Watching a Friend Fade Away: A Nurse’s Account of the Progress of Dementia

Illustration by Eric Collins, ecol-art.com. All rights reserved. Illustration by Eric Collins, ecol-art.com. All rights reserved.

By Jacob Molyneux, senior editor

Alzheimer’s disease and dementia have been in the news. There have been major movies about what’s it’s like to suffer the gradual loss of the ability to understand and to negotiate the world around us, with leading roles played by stars like Julianne Moore. The challenges of caregiving are receiving increasing attention, as are the growing pressures on our medical system. Every month there’s a report of a new potential cure, or a potential cause, or ways we might be able to fend off the illness through exercise, mental calisthenics, diet, and medications.

The January Reflections essay, written by Deborah Lane, a critical care nurse and community volunteer in St. Augustine, Florida, is called “Watching a Friend Fade Away.” Here’s the opening paragraph:

Frankie was a fast wit, a ginger-headed joker, impeccably dressed, and the first to laugh. She was a master’s-educated teacher who developed programs for at-risk teens, teaching pregnant high school students skills for employment and effective childcare. She loved to cook and her home was warm with beautiful arts and crafts she had made. She was a wonderful friend. Disease changed it all.

The author brings the perspective of both a loving friend and a nurse to this short, beautifully told account of the changes in her friend over the years, the efforts of two couples to keep spending […]

What Advice Would You Give a New Nursing Student? Our Readers Respond…

KarenRoushBy Karen Roush, MSN, RN, FNP-C, AJN clinical managing editor

My daughter Kim is starting nursing school next month, so last week I asked AJN’s Facebook followers for the best piece of advice I could give her. The response was overwhelming: over 600 people offered wisdom, encouragement, and tips for success. I went through and read them all and the following is an attempt to synthesize the advice.

Of course, with so many responses, there were many valuable pieces of advice I had to leave out, from the practical to the profound, such as:

sit in the front of class, stick to your principles, invest in good shoes, choose clinicals that push you out of your comfort zone, be early for everything, celebrate the small victories, get a really good stethoscope up front, believe in yourself, pick the hardest patient you can at clinical, audiorecord the lectures, be truthful and committed to your work, eat healthy, get to know your instructors, coffee and chocolate!

And finally: look into the eyes of your patients and be sure they know you care. Every patient, every time.

(Oh, and not to leave out the lighthearted—Don’t hold your nose in clinicals. The teachers frown on that.)

Below are five areas of advice that stood out:

1) “Take a […]

Feeling Just Beachy

By Shawn Kennedy, AJN editor-in-chief

Last week I wrote a post here about the feeling of well-being—what it is, how it’s measured, and whether or not nurses often experience it. I guess writing the post struck a chord with me. I sometimes (often) feel overwhelmed with responsibilities at work and home and wish there was more time for fun, rejuvenating activities, and relaxing with friends. With this in mind, I decided to accept an invitation from friends to come for a visit.

My husband and I took a leisurely two-hour drive on Saturday down to see old friends at their new home on a New Jersey barrier island, one block from the ocean. Although it was a very cold day, the sun was shining in a bright, blue, cloudless sky. We decided to brave the wind and bundled up and headed out for a walk on the beach. 

The air had that salty-sun smell and the wind was blowing enough to make the water choppy and full of whitecaps—it was gorgeous and exhilarating, and we tramped about for an hour. Later, we headed out again, this time to wander around the point at the south end of the island, where migratory birds and turtle nests were protected. Nothing like an ocean wind to clear your head!

A good meal, some catch-up conversations and laughs—it was a fabulous day. At times, I could still hear that nagging part of my brain saying, “What about those e-mails you need to get out?” and “You have to […]

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