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Related Concept Videos

Continuing Care01:25

Continuing Care

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Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
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Flail Chest-II01:26

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Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
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Ethical Issues01:27

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Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
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Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care01:29

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Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
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Pulmonary Embolism III: Nursing Management01:27

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A pulmonary embolism occurs when a thrombus, amniotic fluid, tumor tissue, fat, or air embolus blocks one or more pulmonary arteries. Effective nursing management and patient education are crucial for improving outcomes and preventing recurrence.Nursing management starts with obtaining a comprehensive patient history, particularly noting any history of deep vein thrombosis (DVT). Assess for clinical manifestations, including dyspnea, chest pain, crackles, heart murmurs, and signs of right-sided...
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Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch01:15

Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch

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The history of therapeutic communication can be traced back to Florence Nightingale, who emphasized the importance of developing trusting relationships with patients. She taught that the presence of nurses with patients results in therapeutic healing.
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Related Experiment Video

Updated: Dec 2, 2025

A Saline/Bipolar Radiofrequency Energy Device As an Adjunct for Hemostasis in Solid Organ Injury/Trauma
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Effective Palliative Care in the Trauma Setting.

Kristen L Schultz1, Karen J Brasel1, David H Zonies1

  • 1Department of Surgery, Ringgold ID: 6684Oregon Health and Science University, OR, USA.

The American Surgeon
|November 6, 2020
PubMed
Summary
This summary is machine-generated.

Early palliative care discussions in trauma patients, following severe injury and surgery, facilitate communication and goal setting. This approach aids in navigating complex prognoses and decision-making for critically ill patients.

Keywords:
advanced care planningbest case/worst caseprimary palliative caresurgical palliative caresurrogate decision makers

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Area of Science:

  • Trauma Surgery
  • Surgical Critical Care
  • Palliative Care

Background:

  • Severe traumatic injuries necessitate complex surgical interventions and intensive care.
  • Trauma patients often face prolonged recovery with significant complications.
  • Establishing clear goals of care is crucial for managing patient expectations and treatment pathways.

Observation:

  • A 55-year-old male sustained traumatic injuries from a motorcycle collision, requiring exploratory laparotomy, splenectomy, and decompressive craniectomy.
  • The patient experienced multiple postoperative complications, necessitating ongoing intensive management.
  • The surgical team initiated early and continuous palliative care discussions.

Findings:

  • Palliative care discussions were guided by the American College of Surgeons Trauma Quality Improvement Program guidelines.
  • These discussions fostered communication between the surgical team and the patient's surrogate decision-makers.
  • Prognosis, best-case/worst-case scenarios, and quality of life were central to ongoing conversations.

Implications:

  • Early integration of palliative care enhances communication in complex trauma cases.
  • Structured palliative care discussions aid in aligning treatment with patient and family goals.
  • This approach supports shared decision-making for critically injured patients with uncertain prognoses.