About Shawn Kennedy, MA, RN, FAAN, editor-in-chief (emerita)

Editor-in-chief, (emerita), AJN

How Should a Nurse Support Patients in Choosing a Time to Die?

Two of my six aunts died from Alzheimer disease (AD). They didn’t live nearby, so when I saw them every few months, the deterioration from the illness was evident. Both showed the same behavioral trends: some mild forgetfulness and repetitive questioning at first, then what seemed a prolonged period of incessant questions and bewilderment and anxiety over not understanding where they were or why they were there, who others were. Wandering outside at all hours, agitation and resistance to hygiene, eventually disappearing into a nonverbal, nonresponsive state.

It was painful to watch these formerly active, smart, and vibrant women decline in such a way. The most painful part was when they still understood that they were becoming confused and how frightened that made them.

Now there are alternatives available for those who don’t want to go down that road—but they are hard to come by, especially if you live in the United States.

People with dementia face particularly high hurdles.

A special feature in the March issue, “Medical Aid in Dying: What Every Nurse Needs to Know,” covers medical aid in dying and the nurse’s appropriate role in many end-of-life circumstances, including the ethically and logistically challenging situations of those with dementia who seek some agency over […]

Securing Our Place in History: Nurses and Women’s History

Editor’s note: The text below is from the editorial by Shawn Kennedy published in the March 2015 issue of AJN, “Securing Our Place in History,” and the illustration is that month’s cover image. 

Henry Street Settlement Nurse, Lower East Side, New York City

In 1980, after realizing that women were largely missing from the history books, a group of women formed the National Women’s History Project.

They embarked on a campaign to “celebrate and recognize women’s role in history” and, in 1987, were successful in getting Congress to designate the month of March as Women’s History Month.

Each year, the NWHP chooses a theme and honors women who have made significant contributions to society yet have remained unknown.

The organization also provides educational materials and acts as a clearinghouse for multicultural women’s history information. This year’s theme, “Weaving the Stories of Women’s Lives,” reflects the NWHP’s tenet that “[k]nowing women’s achievements challenges stereotypes and upends social assumptions about who women are and what women can accomplish today.”

One might substitute the word nurses for women in this statement.

Most people still don’t understand all that nurses have done—and continue to do—to improve health care. Most would likely recognize the name of […]

History Is What We Make It

February is Black History Month—officially observed as such by President Gerald Ford in 1976, America’s bicentennial year, to celebrate the contributions of Black Americans to our nation. It began as a week of remembrance established in 1926 by Carter G. Woodson, founder and president of the Association for the Study of African American Life and History. He chose the second week in February because it coincided with the birthdays of President Abraham Lincoln and Frederick Douglass, the former slave who became a famous orator, author, and abolitionist. Later, in 1986, Congress designated the month of February as “National Black History Month.”

I didn’t know about the origins of Black History Month until I was preparing this editorial. This made me wonder about the many other things I wasn’t aware of concerning the history of Black Americans in this country. It wasn’t until last year, on its centennial, that I learned about the massacre that destroyed the Black community in Tulsa, Oklahoma, in 1921. And it was only in the last few years that I learned about the Tuskegee syphilis study conducted by the U.S. Public Health Service from 1932 until 1972. (Yes, 1972!) In this study, originally known as the “Tuskegee Study of Untreated Syphilis in the Negro Male,” participants with syphilis were […]

Migraines: A Comprehensive Review of the Most Debilitating Primary Headache Type

r. nial bradshaw / flickr creative commons

This month’s CE feature article, Diagnosing and Managing Migraine, is one I’m sure many readers will relate to, and perhaps even find some answers in for their own headaches.

Like many women, I could count on experiencing at least one each month—classic menstrual migraines—that would begin with a visual aura of wavy lines that made reading or driving impossible. Sometimes, taking acetaminophen or ibuprofen right at the onset of the aura and relaxing/lying down, could prevent it from progressing further.

Otherwise, I would become overly sensitive to lights and sounds and develop a pounding headache and nausea that made me retreat to a dark, quiet room for several hours until the headache passed.

The most debilitating type of primary headache.

The authors note that “90% of the U.S. population will develop a headache within their lifetime.” Migraine, the most debilitating type of primary headache (that is, when the headache is the disorder as opposed to being secondary to other causes), occurs in about 12% of the population. I was surprised that while prevalence is fairly equally distributed among boys and girls prior until puberty (2.5 or 2.4 percent), it changes dramatically post-puberty:

“The greatest difference between the sexes occurred between the ages of 20 and 40, when […]

2021: A Year of Hope and Heartbreak

Photo of AJN editor-in-chief Shawn Kennedy

(This post is a reshare of AJN‘s January issue editorial; to browse the rest of the issue, visit our website, ajnonline.)

Last January, our cover was an artist’s rendering of the planet Earth as a SARS-CoV-2 virus molecule. In my accompanying editorial, I wrote that it was “unfathomable that over 275,000 Americans have died from COVID-19” and that the number would likely increase. Now here we are, a year later, with another COVID-19 cover. The white flags in the cover photo, installed on the National Mall in Washington, DC, by artist Suzanne Brennan Firstenberg, represent each person who has died from the virus. Sadly, according to the Centers for Disease Control and Prevention (CDC), as of November 28 this number had reached 776,070—well over double last year’s tally. The flags offer a stark visual image of the magnitude of our loss.

What’s especially startling is that the United States leads all countries in both deaths and confirmed cases. The World Health Organization reports that, as of November 29, U.S. confirmed COVID-19 cases totaled 47,837,599; India was second with 34,580,832. Globally, 5,200,267 people have died from the disease. It’s disheartening that the United States has lost so many people and could lose so many more, given that vaccines are available.

There was hope that the two vaccines that received […]

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