| Description |
1 online resource |
| Contents |
Intro -- Foreword -- Preface -- Acknowledgements -- Contents -- About the Editors -- Contributors -- 1: The Person Before the Patient: The Importance of a Good History -- 1.1 Introduction -- 1.2 When to Attain a Patient History in the ICU -- 1.3 How to Obtain an Effective Patient History in the ICU -- 1.3.1 The Clinical Frailty Scale -- 1.3.2 Patient Questionnaires: Key Relative Involvement -- 1.4 What a Good History Should Include in the ICU -- 1.5 Why an Early, Detailed History Is Important -- 1.5.1 Family: Key Relationships -- 1.5.2 Mobility |
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1.5.3 Functional Independence and Housing -- 1.5.4 Hobbies, Interests and Work -- 1.5.5 Medical History -- 1.5.6 Lifestyle History -- 1.5.7 Understanding and Expectations -- 1.6 Conclusions -- References -- 2: Respiratory and Mechanical Ventilation Management: Avoidance of Complications -- 2.1 Introduction -- 2.2 Respiratory Management During Invasive Mechanical Ventilation -- 2.2.1 Endotracheal Suctioning -- 2.2.2 Subglottic Suctioning -- 2.2.3 Humidification of Respiratory Gases -- 2.3 Chest Physiotherapy -- 2.3.1 Manual or Ventilator Pulmonary Hyperinflation |
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2.3.2 Manual Chest Compressions/Vibrations (MCC) -- 2.4 Mechanical In-Exsufflation (MI-E) -- 2.5 Inspiratory Muscle Training -- References -- 3: Patient Care: From Body to Mind -- 3.1 Introduction: Patient Care in a Critical Environment -- 3.2 "Interventional Patient Hygiene" -- 3.3 Bathing and Skin Integrity -- 3.4 Oral Care -- 3.5 Eye Care -- 3.6 Pain Assessment and Nursing Care -- 3.6.1 Assessment -- 3.6.2 Management -- 3.7 Conclusion -- References -- 4: Nutrition: Calories Count -- 4.1 Introduction -- 4.2 Presence of Pre-existing Conditions on Admission to ICU |
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4.2.1 Chronic Co-morbidities -- 4.2.2 Sarcopenia -- 4.2.3 Malnutrition -- 4.3 Factors Which Affect Nutritional Status During ICU Stay -- 4.3.1 Metabolic Response to Critical Illness -- 4.3.2 Iatrogenic Undernutrition -- 4.3.3 Immobilisation -- 4.4 Assessing Malnutrition in the Critically Ill Patient -- 4.4.1 Nutrition Screening Tools -- 4.4.2 Muscle Mass -- 4.5 Strategies to Improve Physical and Functional Outcomes -- 4.5.1 Targeted Nutrition Delivery -- 4.5.2 Volume-Based Feeding -- 4.5.3 Energy Versus Protein -- 4.5.4 Exercise and Protein -- 4.5.5 Supplementation |
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4.6 Recovery Phase of Critical Illness -- 4.7 Adequacy of Nutrient Delivery -- 4.7.1 Factors Influencing Nutritional Recovery -- 4.8 Potential Strategies to Facilitate Optimal Nutritional Delivery in the Recovery Phase of Critical Illness -- 4.8.1 Coordinated Multidisciplinary Approach to Nutritional Care -- 4.8.2 Systematic Handover to Ward-Based Staff -- 4.8.3 Early Involvement of Family -- 4.8.4 Conclusion -- References -- 5: Promoting Independence -- 5.1 Introduction: What Is Dysphagia? -- 5.2 Dysphagia Assessment and Screening -- 5.3 Bedside Assessment |
| Summary |
This book provides a holistic and multi professional approach to maximising the chances of a successful recovery for the ICU patient surviving a period of critical illness. An admission to ICU with a critical illness has a well-recognised physical, psychological and social impact all on the individual and their loved ones of which need to remain in sharp focus from admission. Successful discharge from ICU requires significant attention to detail on all aspects of care concurrently to ensure a return to the best quality of life achievable. Early focus on structured rehabilitation and avoidance /prevention of ICU related complications are identified as paramount to improve both short and long term outcomes. This attention to detail needs to continue through the transition to the ward and planning discharge home. 'Passport to a successful ICU discharge' explores key areas to look forward to a successful recovery beginning with admission through to discharge in a holistic way. A Passport to discharge covers some key aspects to be achieved to the highest standards to create the best environment for success. A focus on promoting the best quality of life for the individual by careful attention to detail to benchmark every stage of their ICU journey which begins with admission. Chapters written by multidisciplinary ICU team members provide expert guidance and an evidence based approach to improve outcomes and return patients to their families |
| Subject |
Critical care medicine.
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Intensive care units -- Admission and discharge.
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Critical Care
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Intensive Care Units -- organization & administration
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Intensive care medicine.
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Rehabilitation.
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Nursing management & leadership.
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Medical -- Critical Care.
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Medical -- Physical Medicine & Rehabilitation.
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Medical -- Nursing -- Management & Leadership.
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Critical care medicine
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Intensive care units -- Admission and discharge
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Medicina intensiva.
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Rehabilitació mèdica.
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Psicologia mèdica.
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| Genre/Form |
Llibres electrònics.
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| Form |
Electronic book
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| Author |
Boulanger, Carole
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McWilliams, David
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| ISBN |
9783030389161 |
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3030389162 |
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