Featured Research

from universities, journals, and other organizations

Uniform protocols, standards for determining brain death needed

Date:
December 2, 2013
Source:
American Association of Critical-Care Nurses (AACN)
Summary:
Process variations related to brain death have far-reaching implications beyond delaying an official declaration of death, including added stress for the patient’s family, missed opportunities for organ donation and increased costs of care, according to an article.

Process variations related to brain death have far-reaching implications beyond delaying an official declaration of death, including added stress for the patient's family, missed opportunities for organ donation and increased costs of care, according to an article in the December issue of Critical Care Nurse (CCN).

"Brain Death: Assessment, Controversy, and Confounding Factors" urges clear standards and uniform protocols be developed for declaring a patient brain dead. It concludes that aggressive surveillance, patient advocacy and collaboration during all phases of care following severe brain injury are imperative -- and as a primary provider of bedside care, nurses are well positioned as key team members to lead this charge.

The article also calls for timely and optimal clinical assessment, potentially identifying treatment opportunities before a brain injury progresses to a terminal stage. It advocates for consistent standards for determining brain death to facilitate protocol implementation, including uniform intervals for examinations necessary for determination of death due to neurological criteria.

Author Richard B. Arbour, RN, MSN, CCRN, CNRN, CCNS, reviews clinical factors related to brain injury, identifies and illustrates criteria for determining brain death and details confounding factors in brain death. He also discusses the role of bedside nurses and advanced practice nurses in caring for critically ill patients with a life-threatening brain injury.

"Bedside nurses are best positioned to recognize even subtle neurological changes after brain injury," he said. "These subtle changes can identify treatment opportunities to promote the primary goal of patient recovery well before consideration of a brain death protocol.

"Frontline clinicians are also trained to recognize a patient's worsening neurological status and initiate formal, collaborative neurological evaluation for brain death, as clinically appropriate, and remain involved during a brain death protocol," Arbour said.

After a patient is declared brain dead, it is the nurse's role to continue to provide optimal family communications, including addressing potential organ donation.


Story Source:

The above story is based on materials provided by American Association of Critical-Care Nurses (AACN). Note: Materials may be edited for content and length.


Journal Reference:

  1. R. B. Arbour. Brain Death: Assessment, Controversy, and Confounding Factors. Critical Care Nurse, 2013; 33 (6): 27 DOI: 10.4037/ccn2013215

Cite This Page:

American Association of Critical-Care Nurses (AACN). "Uniform protocols, standards for determining brain death needed." ScienceDaily. ScienceDaily, 2 December 2013. <www.sciencedaily.com/releases/2013/12/131202082316.htm>.
American Association of Critical-Care Nurses (AACN). (2013, December 2). Uniform protocols, standards for determining brain death needed. ScienceDaily. Retrieved April 20, 2014 from www.sciencedaily.com/releases/2013/12/131202082316.htm
American Association of Critical-Care Nurses (AACN). "Uniform protocols, standards for determining brain death needed." ScienceDaily. www.sciencedaily.com/releases/2013/12/131202082316.htm (accessed April 20, 2014).

Share This



More Mind & Brain News

Sunday, April 20, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Study On Artists' Brain Shows They're 'Structurally Unique'

Study On Artists' Brain Shows They're 'Structurally Unique'

Newsy (Apr. 17, 2014) The brains of artists aren't really left-brain or right-brain, but rather have extra neural matter in visual and motor control areas. Video provided by Newsy
Powered by NewsLook.com
Is Apathy A Sign Of A Shrinking Brain?

Is Apathy A Sign Of A Shrinking Brain?

Newsy (Apr. 17, 2014) A recent study links apathetic feelings to a smaller brain. Researchers say the results indicate a need for apathy screening for at-risk seniors. Video provided by Newsy
Powered by NewsLook.com
Are School Dress Codes Too Strict?

Are School Dress Codes Too Strict?

AP (Apr. 16, 2014) Pushing the limits on style and self-expression is a rite of passage for teens and even younger kids. How far should schools go with their dress codes? The courts have sided with schools in an era when school safety is paramount. (April 16) Video provided by AP
Powered by NewsLook.com
Could Even Casual Marijuana Use Alter Your Brain?

Could Even Casual Marijuana Use Alter Your Brain?

Newsy (Apr. 16, 2014) A new study conducted by researchers at Northwestern and Harvard suggests even casual marijuana use can alter your brain. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins