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B Introduction: b The common practice in critical care of referring to patients by their chief complaint or room number combined with high workload, burnout, prioritization of the medical aspect of illness, limited family presence and even the new normal of masking one's face may inadvertently result in patient dehumanization. Most patients (26, 89%) and family members (52, 99%) expressed that GTKM board was important in recognizing patient's humanity. [Extracted from the article]

Objective. Patients with fibromyalgia report periods of symptom exacerbation, colloquially referred to as "flares" and despite clinical observation of flares, no research has purposefully evaluated the presence and characteristics of flares in fibromyalgia. The purpose of this qualitative study was to describe fibromyalgia flares in a sample of patients with fibromyalgia. Methods. Using seven open-ended questions, patients were asked to describe how they perceived fibromyalgia flares and triggers and alleviating factors associated with flares. Patients were also asked to describe how a flare differs from their typical fibromyalgia symptoms and how they cope with fibromyalgia flares. Content analysis was used to analyze the text. Results. A total of 44 participants completed the survey. Responses to the seven open-ended questions revealed three main content areas: causes of flares, flare symptoms, and dealing with a flare. Participants identified stress, overdoing it, poor sleep, and weather changes as primary causes of flares. Symptoms characteristic of flares included flu-like body aches/exhaustion, pain, fatigue, and variety of other symptoms. Participants reported using medical treatments, rest, activity and stress avoidance, and waiting it out to cope with flares. Conclusions. Our results demonstrate that periods of symptom exacerbation (i.e., flares) are commonly experienced by patients with fibromyalgia and symptoms of flares can be differentiated from every day or typical symptoms of fibromyalgia. Our study is the first of its kind to qualitatively explore characteristics, causes, and management strategies of fibromyalgia flares. Future studies are needed to quantitatively characterize fibromyalgia flares and evaluate mechanisms of flares. [ABSTRACT FROM AUTHOR]

Early treatment-seeking for symptoms of atrial fibrillation (AF) is critical to avert AF-related stroke and heart failure, but early treatment is hindered if symptoms are not accurately interpreted. The purpose of this research was to describe symptom representation and treatment-seeking responses prior to diagnosis of AF. For this descriptive study, 150 participants were surveyed to describe the type and temporality of symptoms, perceptions regarding the cause, seriousness, controllability of symptoms, and responses to symptoms prior to diagnosis. Participants’ mean age was 66.5 years, and 51% were female. Participants perceived symptoms as having nondisease-based causes, as not very serious, and as amenable to self-management. The majority took a wait and see response with 69% waiting more than 1 week after symptom onset to seek treatment. Lack of recognition of the seriousness of symptoms of AF and delayed treatment put patients at risk of poorer outcomes. [ABSTRACT FROM AUTHOR]

Cancer diagnosis and treatment are universally distressing events that may cause or exacerbate symptoms of post-traumatic stress. Accelerated Resolution Therapy (ART) is a mind-body therapy that has demonstrated success is treating trauma resulting from combat experiences, sexual assault, and complicated grief. ART has not yet been tested in the setting of cancer distress with symptoms of post-traumatic stress. The purpose of this qualitative study was to explore contextual elements of the cancer experience that were consistently distressing and/or psychologically traumatic, as well as perceptions of ART for the treatment of cancer distress. Semi-structured interviews were conducted by phone four weeks following ART, audio-recorded, and transcribed verbatim. Purposive sampling techniques were used, and participants were recruited from a National Cancer Institute (NCI)-designated comprehensive care center. Eligibility included: ≥18 years old, English speaking, recent or current cancer treatment, a mean score of at least 1.1 on the Cancer and Treatment Distress (CTxD) scale, a minimum score of 3 on the Primary Care-Post Traumatic Stress Disorder (PC-PTSD) scale. Interviews were conducted until data saturation was met. A thematic analysis was conducted using NVIVO 11.0 software. The majority of participants (n=13) were female (84.6%), Caucasian (76.9%), and non-Hispanic (76.9%). The mean age was 55.2 years. The majority had either a stage III (23.8%) or IV (46.2%) solid tumor and had received previous chemotherapy (84.6%). Participants described a variety of traumatic events earlier in life that influenced their cancer experience. For others, the cancer diagnosis was the underlying source of distress. Participants described various ways in which ART helped them process their emotions and restored a sense of calm, inner peace, and better insight and control over their reactions to stressful events. All participants endorsed early incorporation of ART or coping strategies into cancer treatment. Interventions such as ART that can address previous trauma and current distress are needed to address the psychosocial needs of oncology patients. ART may be particularly helpful when individuals enter cancer treatment with unresolved past trauma. Recognition and treatment of emotional distress by members of the oncology team was viewed very positively by participants. [ABSTRACT FROM AUTHOR]

Abstract: BACKGROUND: Critical care neuroscience nursing is a specialized field requiring a complex knowledge base and unique clinical orientation. A comprehensive orientation for nurses new to this specialty can improve retention, performance, and satisfaction. Critical care neuroscience orientations are often hospital based and regionally specific, and lack a systematic approach. The aim of this research was to obtain expert consensus on the essential components of a 12- to 18-week critical care neuroscience nursing orientation. METHODS: A Delphi methodology was used to collect expert consensus on the components of a critical care neuroscience nursing orientation. Electronic surveys were distributed to 161 neuroscience critical care orientation experts in 2 Delphi rounds. Participant demographic data and a Likert rating scale (1-5) of literature-based components of a critical care neuroscience orientation were collected. Participants identified additional critical care neuroscience orientation components that were not included in the listed components in round 1 or round 2 of the survey. RESULTS: Round 1 of the survey had 38 responses (23.6%), and round 2 had 23 responses (14.2%). The round 1 survey included 47 elements, and 36 of 47 met the a priori threshold of ≥75% consensus of being important or very important. Two additional elements resulted from write-in recommendations. In round 2, 38 elements were included in the survey, and 37 of 38 elements met consensus. Expert consensus on the essential components of a critical care neuroscience orientation included 37 elements divided among 5 major components. CONCLUSION: Expert consensus was achieved on the essential components of a 12- to 18-week adult critical care neuroscience nursing orientation. Five components and 37 elements were agreed upon by expert consensus., Competing Interests: Conflicts of interest: The authors declare no financial conflicts of interest. Beare Vyas is the Immediate Past President of the American Board of Neuroscience Nursing; Rhudy is an Associate Editor of the Journal of Neuroscience Nursing., (Copyright © 2024 American Association of Neuroscience Nurses.)

The objective of this manuscript is to present the protocol of a study aiming to test the effects of Accelerated Resolution Therapy® (ART) on pre-loss grief and prolonged grief among older adult family caregivers. This study also aims to better understand predictors of response to ART®, and cognitive processes that occur among grieving individuals following ART®., Design: The study is a double-blinded, randomized clinical trial., Setting: This study takes place at both inpatient and outpatient palliative care and hospice programs at two Mayo Clinic sites., Participants: Participants include older adult ( ≥ 60 years) immediate family members who are primary caregivers of someone with an advanced illness and life expectancy of less than 12 months., Intervention: Participants are randomized to either the ART® intervention group or the attention control group. In the ART® intervention, caregivers engage in imaginal exposure, lateral eye movements, and imagery rescripting via 4 sessions lasting 1-1.5 hours each. The attention control group receives a standard social work intervention, including education, resources, and active listening, which is matched for time and attention. Both interventions will longitudinally follow caregivers from active caregiving into bereavement., Outcomes Measured: The primary outcomes of pre-loss grief and prolonged grief will be measured with the Pre-Loss Grief 12 item (PG-12-R) before the care recipient's death, and with the Prolonged Grief-13 (PG-13-R) afterwards., Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

The purpose of this study was to explore whether the ISO reference terminology model for nursing diagnoses could be generalized to the MDS data set that, like nursing terminologies standardizes expressions of the concepts within and relevant to the domain of nursing practice. We first constructed paraphrased expressions of the rubrics from the data set. Next we dissected those expressions into the reference model domains of focus and judgment, recorded any qualifiers required for either domain, and semantic links required to represent associative relations. Our findings demonstrate that the ISO model for nursing diagnoses is generalizable to the MDS data set, however expansions to the model are required if the model is to be used to represent objects rather than terms.