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Incomplete Combustion: Crohn’s, Motherhood, a New Normal

April Gibson is an essayist, poet, and ostomate. She holds an MFA in creative writing from Chicago State University. In her writing she seeks to address and renegotiate societal beliefs about motherhood, illness as alienation, beauty as a shell. Her work is published or forthcoming in Tidal Basin Review, Reverie, The New Sound, Aunt Chloe, AsUs and elsewhere. She lives in Chicago with her two sons. 

AprilGibsonTwenty-one days pass. I am a 90-pound bag of skin. Legs like peanut butter drapes thrown over femur bones, no muscle, no pronounced curve. A lover would look past me quickly in the street. I do not want these scars, or this strange body. I want to wear a red bikini. I want a kiss on my belly.

Three weeks felt like spans of small forevers. I didn’t believe my legs and arms were mine. My abdomen sunk to a cave, save for the rustling bag. My aunt hurled the word “unconscionable” on each visit, until the hospital knew her voice. My mother, grandmother, aunts, they stayed in mornings, my little brother stayed through late nights, nodding off once the drugs snatched my eyes to sleep. So many people, one could’ve mistaken my bed for a box. I can’t remember them all, or even all the days.

The nurses were there everyday, same ones. This is their wing. The doctors came […]

2016-11-21T13:07:18-05:00June 14th, 2013|Nursing, patient experience, Patients|10 Comments

Science and Suffering: My Two Months Battling the Aliens

By Ronald Pies, MD, professor of psychiatry and lecturer on bioethics and humanities, SUNY Upstate Medical University, Syracuse, New York; clinical professor of psychiatry, Tufts University School of Medicine, Boston; editor-in-chief emeritus of Psychiatric Times. Dr. Pies is also the author, most recently of, The Three-Petaled Rose, an exploration of the synthesis of Judaism, Buddhism, and Stoicism (iUniverse).

Doyle Alphabet by fdecomite, via Flickr Doyle Alphabet by fdecomite, via Flickr

It all started suddenly: weird, creeping sensations in my forehead and between my eyes, especially when I lay on my back or bent my head forward. The expression “my skin is crawling” quickly came to mind. Over the next few days, I began to experience intense pressure in my forehead and a weird sensation on the bridge of my nose—as if a large clothespin had been clipped onto it. Within a few days, it felt like someone had poured a sack of concrete into my head.

My self-diagnosis was sinusitis—a term that covers many etiologies. But most cases of sinusitis begin with head or facial pain and nasal discharge—not the strange sensations my wife and I soon started calling “the aliens.”

Nevertheless, I began an aggressive self-treatment program: decongestants, aspirin, and something called a Neti pot—an ancient form of nasal irrigation using a […]

2018-03-27T16:37:04-04:00June 12th, 2013|Nursing|3 Comments

What’s Enough? Why It’s Essential for Nurses to Assess Adolescent Sleep

By Sylvia Foley, AJN senior editor

Illustration © Anne Horst / www.i2iart.com

In her poem “Sleep in the Mohave Desert,” Sylvia Plath wrote about not sleeping, feeling comfortless, tormented by the “heat-cracked crickets . . . [that] fiddle the short night away” in “the blue hour before sunup.” Though Plath was writing as an adult, sleeplessness and other sleep difficulties have troubled humans of all ages for centuries. Until recently, we could only guess at the health consequences. Now there is mounting evidence that inadequate or insufficient sleep has many adverse effects. Adolescents appear to be particularly vulnerable—and it’s not simply because they’re rebelling against bedtime. In this month’s CE, “Assessing Sleep in Adolescents Through a Better Understanding of Sleep Physiology,” authors Nancy George and Jean Davis offer an in-depth look.

Overview: Adolescents need about nine hours of sleep per night, yet most teens get far less. Inadequate sleep has consequences not only for academic performance but also for mental and physical health; it has been linked to lowered resilience and an increased risk of cardiovascular and metabolic diseases. It’s imperative that assessment of sleep become a routine part of adolescent health care. An understanding of sleep physiology is essential to helping nurses better assess and manage sleep deprivation in this population. Sleep assessment involves evaluating the three main aspects of sleep: amount, quality, and architecture. The authors provide an overview of sleep physiology, describe sleep changes that occur during adolescence, […]

2017-07-27T14:51:02-04:00June 7th, 2013|Nursing|1 Comment

Using Evidence-Based Practice to Reduce CAUTIs

By Karen Roush, AJN clinical managing editor

Using evidence-based practice to . . .

Fill in the blank. There’s something on your unit that could be improved—the rate of ventilator-associated pneumonia (VAP), the engagement of family in care, the readmission rate of patients with heart failure, patient satisfaction with pain management. Whatever it may be, you have the ability to improve it. This month we have a CE article (link is below) about an evidence-based practice (EBP) project to reduce catheter-associated urinary tract infections (CAUTIs).

Scanning electron micrograph of S. aureus bacteria on the luminal surface of an indwelling catheter with interwoven complex matrix of extracellular polymeric substances known as a biofilm/ CDC Scanning electron micrograph of S. aureus bacteria on the luminal surface of an indwelling catheter with interwoven complex matrix of extracellular polymeric substances known as a biofilm/ CDC

The really interesting thing about this article, and what makes it especially helpful for beginner quality improvers out there, is that it doesn’t just describe an effective project to reduce CAUTIs. It also describes how to do an EBP project, step-by-step. The author, Tina Magers, a novice EBP mentor, followed the seven steps outlined in AJN’s Evidence-Based Practice series and describes the actions involved in each step. It’s a great how-to on applying evidence to practice. Here’s the overview/abstract of this useful June CE article, “Using Evidence-Based Practice to Reduce Catheter-Associated Urinary Tract Infections”:

Overview: In […]

2017-05-27T10:29:02-04:00May 31st, 2013|nursing perspective|0 Comments

Surely, ‘Tis Not an Easy Cap to Satisfy…A Nurse’s 1929 Meditation on Nursing Caps

Photo from otisarchives4, via Flickr. otisarchives4/Flickr.

By Karen Roush, AJN clinical managing editor

Though the nursing cap went by the wayside years ago, this beautifully written essay by a nurse about her cap, published in AJN in April, 1929, struck me as a metaphor for many things—nursing itself chief among them. And though the wearing of a cap may have changed, what this author expressed in 1929 about nursing hasn’t: “sympathy without sentimentality; broad understanding without cynicism; charity without weakness.”

The opening paragraphs are below, but the entire essay, “My Cap,” will be free until next week on the AJN Web site.

CapExcerpt

2016-11-21T13:07:38-05:00May 8th, 2013|career, nursing perspective|1 Comment
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