Chiarchiaro and colleagues investigated the well-being and survival of intensive care unit (ICU) patients with advanced cancer, congestive heart failure, and chronic obstructive pulmonary disease. Declines in physical, functional, emotional, and social well-being scores were significant during and after ICU hospitalization, with a return to baseline at 6 months—except for social well-being, which continued to decline. The following are considerations for clinical practice:

Future studies of trajectories that drive well-being may help researchers devise interventions to improve quality of life and long term outcomes.

—Bill Donnelly RN, PMBA, CCRN

See Article, pp 223–231

Finding a valid and reliable tool to assess pain in critically ill patients remains a challenge. This study by Rose and colleagues demonstrates the feasibility of instituting the Critical-Care Pain Observation Tool (CPOT) as part of the routine care of the critically ill. This study indicated the following:

—Helen Miley,rn, phd, ccrn, ancp, gnp

See Article,...

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