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Updated: Jun 16, 2026

Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies
10:38

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Published on: January 16, 2019

Symptom identification in the chronically critically ill.

Grace B Campbell1, Mary Beth Happ

  • 1University of Pittsburgh School of Nursing, Pittsburgh, Pennsylvania 15261, USA.

AACN Advanced Critical Care
|February 2, 2010
PubMed
Summary
This summary is machine-generated.

Assessing symptoms in chronically critically ill (CCI) patients is challenging due to communication barriers. This study explores symptom communication and offers strategies to improve nurse-patient interactions for better symptom assessment in CCI.

Related Experiment Videos

Last Updated: Jun 16, 2026

Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies
10:38

Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies

Published on: January 16, 2019

Area of Science:

  • Critical Care Medicine
  • Nursing
  • Patient Communication

Background:

  • Chronically critically ill (CCI) patients face communication challenges due to cognitive and physiological changes.
  • Mechanical ventilation and diverse symptom expressions impede accurate symptom assessment.
  • Symptom identification and management are crucial nursing responsibilities for CCI patients.

Purpose of the Study:

  • To review the unique symptoms experienced by CCI patients.
  • To describe observations of symptom communication between CCI patients and nurses.
  • To discuss inconsistencies in symptom language and provide strategies for improvement.

Main Methods:

  • Review of literature on symptoms in critically ill patients.
  • Observational analysis of nurse-patient communication regarding symptoms.
  • Discussion of language variations in symptom expression.

Main Results:

  • CCI patients exhibit a unique set of symptoms.
  • Significant communication barriers exist between CCI patients and nurses.
  • Inconsistent language used by nurses and patients complicates symptom reporting.

Conclusions:

  • Improving nurse-patient communication is essential for accurate symptom assessment in CCI.
  • Developing refined strategies for symptom assessment in chronic critical illness is necessary.
  • Addressing communication impairments can enhance the quality of care for CCI patients.