Finding Perspective In an Ancient and Fabled Landscape

“Negativity and angst dissolved. Silence seeped into our spines, relaxing our amplified neural conversations and untying cranky muscles. We were just two insignificant human specks surrounded by a massive, glacier-carved swamp; its deep bowl filled with the layering detritus of millennia…”

Illustration by Janet Hamlin for AJN. All rights reserved.

The above quote is from the July Reflections essay in AJN. We’ve been running this column for decades, each month a one-page personal essay by a different outside author, many but not all of them nurses.

The author of “Of Swamps and Pandemics” in July (free until August 20) is Pamela Sturtevant, a nurse in Massachusetts. She writes deeply and well about a simple thing: taking a walk with a companion in an ancient and fabled swamp during the height of the COVID-19 pandemic.

Taking refuge in ‘deep time.’

While the most frightening surges of the coronavirus may be in the past, and the initially bewildering and all-powerful virus has been tamed by vaccines and precautions if not vanquished, our world hardly feels more stable than it did a year ago. Smoke from wildfires 3,000 miles to the west recently tinted a sickly yellow the air of states in […]

2021-07-22T10:49:19-04:00July 22nd, 2021|Nursing, nursing stories|2 Comments
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Time to Take a Walk

via Wikimedia Commons

“We are bombarded with political ads on television, radio, and social media, and receive an onslaught of annoying robocalls on our phones. And no doubt after the elections are over, we’ll be subjected to endless analyses of the results. I find this constant ‘news awareness’ stressful.”

I wrote these words two years ago for the editorial, “Finding a Peaceful Place,” in the December 2018 issue. I could have written them today, or actually, any day these past few months.

The simple medicine of taking a walk, in the forest or not.

But I also wrote about a way that I find helps me tune out and relieve stress—the simple act of taking a walk. This year, because of the pandemic, my walks have mostly been confined to a few miles around my suburban neighborhood; I don’t think it qualifies as ‘forest bathing,’ but it still refreshes me. Seeing the pure joy of my dog to be out and about is a delight. […]

2020-11-04T09:29:27-05:00November 4th, 2020|personal health practices, Public health, wellness|0 Comments
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Attention to Patients’ Mobility: Low-Tech But Essential

A critical care nurse led a multidisciplinary team to explore the effects of a dedicated ‘mobility team’ on functional and other outcomes in ICU patients.

By Betsy Todd, MPH, RN, CIC, AJN clinical editor

julie kertesz/ via flickr creative common julie kertesz/ via flickr creative common

It’s long been known that immobility leads to deconditioning. Various studies indicate that muscle strength drops by 3% to 11% with each day of bed rest. As most of us have witnessed firsthand in both patients and family members, it can take months to regain pre–bed rest levels of functioning. For some people, the strength and mobility needed for independence never return.

In this month’s issue, a community hospital critical care nurse led a multidisciplinary team to explore the effects of a dedicated “mobility team” on functional and other outcomes in ICU patients. In “Implementation of an Early Mobility Program in an ICU,” Danielle Fraser and colleagues share what they learned.

The mobility team consisted of a physical therapist, a critical care RN, and an ICU rehab aide. Respiratory therapists worked closely with the team. Patients assigned to the early mobility intervention could progress through four successive levels of movement, from passive range-of-motion exercises to full ambulation.

Compared with ICU patients who received routine care, the patients in the intervention group were more functionally independent at discharge. In addition, this […]

2016-11-21T13:01:41-05:00December 7th, 2015|Nursing, nursing perspective, nursing research, patient engagement|0 Comments
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Views expressed on the blog are solely those of the authors or persons quoted. They do not necessarily reflect AJN’s views or those of Wolters Kluwer Health/Lippincott Williams and Wilkins.
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