This issue of Critical Care Nursing Clinics will include articles on the following topics: Aggression and suicide risk; Bariatric patients; Alcohol abuse; Consultation for mental health and addiction issues; Delirium; Domestic violence and Hospice referral.

This issue of Critical Care Nursing Clinics will include articles on the following topics: Aggression and suicide risk; Bariatric patients; Alcohol abuse; Consultation for mental health and addiction issues; Delirium; Domestic violence and Hospice referral.

This issue of Critical Care Clinics focuses on Psychiatric Aspects of Critical Care Medicine. Editor Jose Maldonado has assembled an expert team of authors on topics such as: Psychiatric Aspects of Organ Transplantation in Critical Care; Medical Complications of Psychiatric Treatment; Psychiatric and Palliative Care in the ICU; Psychiatric Aspects of Heart and Lung Disease in Critical Care; Alcohol Withdrawal Syndromes: Assessment and Management; Substance Abuse and Withdrawal in the Critical Care Setting; Mood Disorders and The Outcome of Suicidal Thoughts and Attempts; Anxiety Disorders and the Outcomes of Trauma; Assessment and Management of Toxidromes in the Critical Care Unit; Neuropsychiatric Consequences of Trauma and Head Injury; Detection and Management of Pre-Existing Cognitive Impairment in the Critical Care Unit; Delirium: Pathophysiology, Diagnosis and Treatment; Neuropsychiatric Aspects of Infectious Processes.

Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.

Dr. Chapa has assembled top-notch authors to write clinical reviews on the important topic of psychologic issues in the ICU. The issue focuses not only psychologic issues of patients in the ICU but also on issues facing critical care nurses working in the ICU. Articles are devoted to the following topics: Caring for the Caregiver in the ICU; Delirium vs. Dementia in ICU; Pediatric Delirium in ICU; Sarcopenia and Psychosocial Variables in ICU; Impact of Early Mobility in ICU on Psychological Issues; Intensive Care Syndrome; PTSD in ICU Nurses; Burnout Syndrome; Management Strategies in the ICU to Improve Psychosocial outcomes; and Psychologic Issues of Patient Transition from Intensive Care to Palliative Care. Readers will come away with current information they need to provide quality care with positive patient outcomes.

Each year, more than 33 million Americans receive health care for mental or substance-use conditions, or both. Together, mental and substance-use illnesses are the leading cause of death and disability for women, the highest for men ages 15-44, and the second highest for all men. Effective treatments exist, but services are frequently fragmented and, as with general health care, there are barriers that prevent many from receiving these treatments as designed or at all. The consequences of this are seriousâ€"for these individuals and their families; their employers and the workforce; for the nation's economy; as well as the education, welfare, and justice systems. Improving the Quality of Health Care for Mental and Substance-Use Conditions examines the distinctive characteristics of health care for mental and substance-use conditions, including payment, benefit coverage, and regulatory issues, as well as health care organization and delivery issues. This new volume in the Quality Chasm series puts forth an agenda for improving the quality of this care based on this analysis. Patients and their families, primary health care providers, specialty mental health and substance-use treatment providers, health care organizations, health plans, purchasers of group health care, and all involved in health care for mental and substanceâ€"use conditions will benefit from this guide to achieving better care.

"When contemplating the broad field of critical care and all of its complexities, rehabilitation and psychology practice is not likely among the top ten services that clinicians, patients, or the public think of, and rightly so. The vast majority of patients who require intensive care arrive at death's door, and many linger in a limbo-like space somewhere between life and the afterlife. The primary focus at this juncture is often on pressing matters such as reestablishing and stabilizing basic bodily functions, optimizing life-saving machine settings, and deciding who does and does not need additional, urgent interventions. Still, just beneath the surface of this fascinating, multilayered environment, the need for psychologists and rehabilitation-oriented clinicians is everywhere, in large part because intensive care stands among the most emotionally intense and physically taxing hospital-based settings for everyone involved - patients, families, caregivers, and staff alike. Despite this, recognition that psychologists and rehabilitation-oriented professionals could and should be more integrated within the critical care team is uncommon. In fact, it can be argued that some European countries are ahead of the United States (US) in this regard (Agarwala, Ahmed, & Patil, 2011; Andreoli, Novaes, Karam, & Knobel, 2001; Jackson & Jutte, 2016; Peris et al., 2011; Sukantarat, Greer, Brett, & Williamson, 2007; Tan, Brett, & Stokes, 2009; Van den Born-van Zanten, Dongelmans, Dettling-Ihnenfeldt, Vink, & Van der Schaaf, 2016). Fortunately, there are growing integrative trends in the US. In 2010, a conference was convened by the Society of Critical Care Medicine (SCCM) with broad goals to inform stakeholders about the multiple long-term consequences of critical illness (e.g., Postintensive Care Syndrome [PICS]) and initiate"--