Know how: kinetic therapy

Article Abstract:

Various patients in intensive care units can benefit from the use of kinetic therapy if begun early enough in their treatment programme. Patients undergoing kinetic therapy are continously rotated in order to enhance pulmonary blood flow, prevent pulmonary complications and lower the impact of multiple organ failure. Respiratory secretions are mobilised by rotation so as to prevent the onset of conditions such as pneumonia. Complications are similar to those occurring in patients who are not undergoing kinetic therapy, such as the potential adverse impact on intracranial pressure.

Evaluation, Equipment and supplies, Hospital beds

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High dependency nurse-patient interaction

Article Abstract:

A small study of high-dependency units (HDUs), providing intensive care, reveals a pattern of communication and interaction between patients and nurses. The study involved videotape recordings and analysis of data using grounded theory. It was found that the patient's interactive privilege with the nurse grew as the patient progressed through the Transfer stage, Stabilisation, the Rest phase, Discharge and sometimes the Overdue Discharge. The patient's privilege increases with greater social communication. Practitioners can use the study to analyse their own HDUs.

Research, Telecommunications systems, Medical personnel and patient, Medical personnel-patient relations

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Unit trust

Article Abstract:

A study of patients discharged from intensive care units (ICU) explored symptoms of post-traumatic stress disorder and issues of employment status. Many respondents reported considerable levels of stress, fatigue and cognitive disorders. A follow-up clinic was set up for patients discharged from ICU, at three, six and 12 monthly intervals, to assess psychiatric or psychological needs.

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