Improving Oral Health in Critically Ill Adults
Other Title(s)
Special Session
View File(s)
PDF (1.561Mb)
Author Information
- Author(s)
- Details
-
Cindy L. Munro RN, APRN-BC, FAANP, FAAN, FAAAS
- Sigma Affiliation
- Delta Beta at-Large
Visitor Statistics
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Country | Visits |
---|
Top Visiting Cities
City | Visits |
---|
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Munro, Cindy L. by View
Title | Page Views |
---|
Popular Works for Munro, Cindy L. by Download
Title | Downloads |
---|
View Citations
Citations
The citations below are meant to be used as guidelines. Patrons must make any necessary corrections before using. Pay special attention to personal names, capitalization, and dates. Always consult appropriate citation style resources for the exact formatting and punctuation guidelines.
Item Information
Item Link - Use this link for citations and online mentions.
Abstract
Session presented on Saturday, July 23, 2016: This symposium describes an exemplar of a successful research trajectory focused on improving outcomes for critically ill, mechanically ventilated adults through establishing best practices in oral care. Dr. Munro, who is a 2016 international Nurse Researcher Hall of Fame inductee, will review the series of research studies she has conducted which have informed evidence-based guidelines for oral care in the critically ill. Oral health is directly linked to systemic illness, including risk of ventilator-associated pneumonia (VAP). Descriptive and observational studies of critically ill adults established the importance of dental plaque in development of VAP and examined existing nursing practices in oral care. Subsequent NIH-sponsored intervention studies to test oral care protocols in critically ill adults have built upon that foundation. The first randomized clinical trial tested the effects of tooth brushing and chlorhexidine in reducing risk of VAP in critically ill adults, and showed that VAP was reduced by topical application of chlorhexidine initiated after intubation, although tooth brushing did not reduce VAP. The study had a rapid and dramatic effect on clinical practice, and was cited by the Institute for Healthcare Improvement (IHI) as evidence for the inclusion of daily oral care with chlorhexidine in the May 2010 update of recommendations for the care of mechanically ventilated patients (the ventilator bundle). Chlorhexidine is now standard of care for mechanically ventilated adults. Because the effects of chlorhexidine after intubation were so beneficial, a second NIH-funded randomized clinical trial investigated the impact of chlorhexidine applied before intubation compared to post-intubation. Applying chlorhexidine before intubation did not provide additional VAP risk reduction compared to starting chlorhexidine application after intubation. The current NIH-funded randomized clinical trial seeks to determine the optimal frequency of tooth brushing for critically ill, mechanically ventilated patients to maximize oral health benefits (such as reduced oral inflammation and dental plaque removal) while minimizing systemic risks (including ventilator-associated events, bacteremia, and sepsis). The importance of collaboration and mentoring in building nursing science will be discussed. Future directions for research will also be explored.
Description
Theme: Leading Global Research: Advancing Practice, Advocacy, and Policy
Repository Posting Date
2016-07-13T11:13:38Z
Notes
Items submitted to a conference/event were evaluated/peer-reviewed at the time of abstract submission to the event. No other peer-review was provided prior to submission to the Henderson Repository.
Type Information
Acquisition | Proxy-submission |
Review Type | None: Event Material, Invited Presentation |
Format | Text-based Document |
Category Information
Keywords | Oral health; Oral care; Mechanical ventilation |
Conference Information
Name | 27th international Nursing Research Congress |
Host | Sigma Theta Tau international, the Honor Society of Nursing |
Location | Cape Town, South Africa |
Date | 2016 |
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Related items
Showing items related by title, author, creator and subjects.
-
Impact of a systematic oral care program in post-mechanically ventilated intensive care patients
Chipps, Esther M.; Landers, Timothy; Weber, Michele; MacDermott, Jennifer; Von Visger, Tadsaung Tania; Calvitti, Kristin; Newton, Cheryl L.; Vermillion, Brenda K.; St. Clair, Jamie (2016-07-13)Session presented on Friday, July 22, 2016: Background: Hospital acquired infections remain of very high priority internationally. As a result of well disseminated nursing research, evidence-based oral care protocols for ... -
Critical care nurses' experiences of caring for patients on mechanical ventilation
Nuuyoma, Vistolina; Mukuve, PaulusParticipants will learn about experiences of critical care nurses on caring for a patient on mechanical ventilation in a resource-constrained setting. In addition, they will learn about challenges of critical care nursing ... -
Examination of stress and sleep in the ICU on family caregiver health
Cairns, Paula; Kip, Kevin E.; Munro, Cindy L.; Lengacher, Cecile A.; Marshall, Victoria K.; Bugajski, AndrewAttendees will learn the current state of the science on post intensive care syndrome in family caregivers (PICS-F). Examination of family caregiver stress levels, quality of sleep in the ICU, and risk of PICS-F will be discussed. -
Prevention of post-intensive care syndrome in spouses with SAF-T intervention
Cairns, Paula; Munro, Cindy L. (2017-10-18)Critical illness is a family crisis. Family distress in response to critical illness does not disappear after intensive care unit (ICU) discharge. Ongoing anxiety, depression, and posttraumatic stress disorder (PTSD) are ... -
Biomarker circadian rhythm profiles in critically ill mechanically ventilated patients
Vincent, Mary AnneObjective: To explore the natural trajectory of core body temperature (CBT) and cortisol (CORT) circadian rhythms in mechanically ventilated intensive care unit (MV ICU) patients. Design: Prospective, observational, ...