My Life and the ICU


Book Description




All About the Intensive Care Unit


Book Description




The ICU Book


Book Description

This best-selling resource provides a general overview and basic information for all adult intensive care units. The material is presented in a brief and quick-access format which allows for topic and exam review. It provides enough detailed and specific information to address most all questions and problems that arise in the ICU. Emphasis on fundamental principles in the text should prove useful for patient care outside the ICU as well. New chapters in this edition include hyperthermia and hypothermia syndromes; infection control in the ICU; and severe airflow obstruction. Sections have been reorganized and consolidated when appropriate to reinforce concepts.




Where Night Is Day


Book Description

"There is no night in the ICU. There is day, lesser day, then day again. There are rhythms. Every twelve hours: shift change. Report: first all together in the big room, then at the bedside, nurse to nurse. Morning rounds. A group of doctors moves slowly through the unit like a harrow through a field. At each room, like a game, a different one rotates into the center. They leave behind a trail of new orders. Wean, extubate, titrate, start this, stop that, scan, film, scope. The steep hill the patient is asked to climb. Can you breathe on your own? Can you wake up? Can you live?"—Where Night Is Day Where Night Is Day is a nonfiction narrative grounded in the day-by-day, hour-by-hour rhythms of an ICU in a teaching hospital in the heart of New Mexico. It takes place over a thirteen-week period, the time of the average rotation of residents through the ICU. It begins in September and ends at Christmas. It is the story of patients and families, suddenly faced with critical illness, who find themselves in the ICU. It describes how they navigate through it and find their way. James Kelly is a sensitive witness to the quiet courage and resourcefulness of ordinary people. Kelly leads the reader into a parallel world: the world of illness. This world, invisible but not hidden, not articulated by but known by the ill, does not readily offer itself to our understanding. In this context, Kelly reflects on the nature of medicine and nursing, on how doctors and nurses see themselves and how they see each other. Drawing on the words of medical historians, doctor-writers, and nursing scholars, Kelly examines the relationship of professional and lay observers to the meaning of illness, empathy, caring, and the silence of suffering. Kelly offers up an intimate portrait of the ICU and its inhabitants.




A Nurse's Story


Book Description

The team of nurses that Tilda Shalof found herself working with in the intensive care unit (ICU) of a big-city hospital was known as “Laura’s Line.” They were a bit wild: smart, funny, disrespectful of authority, but also caring and incredibly committed to their jobs. Laura set the tone with her quick remarks. Frances, from Newfoundland, was famous for her improvised recipes. Justine, the union rep, wore t-shirts emblazoned with defiant slogans, like “Nurses Care But It’s Not in the Budget.” Shalof was the one who had been to university. The others accused her of being “sooo sensitive.” They depended upon one another. Working in the ICU was both emotionally grueling and physically exhausting. Many patients, quite simply, were dying, and the staff strove mightily to prolong their lives. With their skill, dedication, and the resources of modern science, they sometimes were almost too successful. Doctors and nurses alike wondered if what they did for terminally-ill patients was not, in some cases, too extreme. A number of patients were admitted when it was too late even for heroic measures. A boy struck down by a cerebral aneurysm in the middle of a little-league hockey game. A woman rescued – too late – from a burning house. It all took its toll on the staff. And yet, on good days, they thrived on what they did. Shalof describes a colleague who is managing a “crashing” patient: “I looked at her. Nicky was flushed with excitement. She was doing five different things at the same time, planning ahead for another five. She was totally focused, in her element, in control, completely at home with the chaos. There was a huge smile on her face. Nurses like to fix things. If they can.” Shalof, a veteran ICU nurse, reveals what it is really like to work behind the closed hospital curtains. The drama, the sardonic humour, the grinding workload, the cheerful camaraderie, the big issues and the small, all are brought vividly to life in this remarkable book.




Marino's The ICU Book


Book Description

A fundamental and respected resource book in critical care, The ICU Book, Fourth Edition, continues to provide the current and practical guidance that have made it the best-selling text in critical care. The text addresses both the medical and surgical aspects of critical care, delivering the guidance needed to ensure sound, safe, and effective treatment for patients in intensive care—regardless of the specialty focus of the unit. This version does not include the updates and other functionality included in the tablet version that accompanies the print edition.




Inside the ICU


Book Description

WHAT REALLY GOES ON BEHIND CLOSED DOORS IN THE ICU? Whether you are a patient, a family member looking for information, a nurse in search of mentoring, or simply have an interest in medical drama, you will find the true stories in this book fascinating and intriguing. These real-life events provide an inside glimpse into what really happens in the intensive care unit of many hospitals. The author reveals what nurses endure on a daily basis in order to save lives. She shares what really happens when the doctors are not available. She describes her never-ending quest in assuring that the best interests of patients are secured. She provides the readers with information and knowledge they can use on a practical, real-life basis. Each chapter addresses a different, thought-provoking dilemma, based on real patients and true events. Jordan was brain-dead when his family made the dramatic decision to donate his organs. Peter, all seven-hundred-pounds of him, taught the staff a lesson in discrimination, caring, and respect. Ronald and Ivan were both dying, but each had a different end-of-life experience based, respectively, on their families differing wishes. These, and other accounts of real-life events, will bring the reader onto the front lines of the intensive care unit, and help provide insight for making health-care decisions for themselves, someday. This book will also entertain the reader who is looking for medical drama. It will capture the interest of nurses, new and experienced, and will encourage them to provide undiscriminating and compassionate care for all their patients. Finally, it will encourage all of us to think about our own choices in health care. You will laugh, you will cry, and you will remember. But most of all, readers will learn that what they do can make a difference, in life and in death, both outside and Inside the ICU. ABOUT THE AUTHOR: Melody Stenrose RN, MSN, CCRN, has worked in a variety of intensive care units since 1980 where she has been a staff nurse, a charge nurse, a critical care educator, and a nursing supervisor. Melody was born and raised in California where she currently lives with her husband. Together they raised their three sons. Throughout her years of nursing, she has served as a mentor to less-experienced nurses and thrives on sharing her knowledge. She strives to maintain a high quality of care for her patients and encourages other nurses to follow her example. She has gained the respect of both nurses and doctors who she works with by providing unconditional compassionate care, even in the most stressful situations.




The ICU Guide for Families


Book Description

ICU events are not uncommon but knowing what to do when a loved one is placed there is. This work explores the ICU with an eye toward guiding families to getting the best care for their beloved patient Intensive care will touch almost all of us at some point – whether directly, or through our families and or friends. This book is for every family of patients in the ICU, who have suddenly entered an intimidating and alien world, in which they feel powerless and out of control. In simple, direct language, Lara Goitein, MD, gives clear explanations of all aspects of intensive care – what all those lines and tubes are; common conditions such as sepsis and acute respiratory distress syndrome (ARDS); physical changes in patients and what they mean; common procedures and their risks and benefits; and the people and the culture of the ICU. One full section of the book is devoted to Covid-19-specific issues. In addition, the book provides concrete advice for how family members can be effective advocates on behalf of their loved ones –what to know before giving consent for procedures, how to interact with ICU staff, how to help the ICU team guard against common complications of ICU care, and how to approach important decisions about end-of-life care. Along the way, the author gently reminds of us of what, in the end, matters most in the ICU. For readers who may be distracted and exhausted, this is a clear, accessible guide with concrete recommendations for getting the best care and asking the right questions along the way. A compassionate resource in a time of extreme stress, this book offers support to anyone touched by an ICU stay.




Speaking for the Dying


Book Description

Seven in ten Americans over the age of age of sixty who require medical decisions in the final days of their life lack the capacity to make them. For many of us, our biggest, life-and-death decisions—literally—will therefore be made by someone else. They will decide whether we live or die; between long life and quality of life; whether we receive heroic interventions in our final hours; and whether we die in a hospital or at home. They will determine whether our wishes are honored and choose between fidelity to our interests and what is best for themselves or others. Yet despite their critical role, we know remarkably little about how our loved ones decide for us. Speaking for the Dying tells their story, drawing on daily observations over more than two years in two intensive care units in a diverse urban hospital. From bedsides, hallways, and conference rooms, you will hear, in their own words, how physicians really talk to families and how they respond. You will see how decision makers are selected, the interventions they weigh in on, the information they seek and evaluate, the values and memories they draw on, the criteria they weigh, the outcomes they choose, the conflicts they become embroiled in, and the challenges they face. Observations also provide insight into why some decision makers authorize one aggressive intervention after the next while others do not—even on behalf of patients with similar problems and prospects. And they expose the limited role of advance directives in structuring the process decision makers follow or the outcomes that result. Research has consistently found that choosing life or death for another is one of the most difficult decisions anyone can face, sometimes haunting families for decades. This book shines a bright light on a role few of us will escape and offers steps that patients and loved ones, health care providers, lawyers, and policymakers could undertake before it is too late.




Seven Signs of Life


Book Description

'Heartfelt, honest, illuminating and wise' Julia Samuel, author of This Too Shall Pass. Perfect for fans of This Is Going to Hurt. Grief. Anger. Joy. Fear. Distraction. Disgust. Hope. All emotions we expect to encounter over our lifetime. But what if this was every day? And what if your ability to manage them was the difference between life and death? For Aoife Abbey, a doctor in intensive care, these experiences are part of the job - from grief when you make a potentially fatal mistake to joy when the ward unexpectedly breaks into song. Seven Signs of Life is Abbey's extraordinary account of what it means to be alive and how it feels to care for a living. An insightful, tender and inspiring memoir that explores the reality of life on the NHS front line. 'Brilliant, compelling... A hugely life-affirming book' Mail on Sunday