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cover of episode 117: Power of The Podcast: Walking Home From The ICU

117: Power of The Podcast: Walking Home From The ICU

2024/10/23
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Kaylee Dayton
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Shawna Butler
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Susan East
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Shawna Butler: 我认为播客在弥合医疗保健信息获取方面的差距方面具有巨大的潜力。我希望通过播客,我可以成为一个能解答大家问题且没有偏见的人,通过对话感受到人与人之间的连接。改变重症监护的视角和方法需要深入的教育,如果患者一开始就保持清醒和活动,就能更好地沟通需求并与家人联系,甚至可以推着呼吸机行走。如果我无法回答听众的问题,我会尽力找到能回答的人,并为此制作一期节目。播客不仅仅是提供娱乐和陪伴,它还能教育、启发我们,更新研究,创建社群,并弥补我们在获取健康专家和教育方面的重大差距。因此,我认为护士们正在利用播客分享专业知识,以触及更多人,解决医疗、教育、社区和专业教育方面的差距。 Kaylee Dayton: 作为一名重症监护专科护士,我主持《从ICU走回家》播客,并培训ICU团队通过掌握ABCDEF组合来创建清醒和行走的ICU。我相信ABCDEF组合是一套护理要素,旨在为患者提供最佳护理,包括评估和预防疼痛,最好在患者清醒时进行,以便他们能够告知我们是否疼痛。B代表自发性唤醒和呼吸试验,让患者醒来并在呼吸机上尝试自主呼吸,一旦他们不再需要镇静,就应该唤醒他们。C代表镇静和镇痛的选择,如果确实需要镇静,我们会考虑最安全的种类,并权衡风险与益处。D代表谵妄的评估和预防,当患者深度镇静时,我们无法了解他们大脑的状况,因此在他们清醒时才能最好地评估谵妄,并通过不使用引起谵妄的药物、改善睡眠、家庭参与和活动等方式来预防谵妄。E代表早期活动,尽快让患者清醒并活动。F代表家庭参与。ABCDEF组合是一套工具,旨在帮助我们实现让患者保持清醒、沟通、自主和活动的目标,当我们真正掌握这些工具时,就创建了一个清醒和行走的ICU。我的播客汇集了ICU幸存者的故事和访谈,包括那些被镇静或进入药物或医学诱导昏迷的患者,以及那些在机械通气或在ICU中使用呼吸机时保持清醒和行走的患者。我还采访了临床医生和研究人员,分享他们的经验和见解,以帮助ICU真正实现文化和护理的转变。 Susan East: 我在医学诱导的昏迷中待了大约六天,在那期间,发生了一些奇怪的事情,我经历了妄想,这是一个可怕的梦,我永远不会忘记,这就是为什么我再也不想被镇静的原因。我睡着了,但我又醒着,这很难解释。我能听到房间里发生的事情,我当时被镇静了,但我正在经历一些事情。也许不是每个人都能听到,但你不知道人们在听什么,所以请谨慎。除非绝对必要,否则我的病历上写着永远不要被镇静。我害怕的是镇静。

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The 2024 annual report from the Commonwealth Fund) describes in detail that Americans face greater barriers to accessing and affording healthcare than those in peer nations). Now, nurses are overcoming those barriers to access through a new, growing medium: podcasting). In our Power of Podcast*) series, we explore how nurses are taking their expertise to the airwaves to share evidence-based care solutions, offering patients and the public vital, practical, and trusted information while also providing healthcare colleagues tools to improve education and care delivery.  Through podcasting, nurses are bridging gaps in education), care availability, and professional development), fostering better health outcomes and stronger communities.   In the second episode of our three-part series, critical care nurse practitioner Kali Dayton DNP, AGACNP) shares how her podcast Walking Home from the ICU) is mission-critical to improving ICU care and preventing the physical and cognitive impacts of long-term sedation and immobility by following the ABCDEF Bundle) and keeping ICU patients awake, communicative, mobile, and autonomous and their families engaged and participating in care. Walking Home from the ICU) dives into research from experts, experiences of survivors, and evidence-based practices of critical care teams to ensure that research is accessible, applicable, and practical for ICU clinicians so patients can indeed walk home from the ICU and return fully to their lives!   Find this episode’s resources at www.seeyounowpodcast.com and information on the podcast bundles visit ANA’s Innovation Website at www.nursingworld.org/innovation. Have questions for the SEE YOU NOW team? Feedback? Future episode ideas? Contact us at [email protected]).