Palliative Care in Cardiac Intensive Care Units PDF Download

Author: Massimo Romanò
Publisher: Springer Nature
ISBN: 3030801128
Category : Medical
Languages : en
Pages : 195

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Book Description
This book analyzes the main topics of Palliative Care in Cardiac Intensive Care Units (CICU), from the changing epidemiology of patients admitted to the ICU, to the main clinical and ethical issues. The changing epidemiology of patients has led to new and emerging patient needs at the end of life. Care has shifted from acute coronary syndrome patients towards elderly patients, with a high prevalence of non-ischemic cardiovascular diseases and a high burden of non-cardiovascular comorbid conditions: both increase the susceptibility of patients to developing life-threatening critical conditions. These conditions are associated with a significant symptom burden, high mortality rate, and increased length of stay. The main new challenges involve shared decision-making, symptom control (pain, dyspnea, etc.), and ethical issues (withholding/withdrawing life sustaining treatments, deactivation of implanted cardiac devices, palliative sedation), all of which necessitate formal education on end-of-life care. Written by opinion leaders in their respective fields, who share their experience with improving the cultural and clinical competence of medical/nursing teams, this volume is chiefly intended for cardiologists, anesthesiologists, palliative care doctors and nursing staff.

Author: Tonja Hartjes
Publisher: Elsevier Health Sciences
ISBN: 0323395600
Category : Medical
Languages : en
Pages : 137

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Book Description
Intensive care units (ICUs) provide comprehensive, advanced care to patients with serious or life-threatening conditions and consequently, a significant amount of end-of-life care (EOLC). Indeed, approximately 20% of deaths in the U.S. are associated with an ICU stay, and nearly half of U.S. patients who die in hospitals experience an ICU stay during the last 3 days of life. Despite the commonality of the ICU experience, ICU patients typically suffer from a range of distressing symptoms such as pain, fatigue, anxiety, and dyspnea, causing families significant distress on their behalf. Thus, there is a growing imperative for better provision of palliative care (PC) in the ICU, which may prevent and relieve suffering for patients with life threatening illnesses. Effective palliative care is accomplished through aggressive symptom management, communication about the patient and family’s physical, psychosocial and spiritual concerns, and aligning treatments with each patient’s goals, values, and preferences. PC is also patient-centered and uses a multidisciplinary, team-based approach that can be provided in conjunction with other life-sustaining treatments, or as a primary treatment approach. Failure to align treatment goals with individual and family preferences can create distress for patients, families, and providers. If implemented appropriately, palliative care may significantly reduce the health care costs associated with intensive hospital care, and help patients avoid the common, non-person centered treatment that is wasteful, distressing, and potentially harmful. Due to the success of many PC programs, administrators, providers, and accrediting bodies are beginning to understand that palliative care in the ICU is vital to optimal patient outcomes.

Author: David L. Brown
Publisher: Elsevier Health Sciences
ISBN: 0323553494
Category : Medical
Languages : en
Pages : 736

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Book Description
Using a multidisciplinary, team-oriented approach, this unique title expertly covers all the latest approaches to the assessment, diagnosis, and treatment of patients with critical cardiac illness. Led by Dr David L. Brown, a stellar team of authoritative writers guides you through cardiac pathophysiology, disease states presenting in the CICU, and state-of-the-art advanced diagnosis and therapeutic techniques. A visually appealing format, new chapters, and thorough updates ensure that you stay on the cutting edge of this rapidly advancing field. Discusses recent changes in cardiac intensive care, including new care paradigms, new mechanical support modalities, and new therapies and interventions. Contains 11 new chapters: Palliative Care, Temporary Pacemaker Insertion, Pericardiocentesis, Distributive Shock, Electrical Storm, Cardiopulmonary Cerebral Resuscitation after Cardiac Arrest, Temporary Mechanical Circulatory Support Devices, Cardiorenal Syndrome, Fulminant Myocarditis, Stress-Induced Cardiomyopathy, Diagnosis and Treatment of Unstable Supraventricular Tachycardia. Concisely yet thoroughly covers acute and severe heart failure, chronic pulmonary hypertension, life-threatening dysrhythmias, aortic dissection, and other cardiac conditions as they relate to intensive care. Explains drug therapy for key cardiac drugs, such as inotropes, vasodilators, anti-arrhythmics, diuretics, anticoagulants, and anti-platelets, and discusses important drug interactions. Ideal for all healthcare professionals involved in cardiac intensive care, including intensivists, cardiologists, cardiac surgeons, residents, fellows, cardiac nurses, respiratory therapists, physical therapists, and nutritionists.

Author: Umesh K. Gidwani
Publisher: Elsevier Health Sciences
ISBN: 0323242189
Category : Medical
Languages : en
Pages : 368

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Book Description
This issue of Cardiology Clinics is devoted to cardiac intensive care, which involves the treatment and care of patients with critical cardiac illness. Expert authors review mechanical complications of acute MI, cardiogenic shock, acute decompensated heart failure, management of arrhythmias, use of newer antiplatelet and anticoagulant agents, and more. Keep up to date with the latest information on managing these life-threatening conditions.

Author: Judy E Davidson
Publisher: Elsevier Health Sciences
ISBN: 0323759394
Category : Medical
Languages : en
Pages : 235

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Book Description
In collaboration with Consulting Editor, Dr. Cynthia Bautista, Dr. Judy Davidson has put together a comprehensive issue on family and patient experience in the ICU. Expert authors have contributed clinical review articles on the following topics: Humanizing Intensive Care: From Theory to Practice; FiCare; Patient's Own Pets in the ICU; Sleep in the ICU; Implementation of a Patient and Family-Centered ICU Peer Support Program at a Veterans Affairs Hospital; Understanding the Experiences of Patients and Families in the ICU: More than Engagement; Implementing a Patient and Family Communication Bundle in the ICU; Integrating Primary Palliative Care into the ICU: The Critical Care Nurse Communicator Program; Bereavement Care in the Adult ICU: Directions for Practice; A review on the Use of Diaries; Supporting Families of Patients with Rare or Unusual Critical Illnesses; and Meeting the Special Needs of Families of CTICU patients. Readers will come away with the information they need to improve family and patients experiences in the ICU.

Author: Steven Hollenberg
Publisher: Elsevier Health Sciences
ISBN: 0443130728
Category : Medical
Languages : en
Pages : 241

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Book Description
In this issue of Critical Care Clinics, guest editors Drs. Steven Hollenberg and José L. Diaz-Gomez bring their considerable expertise to the topic of Cardiovascular Intensive Care. Top experts cover key topics such as hemodynamic monitoring in the cardiac ICU; the role of ultrasound in the cardiac ICU; cardiogenic shock; management of patients after cardiac arrest; temporary mechanical circulatory support; and more. Contains 16 relevant, practice-oriented topics including the changing epidemiology of the cardiac intensive care unit; diagnosis and management of LVAD emergencies; design and execution of clinical trials in the CICU; end-of life issues in patients with mechanical circulatory support; and more. Provides in-depth clinical reviews on cardiovascular intensive care, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

Author: J. Randall Curtis
Publisher: Oxford University Press
ISBN: 0195128818
Category : Medical
Languages : en
Pages : 407

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Book Description
A clear and concise statement of facts and causes that have led step by step to the present deplorable condition of public affairs and the corruption of the body politic"--Preface.

Author: Justine Medina
Publisher: Jones & Bartlett Learning
ISBN: 9780763740276
Category : Medical
Languages : en
Pages : 78

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Book Description
AACN Protocols for Practice: Palliative Care and End-of-Life Issues in Critical Care sets forth the evidence-based guidelines for providing appropriate care, whether aggressively life-saving or palliative end-of-life care. the Protocols equip critical care nurses to effectively manage the following: symptom management. family issues and intervention. withholding and withdrawing life support. communication and conflict resolution. caring for the caregiver. Additionally, the text includes a state-of-the-science review that provides guidance to critical care nurses while acknowledging the limited

Author: Sarah J. Goodlin
Publisher: Springer
ISBN: 1447165217
Category : Medical
Languages : en
Pages : 240

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Book Description
End-of-life issues in cardiology are becoming increasingly important in the management of patients in the cardiac unit, but there is frequently a lack of understanding regarding their impact on cardiology practice. The cardiac unit is increasingly becoming the location whereby a number of key clinical decisions relating to end-of-life care are being made, such as the decision to remove medications, the appropriate removal of cardiac devices, the management of do not resuscitate orders and the requirement for other cardiac procedures in light of the management of the terminally ill cardiac patients. Those working in palliative care need input from the cardiovascular team as the cardiologist is frequently still managing these patients until they are moved to the hospice. That this move into a hospice is often delayed until the very last moment, there is considerable onus on the cardiovascular management of these patients to be much broader in scope and take account of some of the more palliative medical decisions needed in this group of patients. This concise reference will detail the practical issues open to cardiovascular physicians and those medical professionals who manage patients reaching the end of their life from a cardiology perspective. It will detail the full management options open to them to ensure that their practice is in line with the requirements of the patient nearing the end of their life whether the cause be cardiovascular in origin or who need appropriate management of secondary cardiovascular symptoms. It will also include the various ethical, cultural and geographical issues that need to be considered when managing these patients.

Author: Graeme Rocker
Publisher: Oxford University Press, USA
ISBN: 019923924X
Category : Medical
Languages : en
Pages : 403

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Book Description
This book highlights real clinical issues which need to be addressed if quality palliative care within ICUs is to be consistently delivered. It is presented in an easily accessible, bullet pointed style, and is illustrated with case histories from real-life patients, and drug tables.