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 July 30, 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 July 30, 2014).

Share This




More Mind & Brain News

Wednesday, July 30, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Dieting At A Young Age Might Lead To Harmful Health Habits

Dieting At A Young Age Might Lead To Harmful Health Habits

Newsy (July 30, 2014) Researchers say women who diet at a young age are at greater risk of developing harmful health habits, including eating disorders and alcohol abuse. Video provided by Newsy
Powered by NewsLook.com
It's Not Just Facebook: OKCupid Experiments With Users Too

It's Not Just Facebook: OKCupid Experiments With Users Too

Newsy (July 29, 2014) If you've been looking for love online, there's a chance somebody has been looking at how you're looking. Video provided by Newsy
Powered by NewsLook.com
How Your Face Can Leave A Good Or Bad First Impression

How Your Face Can Leave A Good Or Bad First Impression

Newsy (July 29, 2014) Researchers have found certain facial features can make us seem more attractive or trustworthy. Video provided by Newsy
Powered by NewsLook.com
Losing Sleep Leaves You Vulnerable To 'False Memories'

Losing Sleep Leaves You Vulnerable To 'False Memories'

Newsy (July 27, 2014) A new study shows sleep deprivation can make it harder for people to remember specific details of an event. 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