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Ruth M Kleinpell

Publications and source records attributed to Ruth M Kleinpell.

24 records · Page 2Linked to original sources
PubMedDate not supplied

Community-acquired pneumonia: updates in assessment and management.

Community-acquired pneumonia (CAP) is a significant health condition. Knowledge of the clinical presentation and treatment of CAP are important for critical care nurses as up to 20% of patients with CAP require hospitalization and in-patient management. Patients with severe CAP requiring intensive care unit (ICU) treatment often require aggressive management including mechanical ventilation and multisystem organ support. This article presents an overview of CAP, including the presentation of typical and atypical CAP, clinical findings, and the essentials of management. Treatment differences between CAP and healthcare-acquired pneumonia and nursing implications are also highlighted.

Community-Acquired Infections↗
PubMedDate not supplied

Incidence, pathogenesis, and management of sepsis: an overview.

Sepsis is a complex condition that occurs as a result of the systemic manifestation of infection. It is associated with high morbidity and mortality risks for critically ill patients. Assessment and monitoring aimed at early recognition and treatment, on the basis of evidence-based guidelines, are advocated for optimizing outcomes for patients with severe sepsis. Awareness of the risk factors, clinical signs and symptoms, pathophysiology, and updates in the management of sepsis can enhance the nursing care for patients with severe sepsis to promote best practices for sepsis care in the intensive care unit. This article reviews the incidence and pathophysiology of sepsis, highlighting updates in treatment and implications for nursing care.

Evidence-Based Medicine↗
PubMedDate not supplied

Exploring outcomes after critical illness in the elderly.

Outcomes for elderly patients after critical illness have been examined predominantly in terms of survival and selected aspects of functional status. The objectives of this study were to explore and compare the impact of intensive care unit treatment on health and functional status outcomes among 196 elderly and middle-age patients. Functional and health status outcomes did not differ in longitudinal assessments at 1, 3, 6, and 12 months after discharge from the intensive care unit. Severity of illness, not age, was the best predictor of physical functioning. Despite having more documented discharge planning, elderly patients reported concern about managing their care at home and knowing less about their medications, which have direct implications for care.

APACHE↗
PubMedDate not supplied

Integrating telehealth as a strategy for patient management after discharge for cardiac surgery: results of a pilot study.

Advances in telecommunication technologies have improved access and availability of telehealth for use in healthcare. In cardiac care, telehealth has predominantly been used to manage patients with heart failure. The use of telehealth as a strategy for patient management after discharge for cardiac surgery can be beneficial in monitoring postoperative status and in the early detection of complications. This article provides an overview of the use of telehealth and telemanagement in cardiac patients and discusses the results of a pilot study as an example of an application of the use of telehealth for elderly cardiac surgery patients at high risk of postoperative complications.

Aged↗