The place of relatives of our patients is the deepest change in intensive care units in 20 years. Working on collegial discussions and recognizing the voices of patients and their loved ones in care projects have become a mandatory part of our daily work. This change is also related to the attention and time given to ethical decisions in the daily life of resuscitation. We need to recognize the need for trust in the health care system as well as with medical providers so that the therapeutic relationship can be achieved peacefully. We must therefore organize ourselves to improve reception of the families, place of the team members, regular formal meetings of information with relatives or the representative of our patient. Post-traumatic stress is not only a prerogative of our patients, it is also described in accompanying people. If trust is acquired few conflicts are challenging, only interfamily conflicts force medical team to defend its opinion. The realization that a specific care project after intensive care is more likely to succeed when it is done with the support of the entourage makes possible to understand the importance to take care to the stress of the relatives.
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http://dx.doi.org/10.1016/j.pratan.2020.09.002 | DOI Listing |
Pract Radiat Oncol
January 2025
Department of Radiation Oncology, Christiana Care, Helen F. Graham Cancer Center & Research Institute, Newark, Delaware.
Superficial lesions of the face are often treated with an electron beam and surface collimation utilizing a conformal lead shield with an opening around the region of treatment (ROT). To fabricate the lead shield, an imprint of the patient face is needed. Historically, this was achieved using a laborious and time-consuming process that involved a gypsum imprinted model (GIM) of the patient topography.
View Article and Find Full Text PDFJ Perianesth Nurs
January 2025
Department of Anaesthesia, Intensive Care and Pain Medicine, General Hospital Maria Middelares, Ghent, East Flanders, Belgium.
Purpose: The aim of this study was to assess the correlation between the Visual Analog Scale (VAS), Numeric Rating Scale (NRS), and Verbal Rating Scale (VRS). Additionally, the study aimed to determine NRS threshold values for both mild analgesic administration (= without risk of nausea and vomiting [NV] side effects) and strong analgesic administration (= with risk of NV side effects) in the postanaesthetic care unit (PACU).
Design: Prospective, observational study design.
J Hand Surg Am
January 2025
Department of Orthopaedic Surgery, Washington University School of Medicine, Saint Louis, MO. Electronic address:
Purpose: Isolated coronal shear fractures of the distal humerus in adolescents are rare injuries with unique surgical challenges. Respect for the posterior blood supply, open physes, and need for direct visualization to achieve anatomic reduction are critical considerations in surgical fixation. This study presents a case series and a surgical approach used in treating these patients.
View Article and Find Full Text PDFAm J Infect Control
January 2025
Department of Microbiology, Institute of Biomedical Sciences, Federal University of Uberlândia, Uberlândia, Minas Gerais, Brazil.
Neuromodulation
January 2025
Department of Anesthesia and Perioperative Care, Division of Pain Medicine, University of California, San Francisco, CA, USA. Electronic address:
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