Systemic Nonsteroidal Anti-Inflammatories for Analgesia in Postoperative Critical Care Patients: A Systematic Review and Meta-Analysis of Randomized Control Trials.

Unlabelled: While opioids are part of usual care for analgesia in the ICU, there are concerns regarding excess use. This is a systematic review of nonsteroidal anti-inflammatory drugs (NSAIDs) use in postoperative critical care adult patients.

Data Sources: We searched Medical Literature Analysis and Retrieval System Online, Excerpta Medica database, Cumulative Index to Nursing and Allied Health Literature, Cochrane Library, trial registries, Google Scholar, and relevant systematic reviews through March 2023.

What do psychiatric nurse practitioners need to know about trauma?

Purpose: The purpose of this article is to describe Trauma and Resilience Competencies for Psychiatric Nurse Practitioners and to propose a trauma and resilience informed framework for nursing practice.

Conclusions: Trauma and Resilience Competencies for Nursing Education have been developed and validated, yet to date, these have not been widely disseminated.

Practice Implications: It is essential that all nurses have competency in trauma and resilience to provide care for their patients as well as for their own well-being.

Adjuvant Analgesic Use in the Critically Ill: A Systematic Review and Meta-Analysis.

Unlabelled: This systematic review and meta-analysis addresses the efficacy and safety of nonopioid adjunctive analgesics for patients in the ICU.

Data Sources: We searched PubMed, Embase, the Cochrane Library, CINAHL Plus, and Web of Science.

Study Selection: Two independent reviewers screened citations.

The Development of Trauma and Resilience Competencies for Nursing Education.

Trauma and its consequences have been identified as a high-priority public health risk. A growing body of research reveals the devastating long-term consequences from common and widespread adverse events across the life span. In addition, recent research links medical procedures and medical illnesses with posttraumatic stress disorder.

A Systematic Review and Meta-analysis Examining the Impact of Incident Postoperative Delirium on Mortality.

Background: Delirium is an acute and reversible geriatric syndrome that represents a decompensation of cerebral function. Delirium is associated with adverse postoperative outcomes, but controversy exists regarding whether delirium is an independent predictor of mortality. Thus, we assessed the association between incident postoperative delirium and mortality in adult noncardiac surgery patients.

Access to controlled medicines for anesthesia and surgical care in low-income countries: a narrative review of international drug control systems and policies.

Purpose: This article describes the functioning of the international drug control system, its integration into national legislation and policy, and the collective impact on access to medicines.

Source: We conducted a review of the three international drug control conventions, peer-reviewed articles, and grey literature known to the authors that describes national and international drug control systems and their impact on access to controlled medicines. This review was supplemented with literature derived from a structured search of MEDLINE for articles relating to medical uses of ketamine in low- and middle-income countries conducted to strengthen an advocacy campaign.

CRITICAL ANALYSIS OF THE CURRENT TREATMENT GUIDELINES FOR COMPLEX PTSD IN ADULTS.

According to current treatment guidelines for Complex PTSD (cPTSD), psychotherapy for adults with cPTSD should start with a "stabilization phase." This phase, focusing on teaching self-regulation strategies, was designed to ensure that an individual would be better able to tolerate trauma-focused treatment. The purpose of this paper is to critically evaluate the research underlying these treatment guidelines for cPTSD, and to specifically address the question as to whether a phase-based approach is needed.

Use of probiotics to prevent ventilator-associated pneumonia: A survey of pharmacists' attitudes.

Purpose: The primary objective of this survey was to describe pharmacists' attitudes regarding probiotic use in the intensive care unit (ICU); secondary objectives were to evaluate pharmacists' knowledge and use of probiotics for critically ill patients.

Methods: The survey instrument was rigorously designed and pretested, then distributed in both English and French to Canadian ICU pharmacists. The online survey was open for 5 weeks, and 3 follow-up emails were sent to maximize response rates.

Anaemia prevalence may be reduced among countries that fortify flour.

The effectiveness of flour fortification in reducing anaemia prevalence is equivocal. The goal was to utilise the existing national-level data to assess whether anaemia in non-pregnant women was reduced after countries began fortifying wheat flour, alone or in combination with maize flour, with at least Fe, folic acid, vitamin A or vitamin B12. Nationally representative anaemia data were identified through Demographic and Health Survey reports, the WHO Vitamin and Mineral Nutrition Information System database and other national-level nutrition surveys.

Inadequate treatment and research for PTSD at the VA.

Comments on the article by B. E. Karlin and G.

Personality traits as predictors of adherence in adolescents with type I diabetes.

Topic: Diabetes is a serious, chronic illness with long-term implications for health and lifestyle. Significant differences in health outcome may be achieved as a result of the degree of adherence to recommended diabetes management regimens. Adherence is a particularly challenging issue with adolescents with diabetes.

A relationship-based model for psychiatric nursing practice.

Purpose: This article synthesizes research and theory in information processing, infant development, attachment theory, and trauma, and proposes a treatment framework for psychiatric nursing practice.

Conclusions: The primacy of the nurse--patient relationship is central to healing, and elements of the psychotherapeutic relationship are delineated.

Practice Implications: This model has the potential to serve as a practice framework for psychiatric nursing, for all levels of psychiatric nursing practice.

Involvement of ApoE E4 and H63D in sporadic Alzheimer's disease in a folate-supplemented Ontario population.

Dysregulation of iron homeostasis is implicated in Alzheimer's disease (AD). In this pilot study, common variants of the apolipoprotein E (APOE) and HFE genes resulting in the iron overload disorder of hereditary hemochromatosis (C282Y, H63D and S65C) were evaluated as factors in sporadic AD in an Ontario sample in which folic acid fortification has been mandatory since 1998. Laboratory studies also were done to search for genetic effects on blood markers of iron status, red cell folates and serum B12.

Challenges and realities of teaching psychotherapy: a survey of psychiatric-mental health nursing graduate programs.

Purpose: This study was conducted in order to determine what and how psychotherapy content is taught in graduate psychiatric nursing programs in the United States.

Design And Methods: This survey was conducted of 120 psychiatric-mental health nursing graduate programs in the United States in order to determine what and how psychotherapy content is taught in these programs.

Findings: The results of this survey revealed a diversity of programs with a plurality of psychotherapy approaches and models taught.

Psychotherapeutic strategies for healing trauma.

Purpose: The Adaptive Information Processing Model (AIP), originally developed by Shapiro (2001), provides a model for understanding how trauma affects the brain and how healing occurs.

Conclusions: The effects of trauma are thought to be much broader than the diagnosis of PTSD and overlap with many other diagnostic categories. Recent physiological research supports the complexity of neurobiological responses to childhood stress and trauma.

An adult with childhood medical trauma treated with psychoanalytic psychotherapy and EMDR: a case study.

Problem: Adverse childhood experiences have been found to be a strong predictor of emotional and physical problems in adulthood. However, the long-term sequelae for children who have suffered critical illness and exposure to invasive medical procedures are less well documented.

Methods: This is a case study of an adult client who sought treatment for depression and attention deficit disorder.

Exploring alexithymia, depression, and binge eating in self-reported eating disorders in women.

Topic: Binge eating is often a way of life for many women even if the diagnostic criteria for the tentative DSM-IV-TR diagnosis of binge eating disorder is not met.

Methods: Binge eating was conceptualized as a problem in affect regulation. Affective indices of alexithymia and depression were measure with the Toronto Alexithymia Scale (TAS), the Alexithymia-Provoked Response Questionnaire (APQR), and the Beck Depression Inventory (BDI), respectively.

Integrating education and research in an APRN mental health services program.

The Mental Health Services Program (MHSP), using an advanced practice psychiatric nursing model of care, was developed in an effort to address the need for community mental health services for an underserved population in Bridgeport, Connecticut. Under the direction of an Advanced Practice Psychiatric Nurse (APRN), direct services were provided by contracted APRNs and graduate and undergraduate nursing students, under the supervision of APRNs. Services provided included screenings for mental health problems; individual, family, and group education and counseling; psychiatric assessments; and consultations.