Are You Checking for Ticks?

” . . . cases of tick-borne diseases [in the U.S.] increased more than twofold between 2004 and 2017. . . .Tick-borne diseases now make up more than three-quarters of all vector-borne disease reports.”

I live in a small town dotted with grassy and wooded areas, brush, and plenty of mammalian wildlife, so the possibility of contact with ticks is present even on a walk to the compost bin or train station.

I’ve become really good at tick identification and removal, but I can’t claim any special expertise in recognizing the early signs of tick-borne diseases.

CDC warns of tick-borne rickettsial disease increase.

For that information, we have help this month from Centers for Disease Control and Prevention (CDC) staff, who steer readers to new resources in the Update from the CDC column in AJN’s July issue, “Increase in Reports of Tick-Borne Rickettsial Diseases in the United States.”

Alison Binder and Paige Armstrong tell us about the CDC’s new online training toolkit and learning module, both designed to raise awareness about tick-borne rickettsial diseases. […]

2019-07-08T09:03:50-04:00July 8th, 2019|environmental health, infectious diseases, Nursing, Public health|2 Comments
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‘Batman Has No Superpowers’: Inspiring Nurses as Leaders and Healers

“Leadership is about inviting people on a mission to do something extraordinary together.”

by Augustin Ruiz, via Flickr

This year’s Quality and Innovations Conference, presented by the American Nurses Association in April, included an offbeat presentation on ‘Superhero Leadership: How Everyday People Can Have an Extraordinary Impact.’ At this opening session, filmmaker Brett Culp shared a short film, stories, and advice, offering a perspective on leadership that managed to be both inspiring and poignant.

Using everyday skills as forces for good.

Culp may be best known for his 2013 documentary, Legends of the Knight (www.WeAreBatman.com), in which he relates the true stories of children and adults “who were inspired to become real-life heroes because of their love of Batman.” Batman has no superpowers, and therefore he can inspire others to use their own everyday skills and strengths as forces for good. The filmmaker suggests that nurses, too, should “embrace [our] inner superhero” when needed.

Culp emphasized that in his many travels he has seen that “the world is filled with good people,” and that most people want to make a difference at work and for their communities.

Leaders ‘hold space’ for what could be.

Culp believes that a pivotal role in the process of change is the person who steps up first, “creating space” for others to join them in their efforts.

This is a central job of leaders, he says—to hold […]

2019-08-01T09:56:36-04:00July 5th, 2019|career, Nursing|0 Comments
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In Health Care, We All Have Biases

Everyone involved in health care is likely aware of the disparities that exist in the system, from private patients who get fast-tracked and admitted to private rooms (all hospitals seem to have a “VIP” floor) to individuals who must wait until they are very ill and then can be treated as an emergency. And even though our ethics dictate otherwise, we know that, often unconsciously, we treat some patients differently.

Awakening to our preconceived notions and preferences.

“Addressing Implicit Bias in Nursing: A Review,” written by Mary Curry Narayan and published in our July issue, discusses how preconceived notions and instinctive preferences can interfere with relationships and change how we treat patients.

Are you as comfortable walking into a room full of people similar to yourself as you are into a room full of people who speak a different language or are from a different background? Do you feel and act the same way towards a private patient with an MI who has a stable job and family as you would towards an unemployed person who has a substance abuse disorder? Will you spend the same amount of time speaking with them?

Recall conversations with colleagues at change-of-shift reports—in my experience, discussions there often color how we feel about patients before we even meet them.

Biases: we all have them.

Narayan points out that the first step in managing our biases is to acknowledge that we all have them—they’re part of our past experiences and are […]

2019-08-01T09:48:19-04:00July 3rd, 2019|Nursing, Patients|0 Comments
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A Health Care Proxy and an Act of Moral Imagination

“What would Joanna have wanted?” the ICU fellow (Dr. Smith) asked Sam, Joanna’s nephew and health care proxy, for the second time this week. Sam considered the question, furrowed his brow, and said, “I still don’t know, doc.”

The human costs of indecision.

Uncertainty can at times be better than false certainty. This may even be so, up to a point, when a loved one is on life-support and subject to invasive and painful procedures. It takes time to absorb the reality of a situation.

But any nurse can tell you that, at some point, indecision becomes a decision in itself, one that can lead to many unwished-for consequences.

Seemingly unanswerable questions.It

The quotation at the start of this post is from this month’s Reflections essay, “What Joanna Would Have Wanted” (free until July 15). The story, by nurse Jennifer Chicca, MS, RN, evokes the overwhelming sense of responsibility faced by a thoughtful young man in the role of health care proxy to a beloved aunt.

How is possible to be sure what someone would want, or not want, when their end-of-life wishes have not been clearly spelled out ahead of time? […]

2019-07-01T15:50:47-04:00July 1st, 2019|Nursing, nursing stories, patient experience|1 Comment
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Does Everything Happen for a Reason? One Oncology Nurse’s Perspective

Does Nature Argue Fate? The Acorn Contains The Tree/
charcoal, pastel, and ink on paper/ Julianna Paradisi 2019

The human need to find meaning.

“Everything happens for a reason” is a saying I hear a lot in my nursing practice, from patients and coworkers alike.

The need to find meaning in the events of our lives, good or bad, appears to be a distinctively human trait. Ancient Greeks believed Clotho, one of the Three Fates, spun the lives of humans. In medieval times, Anglo-Saxons may have believed in wyrd, a concept similar to fate in our modern language. Elsewhere, the idea of karma teaches a cause and effect perspective on this life, and on future lives. These are only a few examples.

Learning to ask ‘why’ as a pediatric ICU nurse.

I began questioning if everything happens for a reason as a pediatric intensive care nurse at the beginning of my career. Asking “why?” is a natural response to watching a child suffer. Why is a baby born without a functional left ventricle? Why does an infant contract leukemia or a brain tumor?

Certainly genetics or environmental factors cause some cases. Regardless, it’s difficult to understand […]

2019-06-27T09:53:05-04:00June 27th, 2019|Nursing, nursing stories, patient experience, Patients|1 Comment
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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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