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Skip to Main Content Subscribe Login Email/Username: Password: Remember me Forgot password? Register Claim Subscription Subscribe theclinics.com Home Articles & Issues Articles in Press Buy Back Issues Current Issue Future Issues List of Issues Free CME Series Information Abstracting/Indexing Consulting Editorial Board Contact Information Media Information Subscribe Search Terms Search within All Content Article Title, Abstract, Keywords Authors Article Title Abstract Search Advanced Search Subscribe to Journal March 2020 Volume 32, Issue 1 New Content Alerts Publishing Information Critical Care Nursing Clinics is published by Elsevier. Current Issue March 2020 Volume 32, Issue 1 Current Topic ICU Nursing Priorities for Stroke Patients Guest Editor: Mary P. Amatangelo Almost 25 years ago, in June 1996, the Food and Drug Administration (FDA) approved intravenous (IV) Alteplase as the only acute drug therapy for ischemic stroke. It remains the mainstay drug to date and revolutionized Neurology, Stroke, and Neurocritcal Care. In 2013, the success of several mechanical thrombectomy studies proved the efficacy of endovascular thrombectomy for large vessel occlusions (LVO), both alone and in combination with IV Alteplase. The expanded time window opened this treatment option to a greater number of patients, who are now surviving with fewer deficits. Articles in Press Recent Issues Past Issues Most Read The Best Medicine: Personal Pets and Therapy Animals in the Hospital Setting Denise Barchas, Melissa Melaragni, Heather Abrahim, Eric Barchas DOI: https://doi.org/10.1016/j.cnc.2020.01.002 Publication stage: In Press Corrected Proof Preview Full-Text HTML PDF x Companion animals can have a positive impact on people’s health and well-being. Personal pet visitation and animal-assisted interventions (AAIs) can benefit patients’ pain, blood pressure, stress, depression, and anxiety, as well as increasing mobility and socialization with staff and families. Implementing personal pet visitation and/or AAI programs requires the involvement of stakeholders from multiple disciplines. AAI is generally well received by staff. Animal presence in the intensive care unit carries few risks for humans and animals but is not risk free. Programs should be designed to minimize these risks. Effective planning can create programs that support patient-centered and family-centered care. Impact of Patient and Family Involvement in Long-Term Outcomes Christopher J. Grant, Lauren F. Doig, Joanna Everson, Nadine Foster, Christopher James Doig DOI: https://doi.org/10.1016/j.cnc.2020.02.005 Publication stage: In Press Corrected Proof Preview Full-Text HTML PDF x Surviving a critical illness can have long-term effects on both patients and families. These effects can be physical, emotional, cognitive, and social, and they affect both the patient and the family. Family members play a key role in helping their loved one recover, and this recovery process can take considerable time. Transferring out of an intensive care unit, and discharging home from a hospital, are important milestones, but they represent only the beginning of recovery and healing after a critical illness. Recognizing that these challenges exist both for patients and families is important to improve critical illness outcomes. The Critical Care Nurse Communicator Program: An Integrated Primary Palliative Care Intervention Andrew O’Donnell, April Buffo, Toby C. Campbell, William J. Ehlenbach DOI: https://doi.org/10.1016/j.cnc.2020.02.008 Publication stage: In Press Corrected Proof Preview Full-Text HTML PDF Supplemental Materials x Twenty percent of Americans die in an intensive care unit (ICU), often incapacitated or requiring assisted decision making. Surrogates are often required to make urgent, complex, high-stakes decisions. Communication among patients, families, and clinicians is often delayed and inefficient with frequent missed opportunities to support the emotional and psychological needs of surrogates, particularly at the end of life. The Critical Care Nurse Communicator program is a nurse-led, primary palliative care intervention designed to improve the quality and consistency of communication in the ICU and address the informational, psychological, and emotional needs of surrogate decision-makers through the shared decision-making process. Implementation of a Patient and Family-Centered Intensive Care Unit Peer Support Program at a Veterans Affairs Hospital Leanne M. Boehm, Kelly Drumright, Ralph Gervasio, Christopher Hill, Nancy Reed DOI: https://doi.org/10.1016/j.cnc.2020.02.003 Publication stage: In Press Corrected Proof Preview Full-Text HTML PDF Supplemental Materials x Peer support is a novel strategy to mitigate postintensive care syndrome and postintensive care syndrome–family. This project implemented a peer support program to address postintensive care syndrome for patients and family members. Using a free-flow, unstructured format, a chaplain, social worker, nurse, and intensive care unit survivor led veterans and loved ones in discussion of intensive care unit experiences, fears, and the challenges of recovery. Evaluations indicated group participation is beneficial for emotional support, coping, and understanding common situations related to prolonged intensive care unit stay. A majority reported they would strongly recommend group participation to a friend. The Facilitated Sensemaking Model As a Framework for Family-Patient Communication During Mechanical Ventilation in the Intensive Care Unit Ji Won Shin, Judith A. Tate, Mary Beth Happ DOI: https://doi.org/10.1016/j.cnc.2020.02.013 Publication stage: In Press Corrected Proof Preview Full-Text HTML PDF x Family caregivers of intensive care unit (ICU) patients are at high risk for adverse psychological outcomes. Communication difficulty due to mechanical ventilation may induce or worsen adverse psychological outcomes. The Facilitated Sensemaking Model (FSM) is the first model to guide nursing interventions to help ICU family caregivers overcome and prevent adverse psychological outcomes. We address an understudied phenomenon, communication between patients and family caregivers during mechanical ventilation. The FSM guides supportive interventions for critical care nurses to improve patient-family communication in the ICU. We provide an example of communication intervention, an electronic communication app, within the preexisting FSM. View More Articles in Press 2019 - Volume 31 December 2019 Psychological Issues in the ICU Guest Editor: Deborah W. Chapa September 2019 Cardiothoracic Surgical Critical Care Guest Editor: Bryan Boling June 2019 Quality Outcomes and Costs Guest Editors: Deborah Delaney Garbee, Denise M. Danna March 2019 Interventions for Cardiovascular Disease Guest Editors: Leanne H. Fowler, Jessica Landry 2018 - Volume 30 December 2018 Neonatal Nursing Guest Editor: Beth C. Diehl September 2018 Sepsis Guest Editors: Jennifer B. Martin, Jennifer E. Badeaux June 2018 Human Factors and Technology in the ICU Guest Editor: Shu-Fen Wung March 2018 Gastrointestinal Issues and Complications Guest Editors: Deborah Weatherspoon, Debra Henline Sullivan 2017 - Volume 29 December 2017 Pain Management Guest Editors: Stephen D. Krau, Maria Overstreet September 2017 Hematologic Issues in Critical Care Guest Editor: Patricia O’Malley June 2017 Pediatric Critical Care Guest Editors: Jerithea Tidwell, Brennan Lewis March 2017 Infection in the Intensive Care Unit Guest Editors: Todd M. Tartavoulle, Jennifer Manning 2016 - Volume 28 December 2016 Mechanical Ventilation in the Critically Ill Patient: International Nursing Perspectives Guest Editor: Sandra Goldsworthy September 2016 Cardiac Arrhythmias Guest Editor: Mary G. Carey June 2016 Sedation and Sleep in Critical Care: An Update Guest Editor: Jan Foster March 2016 Neuromonitoring and Assessment Guest Editor: Catherine Harris 2015 - Volume 27 December 2015 Heart Failure Guest Editor: Jennifer Ki...