Avoiding Nosocomial Dysthanasia
Avoiding Nosocomial Dysthanasia and Promoting Eleothanasia
Category Clinical Governance
Brain Death
Brain death is the irreversible loss of all functions of the brain, including the brainstem. The three essential findings in brain death are coma (unresponsiveness), absence of brainstem reflexes, and apnoea
Mobilisation in the ICU
Mobilisation in the ICU. The effects of critical illness, and the therapies instituted, can have effects that persist long after ICU discharge. These effects include profound and prolonged neuromuscular dysfunction
Medication Error
Medication error occurs when a medication given inappropriately regardless of whether an adverse clinical outcome occurs; drug error incidence = 1/135 anaesthesia; can cause significant harm to patients; need to recognise and adopt techniques to minimise such events
Fire In ICU
Approach to Fire in ICU has 3 key goals: protect patients and staff; manage fire hazard; identify cause and prevention
Physiotherapy in ICU
Physiotherapists are part of the multidisciplinary ICU team. The traditional focus of treatment has been the respiratory management of both intubated and spontaneously breathing patients. Evidence of the longstanding physical impairment suffered by survivors of intensive care has resulted in physiotherapists re-evaluating treatment priorities to include exercise rehabilitation as a part of standard clinical practice
ICU Ward Round
The Intensive Care Unit (ICU) ward round consists of scheduled discussions in which healthcare providers review clinical information and develop care plans for critically ill patients
De-escalation
De-escalation: Determine if safe for medical intervention. Determine cause - usually delirium with an underlying medical cause, substance abuse or withdrawal or psychiatric disorders
Physical Restraint
Reviewed and revised 30 July 2014 OVERVIEW INDICATIONS CONTRA-INDICATIONS ASSESSMENT APPROACH TO PHYSICAL RESTRAINT Exclude other therapeutic options first Ensure safety at all times Prepare physical restraint team Initiate manual restraint During manual restraint Monitoring (according to depth of sedation) may…
Persistent and Chronic Critical Illness
Advances in intensive care have led to a growing cohort of patients of patients, who would have otherwise succumbed to acute illness, survive in a state dependent on prolonged intensive care therapies including mechanical ventilation
Chemical Restraint
Chemical restraint or emergency sedation is used for management of acute behavioral emergencies. A drug is considered a restraint when it is used as a restriction to manage the patient's behavior or restrict the patient's freedom of movement and is not a standard treatment or dosage for the patient's condition.