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  • Book
    Carole Boulanger, David McWilliams, editors.
    About the Editors
    1: The Person Before the Patient: The Importance of a Good History
    1.1 Introduction
    1.2 When to Attain a Patient History in the ICU
    1.3 How to Obtain an Effective Patient History in the ICU
    1.3.1 The Clinical Frailty Scale
    1.3.2 Patient Questionnaires: Key Relative Involvement
    1.4 What a Good History Should Include in the ICU
    1.5 Why an Early, Detailed History Is Important
    1.5.1 Family: Key Relationships
    1.5.2 Mobility 1.5.3 Functional Independence and Housing
    1.5.4 Hobbies, Interests and Work
    1.5.5 Medical History
    1.5.6 Lifestyle History
    1.5.7 Understanding and Expectations
    1.6 Conclusions
    2: Respiratory and Mechanical Ventilation Management: Avoidance of Complications
    2.1 Introduction
    2.2 Respiratory Management During Invasive Mechanical Ventilation
    2.2.1 Endotracheal Suctioning
    2.2.2 Subglottic Suctioning
    2.2.3 Humidification of Respiratory Gases
    2.3 Chest Physiotherapy
    2.3.1 Manual or Ventilator Pulmonary Hyperinflation 2.3.2 Manual Chest Compressions/Vibrations (MCC)
    2.4 Mechanical In-Exsufflation (MI-E)
    2.5 Inspiratory Muscle Training
    3: Patient Care: From Body to Mind
    3.1 Introduction: Patient Care in a Critical Environment
    3.2 "Interventional Patient Hygiene"
    3.3 Bathing and Skin Integrity
    3.4 Oral Care
    3.5 Eye Care
    3.6 Pain Assessment and Nursing Care
    3.6.1 Assessment
    3.6.2 Management
    3.7 Conclusion
    4: Nutrition: Calories Count
    4.1 Introduction
    4.2 Presence of Pre-existing Conditions on Admission to ICU 4.2.1 Chronic Co-morbidities
    4.2.2 Sarcopenia
    4.2.3 Malnutrition
    4.3 Factors Which Affect Nutritional Status During ICU Stay
    4.3.1 Metabolic Response to Critical Illness
    4.3.2 Iatrogenic Undernutrition
    4.3.3 Immobilisation
    4.4 Assessing Malnutrition in the Critically Ill Patient
    4.4.1 Nutrition Screening Tools
    4.4.2 Muscle Mass
    4.5 Strategies to Improve Physical and Functional Outcomes
    4.5.1 Targeted Nutrition Delivery
    4.5.2 Volume-Based Feeding
    4.5.3 Energy Versus Protein
    4.5.4 Exercise and Protein
    4.5.5 Supplementation 4.6 Recovery Phase of Critical Illness
    4.7 Adequacy of Nutrient Delivery
    4.7.1 Factors Influencing Nutritional Recovery
    4.8 Potential Strategies to Facilitate Optimal Nutritional Delivery in the Recovery Phase of Critical Illness
    4.8.1 Coordinated Multidisciplinary Approach to Nutritional Care
    4.8.2 Systematic Handover to Ward-Based Staff
    4.8.3 Early Involvement of Family
    4.8.4 Conclusion
    5: Promoting Independence
    5.1 Introduction: What Is Dysphagia?
    5.2 Dysphagia Assessment and Screening
    5.3 Bedside Assessment
    Digital Access Springer 2020