Today on a national news program, a nurse was given credit for something pretty outstanding. One of the first words Charla Nash spoke upon emerging from a medically induced coma was “Lisa,” the name of one of her nurses, according to one of her brothers on the Today Show this morning. The Connecticut woman, who was mauled by her friend’s chimpanzee in February, sustained horrific injuries, so bad in fact that according to the Daily News the nurses and physicians who treated her were offered counseling afterward. She has since been recovering at the Cleveland Clinic in Ohio, the first hospital to perform a face transplantation in this country. Nash’s prognosis was pretty bleak for a while, but this morning her brothers said that she’s now able to sit up and to speak with the aid of an artificial voice box. Steve Nash attributed her response to the nurse to the fact that the nurses “had always talked to [Charla] as if she were awake.” If you would like to learn more about Charla Nash—the person, mother, sister, and friend—and send her an e-mail of encouragement, go to www.friendsofcharlienash.com, which has been set up by her family.
Archive for April, 2009

Torture, Redux: Did Nurses Assist?
April 8, 2009In October 2004 AJN published “The Fear Is Still in Me” by Kathleen McCullough-Zander and Sharyn Larson, an article detailing how nurses might identify, assess, and treat the approximately 400,000 to 500,000 survivors of torture now living in the U.S. (I was the editor). It’s not a subject most people like to think about, but there it is.
And now here it is again, according to a “long-secret” report by the International Committee of the Red Cross that was completed in 2007 and only recently published online by the New York Review of Books. Only this time, it’s health care personnel—a group that “should be understood to include physicians, psychiatrists, psychologists, nurses and other para-health staff”—who allegedly participated in torture. No, they weren’t there to safeguard the victims. As an article about the report in Monday’s New York Times notes, the role of such professionals “was primarily to support the interrogators, not to protect the prisoners.”
Does it matter that those tortured were suspected of terrorism and were being held by the CIA overseas? Not to the International Council of Nurses, which has issued and twice revised a position statement that calls for nurses to actively oppose torture; I can find no exceptions named. Indeed, many nurses—including McCullough-Zander and Larson—have argued that the prevention of human rights abuses is itself a nursing responsibility. It’s an argument that needs heeding, again.
—Sylvia Foley, AJN senior editor

Public Health in Azerbaijan: On the Road with AJN Contributing Editor Jane Salvage
April 6, 2009
We recently received the following account of a visit to Azerbaijan from AJN contributing editor Jane Salvage, MSc, BA, RGN. At the time of writing, Salvage was a consultant for the noncommunicable diseases programme, World Health Organization (WHO) Regional Office for Europe. She now works as the policy lead in the support team for the Prime Minister’s Commission on the Future of Nursing and Midwifery in England, and fears that seeing Baku in the springtime will have to wait a year or two. This post is fairly long, but we feel the range of local detail included by Salvage gives a fascinating glimpse into what it’s really like to work in the field of international public health policy. (Note: we’ve retained some UK-style spellings.)

Marketing Osteoporosis: How a Risk Factor Becomes a Disease—and Health Care Costs Continue to Rise
April 3, 2009“In the name of prevention, millions of Americans have accepted the idea that it’s reasonable to treat a risk factor such as bone loss or high cholesterol as if it were a disease,” writes Maryann Napoli, associate director of the Center for Medical Consumers, in her April AJN article, “Marketing Osteoporosis.” Read the rest of this entry ?

Who’s a Nurse? The Leech Test at AJN
April 2, 2009The editorial staff of AJN includes both RNs and non-nurses. You can always tell who the RNs are by their reaction to photos of ugly wounds. The nurses love them and some of the non-nurses don’t even want to look at the photos. Case in point: the April CE article on leeches for wound healing. I think the photos are great. But many of the non-nurses find them disgusting. Are nurses simply sensitized to looking at ghastly images of wounds and abnormalities? Or do those who become nurses have a different sensibility? As a teenager, I used to love to babysit the children of a physician. After the kids were in bed, I’d comb through his medical library in search of the odd and gruesome images. I found them fascinating. I look forward to the New England Journal of Medicine each week and turn first to the Images in Clinical Medicine. A bit weird, I suppose. Or is it?
–Diana J. Mason, RN, AJN editor-in-chief emeritus

Can the Recession Be Good for the Country’s Health?
April 1, 2009Anyone who knows me will tell you: I am not what you would call an optimist. And looking for the silver lining during times like this is hard for anybody. The recession has been stressful for many people. This kind of stress can lead to increased anxiety and depression as well as loss of sleep, increased smoking and drinking, and stress on personal relationships. Yet I can’t help but see some positive effects of the recession. Read the rest of this entry ?





