Search

Your search keyword '"Waszynski, Christine"' showing total 40 results
Start Over Author "Waszynski, Christine"
40 results on '"Waszynski, Christine"'

2. Cover

Author

Kwak, Min Ji, primary, Inouye, Sharon K., additional, Fick, Donna M., additional, Bonner, Alice, additional, Fulmer, Terry, additional, Carter, Emily, additional, Tabbush, Victor, additional, Maya, Kerri, additional, Reed, Nicholas, additional, Waszynski, Christine, additional, and Oh, Esther S., additional

Published
2024
Full Text
View/download PDF

3. Intraoperative ketamine for prevention of postoperative delirium or pain after major surgery in older adults: an international, multicentre, double-blind, randomised clinical trial

Author

Apakama, Ginika P, Aquino, Karen G, Arya, Virendra K, Avidan, Michael S, Abdallah, Arbi Ben, Dicks, Robert S, Downey, Robert J, Emmert, Daniel A, Escallier, Krisztina E, Fritz, Bradley A, Fardous, Hussein, Funk, Duane J, Gipson, Keith E, Girardi, Leonard N, Grocott, Hillary, Gruber, Alison T, Hudetz, Judith A, Inouye, Sharon K, Ivascu, Natalia S, Jacobsohn, Eric, Jayant, Aveek, Kashani, Hessam H, Kavosh, Morvarid S, Kunkler, Bryan S, Lee, Yonghun, Lenze, Eric J, Mashour, George A, Maybrier, Hannah R, McKinney, Amy S, McKinnon, Sherry L, Mickle, Angela M, Monterola, Marita, Muench, Maxwell R, Murphy, Matthew R, Noh, Gyu-Jeong, Pagel, Paul S, Pryor, Kane O, Rogers, Emma M, Redko, Mariya, Schmitt, Eva M, Sivanesan, Lingesh, Steinkamp, Michele L, Tellor, Bethany, Thomas, Sunu, Upadhyayula, Ravi T, Veselis, Robert A, Vlisides, Philip E, Waszynski, Christine, Yulico, Heidi, Vlisides, Phillip E, Grocott, Hilary P, Lee, Yonghun H, Waszynski, Christine M, and Waberski, Witold

Published
2017
Full Text
View/download PDF

4. It Still Matters: Preference in Visual Appearance of Stimuli Among People in the Late Stages of Dementia

Author

Chou, Wei-Ying, Clarkson, P. John, Waszynski, Christine, Hutchison, David, Series Editor, Kanade, Takeo, Series Editor, Kittler, Josef, Series Editor, Kleinberg, Jon M., Series Editor, Mattern, Friedemann, Series Editor, Mitchell, John C., Series Editor, Naor, Moni, Series Editor, Pandu Rangan, C., Series Editor, Steffen, Bernhard, Series Editor, Terzopoulos, Demetri, Series Editor, Tygar, Doug, Series Editor, Weikum, Gerhard, Series Editor, Zhou, Jia, editor, and Salvendy, Gavriel, editor

Published
2018
Full Text
View/download PDF

5. Optimizing delirium care in the era of Age‐Friendly Health System

Author

Kwak, Min Ji, primary, Inouye, Sharon K., additional, Fick, Donna M., additional, Bonner, Alice, additional, Fulmer, Terry, additional, Carter, Emily, additional, Tabbush, Victor, additional, Maya, Kerri, additional, Reed, Nicholas, additional, Waszynski, Christine, additional, and Oh, Esther S., additional

Published
2023
Full Text
View/download PDF

7. Optimizing delirium care in the era of Age‐Friendly Health System.

Author

Kwak, Min Ji, Inouye, Sharon K., Fick, Donna M., Bonner, Alice, Fulmer, Terry, Carter, Emily, Tabbush, Victor, Maya, Kerri, Reed, Nicholas, Waszynski, Christine, and Oh, Esther S.

Subjects
DIAGNOSIS of delirium, EVALUATION of medical care, HEALTH services accessibility, MEDICAL care for older people, MEDICAL care, HOSPITAL health promotion programs, HUMAN services programs, HEALTH insurance reimbursement, DELIRIUM, QUALITY assurance, INTERDISCIPLINARY education, FINANCIAL management
Abstract

Delirium is a significant geriatric condition associated with adverse clinical and economic outcomes. The cause of delirium is usually multifactorial, and person‐centered multicomponent approaches for proper delirium management are required. In 2017, the John A. Hartford Foundation and the Institute for Healthcare Improvement (IHI) launched a national initiative, Age‐Friendly Health System (AFHS), promoting the use of a framework called 4Ms (what matters, medication, mentation, and mobility). The 4Ms framework's primary goal is to provide comprehensive and practical person‐centered care for older adults and it aligns with the core concepts of optimal delirium management. In this special article, we demonstrate how a traditional delirium prevention and management model can be assessed from the perspective of AFHS. An example is the crosswalk with the Hospital Elder Life Program (HELP) Core Interventions and the 4MS, which demonstrates alignment in delirium management. We also introduce useful tools to create an AFHS environment in delirium management. Although much has been written about delirium management, there is a need to identify the critical steps in advancing the overall delirium care in the context of the AFHS. In this article, we suggest future directions, including the need for more prospective and comprehensive research to assess the impact of AFHS on delirium care, the need for more innovative and sustainable education platforms, fundamental changes in the healthcare payment system for proper adoption of AFHS in any healthcare setting, and application of AFHS in the community for continuity of care for older adults with delirium. [ABSTRACT FROM AUTHOR]

Published
2024
Full Text
View/download PDF

15. Health Disparities in Delirium

Author

Dicks, Robert, primary, Choi, Jimmy, additional, Waszynski, Christine, additional, Collins-Fletcher, Kadesha, additional, Taylor, Beth, additional, Martinez, Catherine, additional, and O'Sullivan, David, additional

Published
2021
Full Text
View/download PDF

26. Intraoperative ketamine for prevention of postoperative delirium or pain after major surgery in older adults: an international, multicentre, double-blind, randomised clinical trial

Author

Avidan, Michael S, Maybrier, Hannah R, Abdallah, Arbi Ben, Jacobsohn, Eric, Vlisides, Phillip E, Pryor, Kane O, Veselis, Robert A, Grocott, Hillary P, Emmert, Daniel A, Rogers, Emma M, Downey, Robert J, Yulico, Heidi, Noh, Gyu-Jeong, Lee, Yonghun H, Waszynski, Christine M, Arya, Virendra K, Pagel, Paul S, Hudetz, Judith A, Muench, Maxwell R, Fritz, Bradley A, Waberski, Witold, Inouye, Sharon K, Mashour, George A, Apakama, Ginika P, Aquino, Karen G, Arya, Virendra K, Avidan, Michael S, Abdallah, Arbi Ben, Dicks, Robert S, Downey, Robert J, Emmert, Daniel A, Escallier, Krisztina E, Fritz, Bradley A, Fardous, Hussein, Funk, Duane J, Gipson, Keith E, Girardi, Leonard N, Grocott, Hillary, Gruber, Alison T, Hudetz, Judith A, Inouye, Sharon K, Ivascu, Natalia S, Jacobsohn, Eric, Jayant, Aveek, Kashani, Hessam H, Kavosh, Morvarid S, Kunkler, Bryan S, Lee, Yonghun, Lenze, Eric J, Mashour, George A, Maybrier, Hannah R, McKinney, Amy S, McKinnon, Sherry L, Mickle, Angela M, Monterola, Marita, Muench, Maxwell R, Murphy, Matthew R, Noh, Gyu-Jeong, Pagel, Paul S, Pryor, Kane O, Rogers, Emma M, Redko, Mariya, Schmitt, Eva M, Sivanesan, Lingesh, Steinkamp, Michele L, Tellor, Bethany, Thomas, Sunu, Upadhyayula, Ravi T, Veselis, Robert A, Vlisides, Philip E, Waszynski, Christine, and Yulico, Heidi

Abstract

Delirium is a common and serious postoperative complication. Subanaesthetic ketamine is often administered intraoperatively for postoperative analgesia, and some evidence suggests that ketamine prevents delirium. The primary purpose of this trial was to assess the effectiveness of ketamine for prevention of postoperative delirium in older adults.

Published
2024
Full Text
View/download PDF

27. Intraoperative ketamine for prevention of postoperative delirium or pain after major surgery in older adults: an international, multicentre, double-blind, randomised clinical trial

Author

Avidan, Michael S, primary, Maybrier, Hannah R, additional, Abdallah, Arbi Ben, additional, Jacobsohn, Eric, additional, Vlisides, Phillip E, additional, Pryor, Kane O, additional, Veselis, Robert A, additional, Grocott, Hilary P, additional, Emmert, Daniel A, additional, Rogers, Emma M, additional, Downey, Robert J, additional, Yulico, Heidi, additional, Noh, Gyu-Jeong, additional, Lee, Yonghun H, additional, Waszynski, Christine M, additional, Arya, Virendra K, additional, Pagel, Paul S, additional, Hudetz, Judith A, additional, Muench, Maxwell R, additional, Fritz, Bradley A, additional, Waberski, Witold, additional, Inouye, Sharon K, additional, Mashour, George A, additional, Apakama, Ginika P, additional, Aquino, Karen G, additional, Avidan, Michael S, additional, Dicks, Robert S, additional, Escallier, Krisztina E, additional, Fardous, Hussein, additional, Funk, Duane J, additional, Gipson, Keith E, additional, Girardi, Leonard N, additional, Grocott, Hillary, additional, Gruber, Alison T, additional, Ivascu, Natalia S, additional, Jayant, Aveek, additional, Kashani, Hessam H, additional, Kavosh, Morvarid S, additional, Kunkler, Bryan S, additional, Lee, Yonghun, additional, Lenze, Eric J, additional, McKinney, Amy S, additional, McKinnon, Sherry L, additional, Mickle, Angela M, additional, Monterola, Marita, additional, Murphy, Matthew R, additional, Redko, Mariya, additional, Schmitt, Eva M, additional, Sivanesan, Lingesh, additional, Steinkamp, Michele L, additional, Tellor, Bethany, additional, Thomas, Sunu, additional, Upadhyayula, Ravi T, additional, Vlisides, Philip E, additional, and Waszynski, Christine, additional

Published
2017
Full Text
View/download PDF

28. The DSM-5 criteria, level of arousal and delirium diagnosis: inclusiveness is safer

Author

Boustani, Malaz, Olofsson, Birgitta, Thomas, Christine, Young, John, Davis, Daniel, Laurila, Jouko, Page, Valerie, Teodorczuk, Andrew, Kamholz, Barbara, Agar, Meera, Meagher, David, Spiller, Juliet, Schieveld, Jan, Milisen, Koen, de Rooij, Sophia, van Munster, Barbara, Kreisel, Stefan, Cerejeira, Joaquim, Hasemann, Wolfgang, Wilson, Dan, Cunningham, Colm, Morandi, Alessandro, Slooter, Arjen, Detroyer, Elke, Caraceni, Augusto, MacLullich, Alasdair, Rudolph, Jim, Shaughnessy, Marianne, Gruber-Baldini, Ann, Alici, Yesne, Arora, Rakesh C, Campbell, Noll, Flaherty, Joseph, Gordon, Sharon, Maldonado, Jose R, Pandharipande, Pratik, Parks, Joyce, Waszynski, Christine, Khan, Babar, and Neufeld, Karin

Subjects
Diagnostic and Statistical Manual of Mental Disorders, Consciousness, mental disorders, Delirium, Attention, Arousal
Abstract

Background: Delirium is a common and serious problem among acutely unwell persons. Alhough linked to higher rates of mortality, institutionalisation and dementia, it remains underdiagnosed. Careful consideration of its phenomenology is warranted to improve detection and therefore mitigate some of its clinical impact. The publication of the fifth edition of the Diagnostic and Statistical Manual of the American Psychiatric Association (DSM-5) provides an opportunity to examine the constructs underlying delirium as a clinical entity. Discussion: Altered consciousness has been regarded as a core feature of delirium; the fact that consciousness itself should be physiologically disrupted due to acute illness attests to its clinical urgency. DSM-5 now operationalises ‘consciousness’ as ‘changes in attention’. It should be recognised that attention relates to content of consciousness,but arousal corresponds to level of consciousness. Reduced arousal is also associated with adverse outcomes. Attention and arousal are hierarchically related; level of arousal must be sufficient before attention can be reasonably tested. Summary: Our conceptualisation of delirium must extend beyond what can be assessed through cognitive testing (attention) and accept that altered arousal is fundamental. Understanding the DSM-5 criteria explicitly in this way offers the most inclusive and clinically safe interpretation. ispartof: BMC Medicine vol:12 issue:1 ispartof: location:England status: published

Published
2014

29. Using positive images to manage resistance-to-care and combative behaviors in nursing home residents with dementia: A pilot study.

Author

Wei-Ying Chou, Waszynski, Christine, Kessler, Jeanne, Yu-Ching Chiang, and Clarkson, P. John

Abstract

This pilot study attempted to reduce resistance-to-care (RTC) and combative behaviors in nursing home residents with dementia by eliciting their positive affect. Four female residents with dementia were recruited from a nursing facility. Each resident was involved in one intervention trial and one control trial. The response of the residents was assessed by the Agitated Behavior Scale and the Observational Measurement of Engagement Tool. The distress level of the certified nursing assistants (CNAs) delivering the care was reported through the Distress Thermometer. Results showed that the residents displayed fewer behavioral symptoms in the intervention trial than in the control trial. The CNAs reported less distress in the intervention trial than in the control trial. These preliminary findings suggest that it might be feasible to use positive images to reduce residents' behavioral symptoms and decrease the distress of CNAs. [ABSTRACT FROM AUTHOR]

Published
2016
Full Text
View/download PDF

32. Delirium in Hospitalized Patients: Recognition, Prevention, and Management.

Author

SEMANCIK, LISA, WASZYNSKI, CHRISTINE, and UDEH, ELIZABETH

Abstract

This article discusses the Actions for Delirium Assessment, Prevention and Treatment (ADAPT) intiatives introduced by the Hartford Hospital in Connecticut in August 2011. It is comprised of clinical groups such as nursing, medicine, surgery, pharmacy, social work, informatics and case-coordination and includes five strategies to save the brain. The article also details the etiology and risk factors, clinical manifestation, evaluation and management of delirium in hospitalized patients.

Published
2014

34. Detecting Delirium.

Author

Waszynski, Christine M.

Subjects
*MEDICAL equipment, *DIAGNOSIS, *NURSES, *DELIRIUM, *DEMENTIA
Abstract

The article focuses on the use of the Confusion Assessment Method (CAM) diagnostic algorithm by nurses in assessing delirium in the U.S. The CAM is a standardized instrument that can be used by clinicians in both clinical and research settings on dementia and delirium. It was initially developed by Sharon Inouye and colleagues in the late 1980s. INSETS: Online Resources;Versions of the CAM;Watch It!.

Published
2007
Full Text
View/download PDF

35. Confusion Assessment MethodNurses’ Evaluation of theConfusion Assessment Method

Author

Waszynski, Christine M. and Petrovic, Kimberly

Abstract

Delirium is frequently overlooked in hospitalized adult patients of all ages. Because nurses spend significant amounts of time with patients, the nursing assessment is vital to the identification of delirium. This pilot study investigated nurses’ evaluation of the Confusion Assessment Method related to ease of use and helpfulness in identifying delirium in adult patients on two hospital units. Delirium rates are reported for patients across all shifts for 1 month. The majority of nurses found the Confusion Assessment Method to be an effective, user-friendly instrument for the assessment of patients’ cognitive status over time.

Published
2008
Full Text
View/download PDF

36. try this: Best Practices in Nursing Care to Older Adults.

Author

Waszynski, Christine M.

Subjects
*DELIRIUM, *ELDER care, *COGNITION disorders, *HOSPITAL care, *DIAGNOSIS, *SYMPTOMS, *NURSING
Abstract

With approximately 15 to 60 % of elderly patients experience a delirium prior to or during a hospitalization but the diagnosis is missed in up to 70% of cases. Delirium is associated with poor outcomes such as prolonged hospitalization, functional decline, and increased use of chemical and physical restraints. The best solution to this problem is the Confusion Assessment Method, which includes two parts. Part one is an assessment instrument that screens for overall cognitive impairment. Part two includes only those four features that were found to have the greatest ability to distinguish delirium or reversible confusion from other types of cognitive impairment.

Published
2004

38. Confusion Assessment Method (CAM).

Author

Waszynski, Christine M.

Abstract

Presents information on the Confusion Assessment Model for delirium in older adults. Parts of the assessment model; Validity and reliability; Strengths and limitations; Risk factors for delirium.

Published
2006

Catalog

Books, media, physical & digital resources
See catalog results