Resume

Jay Woolsey
717 Paseo Camarillo, Camarillo CA, 93010 | (619) 315-3464 | jay.woolsey313@myci.csuci.edu
Objective
· To make earth a habitable place for the future
· This area is subject to change due to job title
Education
BACHLORS IN SCIENCE | 2016 | CSU CHANNEL ISLANDS
· Major: Environmental Science and Resource Management
· Worked with ecosystem restoration, stream restoration, Remote Operated Vehicles (ROV), middle and high school students with restoration and wetlands
· Field Methods: A three week course working closely with National Park Service focused on field work and methods based on Santa Rosa Island
· Geographic information systems training
GENERAL EDUCATION | 2010 | SCRIPPS RANCH HIGH SCHOOL
· General high school education
· Wood shop skill set acquired
· Theater technician and stage set maintenance
Skills & Abilities
FIELD SKILLS
· As an avid backpacker I can hike long distances to get to remote destinations for research while being safe
· With this skill comes a survival skill set
· Basic medical training and certifications
· Fire and fire safety training
· Analytic in the lab and in the field
· Sensor use such as pH, dissolved oxygen, nitrates and nitrites, titrations, chloride testing, spectrometers, etc.
· Proper sample grabbing techniques for sterile containers
· Knowledge of proper use for GPS, compass, radio and other basic skill sets involving being lost or injured
· Knowledge of power tools and safety (chainsaw, skill saw, power drill, jackhammer, etc.)
FIELD METHODS COURSE
· This course covered the basics of almost every field in island bio-geography
· Worked close with National Park Service rangers
· Worked in fields such as
· Botany
· Ornithology
· Herpetology
· Geology
· Marine ecosystems
· Island history of Santa Rosa Island
· Inter tidal ecosystems
· Sustainable practices
COMMUNICATION
· Working in teams with ROV groups and in Field Methods class
· Field team work with identification of flora and fauna of inter tidal, woodland, chaparral, coastal bluff and erosion sites
· Working with middle and high school students at each clean up workshops
· Vocal about ideas and always open to new ideas
LEADERSHIP
· Leading informal naturalist hikes through inter tidal zones, canyons and coastal bluffs at Santa Rosa Island in small groups
· Assisting in team building and leading exercises with ROV units
· Group leader and volunteer at Boys and Girls Club of America
· Leading beach cleanup crews of middle and high school students
Experience
INTERNSHIP | CAMROSA WATER DISTRICT | 2012-CURRENT
· Water analysis and lab testing
· Sewer treatment plant facility assistant
· Meter repair and maintenance
· Road construction
· Well housing construction
· Basic medical training courses
INTERNSHIP | FROZEN YOGURT | 2009-2010
· Shop maintenance
· Register
· Machine maintenance
INTERNSHIP | GAME STOP | 2008-2009
· Floor assistant
· Stocking shelves
· Store maintenance

Blog on Chapter 3

I think online bullying and sexual predators are very big problems that the internet has created. With Facebook and instagram it makes it so easy for sexual predators to stalk and find out information on people. Instagram and Facebook both have newer additions called “tagging”. This allows for people to tag their exact location of where they are. Some people will even tag their house. I think it is extremely important for parents to explain how dangerous this can be. I think it is the parents job to also make sure their child know to have private accounts, on do not befriend strangers. The more open you are, the more random friends you have, and the more places you tag yourself at can be very dangerous, and i think that kids and teens just don’t realize this. I feel like kids not being private enough an cyber bullying is the lack of parent supervision. I think more parents need more rules. We can not shield children from using twitter, Facebook or Instagram but i think that parents should follow their children on all the sites they use so they can monitor them. That way teens can’t easily get away with cyber bullying, or other inappropriate comments. Although cyber bullying, and sexual predators will never disappear completely, i do think there are ways to better prevent, and making parents be more present and active on their children’s online activities is a good start.

First Year Composition @ CI 2015-09-24 14:28:48

After this week, we will be 1/3 of the way through the semester! Remember that to succeed in our program, you need to be an active participant in your classroom community and complete all required assignments throughout the term.

If you’re having a hard time juggling your workload, talk to your instructor. Open communication is the fist step in overcoming the hurdles that can interfere with your success in first year composition.

Read this piece, “10 Things Smart Students Do When Writing,” to learn some effective strategies for navigating these next several weeks.

The CI Composition Team

Delirium in ICU

Individuals that are admitted to the Intensive Care Unit (ICU) are already critically ill, and now, according to the article by Rattray will be faced with a longer recovery time that could be weeks, months and in some cases years to return to pre-ICU health status. 25-76% of these patient suffer from muscle wasting, weakness, and fatigue from prolonged bed-rest and immobility, and the severity increases with the more critically ill the person is. She further states that these patients suffer psychological problems from their stay in ICU. Due to their perceived experience they suffer from anxiety, depression (28%), PTSD (20%), and cognitive problems including delirium (20-80%), that negatively affect their health status. The characteristics of patients most likely to suffer from delirium are those that are already cognitively impaired, respiratory disease, older age, smokers, and alcohol abuse. Additionally, the illness that this is most prevalent are sepsis, dehydration, prolonged stay in the ICU, and biochemical abnormalities. Environmental precipitants include but are not limited to physical restraints, noise, sleep deprivation, isolation, as well as benzodiazepine and opioid use. Rattray states that rehabilitation should begin while the patient is still in ICU, by daily sedation reductions and early mobilization. This would need to be done with a team of multidisciplinary care providers that begin rehabilitation as soon as the patient is admitted to ICU and continue after discharge.

According to the article Intensive care delirium: the new black by Egerod, it is unclear if ICU delirium is the result of the illness or the medications. However, she does state that these patients suffer from adverse health outcomes from prolonged delirium and stay in ICU. Egerod further promotes the use of interdisciplinary team to manage pain, sleep, circadian rhythm, lighter sedation and early ambulation. Additionally, use of family to participate in care as it gives the patient comfort and familiarity and connects them to the outside world.

Both authors promote reduced sedation, decreased use of benzodiazepines, avoiding sleep disruption and increased physical therapy and activity. Due to the high rate of patients suffering from delirium and other adverse effects from their stay in ICU that have developed standardized tests in which to assess their functioning and delirium. Further research is needed to understand these mechanisms so as to provide better treatment that will provide better health outcomes for the critically ill population.

References:
Egerod, I. (2013). Intensive care delirium: the new black. Nursing in Critical Care, 18(4), 164-165.
Rattray, J. (2014). Life after critical illness: an overview. Journal of Clinical Nursing, 3(5/6), 623-633.

…more about delirium

The topic of delirium is nothing new to the nursing world… in fact I have had my fair share of pts suffering from delirium or new onset confusion.  Unlike dementia, delirium is typically an acuteCAM-ICU Worksheet chane that may be reversed when the underlying problem is corrected. ICU delirium is actually a new topic for me.  Still keeping with the traditional definition, this acute change in mental status seems to affect pts that are sedated in the ICU while on a ventilator.  There is more recent research available on this topic, as it is still being explored and discovered.  It appears that after sedation is stopped and the pt is able to live in reality, the delirium may be reversed, but some emotional trauma
remains.  I found a recent peer reviewed article that details the main streamed assessment tool for ICU delirium.  This tool is called CAM-ICU, or Confusion Assessment Method for the Intensive Care Unit.  This article outlines an educational plan among people who are administering the test and utilizing the tool to ensure they are recording data accurately.  It was found that after the educational plan was implemented, less “unable to assess” ratings were recored and pts were able to receive a more appropriate grade.  As with most things in the medical world, the more knowledge medical professionals have the more meaningful outcomes pts may have.  Proper education for this assessment tool is instrumental in screening pts for delirium and reversing this confusion before mental health complications occur.  A copy of the CAM-ICU Assessment Worksheet is provided for review.

Reference

SWAN, J. DECREASING INAPPROPRIATE UNABLE-TO-ASSESS RATINGS FOR THE CONFUSION ASSESSMENT METHOD FOR THE INTENSIVE CARE UNIT. American Journal of Critical Care. 23, 1, 60-69, 2014. ISSN: 1062-3264.

 

What is ICU Delirium?

Delirium is defined in the American Psychiatric Association’s (APA) Diagnostic and Statistical Manual of Mental Disorders (DSM)-IV as a disturbance of consciousness and cognition that develops over a short period of time (hours to days) and fluctuates over time. It is a common manifestation of acute brain dysfunction in critically ill patients, and occurs in up to 80% of the sickest intensive care unit (ICU) populations. People with delirium are unable to think clearly, have decreased attention, and may have auditory and/or visual hallucinations.

Critically ill patients are subject to numerous risk factors for delirium. Some of these, such as exposure to sedative and analgesic medications, may be modified to reduce risk. Although dysfunction of other organ systems continue to receive more clinical attention, delirium is now recognized to be a significant contributor to morbidity and mortality in the ICU, and it is recommended that all ICU patients be monitored using a validated delirium assessment instrument such as, The CAM-ICU.

The CAM-ICU is modified from the Confusion Assessment Method (CAM) and assesses four features: acute change or fluctuation in mental status from baseline, inattention, altered level of consciousness, and disorganized thinking.

Delirium in the ICU is quite common. The pathophysiology of delirium is poorly understood but it is theorized to be a neurobehavioral manifestation of neurotransmitter imbalance.

Some causes of delirium include: poor oxygen perfusion of the brain, chemical changes in the brain, medications, infections or sepsis, and alcohol withdrawal.

People who are more likely to get delirium are those who have: dementia, depression, poor eyesight and/or hearing, heart failure, infection/sepsis, or take certain high-risk medicines.

Among medical ICU patients, delirium is associated with multiple complications and adverse outcomes, including self-extubation and removal of catheters, failed extubation, prolonged hospital stay, increased health care costs, and increased mortality.

When delirium is diagnosed or suspected, the underlying causes should be sought. Components of delirium management include supportive therapy and pharmacological management. Reorientation techniques or memory cues such as a calendar, clocks, and family photos may also be helpful. The environment should be stable, quiet, and well lit. Physical restraints should be avoided. Delirious patients may pull out intravenous lines, climb out of bed, and may not be compliant. Perceptual problems lead to agitation, fear, combative behavior, and wandering. Severely delirious patients should never be left alone or unattended and may benefit from constant observation to help avoid the use of physical restraints.

Pacemakers & Cellphones: Keep Your Distance

It seems like everyone and their brother has a smart phone of some sort these days or at least is exposed to someone who has one. And for patients with pacemakers, this could be a dangerous combination. I look at the medical news on my favorite science-oriented website regularly and a new study from the European Society of Cardiology found that those who have pacemakers should keep their distance from cell phones to avoid unwanted painful shocks or frightening pauses in the function of their device. The study was presented in June to the joint meeting of the European Heart Rhythm Association and the European Society of Cardiology by one of the main authors, Dr. Carsten Lennerz, a cardiology resident in Germany.

Although it does not happen all the time, pacemakers can sometimes mistakenly pick up electromagnetic interference from smartphones and treat them like a cardiac signal, which can cause them to stop working for a brief period of time, according to Lennerz. He recommends that patients should hold their phone on the ear opposite to their pacemaker when talking and not place the phone in a pocket directly above the pacemaker just to be safe.

The authors added that another area of concern for patients with pacemakers is when they are under high voltage power lines. Although is ok for them to walk under power lines, the authors recommend that they do not spend extra time under the power lines, as high electric fields can also tamper with the pacemaker’s normal functioning.

I found it interesting and worrisome that the authors noted that pacemakers themselves do not come with any warnings about these possible problems. My uncle has a pacemaker that has saved his life and next time I see him walking around with his cell phone in his pocket as he often does, I will be sure to warn him about the possible dangers of doing so. In this smartphone inundated world, I wonder how many people with pacemakers have been affected by this problem. This would be an interesting and timely topic to pursue in further research studies.

I would also like to know how long medical experts have known about the interference cell phones and power lines play in the role of the pacemaker. It seems like something that every patient should be warned about but this is the first I have ever heard of the topic. I plan to do more research on this issue since I have a vested interest in it with my uncle’s health at stake.

Here is the link to the article:

http://www.sciencedaily.com/releases/2015/06/150622071207.htm

The Salton Sea and its Significance to Birds

American_white_Pelican-480x372

The Salton Sea is a massive man-made lake in the Imperial Valley, which has also proved to be a massive man-made problem that scientists and activists have yet to resolve. One side of the argument is to leave the Sea alone and let it dry up. The other side of the argument believes that no matter the monetary cost, we must address the problems that have occurred in or around the Sea that have caused a decline in health of the water, which in turn has caused a decline in the health of the many animals that now rely on the Salton Sea as a habitat, and if left to dry up will end up causing a decline in health for some residents of Southern California. In this paper I will address why I believe that no matter the cost, action must be taken to prevent the Sea from failing more than it already has.

“For millennia, the Colorado River filled and emptied lakes that predate the current Salton Sea.” (Zap, 2012). It was a seasonal lake that when floods would occur it would fill, and in the heat of the desert would dry up. In 1853 a Biologist named William Phipps Blake was in California’s Colorado Desert, he did some analysis of the soil in part of the Imperial Valley and determined that the soil was rich in minerals, and made the assertion that if water could be supplied permanently to the Imperial Valley there was a possibility for good agricultural production in the area. Because of his vision, in 1904 an irrigation canal was cut in the nearby Colorado River. Unfortunately, a levee broke in 1905 and for the next 18 months almost the entire contents of the Colorado River spilled into the Salton Sink forming a lake that is 35 miles long and 15 miles wide in the middle of the California desert (Payne, 2006). The lake was born from a disaster, but as time has gone on fish were introduced and salinity levels rose, the Sea has become a hotspot for migrating birds. After the levee was repaired, there were no natural inlets or outlets for the Salton Sea. Agricultural fields which are sustained by the same water that filled the Sea, have sustained the sea with the runoff. Without the runoff from the fields, the sea would have evaporated in the hot desert sun, but with the agricultural runoff, the sea has sustained its size. “The water flowing into the sea carries 5.2 million tons of salt a year, enough to fill a mile-long freight train every day. As a result, the sea is already 25 percent more saline than the Pacific Ocean and getting saltier every year.” (Cohn, 2000). This accidental lake that was not planned for or thought out by professionals is no longer able to provide the stability that a lake with natural inlets and outlets would. It has not been engineered to simulate a natural lake, and now it is posing health threats to aquatic, avian, and human life alike.

The Salton Sea provides a massive wetland for migrating birds. Wetlands play a vital role in the health and fitness of birds. They nest in the wetlands, some birds need a lot of space in order to nest and eat in a way that is beneficial to their species. That is why looking at the loss of wetland along these birds migration route is necessary when discussing the Salton Sea. It is estimated that in the 1600’s, there were 221 million acres of wetlands in the lower 48 United States (Lundmark, 2001). As the early settlers came to America they regarded swamps and wetlands as carriers of disease and a hindrance of development. People started draining swamps and wetlands in order to use the areas for agricultural land. In the 1849 Congress passed the Swamp Land Act which allowed for all swamps and wetlands in Louisiana to be dredged and drained. In 1850 the Act was made applicable to 12 more states (Watts, 2007). As of 2001, only 105 million acres of wetland remained (Lundmark, 2001). Two of the states most affected by wetland loss are California and Florida.  California alone has lost 91% of its wetlands. (ActionBioscience). With this dramatic loss of wetlands for birds to nest, eat, and recover in, the Salton Sea has become a place where millions of birds stop every year on their long migration along the Pacific Flyaway, which is one of four major migration routes that birds travel through as they migrate from North to South America and back again. With the immense loss of suitable habitat for these birds, the Salton Sea has become a very important and even vital place for birds.

The importance of the Salton Sea is clear; it is one of few remaining suitable places for migrating birds on the Pacific Flyway to stop. Another aspect of importance is the state of the Salton Sea itself. Because of its unnatural beginnings, the lake has no inlets or outlets to flush out salts or take in fresh water. This means that the millions of tons of salts a day it receives from agricultural runoff remains in the lake. The Salton Sea has proven to be a disaster when it comes to the health of the fish, and the birds that eat them.  The agricultural runoff that flows into the lake carries large amounts of pesticides and salts, and the lake has limited oxygen due to it being mostly stagnant. The health implications of this situation came to a head in 1996 when 15,000 birds were stricken with type C botulism at the Salton Sea. It was discovered that the tilapia in the lake, which the birds were eating, making the birds sick. Tilapia has never been the culprit of passing the type C Botulism toxins to birds until this time (Meteyer, 2005). Botulism occurred because it is an unnatural place for water to be, and it is lacking the fundamental inlets and outlets of a healthy lake.

The debate over the Salton Sea has been ongoing for some 40 years. Some have suggested diverting the agricultural runoff to San Diego, and letting the lake dry up. In order to get the lake healthy again, pipelines need to be constructed either to Mexico, or to San Diego to bring lower salinity water into the lake. This would start a multi-billion dollar project. Some people believe that because the state of California is in one of the greatest recessions since the great depression, that fixing the problems are too costly and shouldn’t be done.

The other side of the argument is to use whatever means necessary to build pipelines from San Diego to bring in lower level salinity water into the Salton Sea. This would also give the sea a much needed flushing mechanism (Cohn, 2000).  Other ideas of how to reduce salinity are desalination plants, and sprinkler systems. There is another obstacle to these ideas because there are proposals that will go into effect in 2017 which will take the water which is now flowing into the sea, and divert it to San Diego to be treated as waste water there. This threatens the water levels of the sea. If the lake were to dry up, huge amounts of sediment, up to a mile deep, would start blowing across the Coachella valley in huge dust storms, the sediment is full of selenium and salts so this dust storm has the potential to be toxic. (Zap, 2012).

The history of the sea is as complex as the answer to what should be done now.  I care deeply about the ecological problems we have already created for the birds in the Pacific Flyway, as well as all wildlife that has to adapt to what humanity has done to their habitats. I understand the importance of leaving one of the only remaining wetlands large enough to support the millions of birds who use it daily intact. There is no way that allowing the Salton Sea to dry up and create a toxic dustbowl, which could potentially do harm to people and all other living things in Southern California, is a better option. Finances may be scarce, but the financial implications of relocating Palm Springs and dealing with the toxic clean-up are just as unfathomable. Leaving the birds high and dry will have other ecological implications for our earth. It will lend to the loss of vital habitat for hundreds of species of birds, many of which will end up in endangered status. Luckily, during the time I have been writing this paper, the United States Federal Government has approved a plan which, although still vague, lays out a plan for a 15 year restoration process. This is good for everyone. The more the Salton Sea is discussed and brought to the attention of those who can provide help, the less likely it is that real restoration for this vital and productive habitat will be put on the back-burner.

 

 


References

Cohn, J. 2000. “Saving the Salton Sea.” BioScience, 50.4: 295-301.

“Loss of Wetlands: How Are Bird Communities Affected?” Actionbioscience. N.p., n.d. Web. 01 Oct. 2014.

Lundmark, C. 2001. Keeping track of wetland restoration. Bioscience, 51(8): 696.

Meteyer, C. 2005. The impact of disease in the american white pelican in north america. Waterbirds: The International Journal of Waterbird Biology, 28(sp1): 87-94.

Payne, W. 2006. The salton sea: A selective annotated bibliography. Reference Services Review, 34(2), 316-321. Cohn, J. P. (2000). Saving the salton sea. Bioscience, 50(4): 295-301.

Watts, Raymond D. 2007. “Roadless Space of the Conterminous United States.”Science 316.5825: 736-38. Web.

Zap, Claudine. 2012. “Salton Sea: Is It Drying Up?” Yahoo! News. Yahoo!, 25 Apr. 2012. Web. 01 Oct. 2014.

ICU Delirium

ICU Delirium: Nursing and Medical Staff Knowledge of Current Practices and Perceived Barriers
Delirium is a common problem in the ICU. It’s divided into three subtypes (hyperactive, hypoactive, and mixed delirium). It’s been known that delirium in the ICU is associated with prolonged hospital and ICU stays. It is also associated with an increased six month mortality rate. The Intensive Care Society recommends screening for delirium on a daily basis using a validated screening tool such as the CAM-ICU. Two thirds of cases could be missed if a validated screening tool isn’t used. This article is suggesting that there is a lack of knowledge on ICU delirium, the screening tools used to assess it and also that it is not screened for on a regular basis, partly due to perceived barriers to screening. A sample of 149 nurses and medical staff from three different hospitals were surveyed.
The results show that 44% of the respondents never received any training or education on ICU delirium and that 37% used a delirium screening tool. 51% said they did not use a screening tool. The rest checked off “did not know”. The majority of respondents said they knew about the CAM-ICU screening tool but did not use it on a regular basis. The second most recognized screening tool was the ICDSC (Intensive Care Delirium Screening Checklist). 52% said they screened for ICU delirium on a daily basis and 14% said they screened for it on a weekly basis and another 14% said they screened on a monthly basis. The ones that did not use a screening tool said they just observed for hallucinations, agitation, and confused patients.
Some of the respondents said they did not screen for delirium due to perceived barriers such as it was time consuming to complete, that it would take up valuable nursing and medical staff time. Some were also unconfident at detecting delirium.
This article also revealed that the nurses and medical staff had some knowledge of ICU delirium but the education they received was during school and not at bedside. They also found that the staff had a medium level of knowledge about the risk factors and complications of ICU delirium.
I agree with the article in that most of the staff at many hospitals lack education on ICU delirium. This article brings to light how serious ICU delirium is and how much training and education needs to be done. The CAM-ICU takes about 2-5 minutes and needs to be done at least on a daily basis, not weekly or monthly. The medical staff who do not use a structured validated tool to assess delirium confirms that many of the ICU delirium cases are missed or are identified as hyperactive (least common) when it should be identified as hypoactive or mixed.

Reference:

Elliott, Sara.  ICU delirium: A survey into nursing and medical staff knowledge of current practices and perceived barriers towards ICU delirium in the intensive care unit, Intensive and Critical Care Nursing (2014) 30, 333-338.

Delirium in Hospitals Overlooked

If you’ve ever visited a family member or friend in the hospital it is an overwhelming emotional scene with the amount of machinery, loud constant noises, code calls over the intercom, and staff going in and out of the room. Not to mention the increase concern you have for your loved one, it can make anyone one in their right mind go delirious for that brief moment. Now imagine being one of those patients, critically ill, in bed most of the day where their physical, emotional, and mental abilities that have become altered. It came to my surprise that over 7 million Americans out of about 36 million of hospital admissions have been affected by cases of delirium each year (Boodman, 2015)

Delirium is a “sudden disruption of consciousness and cognition marked by vivid hallucinations, delusions, and an inability to focus”. It occurs suddenly and typically fluctuates throughout the day. One patient mentioned his delirium being like nightmares, although he knew that he was in the hospital and was sick he could not awaken from this terrible reality even after 3 years of being discharged from the hospital (Anthony Rossum, 2014). Some patients with delirium can be agitated and combative while other are lethargic and inattentive (Boodman, S., 2015), which makes me wonder, how many patients I have worked with in the hospital, whom had these horrible experiences and were silent about it. It wasn’t until recently that delirium was recognized or understood said Dr. Wes Ely from Vanderbilt University. Nearly, two thirds of Ely’s patients from the ICU reported signs of delirium, which led to his research and developed successful protocols in improving care and decreasing delirium in over six well known hospitals. The main interventions he utilized were the following ICU measures, in acronym: “ABCDEF,” which includes: Assessing and managing pain, Both Spontaneous Awakening Trials (SAT) and Spontaneous Breathing Trials (SBT), Choice of Sedation/Analgesia, Delirium Monitoring, Early Mobility and Family engagement which after these interventions studied over 50% of the drugs normally given for sedation were decreased or cut cold turkey, showing a 4 day decrease stay in the ICU, and decreasing mortality rate up to 15%.

If you get a chance, please watch the story of Anthony Russo delirium he explains in the video above, I am a loss of words what he experienced in the ICU. I believe it will help in opening the eyes of what can be reality for these patients we care for everyday, as well as identifying how the long term complications can even occur after their discharge home from the ICU.

The astonishing fact is researchers have estimated that about 40% of delirium cases are preventable, which surprises me that so many people are still experiencing this reality this last year 7 million cases, especially for those elderly whom are at higher risk due to their sensitivity receiving large doses of anti-anxiety drugs and narcotics.

Brain injury is preventable by lowering exposure to potent sedative meds and shortening the duration of delirium with assessment and monitoring with the ABCDEF method. Think about it, it costs more than 143 billion annually to care for such delirium patients due to their longer hospital stays and complications, more is needed to be done in these preventable cases to reach out to those whom needs us most. Educate yourself and follow such articles on assessment tools in detecting delirium in patients.

Here are some examples:

Confusion Assessment Method (CAM)

Delirium Assessment and Management

 

References:

Boodman, S. (2015). The Overlooked Danger of delirium in Hospitals. The Atlantic Article. Published by Kaiser Public Health News. Retrieved from: http://www.theatlantic.com/health/archive/2015/06/the-overlooked-danger-of-delirium-in-hospitals/394829/

Landro, L. (2011). Informed patient: changing sedation status quo in the ICU.  Health Blog, Wall Street Journal. Retrieved from http://blogs.wsj.com/health/2011/02/15/changing-the-sedation-status-quo-in-the-icu/