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Shivering. A clinical nursing problem.

B J Holtzclaw¹

¹Center for Nursing Research, Vanderbilt University School of Nursing, Nashville, Tennessee.

The Nursing Clinics of North America

|December 1, 1990

Summary

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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.

Related Experiment Videos

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.