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Biomedical subjects

R Endacott

Publications and source records attributed to R Endacott.

23 records · Page 2Linked to original sources

Nutritional support for critically ill patients.

The incidence of malnourishment in medical and surgical patients is well documented, yet it is obvious that sufficient and appropriate nourishment is as vital to life as the maintenance of effective respiration. The effects of malnourishment are seen in all systems of the body, and cause diminutions in mental and emotional well-being. The highly compromised states of critically ill patients places them at great risk from the adverse effects of sub-nutrition, and much responsibility lies with nurses in intensive care units (ICUs) to ensure such patients are protected. This article considers the key aspects of the nurse's role in the provision of artificial nutrition to adult patients in ICUs who are, by definition, critically ill.

Critical Care↗

Clinical decisions made by nurses in intensive care--results of a telephone survey.

A telephone survey of 89 GICUs in England was performed, using stratified quota sampling. 75 (84%) units reported changes in practice over the past 3 years. The reported changes were not only task orientated but also encompassed increased autonomy, organisational changes and increased workload. The absence of significant relationships between the activities suggests that nursing practice development is dependent on patient need and/or local factors. The lack of pattern suggests that it may be inappropriate to compare units for the purpose of nurse staffing.

Clinical Competence↗