When you suspect epidural hematoma.
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Anesthesia, Epidural↗
Biomedical subjects
S B Stillwell
Publications and source records attributed to S B Stillwell.
The impact of do-not-resuscitate orders on nursing workload in an ICU.
BACKGROUND: The meaning of do-not-resuscitate orders and their impact on nursing care have been a source of confusion, and the results of the few studies that have examined nursing care of ICU patients with these orders have been conflicting. OBJECTIVES: To assess nursing workload associated with caring for patients with do-not-resuscitate orders and to better understand the patients and selected events associated with these orders. METHOD: Sixty patients from medical, surgical, and neuroscience ICUs met the criteria for the study. The Medicus Systems Corporation InterAct 2000 Workload and Productivity System was used to classify patients by type; the results reflected the number of hours of nursing care required per 24 hours. Data on patient type for 1 day before and 1 day after do-not-resuscitate orders were written were available for 31 of the 60 patients. These data were analyzed. RESULTS: The number of hours of nursing care required 1 day before and 1 day after a do-not-resuscitate order did not change. The amount of nursing care remained the same or increased for 74% (23/31) of the patients after the order was written. Patients were classified as types IV (n = 8), V (n = 20), and VI (n = 3) after the order was written. CONCLUSIONS: A high level of nursing care was required for this group of critically ill patients, and the do-not-resuscitate order did not alter the number of hours of nursing care required after the order was written.
APACHE↗
Importance of visiting needs as perceived by family members of patients in the intensive care unit.
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Adult↗
The edematous client: causes, physical assessment and treatment.
Fluid movement between the plasma and interstitial compartments is regulated by a balance of forces at the capillary level. Several factors can alter this balance and lead to edema formation. Since the body has no compensatory mechanism to rid the body of excess fluid once edema appears, it is essential for nurse practitioners to accurately assess clients who may be at risk for fluid retention. This article describes the factors responsible for excess fluid accumulation, client assessment and treatment of generalized edema.
Diet, Sodium-Restricted↗