Kathleen Puntillo
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View article: The association between posttraumatic stress symptoms and hope following intensive care unit discharge: Findings from a longitudinal cohort study
The association between posttraumatic stress symptoms and hope following intensive care unit discharge: Findings from a longitudinal cohort study Open
Hope scores remained stable during the first year after ICU admission. Lower levels of PTSS at 3 months after admission, being employed prior to admission, and having longer hospital stay were associated with higher hope during the first y…
View article: Patient characteristics associated with posttraumatic stress symptoms in intensive care unit survivors during a one-year follow-up: A multicenter study
Patient characteristics associated with posttraumatic stress symptoms in intensive care unit survivors during a one-year follow-up: A multicenter study Open
The prevalence of high levels of PTSS is the greatest 12 months after ICU admission. Health professionals can use this information to be aware of specific groups of ICU patients reporting PTSS during the first year and follow up on these.
View article: Pain, Anxiety, and the Continuous Use of Opioids and Benzodiazepines in Trauma Intensive Care Unit Survivors: An Exploratory Study.
Pain, Anxiety, and the Continuous Use of Opioids and Benzodiazepines in Trauma Intensive Care Unit Survivors: An Exploratory Study. Open
Many TICU survivors had discontinued opioid/benzodiazepine prescriptions by 4-months post discharge while half reporting pain/anxiety for up to 2-years. Investigating the effects of acute-to-chronic pain in ICU survivors and gaining a bett…
View article: Occurrence and characteristics of pain after <scp>ICU</scp> discharge: A longitudinal study
Occurrence and characteristics of pain after <span>ICU</span> discharge: A longitudinal study Open
Background Pain is a serious problem for intensive care unit (ICU) patients, but we are lacking data on pain at the hospital ward after ICU discharge. Aims and Objectives To describe pain intensity, ‐interference with function and ‐locatio…
View article: Effects of a Clonidine Taper on Dexmedetomidine Use and Withdrawal in Adult Critically Ill Patients—A Pilot Study
Effects of a Clonidine Taper on Dexmedetomidine Use and Withdrawal in Adult Critically Ill Patients—A Pilot Study Open
Objectives: Prolonged use of dexmedetomidine has become increasingly common due to its favorable sedative and anxiolytic properties. Hypersympathetic withdrawal symptoms have been reported with abrupt discontinuation of prolonged dexmedeto…
View article: Pain in intensive care unit patients—A longitudinal study
Pain in intensive care unit patients—A longitudinal study Open
Aim To assess occurrence of pain during the first 6 days of intensive care unit (ICU) stay and evaluate associations between occurrence of pain and selected patient‐related variables. Design A longitudinal study. Methods Adult ICU patients…
View article: Translation into Spanish and Cultural Adaptation of the Critical-Care Pain Observation Tool
Translation into Spanish and Cultural Adaptation of the Critical-Care Pain Observation Tool Open
Background The Critical-Care Pain Observation Tool (CPOT) is recommended for evaluating pain behaviors in patients in the intensive care unit who are unable to report pain. The source of the only published Spanish version of the CPOT does …
View article: Opioid and Benzodiazepine Withdrawal Syndromes in Trauma ICU Patients: A Prospective Exploratory Study
Opioid and Benzodiazepine Withdrawal Syndromes in Trauma ICU Patients: A Prospective Exploratory Study Open
Objectives: Trauma ICU patients may require high and/or prolonged doses of opioids and/or benzodiazepines as part of their treatment. These medications may contribute to drug physical dependence, a response manifested by withdrawal syndrom…
View article: A Psychometric Analysis Update of Behavioral Pain Assessment Tools for Noncommunicative, Critically Ill Adults
A Psychometric Analysis Update of Behavioral Pain Assessment Tools for Noncommunicative, Critically Ill Adults Open
This is an updated, comprehensive review of the psychometric properties of behavioral pain assessment tools for use with noncommunicative, critically ill adults. Articles were searched in 5 health databases. A total of 106 articles were an…
View article: Occurrence and Practices for Pain, Agitation, and Delirium in Intensive Care Unit Patients.
Occurrence and Practices for Pain, Agitation, and Delirium in Intensive Care Unit Patients. Open
Although pain, agitation, and delirium occurrence were similar to other studies, patients continue to suffer. A gap exists between clinical practices in these ICUs and current guidelines. Strategies that contribute to integrating guideline…
View article: Incidence of Dexmedetomidine Withdrawal in Adult Critically Ill Patients: A Pilot Study
Incidence of Dexmedetomidine Withdrawal in Adult Critically Ill Patients: A Pilot Study Open
Objectives: To determine the incidence of dexmedetomidine withdrawal in adult critically ill patients. Design: This was a prospective, observational study of patients from November 2017 to December 2018. Setting: Medical-surgical, cardioth…
View article: Executive Summary: Clinical Practice Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU
Executive Summary: Clinical Practice Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU Open
Contains fulltext : 196383.pdf (Publisher’s version ) (Open Access)
View article: Improving Health Care for Critically Ill Patients Using an Evidence‐Based Collaborative Approach to ABCDEF Bundle Dissemination and Implementation
Improving Health Care for Critically Ill Patients Using an Evidence‐Based Collaborative Approach to ABCDEF Bundle Dissemination and Implementation Open
Background Patients admitted to intensive care units (ICUs) often experience pain, oversedation, prolonged mechanical ventilation, delirium, and weakness. These conditions are important in that they often lead to protracted physical, neuro…
View article: Measurement of Chronic Pain and Opioid Use Evaluation in Community-Based Persons with Serious Illnesses
Measurement of Chronic Pain and Opioid Use Evaluation in Community-Based Persons with Serious Illnesses Open
Accountability for high quality care for community-dwelling patients requires selection of metrics that will capture the burden of chronic pain and beneficial use or misuse of opioids. Future research is warranted to identify, modify, or d…
View article: Implementing the SCCM Family-Centered Care Guidelines in Critical Care Nursing Practice
Implementing the SCCM Family-Centered Care Guidelines in Critical Care Nursing Practice Open
Family-centered care is an important component of holistic nursing practice, particularly in critical care, where the impact on families of admitted patients can be physiologically and psychologically burdensome. Family-centered care guide…
View article: Guidelines for Family-Centered Care in the Neonatal, Pediatric, and Adult ICU
Guidelines for Family-Centered Care in the Neonatal, Pediatric, and Adult ICU Open
Objective: To provide clinicians with evidence-based strategies to optimize the support of the family of critically ill patients in the ICU. Methods: We used the Council of Medical Specialty Societies principles for the development of clin…
View article: Patient Recollection of ICU Procedural Pain and Post ICU Burden: The Memory Study*
Patient Recollection of ICU Procedural Pain and Post ICU Burden: The Memory Study* Open
Objective: To assess patients’ recollections of in-ICU procedural pain and its impact on post-ICU burden. Design: Prospective longitudinal study of patients who underwent ICU procedures. Setting: Thirty-four ICUs in France and Belgium. Pat…