICU and following discharge: parenting, feeding, and supports. Implications for speech-language pathologists working with these infants and their families are discussed. A case example is also included to describe the treatment course of an infant and her parents in the NICU and after graduation to demonstrate these points further. Conclusion Speech-language pathologists working with infants in the NICU and following hospital discharge must realize the family context and psychosocial considerations that impact feeding progression. Understanding these factors may improve parental engagement to more effectively tailor treatment approaches to meet the needs of the child and family.

Handling Difficult Situations at Your Institution

2015 ◽  
Vol 4 (1) ◽  
pp. 1
Author(s):  
Susan Nittrouer
Keyword(s):  
Difficult Situations
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