Good Medicine

musichospitalroomBy Marcy Phipps, RN, a regular writer for this blog. Her essay, “The Love Song of Frank,” was published in the May (2012) issue of AJN.

Last week I saw something extraordinary.

I watched the music of Amy Winehouse soothe a patient who was recovering from a traumatic brain injury while suffering withdrawal symptoms from certain street drugs. He’d been irritable and restless all day, fidgeting and climbing out of bed, unable to rest and miserable in his persistent unease. He wasn’t interested in television, was too agitated to read, and the Celtic flute music supplied on the hospital relaxation station was useless to him as a diversion.

But when another nurse and I pulled an old stereo from behind the nurses’ station and played Amy Winehouse’s “Back to Black” at his bedside, his demeanor changed as suddenly as if we’d flipped a light switch. He leaned back into his pillow, sighed, and said, “That’s nice.”

For the next hour he barely moved.

Those familiar with Amy Winehouse’s music will know how completely at odds her vibe is with the atmosphere in a hospital—and perhaps that’s why her music mesmerized my patient, relieving his intractable agitation more effectively than any medication.

I often forget about complementary therapies—like music therapy—in the ICU. Prescribed medications are almost always the first intervention for pain and agitation, and yet complementary therapies are sometimes hugely effective adjuncts and easy to provide. I’ve seen fury stopped […]

Friday Nursing Blogs Roundup, More or Less

By Jacob Molyneux, AJN senior editor/blog editor

BostonAnother Friday in New York, and it’s time to do a quick tour of the nursing blogosphere after a grueling week in which the city I will always think of as home, Boston, took a major hit on a holiday that always marks the end of a long winter, the first stirrings of spring, the Red Sox playing in the morning, no one at work, glimpses of marathoners passing in the distance up still salt-stained avenues under barely budding trees, usually in bright sun and a gusty breeze with an underside of chill.

I have noted ad nauseam in the past that blogs have life cycles, wax and wane, flourish or fade out. And that’s okay. Though maybe blogs should go to a blog graveyard at some point, or be given a proper burial, or demolished like old buildings in a great controlled cinematic whoosh of collapsing pixels and pixel-dust. Or, in some cases, put in a museum to mark a moment in Web history or preserve particularly lively voices and experiences for posterity.

Enough throat clearing. There isn’t much out there to report this week. We try to collect links to sane, more or less active blogs on our nursing blogs page. A few nurse bloggers are perennially engaging and active, and a couple of these excellent bloggers even write occasional posts for this blog, so for once I won’t draw attention to them. […]

The Hands of Strangers

By Karen Roush, AJN clinical managing editor

Boston MarathonA marathon is a triumph of spirit and endurance. It is a solitary endeavor carried along by a hundred thousand strangers. Anyone who has run a marathon knows that the spectators are not merely spectators. They are participants—they give their energy, their encouragement, their voices; they become part of your will, your perseverance; they carry you forward. Some part of every voice, every hand touched, crosses that finish line with you.

A marathon takes place in a particular city but it belongs to the world. For months, even years, someone in Sydney, in Kampala, in Seoul, in Cedar Rapids, in Damascus, in some small unknown village and in every great city, prepared for those same 26.2 miles ending yesterday at Boylston Street in Boston.

When I think about the marathons I’ve run, it is not crossing the finish line that I remember. What I took away, and what stays with me to this day, is a powerful and joyful sense of our shared humanity. That is what the bomber tried to shatter yesterday.

I have no doubt that in time investigators will find answers to who did this and why. But the greater questions will remain. How do we live with the certainty of our vulnerability? How do we come together freely and joyfully, knowing the threat that walks in our midst? How do we stay open enough to reach our hands out to strangers?

As we grieve the […]

Finding Future Leaders – and a NICHE in Nursing

By Maureen Shawn Kennedy, AJN editor-in-chief

It has been a hectic few weeks, as I’ve been traveling to the early spring nursing meetings (with still more to come).

With John Gransbach at NSNA meeting With John Gransbach at NSNA meeting

First I went to Charlotte, North Carolina, to attend the National Student Nurses Association (NSNA) annual meeting (April 3–7). AJN has had a long association with the NSNA, supporting it in various ways since its 1952 founding, from hosting board meetings at AJN offices to producing the convention newsletter to convention scholarships for key contributors. In recent years, we’ve sponsored travel expenses to the annual meeting for the winner of Project InTouch, the member incentive plan. This year, the winner was John Gransbach, who graduated from the Goldfarb School of Nursing at Barnes-Jewish College in St Louis. He recruited 228 new NSNA members—an achievement certainly worth recognizing.

Future leaders. As I told the audience when I presented the plaque to Mr. Gransbach, this award isn’t just about growing membership in the NSNA—it’s about contributing to the future of the profession. Students who join the NSNA are already demonstrating a commitment to nursing by going beyond what’s required of them. They’ve joined an organization that provides considerable resources to help them begin their careers. Not only does it provide practical help with passing the NCLEX exam, writing a resume, and finding a job, but it informs them about what it means to be […]

Birdcages: An Oncology Nurse on Crucial Information Patients Need About Dying

Julianna Paradisi, who blogs at JParadisi RN and elsewhere, works as an infusion nurse in outpatient oncology. Her art has appeared several times in AJN, and her essay, “The Wisdom of Nursery Rhymes,” was published in the February 2011 issue.

I grew up in a family in which occasional conversations about death occurred at the dinner table. My father openly discussed his own. As a child, this terrified me, but he would say, “It’s a terrible subject, but everyone dies someday.”

by Julianna Paradisi by Julianna Paradisi

I don’t remember how old I was when my father made me promise he’d be cremated and his ashes spread over the ocean upon his death. It feels like I always knew, and this knowledge comforted me when, a few years ago, my siblings and I spread his ashes from a boat over the Pacific Ocean where he used to fish.

Paradoxically, in other contexts my father struggled when it came to telling me about death. Starting when I was around three years old, in the springtime, he would sometimes bring home baby birds that fallen from their nests. He kept an old birdcage for this purpose. He let me name the birds, and I called each of them Jimmy. He taught me to mix small pieces of bread with watered-down milk, and then feed it bit by bit into their disproportionately large mouths with an eyedropper.

This ritual usually lasted two days. On the third morning, […]

2018-03-28T10:34:25-04:00April 10th, 2013|nursing perspective|6 Comments
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