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Shivering. A clinical nursing problem.
1Center for Nursing Research, Vanderbilt University School of Nursing, Nashville, Tennessee.
The Nursing Clinics of North America
|December 1, 1990
Summary
Severe shivering in patients carries significant metabolic and cardiorespiratory risks, especially for vulnerable populations. Early assessment and intervention are crucial for managing shivering and improving patient outcomes.
Area of Science:
- Medical Science
- Physiology
- Patient Care
Background:
- Shivering is a common physiological response with significant clinical implications.
- The metabolic and cardiorespiratory effects of shivering are often underestimated, particularly in critically ill, debilitated, or elderly patients.
Purpose of the Study:
- To highlight the underappreciated risks associated with severe shivering in patient care.
- To propose a conceptual framework for assessing and managing shivering.
Main Methods:
- Review of existing literature on shivering physiology and clinical consequences.
- Development of a conceptual frame of reference for patient assessment and intervention.
Main Results:
- Shivering incurs substantial metabolic costs and cardiorespiratory consequences.
- Severe shivering can lead to distress and loss of control for patients.
Conclusions:
- A structured approach to assessment and action is necessary to mitigate the negative impacts of shivering.
- Independent and collaborative interventions can effectively reduce energy expenditure and distress caused by shivering.