Parallel planning and the paediatric critical care patient

2019 ◽  
Vol 104 (10) ◽  
pp. 994-997 ◽  
Author(s):  
Peter Sidgwick ◽  
James Fraser ◽  
Peter-Marc Fortune ◽  
Renee McCulloch
Keyword(s):  
Decision Making ◽  
Critical Care ◽  
Critical Illness ◽  
Critical Care Patient ◽  
Care Patient ◽  
Number Of Children ◽  
Care Plans ◽  
Advance Care ◽  
Paediatric Critical Care

A growing number of children with life-limiting conditions (LLCs) are being cared for in paediatric critical care (PCC) settings. Children with LLCs admitted to PCC are at a high risk of developing complications and many die after prolonged admissions. Relatively few of these patients and their parents or carers have had documented discussions about their wishes for care in the event of a serious clinical deterioration before admission to PCC. There is a need for improved understanding of (1) how parents arrive at decisions regarding what is best for their child at times of critical illness and (2) the role of parallel planning and advance care plans in that process. This review examines the complexities of decision-making in children with LLCs who are admitted to PCC settings.

A System-Level Approach to Improving the Care of the Older Critical Care Patient

2011 ◽  
Vol 22 (2) ◽  
pp. 142-149
Author(s):  
Marie Boltz
Keyword(s):  
Critical Care ◽  
Critical Illness ◽  
Critical Care Patient ◽  
Care Patient ◽  
Hospital Environment ◽  
System Level ◽  
Age Related ◽  
Comprehensive Measurement ◽  
Nursing Practice Environments ◽  
Family Centered

As the population continues to age, the specialized needs of older adult patients warrant the close attention of the critical care nurse. The combination of critical illness, age-related changes, multiple comorbidities, and the hospital environment can make the diagnosis and management of the older adult’s critical illness challenging. The NICHE (Nurses Improving Care for Healthsystem Elders) program provides a framework to create an aging-sensitive care environment in the critical care setting. The Geriatric Resource Nurse model is the foundation of the program. The goals of NICHE are to support nursing departments to (1) bring evidence- based geriatric practice to the bedside; (2) build patient- and family-centered environments; (3) cultivate healthy and productive practice environments aligned with meeting the specialized needs of older adults and their families (“geriatric nursing practice environments”); and (4) conduct comprehensive measurement of geriatric initiatives.

A literature review of comfort in the paediatric critical care patient

2018 ◽  
Vol 27 (13-14) ◽  
pp. 2546-2557 ◽  
Author(s):  
Alejandro Bosch‐Alcaraz ◽  
Anna Falcó‐Pegueroles ◽  
Iolanda Jordan
Keyword(s):  
Critical Care ◽  
Literature Review ◽  
Critical Care Patient ◽  
Care Patient ◽  
Paediatric Critical Care
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