Clinical Topics - Infections

A common link in the modifiable risk factors for severe COVID-19

A common link in the modifiable risk factors for severe COVID-19

Tags: coronavirus COVID-19

Certain comorbidities, such as hypertension and diabetes, are often diagnosed once a patient has been hospitalized with COVID. Current thought suggests that these people had the medical condition, but it was not diagnosed until they were hospitalized. In this article I offer a reason as to why that may be. Based on this perspective, I further stress the importance of health maintenance in disease prevention.

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Why Skin Tears Are a Big Deal

Why Skin Tears Are a Big Deal

Tags: cellulitis dermatitis pressure ulcers reduced wound healing skin skin infections skin tears

Skin tears are the most common skin injury in the older population, but can occur in patients of all ages. It's important that clinicians are skilled at identifying individualized risk factors, interventions for prevention and the application of the most appropriate topical treatment.

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Case Study: A Systematic Approach to Early Recognition and Treatment of Sepsis

Case Study: A Systematic Approach to Early Recognition and Treatment of Sepsis

Tags: assessment Case Study emergency department guidelines mortality prevention risk factors sepsis standard of care treatment

The term sepsis is often misunderstood. The public and often healthcare workers are unaware of the severity and high mortality rates this infection process has upon the world. Sepsis has vague symptoms that make diagnosis difficult. Often, sepsis is diagnosed in the later stages, when more obvious yet severe symptoms occur. This case study discusses a female who presents to the emergency department with sepsis secondary to pneumonia. Over the course of three days, the patient’s health quickly deteriorates, demonstrating the rapid progression of sepsis. Clinical findings, such as vitals signs, lab abnormalities, and symptoms of sepsis are discussed. The term bundle of care is presented to educate the reader on the golden standard of care for treatment of sepsis. This case study intends to increase community awareness and education to health care providers as well as providing an evidenced-based treatment guideline. More education and raised awareness will help prevent a deadly yet treatable infectious process.

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A Deadly Virus Provides Lessons to Learn

A Deadly Virus Provides Lessons to Learn

Tags: coronavirus COVID-19 Lessons Learned

Like most of us, the COVID-19 virus has forever changed our lives. The virus is a wakeup call to reexamine life as we knew it; it is a chance for each of us to ask important questions such as, what makes us truly happy, what brings joy and peace in our lives and how can we make a positive difference in the lives of others.

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Who Will Be Left to Care for You?

Who Will Be Left to Care for You?

Tags: acute care care coronavirus COVID-19 healthcare workers nurse workload nursing Pandemic

It is sadly too late to help many our front line healthcare workers who have contracted the deadly COVID-19 virus. We need to find a way to help the rest NOW in order to save their lives and in turn they can save your life.

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Crisis Management: Utilization of New Registered Nurses to Meet Healthcare Demands During COVID-19 Outbreak

Crisis Management: Utilization of New Registered Nurses to Meet Healthcare Demands During COVID-19 Outbreak

Tags: coronavirus COVID-19 healthcare system

During the COVID-19 outbreak, healthcare institutions are forced to enter into crisis management mode as demands on our healthcare system increase. While there are many nurses and healthcare professionals on the frontlines of this pandemic, the growing needs of the public may soon overwhelm our healthcare system. Could the best way to ease the current burden be new graduate registered nurses? 

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Knowing Sepsis

Knowing Sepsis

Tags: death end of life ICU sepsis

Sepsis is a major challenge in the hospitals, one of the leading causes of death, It must be diagnosed early so immediate treatment can be instituted.

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A Husband's Difficult Decision

A Husband's Difficult Decision

Tags: bedside reporting end of life family Family Presence PACU sepsis

A husband's difficult decision regarding his critically ill wife and DNR status

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Clinical Considerations for Patients with Active Clostridium difficile Infection

Clinical Considerations for Patients with Active Clostridium difficile Infection

Tags: Active Clostridium difficile Infection infection wound care

This article addresses the probable significant environmental Clostridium difficile (c. difficile) spore contamination that occurs when patients with active C. difficile infection are utilizing low air loss mattress therapy. We site published works that have proven environmental contamination exists in the absence of low air loss therapy. We assert that by virtue of the mechanism of action of low air loss surfaces, significantly increased environmental soiling is inevitable. Therefore, the risk of spreading infection is significantly increased. We are calling for additional research to determine the extent of increased contamination that occurs when low air low therapy is used on patients with active C difficile infection.

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Care of the Pediatric Patient

Care of the Pediatric Patient

Tags: care nursing pediatric pediatric patients The Flu

Short exemplar about caring for a pediatric patient in Interventional Radiology

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Asymptomatic Bacteriuria: The Question for Treatment

Asymptomatic Bacteriuria: The Question for Treatment

Tags: adults asymptomatic bacteriuria diabetes guidelines risk factors screening

To improve the quality of care in patients with asymptomatic bacteriuria to promote safety.

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Influenza: Expert Advice You Need Now

Influenza: Expert Advice You Need Now

Tags: advice child children emergency department Flu Influenza pediatrics The Flu

Among other advice for managing an influx of patients with possible flu, Dr. Whitley describes his experiences with clinical decisions such as which patients should be hospitalized and who can be safely managed at home during the ongoing influenza season. He also addresses the important issue of antiviral treatment and why he believes it is an essential component in the fight against influenza.

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To Gown or Not to Gown? For MRSA Prevention, That Is the Question.

To Gown or Not to Gown? For MRSA Prevention, That Is the Question.

Tags: cdc gown infection mrsa patient room prevention transmission

The Center for Disease Control (CDC) states that standard precautions should be used for all patients and should be enough to prevent the spread of most MRSA cases. However, in acute-care settings the CDC recommends additional contact precautions be implemented when there are ongoing MRSA transmissions, current infections, previous colonization, and in other special circumstances.

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Detour Off The Sepsis Road: Early Recognition is Key

Detour Off The Sepsis Road: Early Recognition is Key

Tags: advocacy Case Study death early recognition end of life health care ICU ICU Nurse patient outcomes Rapid Response RN RRT Nurse sepsis

At present, the US reports approximately 750,000 cases of sepsis a year and estimates 1 million cases by 2020 With a mortality rate of 30%, an estimated 250,000 annual deaths, and hospital costs exceeding $16 billion, sepsis has become a burden. It is imperative to increase the awareness and early recognition of sepsis.

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