Johannes Peter van de Leur

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INTRODUCTION A stay in the intensive care unit (ICU), although potentially life-saving, may cause considerable discomfort to patients. However, retrospective assessment of discomfort is difficult because recollection of stressful events may be impaired by sedation and severe illness during the ICU stay. This study addresses the following questions. What is(More)
STUDY OBJECTIVE Endotracheal suctioning in intubated patients is routinely applied in most ICUs but may have negative side effects. We hypothesised that on-demand minimally invasive suctioning would have fewer side effects than routine deep endotracheal suctioning, and would be comparable in duration of intubation, length of stay in the ICU, and ICU(More)
OBJECTIVE Many patients have an unpleasant recollection of routine endotracheal suctioning after discharge from the Intensive Care Unit (ICU). We hypothesized that through minimally invasive airway suctioning discomfort and stress may be prevented, resulting in less recollection. DESIGN A prospective randomized clinical trial. SETTING Two ICUs at the(More)
OBJECTIVE Healthcare professionals' competence in health behavior change has lagged behind other clinical competencies despite the well-established relationship between lifestyle behavior and health. We conducted a systematic review to examine whether physical therapists, given their unique practice pattern, can counsel effectively. METHODS Databases(More)
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