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‘A True Art’: Strategies for Feeding Patients with Dementia

By Sylvia Foley, AJN senior editor

Feeding difficulties in people with dementia are common, but the way such difficulties manifest can vary widely, and there is no single, one-size-fits-all solution. Nurse researchers Chia-Chi Chang and Beverly L. Roberts open their April CE article, “Strategies for Feeding Patients with Dementia,” with some disturbing statistics that make clear the scope of the problem:

People with dementia constitute roughly 25% of hospital patients ages 65 and older and 47% of nursing home residents. And more than half of them lose some ability to feed themselves, which puts them at high risk for inadequate food intake and malnutrition. Patients who are unable to eat independently must rely on caregivers to assist them . . . Unfortunately, caregivers may be unable to identify the various types of feeding problems that accompany dementia or unaware of the feeding practices required to address them.

In an earlier literature review published in the Journal of Clinical Nursing, Chang and Roberts evaluated three tools used to assess feeding difficulties in people with dementia, then created a conceptual model depicting such difficulties, contributing factors, and outcomes. Now, in this CE article, the authors take their work […]

2016-11-21T13:13:37-05:00April 1st, 2011|nursing research|2 Comments
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The Shape of a Woman: Two Poems in ‘Art of Nursing’

By Sylvia Foley, AJN senior editor

“I think about the woman / wilting // on the pillow of the steering wheel,” begins Stacy R. Nigliazzo’s poem “Sketch,” featured in this month’s Art of Nursing department. As the title suggests, the poem sketches out a scene, the immediate aftermath of a car accident. The driver appears dead; the paramedics “offer her up, prostrate / in white splints,” while the physician records the time. The narrator—who might be an ED nurse (perhaps Nigliazzo, an ED nurse herself)—describes what she sees. And as she does, we feel the terrible burden of her witnessing: the victim’s eyes brim “like black bowls that can’t be filled.” When the victim has been taken away, we’re left with almost nothing, only some coins and “buckled lines / in the shape of a woman.” It’s a short, spare piece that conjures up far more complicated matters, like where the dead reside, and how the living might go on.

The narrator of “Connection,” the poem by Camille Norvaisas that’s featured in January’s Art of Nursing, has undergone a double mastectomy. She is shockingly direct in her stated desire. “I want to feel the same / as my nipples, so cold, / in some jar in a sterile lab,” she tells us. She’s trying to comprehend a literal disconnection: once her breasts were part of her; now, “referred to as tissue,” they lie on a stainless […]

2016-11-21T13:14:06-05:00February 4th, 2011|nursing perspective|2 Comments
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Saving ‘Mimi’: How Nurses Can Combat Human Trafficking in the USA

By Sylvia Foley, AJN senior editor

Picture this: “Mimi,” an 18-year-old Brazilian girl who speaks little English, arrives in your ED with injuries sustained in a beating. She’s accompanied by an older man who refuses to leave her side and who intercepts and answers questions directed at Mimi. The ED physicians and nurses treat Mimi’s injuries and release her back to this man’s care. Maybe you feel uneasy, but what can you do? Maybe the man really is her uncle; maybe he’s just being overprotective.

In fact, Mimi is a victim of human trafficking, and the man who brought her to the hospital is both her pimp and her trafficker. And you and your colleagues just missed a chance to intervene on her behalf. Unfortunately, you’re not alone. In “The Role of the Nurse in Combating Human Trafficking,” a February CE feature, author Donna Sabella notes that clinicians who encounter victims of human trafficking often don’t realize it, and many such chances to intervene are lost. Sabella, a nursing professor active in helping such victims, hopes to change this. […]

2016-11-21T13:14:09-05:00February 1st, 2011|students|1 Comment
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An NP Prepares: Calling All Nurse Mentors

Well, I’m here to tell you, from the evidence gathered in my own laborious, and mostly fruitless, job search, that archaic ideas about the ease of finding a position as a nurse are dead wrong.... A seasoned professional or trusted peer is crucial in providing helpful advice, guidance, and inspiration.

2016-11-21T13:14:23-05:00January 7th, 2011|career, students|4 Comments
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Choosing AJN’s Med-Surg Nursing Books of the Year


By Julie Zerwic, PhD, RN, interim executive associate dean, College of Nursing, University of Illinois at Chicago

The faculty in the department of biobehavioral health science at the University of Illinois College of Nursing looked forward with enthusiasm this fall to our opportunity to pick the AJN medical—surgical book of the year. The range of books that are submitted is outstanding and it was a challenge to find the book that we felt was deserving of the title. In fact, we selected two books. Both selections fill a need, covering material neglected in other works. 

How to Manage Pain in the Elderly, by Yvonne D’Arcy, will be useful for any nurse working with older adults in pain. The book begins by dispelling myths about the experience and treatment of pain in the elderly. The material in each chapter is brought together by text boxes, figures, and rich case studies. The book includes material on the physiology of pain in the elderly, pharmacologic and nonpharmacologic approaches to pain management, issues of multidrug therapy, and palliative care.

I recently watched as my 75-year-old mother experienced a long episode of pain after knee replacement surgery. An infection and then problems with a degenerative spine left her searching for some type of therapy that would relieve the debilitating pain. Many of the concepts that D’Arcy covers in her book were relevent to the situation my mother found herself in. This book will provide a resource as health care providers […]

2016-11-21T13:14:25-05:00January 6th, 2011|nursing perspective|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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