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Related Concept Videos

Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
Acute Coronary Syndrome V: Nursing Management01:26

Acute Coronary Syndrome V: Nursing Management

Nursing Assessment:Nursing management of acute coronary syndrome (ACS) involves taking the patient's history, focusing on primary complaints such as chest pain, dyspnea, and excessive sweating (diaphoresis), as well as other symptoms like back or jaw pain, nausea, vomiting, palpitations, dizziness, and fatigue. The nurse also reviews the patient's history of cardiac events, risk factors such as hypertension, diabetes, smoking, family history, and current medications.In the objective assessment,...
Nursing Interventions II: Selecting and Classifying the Nursing Interventions01:29

Nursing Interventions II: Selecting and Classifying the Nursing Interventions

Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions:
Healthcare Associated Infections II: Preventive Measures01:22

Healthcare Associated Infections II: Preventive Measures

Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
Nursing Clinical Information System01:27

Nursing Clinical Information System

Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
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Nursing Interventions I: Taxonomy of Nursing Interventions01:03

Nursing Interventions I: Taxonomy of Nursing Interventions

Nursing interventions are chosen as part of the planning process to achieve patient outcomes. Once nursing diagnoses are determined, the goals and outcomes are specified, then the nursing interventions are selected and individualized according to the patient's situation.
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Related Experiment Videos

Non clinic-Based Interventions to Mitigate Post-Intensive Care Syndrome: A Scoping Review.

Yasmeen Abu Fraiha1, James Devanney1,2, Megan McNichol3

  • 1Department of Anesthesia and Critical Care Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA.

Critical Care Explorations
|June 16, 2026
PubMed
Summary

Non-clinic-based strategies show promise for post-intensive care syndrome (PICS) and PICS-Family (PICS-F) recovery, but more research is needed to confirm their effectiveness, especially for cognitive PICS.

Keywords:
intensive care unit follow-up careintensive care unit survivorspost-intensive care unit syndromerehabilitation after critical illness

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Area of Science:

  • Critical Care Medicine
  • Rehabilitation
  • Psychology

Background:

  • Survivors of critical illness and their families experience significant long-term challenges, known as post-intensive care syndrome (PICS) and PICS-Family (PICS-F).
  • Traditional clinic-based rehabilitation has shown limited success, highlighting the need for alternative support strategies.
  • Optimal non-clinic-based follow-up and rehabilitation models for PICS and PICS-F remain unclear.

Purpose of the Study:

  • To conduct a scoping review summarizing the feasibility and effectiveness of non-clinic-based follow-up and rehabilitation strategies.
  • To identify interventions targeting adult survivors of critical illness and their caregivers experiencing PICS and PICS-F.
  • To inform future research directions for improving post-ICU care.

Main Methods:

  • A comprehensive search of Cochrane, Embase, PubMed, and Web of Science databases was performed.
  • Included studies reported interventions for adult ICU survivors and caregivers targeting PICS and PICS-F, excluding clinic-only or ICU-only interventions.
  • Data extraction and synthesis were conducted by two independent reviewers using Covidence.

Main Results:

  • Out of 8608 screened studies, 45 were included, with most (64%) focusing on physical and psychological PICS sequelae.
  • Interventions varied significantly in setting, duration, and approach, leading to heterogeneous outcome measures that limited comparisons.
  • The majority of studies assessed intervention feasibility rather than effectiveness, and only six articles exclusively targeted PICS-F.

Conclusions:

  • This review highlights the current landscape of non-clinic-based rehabilitation strategies for adult ICU survivors.
  • There is a critical need for future research to evaluate the effectiveness of these strategies in mitigating PICS and PICS-F.
  • Particular focus on the cognitive domain of PICS is recommended to enhance aftercare for patients and their families.