To address both nursing and multidisciplinary

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To address both nursing and multidisciplinary activities of importance. They focus on the care of the critically ill patient or their environment. Practice alerts are reviewed / updated every three years and are designed to do the following: 1.) close the gap between research and practice 2.) provide guidance 3.) standardize practice 4.) identify and inform about new advances and trends According to Makic et al (2014), what percentage of clinicans consistently implement evidence-based care? How many decades might it take for original research to be put into routine nursing practice? 10 - 15% consistently implement evidence-based care. It may take up to two decades for original research to be put into routine nursing practice. According to Makic et al (2014), how often do people naturallly shift their body position and what promotes this? About every 12 minutes, which is prompted by sensory cues. According to Makic et al (2014), what are the three interventions suggested for critically ill patients and turning / mobility / skin breakdown? turning patients every two hours (or more frequently) advocate for the use of support surfaces therapies (specialty beds) good skin care practices, providing nutritional support, and encouraging early mobility According to Makic et al (2014), what are typical challenges reported by nurses in meeting frequent turning standards? hemodynamic instability
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patient obesity lack of equipment or available peers to reposition patients effectively lack of time According to Makic et al (2014), what are the consequences of a lack of sleep? worsening symptoms, physical and cognitive dysfunction, mood instability, and fatigue According to Makic et al (2014), what stage of sleep is most restorative? REM Sleep, the fourth stage, is considered the most restorative and valuable stage of sleep According to Makic et al (2014), what can nurses do to improve the patient's sleep cycle? modifications of the enviroment (ex. reduce noise and light) cluster care to minimize sleep disruptions limit sedation optimizing mechanical ventilation modes that enhance sleep assessing for the presence of the s/sx of delerium providing early mobility using complimentary therapies (massage, music, etc.)
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  • Spring '16
  • Cauble
  • Evidence-based medicine, Makic, Melynk et al

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