About Jacob Molyneux, senior editor/blog editor

Senior editor, American Journal of Nursing; editor of AJN Off the Charts.

Fictional Nurses, Intractable Conditions, Nonspecific Symptoms, Frustrating Patients, More

COPD smoker Dept. of Bad Ideas..

By Jacob Molyneux, senior editor

Keeping up with the Web-sters. If you happen to use a Web reader of any sort to collect updates (feeds) from all your favorite nursing blogs and health care news sources in one place—we ran an article on using RSS feeds a while back, “RSS for the Uninitiated,” which will be free for the next month—you may know that Google Reader, long a convenient choice, will soon no longer exist. Here are 10 alternative readers you might want consider as replacements (and if you don’t use a reader already, you might want to try it).

A new kind of nursing blog. Nurse, artist, blogger Julianna Paradisi, who writes a monthly post for this blog, has just launched a new blog that will be narrated by a fictional nurse called Niki. This sounds like a really great idea that could go in a lot of potential directions.

Lyme disease continues to grow as a health threat in leafy environments further and further afield. It’s insidious, can attack the body in multiple ways, and there’s a huge amount of controversy about whether conventional short-term antibiotic treatments actually wipe it out or not. Many argue that it can be chronic, and that it’s often missed by the tests most often used to detect its presence. This article in the New Yorker gives a really good overview […]

Oklahoma Tornado Dispatch #2: A Nurse With a Focus on a More Orderly Disaster Response

The recent tornadoes in Oklahoma are the occasion for a new series on this blog. We will be receiving and publishing updates from Red Cross nurse volunteers in the coming days. This is the second post in the series.

By Sheryl Buckner, MS, RN-BC, CNE, assistant professor at the University of Oklahoma College of Nursing and a volunteer with the Oklahoma Medical Reserve Corps since its inception. Sheryl’s past work history includes critical care, home health, and home-based case management; she is currently co-principal investigator for Nursing Initiative Promoting Immunization Training (NIP-IT), which is a free Web site for nurses and nursing students to learn about immunizations and includes a module on mass-response immunizations.

Sexual Assaults: Is the Military Finally Starting to Get It?

By Maureen Shawn Kennedy, AJN editor-in-chief

March 26, 2010: A poster supporting the Sexual Assault Prevention and Response (SAPR) program. (U.S. Navy photo illustration/Released) March 26, 2010: A poster supporting the Sexual Assault Prevention and Response (SAPR) program. (U.S. Navy photo illustration/Wikimedia Commons)

On June 7, the U.S. Air Force command named Maj. Gen. Margaret H. Woodward director of its Sexual Assault Prevention and Response Office. She replaces her predecessor, Lt. Col. Jeffrey Krusinski, who was charged with sexual assault in early May.

Announcement of his arrest came the day before the Department of Defense was to hold a press briefing to tout changes intended to improve the handling of sexual assaults. Also on June 7, the U.S. Army command suspended Major General Michael T. Harrison, the commanding general of the U.S. Army in Japan for failing to “to report or properly investigate an allegation of sexual assault.”

At the press briefing, Secretary of Defense Chuck Hagel said he was “outraged and disgusted” at the allegations against Krusinki. Hagel also asserted that “ [a]ll of our leaders at every level in this institution will be held accountable for preventing and responding to sexual assault […]

The ACA and Me: A Dispatch From the Trenches

Argonauta: The Beach at My Back/ oil stick on paper, 2010 by Julianna Paradisi Argonauta: The Beach at My Back/ oil stick on paper, 2010 by Julianna Paradisi

Julianna Paradisi, RN, OCN, writes a monthly post for this blog and works as an infusion nurse in outpatient oncology.

 “Reality is the leading cause of stress among those in touch with it.”—Jane Wagner

By 2014, up to 30 million Americans will have gained access to health care insurance under the Affordable Care Act (ACA). As a nurse human being, I support increased access to health care. However, it is naive to believe it can be accomplished without sacrifice.

My job is a casualty of the ACA.

But let’s backtrack:

It’s more accurate (but less dramatic) to say that our country’s need of better health care delivery significantly affects my job. Most hospital nurses are familiar with Medicare tying reimbursement to patient outcomes. Further, built into the ACA is a requirement that hospitals expecting Medicare reimbursement form accountable care organizations (ACOs):

Under the proposed rule, an ACO refers to a group of providers and suppliers of services (e.g., hospitals, physicians, and others involved in patient care) that will work together to coordinate care for the […]

Redeemed by M*A*S*H

Greg Horton is a widely published freelance writer and an adjunct professor at Oklahoma City Community College. With a new generation of veterans struggling to deal with emotional and physical wounds from their experiences in Iraq and Afghanistan, and to find meaningful work in a challenging economy, this story of a father’s 30-year nursing career after his return from the Vietnam War is particularly relevant today.

MASH-dioramaMy father started us on M*A*S*H soon after his return from Korea in 1973. The Vietnam War was nearing its end, although we did not know it at the time. A combat medic during his tour of duty in Vietnam early in the war, on this most recent tour my father had been stationed in Korea for a year at a hospital that received the grievously injured. “Spaghetti and meatball surgery,” he called it.

Our family had moved to Maud, Oklahoma, in 1972 to be near my mother’s family while my dad was in Korea. The endless countryside around our small town, combined with the local dump, gave us more than enough adventures to keep our minds off the war in a country of which we knew little.

M*A*S*H, the legendary television show featuring Alan Alda as the sarcastic antihero, started the year my father left for Korea. We were not a television-watching family, as such. My mother’s Pentecostal background instilled a deep-rooted distrust for the medium, unless Oral Roberts or Rex Humbard was preaching.

However, on my […]

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