AJN in April: Nurses and Self-Care, Late HL Treatment Effects, POC Blood Glucose Meters in ICUs, More

AJN0416.Cover.Online

On this month’s cover is a 1924 portrait of the Grace Hospital School of Nursing basketball team in Detroit. Most nursing schools had basketball teams in their early days—as far back as the 1920s. This photo of the Grace Hospital team was featured in the September 1924 issue of AJN in an article on basketball in Detroit nursing schools.

Understanding the importance of maintaining physical well-being is a fundamental aspect of nursing. For a variety of reasons, including competing priorities and the demands of caring for others, nurses may not practice sufficient self-care. To read a study that analyzed how today’s RNs fare in terms of health-promoting behaviors like physical activity, stress management, and more, see “Original Research: An Investigation into the Health-Promoting Lifestyle Practices of RNs.” While “physical activity and stress management scores were low for the entire group of RNs,” there were some notable differences between age groups of nurses.

Some other articles of note in the April issue:

CE Feature: Cardiotoxicity and Breast Cancer as Late Effects of Pediatric and Adolescent Hodgkin Lymphoma Treatment.” This second article in a series on cancer survivorship care from Memorial Sloan Kettering Cancer Center reviews the late adverse effects associated with the management of Hodgkin lymphoma (HL). Nurses’ familiarity with and attention to the late effects of the chemotherapy and radiation therapy used to treat HL, which include breast cancer […]

2016-11-21T13:01:20-05:00March 25th, 2016|Nursing, nursing research|0 Comments

Patient Decisions: When You’re Just Not Up to Making the Call

By Karen Roush, MS, RN, FNP, clinical managing editor

Photo by the author Photo by the author

For most patients and in most clinical situations, decision making is and should be a shared process between the patient and the clinician (and often the family). But there are some cases when we, expert clinicians versed in scientific and experiential knowledge, need to make a decision for the patient—not out of some paternalistic idea of our authority or superiority, but because the patient really wants or needs us to take on that burden.

I was six months pregnant with my second child. The pregnancy had gone smoothly, which was a blessing after having delivered my first child 10 weeks premature following two weeks spent in a tertiary care center. That pregnancy had been problematic from the beginning—early bleeding, and then a hemorrhage at five months, at which time they’d diagnosed me with placenta previa. It was one of those pregnancies where you were thankful for each additional day that brought you closer to the nine-month mark.

But this time, everything was going smoothly—no bleeding or cramps, an active baby that ultrasounds confirmed was growing well . . . until one morning in February, when I started with cramps that progressed to pain and a lot of pressure. An hour later, I was in the labor and […]

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