About Betsy Todd, MPH, RN

Former clinical editor, American Journal of Nursing (AJN), and nurse epidemiologist

Obesity-Related Cancer in Women: What Nurses Need to Know

Have we in our overweight society been trying to ignore the mounting evidence connecting overweight and obesity with increased cancer risk?

If you’ve heard stories in the general media about the relationship between breast, colon, or other cancers with obesity but “were afraid to ask,” you’ll want to read “Obesity-Related Cancer in Women: A Clinical Review” in this month’s AJN.

Sobering evidence.

Author Anne Katz shares the evidence for an increased risk of certain cancers and cancer recurrence in women who are overweight or obese, focusing on the association between extra weight and cancers of the breast, endometrium, cervix, colon, and rectum.

 “Over the past decade, the role that overweight and obesity play in cancer development, recurrence, and related mortality, particularly among women, has become increasingly clear… [and] gynecologic cancers are among those with the strongest evidence for the association with obesity.”

The specificity of the research regarding cancer recurrence, cancer-specific mortality, and fewer years of disease-free survival is sobering. Obesity also increases the risk of infection and other complications arising from cancer surgery, and can increase the toxicity of radiation therapy. […]

2019-08-05T08:42:49-04:00August 5th, 2019|Nursing|0 Comments
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Addressing Health Care Worker Trauma with an Off-Site, Overnight Workshop

Everyone experiences loss and other personal trauma, but those of us who work in health care are obliged to cope with our own personal grief and stress as well as witness the suffering and pain of our patients. Do these words ever describe you at the end of a shift at work?

” . . . angry . . . anxious . . . hopeless . . . stressed . . . depleted . . . depressed . . . frazzled . . . “

One health system gets serious.

There’s a lot of talk these days about addressing clinicians’ burnout, and in some workplaces staff now are offered a meditation room, or aromatherapy or massage.

But since 2013, Montefiore Health System in Bronx, New York, has seriously invested in their staff’s mental and emotional health by offering a two-day, off-site experiential and educational workshop twice a year. And by paying for the program, retreat center, and meals for all participants so that staff can attend for free.

In “Helping Care Providers and Staff Process Grief Through a Hospital-Based Program” in the July issue of AJN, Ronit Fallek and colleagues share their experiences in developing this program along with their analysis of feedback about its effectiveness. They offer enough […]

2019-07-25T11:18:15-04:00July 25th, 2019|Nursing, nursing career, wellness|0 Comments
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Duty to the Patient: A Crucial Element in any Malpractice Case

It’s frightening to be named in a malpractice lawsuit, or even simply to be asked to provide a deposition in a case in which you personally have not been charged. When things go wrong at work, the possibility of legal action adds to the upset a nurse may already feel about a patient’s injury or death.

A primer on the basics of malpractice.

In “The Elements of a Nursing Malpractice Case: Duty” in this month’s AJN, nurse and attorney Edie Brous provides readers with the first of a four-part “primer” that delves into the basics of malpractice.

What exactly is duty to a patient?

In every malpractice case, the plaintiff is required to prove four “elements” in order to win:

  • that the nurse or physician named in the suit had a duty to the patient;
  • that this duty was breached (that is, not fulfilled);
  • that the patient was actually harmed in some way;
  • and that the breach of duty was the direct cause of harm to the patient.

[…]

2019-07-22T09:36:11-04:00July 22nd, 2019|career, Nursing|0 Comments
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Are You Checking for Ticks?

” . . . cases of tick-borne diseases [in the U.S.] increased more than twofold between 2004 and 2017. . . .Tick-borne diseases now make up more than three-quarters of all vector-borne disease reports.”

I live in a small town dotted with grassy and wooded areas, brush, and plenty of mammalian wildlife, so the possibility of contact with ticks is present even on a walk to the compost bin or train station.

I’ve become really good at tick identification and removal, but I can’t claim any special expertise in recognizing the early signs of tick-borne diseases.

CDC warns of tick-borne rickettsial disease increase.

For that information, we have help this month from Centers for Disease Control and Prevention (CDC) staff, who steer readers to new resources in the Update from the CDC column in AJN’s July issue, “Increase in Reports of Tick-Borne Rickettsial Diseases in the United States.”

Alison Binder and Paige Armstrong tell us about the CDC’s new online training toolkit and learning module, both designed to raise awareness about tick-borne rickettsial diseases. […]

2019-07-08T09:03:50-04:00July 8th, 2019|environmental health, infectious diseases, Nursing, Public health|2 Comments
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‘Batman Has No Superpowers’: Inspiring Nurses as Leaders and Healers

“Leadership is about inviting people on a mission to do something extraordinary together.”

by Augustin Ruiz, via Flickr

This year’s Quality and Innovations Conference, presented by the American Nurses Association in April, included an offbeat presentation on ‘Superhero Leadership: How Everyday People Can Have an Extraordinary Impact.’ At this opening session, filmmaker Brett Culp shared a short film, stories, and advice, offering a perspective on leadership that managed to be both inspiring and poignant.

Using everyday skills as forces for good.

Culp may be best known for his 2013 documentary, Legends of the Knight (www.WeAreBatman.com), in which he relates the true stories of children and adults “who were inspired to become real-life heroes because of their love of Batman.” Batman has no superpowers, and therefore he can inspire others to use their own everyday skills and strengths as forces for good. The filmmaker suggests that nurses, too, should “embrace [our] inner superhero” when needed.

Culp emphasized that in his many travels he has seen that “the world is filled with good people,” and that most people want to make a difference at work and for their communities.

Leaders ‘hold space’ for what could be.

Culp believes that a pivotal role in the process of change is the person who steps up first, “creating space” for others to join them in their efforts.

This is a central job of leaders, […]

2019-08-01T09:56:36-04:00July 5th, 2019|career, Nursing|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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