CDC Draws Attention to Youth Concussion Risks, Offers Training and Resources

This post was contributed to AJN‘s blog by the Traumatic  Brain Injury Team at the CDC Injury Center.

As an A-student and star soccer player, Sarah was used to hard work. However, after she sustained a concussion while playing a varsity soccer game during her freshman year in high school, she found herself challenged in ways she had never expected.

“Recovering from the concussion was harder than recovering from other injuries I’ve had,” Sarah recalls. “When I got a concussion, I expected to sit out some games, but I never realized that it would actually hurt to think. For nearly two months I needed frequent breaks to make it through the school day. I would have to go to the school clinic and rest when I was overcome by headaches from the lights and noise of the classroom.”

Sarah’s story is not unusual. In fact, children and teens have the highest rate of emergency department visits for traumatic brain injury (TBI), including concussion, of all age groups. Fortunately, Sarah made a full recovery after four months and continues to be […]

2017-07-27T11:40:44-04:00April 11th, 2017|Public health, school nurses|0 Comments
Read More

‘Blind Spot’: Reflections on Caring for a Severely Disabled Son

 “When I think of the term disability, a huge basket of a term, I think of the duration and breadth of my son’s life.”

The author and Luke

Much is being written these days in both the nursing and general press about the plight of family caregivers. As one myself, I’m well acquainted with the difficulties of maintaining a “normal” life (and meeting other responsibilities) while trying to ensure the safety and survival of a person you love. But what if your caregiving commitment begins at someone’s birth and lasts a lifetime?

In this month’s AJN, nurse Diane Stonecipher writes with grace and clarity about the challenges of lifelong caregiving at home. Even for an RN with committed and loving co-caregivers (her husband, her other sons), the work and worries are daunting.

“If Luke is our job, so to speak, there are also no sick days, holidays, vacation days, or ‘mental health days.’ We have cared for him while ill and injured, or until we simply cannot. By some miraculous grace, we have tag-teamed his entire life.”

The days, weeks, months, and years of those who care for severely disabled family members are probably difficult for others to appreciate, if you are one of those who care you should […]

2017-07-11T12:16:22-04:00April 7th, 2017|Nursing, nursing stories|0 Comments
Read More

Managing Your Patients’ Pain: It’s Not Just about the Opioids

Before Pain Assessment Was the Norm

Some of the most difficult times I experienced as a nurse involved patients in pain. This was before the days of patient-controlled analgesia, when patients in acute pain were mostly managed with “Demerol IM q4h.”

I recall many incidents of paging and telephoning and beeping physicians and residents to get orders for pain medications and trying whatever non-pharma methods I could think of to allay pain. It was awful to see patients suffer needlessly.

Progress, But with a Cost

Then pain became a key part of assessment, as well as of patient satisfaction scoring, and clinicians heeded the need for managing pain. However, there has been too much reliance on the quick fix of strong opioids. A friend who recently had surgery was asked by a nurse to rate his pain. When he replied “eight,” she asked him if he wanted one or two oxycodone pills. His reply, “Well, what do people usually take?”

Revising the Approach to Pain Management

Thankfully, pain management is being revisited, and along with a renewed focus on not prescribing by the numbers (a patient’s pain rating should only be one factor in deciding the intervention), there is a greater understanding of pain and how it can become chronic, and there are more modalities at our disposal to manage it.

To prevent […]

2017-04-05T10:34:01-04:00April 5th, 2017|Nursing, pain management|0 Comments
Read More

Overactive Bladder in Women: Nurses Can Improve Screening, Management of a Common Problem

“Whether due to discomfort with the topic or a lack of knowledge about treatment options, some women attempt to manage symptoms on their own, a decision that can lead to additional problems…”

Can Significantly Affect Daily Activities

Among women 18 to 70 years old, almost a third are “sometimes” affected by the symptoms of overactive bladder, according to the authors of this month’s CE feature, “Overactive Bladder in Women.” This rate is nearly twice that among men, and prevalence is known to increase in all adults as they age.

Overactive bladder can significantly affect daily activities, with many women altering their routines to ensure a bathroom is nearby. The “hallmark symptom of overactive bladder is urgency,” according to authors Mary H. Palmer, PhD, RN-BC, FAAN, AGSF, and Marcella G. Willis-Gray, MD. Women may experience urgency with urinary incontinence, stress urinary incontinence, or mixed urinary incontinence (in which a combination of these symptoms occurs).

A Tendency to Self-Manage

Despite the impact of this condition on everyday routines, patients often resist talking to their health care providers about symptoms—or do so as an afterthought, as the patient does in the hypothetical case study accompanying this article. Whether due to discomfort with the topic or a lack of knowledge about treatment options, some women attempt to manage symptoms on their own, a decision that […]

2017-04-03T10:53:35-04:00April 3rd, 2017|Nursing|0 Comments
Read More

The Limitations of Rating Nursing Care by Customer Surveys

Ink and collage on paper by Julianna Paradisi 2017

Either They Loved It or They Hated It

While toasting the same English muffin for the second time that morning and cursing that it would make me late for work, I conceded we need a new toaster. It doesn’t matter whether I set the darkness level on 1 or 4;  the muffin comes out barely tinged. Select 5 or beyond, the muffin is burnt, and sets off the smoke detector. It’s time to buy a new toaster.

I found one I liked, shopping online. It had been purchased by over 1,500 other people; 55% of them rated it 5 stars. The other 45% of ratings ranged between 1 and 4 stars. The comments, however, were evenly split, 50/50. People either loved it or hated it. There was no in-between.

This made me laugh.

As with Toasters, So with Nursing Care

Likewise, many hospitals, in an effort to improve care, send out satisfaction surveys asking patients to rate their nursing care. In my experience, the results are similar to the toaster’s ratings: about half the patients rave about their care. Some mention their nurses by name, elaborating on specific details about their experience.

The other half complain bitterly that their […]

2017-03-31T10:28:07-04:00March 31st, 2017|Nursing, nursing stories, patient experience|3 Comments
Read More

Comment ground rules

1. Please be respectful.
2. We moderate all comments.

Content disclaimer

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.
Go to Top