Scientific revolutions and the structure of critical care

Predictors of Sleep Quality and Successful Weaning From Mechanical Ventilation Among Patients in Respiratory Care Centers

“…Weaning patients from a mechanical ventilator is a time-consuming and complex managed process (Goodman, 2006)that is a unique experience for each patient. Before starting weaning, patients should have an appropriate physical and psychological readiness and show overall progress (Goodman, 2006), such as an acceptable physical condition and adequate sleep.…”

Psychological support and outcomes for ICU patients

“…The provision of psychological/emotional support is one of the traditional nurses' roles (Marriner, 1986). Within the context of holistic nursing, psychological support is viewed as a prerequisite for healing (Bartol and Courts, 2000; Papathanassoglou, 2006), whereas, not meeting the psychological needs of patients has been suggested to prolong intensive care unit (ICU) stay and to be a factor in delirium‐related psychotic symptoms (Price, 2004). Despite a recognized need for emotional support (Wilkin and Slevin, 2004), the constituents, strategies and effectiveness of such support in intensive care are poorly defined.…”

Multiple organ dysfunction syndrome pathogenesis and care: a complex systems’ theory perspective

“…Consequently, positive emotions could be hypothesized to enhance the normalization of the metabolic and immune responses in these patients (Scantamburlo et al , 2001). Therefore, it may be useful to incorporate cognitive and psychological responses of the individual in our framework of critical illness (Papathanassoglou, 2006).…”

“…The causative events for these alterations may take place in the central neural system and the hypothalamus itself (Van den Berghe et al, 1998;Weekers et al, 2000), This may raise implications for the psychosocial care of MODS patients because hypothalamic nuclei are affected by stress and emotion (Rolls, 1999).Consequently, positive emotions could be hypothesized to enhance the normalization of the metabolic and immune responses in these patients (Scantamburlo et al, 2001). Therefore, it may be useful to incorporate cognitive and psychological responses of the individual in our framework of critical illness (Papathanassoglou, 2006).…”