Publications by authors named "B Peach"

Background: Intensive care unit (ICU) admissions can be traumatic for critically ill, ventilated acute respiratory distress syndrome (ARDS) patients due to fear of death, an inability to verbally communicate, reliance on health care professionals, and invasive medical interventions. Adult ARDS patients hospitalized during the COVID-19 pandemic were strictly isolated and had limited to no visitation from loved ones, impacting their access to support systems.

Objective: To explore the memories and sensory triggers for them (if applicable) of adult ARDS survivors hospitalized during the COVID-19 pandemic.

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Article Synopsis
  • Nearly 25% of adult survivors of critical illness experience PTSD symptoms after ICU discharge, often triggered by sensory stimuli, with delirium being a significant risk factor for PTSD.
  • A case study involved a survivor who faced PTSD symptoms and fears of illness that led her to self-isolate, which prompted her to participate in a clinical trial for Compressed Virtual Reality Exposure Therapy (C-VRET).
  • Post-therapy results showed significant reductions in PTSD and depression scores, increases in physical activity, and improvements in resiliency, indicating C-VRET's potential effectiveness for PTSD in critical illness survivors.
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Background: Chlorhexidine gluconate has been considered the criterion standard of oral care for patients receiving mechanical ventilation because of its ability to reduce the incidence of ventilator-associated events. Optimal concentrations and frequencies remain unclear, as do adverse events related to mortality in various intensive care unit populations.

Objective: To examine the current evidence for the efficacy of chlorhexidine gluconate in reducing the incidence of ventilator-associated events, mortality, intensive care unit length of stay, and duration of mechanical ventilation in patients receiving ventilator support.

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Social media-based groups offer a rich opportunity for nurse researchers to connect with potential study participants. However, as the authors discovered from recruitment of acute respiratory distress syndrome survivors in social media-based survivorship groups, there is a risk of enrollment of both false and duplicate participants. Nurse researchers should adopt best practices to screen out false participants and prevent duplicate participation.

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