Behind the Curtain: A Patient’s Evolving Relationship to Illness

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

Having edited it, I’d like to recommend AJN‘s November Reflections essay, “Behind the Curtain.” In it, author Leigh Pate looks back to an early experience in her own cancer treatment. Sitting in a chemotherapy bay receiving an infusion, she overhears a conversation between a cancer patient and his nurse that she will remember years later.

The central insight of this essay can’t be put into a few words, but it has something to do with the fact that the way we think and feel about an illness changes over time as we ourselves change.

The metaphors we use to talk about an illness change as the years pass. We develop a relationship to the illness that isn’t as simple as it seemed at first. Is it really always a battle? Are there always clear winners and losers? What do we really want? What is it to be strong? […]

Nurses Write, Right?

By Shawn Kennedy, MA, RN, AJN interim editor-in-chief

WRITE

As nurses, we have great stories and insight. We see a side of life few other people see. We see people when they’re sick and tired and defeated by illness. We witness the intimacy of people when they’re most vulnerable, when all pretense has been stripped away. We also have a wealth of scientific knowledge about the effects of illness, how to prevent it and manage it, and what it takes to restore individuals to health or at least to the optimum health possible for them.

As an editor, I’m constantly seeking manuscripts. And I mean constantly—I sometimes feel like a beggar, asking people to “please write that as a case study,” or “please submit that (poignant, funny, revealing, uplifting) story,” or “consider doing an update on (name the problem) incorporating new evidence.” Maybe one out of four pieces materializes.

Nurses writing about nursing is vital to the profession. And it’s not just about writing about research. Research advances knowledge but we also need to know how practitioners are applying knowledge. We know “one size does not fit all”—how does practice need to change to meet the needs of diverse groups? What are the problems and issues aound practice? Is the nursing taught in the classroom connected to the nursing we actually do?

We need to document what we do, why we do it, and what are the outcomes. We need to do this not only to share information that can be helpful to colleagues, but also […]

Role Reversal: Remember That Nursing Student You Almost Failed?

Although I'd been a nurse for more than 20 years, this was the first time I had been so completely dependent on the health care system. I felt vulnerable. I knew too much. I needed to feel confident that the ED nurse assessing my injuries would do a thorough job and give unqualified support to a fellow nurse-turned-patient.

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