Nurses spend more time with patients than most other types of providers and have unique insight into patient care and the the healthcare system.

The Grief Train

Then came “the Morning.” There was coffee, the newspaper, and ironed shirts. I was getting ready for a student’s dissertation defense and Paul, my husband, faced his own challenging day. As I prepared to shower, a crash sounded beyond the bedroom door. Something about the silence that followed made me grab my robe and go running.

GriefTrainIllustrationThat’s a teaser paragraph from AJN‘s October Reflections essay, “The Grief Train,”  by nurse, professor, and award-winning author Cheryl Dellasega. She writes about teaching a course called Death and Dying, and then having to try to make sense of a sudden, terrible loss in her own life. Like many profound American stories, this one ends in a long train trip.

I edit this column every month, and some of the stories go right to the heart of life, love, death, health, illness, healing, human connection and disconnection. The essay is free, so please click on the link above and read the whole thing. It’s well worth five minutes of your time.—Jacob Molyneux, senior editor

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Come Into My Parlor

Amy Getter, MS, RN, lives in Eugene, Oregon, where, in her own words, she “works with people with life-limiting illness who are enrolled in a hospice wherever they consider ‘home.’”

by Ramon Peco/via Flickr by Ramon Peco/via Flickr

I fondly remember becoming acquainted with my first “parlor,” in a 100-year-old home that my family moved into during my teen years. The walls were dressed in faded, peeling, paisley-patterned wallpaper and a tarnished brass chandelier hung from the ceiling. French doors closed it away from the rest of the living area, giving it a slightly mysterious aura. Far-off city lights blinked at me from elongated paned windows. I immediately claimed it as my bedroom.

The word parlor (derived from the verb “to speak”) may have first been used in medieval monasteries. An “outer parlor” was designated for receiving outsiders and attending to business needs and the “inner parlor” was for the monks’ private use. During the mid-19th century, formal parlors evolved and could be found in homes like the one my family lived in.

Weddings, funerals (being “laid out”), and other social events occurred in the parlor. Home businesses emerged (such as “funeral parlors”—offering an option for laying out the deceased in someone else’s home!). In recent years, care of the infirm and preparation of the […]

It’s Starting Again

Some Notes on Pink Ribbons and the Primacy of Breast Cancer Advocacy

By Karen Roush, MS, RN, FNP-C, AJN clinical managing editor

Breast cancer awareness giveaways/Wikipedia Commons Breast cancer awareness cornucopia/Wikipedia Commons

It’s starting again. October is less than a week away and already they’re everywhere. But then again, they never really go away. Those darn pink ribbons.

Breast cancer is a terrible disease. My family has experienced its share and I know the anxious—it’s going to be fine, oh my god what will happen to my kids if I die—feeling of waiting for a path report after a lumpectomy.

But there are other terrible things that happen to women—and happen more frequently. And we don’t pay anywhere near the same attention to them. Take heart disease, for example. Heart disease is the number one killer of women. In 1999, according to the CDC, 24% of deaths in women were from heart disease, while 22% were from ALL types of cancer combined. Or consider domestic violence, experienced by one in four women during their lifetime while one in eight women will experience breast cancer.

So why is it that breast cancer garners so much of the public’s attention, and along with that, a disproportionate amount of its resources? It collects more funding than any other type of cancer. For example, lung […]

2017-04-21T22:20:27-04:00September 25th, 2013|nursing perspective|6 Comments

Do EHRs Rob Nurses of Voice and Oversimplify Description of Patient Care?

Julianna Paradisi, RN, OCN, writes a monthly post for this blog and works as an infusion nurse in outpatient oncology. Editor’s note: this post has been slightly revised for clarity since its initial publication a day ago.

 Heroines of Nursing, mixed media collage by julianna paradisi, 2013. Text by Florence Nightingale
Heroines of Nursing, mixed media collage by julianna paradisi, 2013. Text by Florence Nightingale

Previously I’ve written that I have a new employer. Part of this transition is relearning how to use the electronic health record (EHR). Fortunately, this new employer uses the same program as my last. However, that version was EHR-lite compared to the one we use now.

For instance, the new system contains an abundance of “smart phrases” that are used to lessen time spent writing nursing notes. If you are unfamiliar with smart phrases, an uncomplicated explanation is that they are preconstructed phrases chosen from those commonly found in charting, such as “The patient arrived ambulatory for IV infusion.” Instead of typing in this phrase, nurses can click on it from a computer screen menu, and voilà! The entire phrase is electronically inserted into the notes.

Smart phrases, like charting by exception […]

A Breath of Fresh Air, Relatively Speaking

By Tara Duffy, RN. Tara is an RN at Strong Memorial Hospital in Rochester, NY, where she works in the Wilmont Cancer Center. 

I hear it, taste it, smell the construction to my left as I walk into the hospital. It is a sight for sore eyes—as in causing them, not soothing them—so I try to pay it little attention.

Her smile catches my attention. I have not seen it in weeks.

“I hear you got outside today?” I ask.

by utahwildflowers/via Flickr by utahwildflowers/via Flickr

The smile widens as I write my name on the whiteboard. She is a vibrant woman, full of life yet dying to be home.

“I did . . . it was greeeeaat,” she sighs.

I instantly envision the hospital surroundings—smokers circle at one exit, construction on the opposite.

“Where did you get to go?” I ask, hoping to learn of some hidden gems beyond these doors.

“Right out front,” she responds, matter-of-factly.

The construction site, I think to myself, instantly dismayed.

“It was sooo great.” Her smile surfaces again.

I suddenly realize she is speaking in relative terms.

“Just that fresh air,” she pauses as I envision the filth and ruckus, “was soooo nice.” She exhales deeply.

My smile widens with hers. I am instantly humbled. I manage an “I bet.” […]

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