Analgesia and hypnosis are two separate entities and should result in distinct assessment and management for patients admitted to an intensive care unit (ICU). Those patients are exposed to moderate-severe pain and they are likely to remember pain as one bothersome experience. Any cause of patient discomfort is sought with the priority given to pain and adequate analgesia. Assessing pain must rely upon the use of clinical scoring systems, although these instruments are still underused in ICU.
BACKGROUND: In a review and meta-analysis conducted in 1993, psychological preparation was found to be beneficial for a range of outcome variables including pain, behavioural recovery, length of stay and negative affect. Since this review, more detailed bibliographic searching has become possible, additional studies testing psychological preparation for surgery have been completed and hospital procedures have changed.
BACKGROUND: This review is one in a series of Cochrane Reviews investigating pain management for childbirth. These reviews all contribute to an overview of systematic reviews of pain management for women in labour, and share a generic protocol. We examined the current evidence regarding the use of hypnosis for pain management during labour and childbirth. This review updates the findings regarding hypnosis from an earlier review of complementary and alternative therapies for pain management in labour into a stand-alone review.
BACKGROUND: This review is one in a series of Cochrane reviews investigating pain management for childbirth. These reviews all contribute to an overview of systematic reviews of pain management for women in labour, and share a generic protocol. This review updates an earlier version of the review of the same title. OBJECTIVES: To examine the effectiveness and safety of hypnosis for pain management during labour and childbirth.
Centenarians surpass the current human life expectancy with about 20-25 years. However, whether centenarians represent healthy aging still remains an open question. Previous studies have been hampered by a number of methodological shortcomings such as a cross-sectional design and lack of an appropriate control group. In a longitudinal population-based cohort, it was examined whether the centenarian phenotype may be a useful model for healthy aging.
BACKGROUND: Diabetes is commonly regarded as a risk factor for mortality and morbidity after coronary artery bypass surgery. METHODS: Between April 1997 and December 2002, 6,033 consecutive patients underwent isolated coronary artery bypass surgery. Eight hundred and fourteen (13.5%) patients had diabetes (530 oral-dependent, 284 insulin-dependent). Patients with diet-controlled diabetes were classified as nondiabetics. Deaths occurring over time were described using Kaplan-Meier techniques.
BACKGROUND: According to the Office for National Statistics, approximately a quarter of women giving birth in England and Wales are from minority ethnic groups. Previous work has indicated that these women have poorer pregnancy outcomes than White women and poorer experience of maternity care, sometimes encountering stereotyping and racism. The aims of this study were to examine service use and perceptions of care in ethnic minority women from different groups compared to White women. METHODS: Secondary analysis of data from a survey of women in 2010 was undertaken.
QJM: monthly journal of the Association of Physicians
BACKGROUND: Intensive care units (ICUs) exist to support patients through acute illness that threatens their life. Although ICUs aim to save life, they are also a place where a significant proportion of patients die with international mortality rates ranging from 15% to 24%. AIM: To explore the experience of relatives and staff of patients dying in ICU using qualitative approach. DESIGN: Consecutive patients were identified who were dying in the ICU. The researcher met the families prior to the patient's death.
Fifty-two patients, who were not considered to be suitable for traditional therapy, were evaluated on their admission (53 admissions) to the Slow Stream Rehabilitation Unit at Greenwich Hospital, and on and after their discharge from hospital, with a minimum follow-up period after discharge from hospital of 13 months. Mobility and the capacity to perform basic self-care activities were assessed by means of a set protocol while traditional rehabilitation therapies were employed.