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Shingles: The Disease, the Vaccine, and the Role of Nurses in Vaccination Conversations

Shingles: The Disease

Shingles, also known as herpes zoster, is a painful viral condition caused by the reactivation of the varicella-zoster virus (VZV), the same virus responsible for chickenpox. While anyone with a history of chickenpox is at risk of developing shingles, the likelihood increases with age and in those with weakened immune systems. The disease can lead to significant morbidity, including postherpetic neuralgia (PHN), a debilitating complication characterized by persistent nerve pain. Fortunately, effective vaccination exists, and nurses play a critical role in raising awareness, educating patients, and promoting vaccine acceptance.

Image © Shutterstock

Shingles occurs when the varicella-zoster virus, which remains dormant in the dorsal root ganglia after a person recovers from chickenpox, reactivates. This reactivation typically happens decades later, often due to age-related decline in cell-mediated immunity or immunosuppressive conditions. Upon reactivation, the virus travels along sensory nerves to the skin, causing a painful, blistering rash.

Clinical Manifestations

2025-05-21T09:33:47-04:00May 21st, 2025|Nursing|1 Comment

The Repercussions of Trump Administration Cuts to NIH and Research Funding

From the first week of his administration, President Trump has targeted medical and academic research, cutting research funding to universities and slashing the workforce and budget for the National Institutes of Health (NIH). Concerns about the future of medical research in the United States began on January 22, just three days into the new administration, when all meetings to review grant submissions at NIH were cancelled with no plan for rescheduling.

Photo © Shutterstock

Within days, NIH abruptly cut off funding for research projects that incorporated principles or language associated with diversity, equity, and inclusion (DEI) in any form, such as clinical trials focused on populations underrepresented in past research. In early February, NIH announced drastic reductions in the indirect costs rate, the percentage paid to universities for administrative and overhead costs of funded research studies. NIH funding of new grants fell precipitously; an analysis in STAT found a 28% reduction in new grant funding in the first three months of the administration. Then in March universities got hit, most notably Columbia and Harvard, with the Trump administration threatening to terminate all federal funding if universities did not comply with the administration’s policy demands. The loss […]

Workplace Safety as an Ethical Imperative in Nursing

“How do we honor the role of the nurse by building systems that reflect the same level of commitment they bring to patient care?”

Workplace violence (WPV) remains a persistent and serious challenge in health care. Nurses, bound by the American Nurses Association (ANA) Code of Ethics to provide compassionate care and prevent harm, experience assaults at significantly higher rates than other health care professionals—a trend that intensified during the COVID-19 pandemic. These experiences are not only harmful; they create a profound ethical conflict by directly undermining professional role obligations and disrupting the alignment between ethical expectations and workplace realities. This misalignment diminishes professional role clarity, fosters cognitive dissonance in nurses’ professional role identity, and ultimately strains their commitment to the nursing profession.

Nurses’ ability to uphold compassion and provide nursing care is compromised when their safety is not protected. The 2025 revision of the Code of Ethics, particularly Provision 5, directly addresses this concern. It affirms what we’ve long known to be true:

“The nurse has moral duties to self as a person of inherent dignity and worth including an expectation of a safe place to work that fosters flourishing, authenticity of self at work, and self-respect through integrity and professional competence.”

This guidance reframes workplace safety—not as a matter of personal resilience or policy—but as an ethical obligation rooted in nursing values and woven into the nursing professional role. It highlights the responsibility of organizations, leaders, and the profession to ensure nurses can […]

The Harm Done by Dismantling USAID

The Trump administration dismantled the U.S. Agency for International Development (USAID) abruptly in February, placing nearly all of its over 10,000 employees on administrative leave, freezing appropriated funds, and cancelling nearly 5,800 USAID-managed foreign assistance awards—effectively closing an agency that has led in global humanitarian assistance since it was created by President John F. Kennedy in 1961.

Shutting down the agency has dealt a devastating blow to low- and middle-income countries’ efforts to alleviate poverty, provide health care, and improve public health and education. USAID supported a wide variety of critical global programs, including  family planning, disease prevention and treatment, immunizations, and famine relief. Nurses played a critical role in USAID, providing education and training to strengthen severely limited in-country nursing and midwifery workforces, delivering direct care, and leading immunization and other health programs.

Deadly results.

A child in Tajikistan receives a polio vaccination during a campaign to halt a polio outbreak. Photo: USAID, via Wikimedia Commons

An estimated 119,000 children and 57,000 adults have died as a result of USAID funding cuts, according to a real-time tracking tool developed by Boston University associate professor […]

International Travel Preparation: Health and Safety Guide for Nurses

Exposure to infectious diseases during international travel has been in the news recently and it’s important to be aware of the types of risk posed by international travel as well as recommended pre- and post-travel interventions. Nurses, as a trusted health care voice, may receive questions from patients, family members, and others within their community—and nurses themselves may be preparing for international travel.

image via Unsplash

Therefore, how individuals can be be best prepared for international travel should be a point in patient education and personal education for nurses. International travel can be an enriching experience, but it also comes with certain health and safety risks. Proper preparation helps mitigate these risks and ensures a smoother and safer journey. The following information provides essential information on

  • risk assessment
  • food and water safety
  • insect protection
  • general safety considerations
  • and medical preparedness, including vaccines and travel-related medications.

More detailed information can be obtained by going to the Centers for Disease Control and Prevention (CDC) website and consulting the Yellow Book, a recognized authority document freely available for access and download.

Risk Assessment

2025-04-14T10:20:37-04:00April 14th, 2025|infectious diseases, Nursing, Public health|1 Comment
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