Crumbled Walls: A Transformative Caregiving Journey

Confronting fragility: a perfectionist father’s illness.

“Nurses make horrible patients,” my dad’s words echoed in my mind as I stood beside his hospital bed. Confined to this cold and sterile room, he, once a seasoned nurse, now teetered between worlds, fighting to maintain control of his crumbling body and the walls that had always surrounded him.

My father took pride in his immaculate exterior wall. He kept a well-manicured lawn and showcased three exemplary children and a life partner we referred to as our “uncle” when outside the wall. The inside structure was sharp and less forgiving. Within the confines of his perfectly controlled life, I was subjected to restrictive diets and forced to starve myself, all in pursuit of fitting his external vision of a perfect 16-year-old girl. I didn’t match his mural, but at least I had “a pretty face.”

In this hospital bed, my father’s wall became brittle and translucent. Machines whirred, extending their tentacles, both charging him with life and subtly stealing it away. Weakened by the long-term use of prednisone, his body bore the weight of cancer’s progression, leaving him moon-faced and unrecognizable. His once unblemished mural, now in ruins, left him dependent and vulnerable, requiring nursing assistance for basic tasks like toileting and bathing.

In his time of greatest […]

2023-06-13T07:28:49-04:00June 6th, 2023|end of life, Nursing, nursing career|4 Comments

The Hidden Crisis: Unveiling the Mental Health Struggles of Teen Boys

In today’s world, teenage boys are facing a crisis that often goes unnoticed: their mental health. Anxiety, depression, despair, and even suicidal thoughts plague young boys and young men alike. Shockingly, teenage boys and young men in the United States are more than twice as likely, and sometimes up to four times as likely, to die by suicide compared to their female counterparts. They are also at a higher risk of gun violence and drug overdoses. It’s time to shed light on this crucial issue that often remains overlooked by both the public and health care professionals.

The increase in youth mental health issues has garnered considerable attention in recent times, with the U.S. surgeon general calling it “the defining public health crisis of our time.” But a lot of this has focused on the struggles of adolescent girls and LGBTQ+ teens.

Undoubtedly, these issues deserve our utmost attention and support. However, it is a mistake to assume that teenage boys and young men are faring well. As someone who writes and speaks about boys and has personal experience raising four sons, I understand that male depression and anxiety often manifest as irritability, rage, or anger. Many young males turn to alcohol or drugs as […]

2023-06-01T07:53:32-04:00June 1st, 2023|mental illness, Nursing|0 Comments

Recommended Reading from the June Issue of AJN

A virtual RN provides support for a bedside RN on an inpatient unit. The June issue of AJN is now live. Here are some articles in this issue that we’d like to highlight. Note that some may be free only to subscribers.

Initiating Virtual Nursing in General Inpatient Care

This article describes how one hospital developed a virtual RN role for experienced nurses to support bedside RNs and patients on designated general care inpatient units. The photo on our cover this month shows a bedside nurse presenting educational material to her patient, the importance of which a virtual RN looking on from the tablet will help explain and reinforce.

Original Research: Patient Perception of Fall Risk in the Acute Care Setting

This study reveals the disconnect between hospitalized patients’ fall risk assessment results and their own perceptions of their fall risk.

Original Research: The Impact of COVID-19 on Pain Care Among Older Adults

These study findings highlight the many challenges pain management nurses faced, as well as opportunities to improve the health system and enhance nursing practice.

Hospice Nurse Ethics and Institutional Policies Toward Medical Aid in Dying

This article reviews the ethics of requiring nurses to leave […]

Just One Braid: The Power of Small Gestures to Restore Patient Dignity

Have you ever found yourself walking around your unit, overwhelmed by the prospect of managing your ever-growing workload? It sometimes feels like a never-ending cycle of assessments, medications, admissions, and discharges. I believe I’m not the only nurse who has experienced this frustration.

It is difficult to admit that, when COVID-19 entered our hospital doors, these thoughts consumed me. We witnessed the first casualties—not just of lives, but also of hope and intimacy—as we struggled to provide care and overcome our own anxieties amidst a scarcity of personal protective equipment (PPE).

Over time, we all learned a great deal about adapting to and managing a pandemic, and I have become more aware of my role within our flawed health care system. Focusing on my own fears and needs was valuable, of course, but these years opened my eyes to the injustices patients face. A significant proportion of the lives lost from COVID-19 due to ill-prepared infrastructure were from vulnerable communities. These realities transformed my perception of these injustices from distant awareness to concrete urgency.

Braiding a patient’s hair, restoring a sense of self.

The question of injustice brings to mind a recent encounter with a patient that deeply impacted me. This particular patient was young […]

Scales, Davis, Stewart: Black Public Health Nursing Pioneers

This is the last in a series of four blog posts (listed below) by nurse and attorney Edie Brous that introduce readers to some of the many notable Black nurses of the past. We encourage readers to delve more deeply into these lives and their intersection with key aspects of nursing history, women’s history, and the long struggle against racist barriers.  

Honoring Notable Black Nurses of History

Mahoney, Thoms, Franklin: Black Nurses and Reformers to Remember

The Nursing Work of Sojourner Truth and Harriet Tubman

In this post, I will draw attention to three public health pioneers who overcame racial barriers to excel and create a path for those who followed.

Jessie Sleet Scales (1865-1956)

A public health pioneer, Jessie Sleet Scales graduated in 1895 from Provident Hospital and Training School in Chicago, America’s first Black-owned and -operated hospital. From there she went to Freedmen’s Hospital Training School at Howard University, Washington, D.C., for a special six-month course.

In her nursing career, Scales initially encountered rejection and racial barriers despite her training and a shortage of registered nurses. The Charity Organization Society in New York City hired her as a district nurse in 1900 to visit Black homes during the tuberculosis epidemic. She was given a two-month experimental trial, but did so well that she was kept on as a district nurse and visitor with the organization for nine years. Her supervisor was so impressed by Scales’ work that she submitted her report to the American Journal of […]

2023-05-23T09:31:03-04:00May 22nd, 2023|Nursing|0 Comments
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