September Issue: HIV Update, RN-Performed Bone Marrow Procedures, Debriefing Methods, More

“One day—and I remember distinctly that all I was doing was setting up [my mother’s] pills and preparing a few bites of food that I hoped she’d eat—a clear small voice inside me said, ‘You could do this for other people.’”—Linda Beall, author of the September Reflections column, “A Clear Small Voice”

The September issue of AJN is now live. Here’s what’s new:

CE: HIV Update: An Epidemic Transformed

This article describes the current state of HIV treatment and prevention—including HIV risk reduction strategies such as PrEP and PEP—and highlights the common comorbidities often seen in older people living with HIV.

Cultivating Quality: Bone Marrow Aspiration and Biopsy Performed by RNs: A Review of Clinical Practice

The authors discuss the policies and practices of their program to train RNs to perform bone marrow procedures, its clinical and diagnostic outcomes, and the opportunity for nurses to work to their full scope of practice.

Teaching for Practice: Using Debriefing Methods in the Postclinical Conference

This article examines various debriefing methods and describes scenarios in which clinical instructors can use debriefing to turn daily events into teachable moments.

CE: Original Research: Are Milk and Molasses Enemas Safe for Hospitalized Adults? A Retrospective Electronic Health Record Review

The authors of this study evaluated the safety of milk […]

2019-08-26T10:09:33-04:00August 26th, 2019|Nursing|0 Comments

End-of-Life Conversations at the 11th Hour

Illustration by Gingermoth

A problem all too familiar to nurses.

How often have we nurses talked to friends, family members, or each other about the importance of making end-of-life decisions well before that decision becomes critical? We see so many deaths that come only after extended and often avoidable suffering, it’s all many of us can do to keep from grabbing a family member’s hand and whispering, “Let her go!” At home, our families are used to hearing us say again and again, “Do not let me die like that!”

If we work in a hospital, chances are that we are confronted over and over again with trying to help families make “11th hour” decisions that will affect how their loved ones die. How do we broach the subject, when time is so short?

Trust prepares the ground.

This month’s Reflections article, “Difficult Conversations,” isn’t a primer to walk us through these conversations, but it offers an example of how we can take our cue from events or changes in the patient’s condition to raise the topic of the inevitable. Author Vanessa Arroyo illustrates how, after we’ve developed a relationship with patient and family and earned their trust, it may become possible to ask the hard questions.

I […]

2019-08-19T09:59:07-04:00August 19th, 2019|Nursing, nursing stories|1 Comment

Not Your Grandma’s Simulation Anymore

Photo © Melanie Stetson Freeman / Christian Science Monitor / The Image Works.

In 1958, after pulling his drowning son from water and clearing his airways, Norwegian doll manufacturer Asmund S. Laerdal was asked to develop a manikin to teach others how to perform mouth-to-mouth resuscitation. The doll became known as “Resusci Anne” or […]

A Roundup of Women’s Health Issues

Is it Women’s Health Month? Not according to the calendar. But as you browse through this month’s issue of AJN, you may indeed get the impression that we decided to focus on women’s health for the month of August.

This month’s Viewpoint, by Julie Michelle Haracz, “Making OTC Oral Contraceptives Available for All Women,” reminds us that “No woman should have to wait months for an appointment to see a physician, travel long distances, or pay more than she can afford to prevent an unintended pregnancy.” Haracz notes that oral contraceptives already are available over the counter in more than 100 other countries.

In the news: quick takes and closer looks.

Our August news section is filled with stories of particular importance to women. Our reporters cover the flurry of recent state laws that would significantly limit a women’s ability to obtain an abortion (all facing court challenges), an interesting UK study showing that a single dose of antibiotic after forceps-assisted or vacuum-assisted births reduced the incidence of infection, and sobering new CDC statistics suggesting that 60% of U.S. pregnancy-related deaths are preventable.

Did you know that suicide is the second-leading cause of death among young people in the U.S.? Sadly, the rate of suicide among girls ages 10 to 14 is rising, narrowing the gap between rates rates for boys and girls.

Some positives.

Obesity-Related Cancer in Women: What Nurses Need to Know

Have we in our overweight society been trying to ignore the mounting evidence connecting overweight and obesity with increased cancer risk?

If you’ve heard stories in the general media about the relationship between breast, colon, or other cancers with obesity but “were afraid to ask,” you’ll want to read “Obesity-Related Cancer in Women: A Clinical Review” in this month’s AJN.

Sobering evidence.

Author Anne Katz shares the evidence for an increased risk of certain cancers and cancer recurrence in women who are overweight or obese, focusing on the association between extra weight and cancers of the breast, endometrium, cervix, colon, and rectum.

 “Over the past decade, the role that overweight and obesity play in cancer development, recurrence, and related mortality, particularly among women, has become increasingly clear… [and] gynecologic cancers are among those with the strongest evidence for the association with obesity.”

The specificity of the research regarding cancer recurrence, cancer-specific mortality, and fewer years of disease-free survival is sobering. Obesity also increases the risk of infection and other complications arising from cancer surgery, and can increase the toxicity of radiation therapy. […]

2019-08-05T08:42:49-04:00August 5th, 2019|Nursing|0 Comments
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