‘At the Night Camp’: How Assumptions About Patients Can Blind Us

The entire time he was with us he kept looking around, eyes darting back and forth and toward the truck he’d driven, which he told me wasn’t his own. He shifted uneasily in his chair, and I felt the impulse to try to comfort him and tell him we could help.

That’s an excerpt from “At the Night Camp,” the December Reflections essay in AJN. The essay, by Meg Sniderman, a student in the MSN program at Emory University School of Nursing in Atlanta, takes a wry, honest look at the ways we can imagine whole lives for those around us based on their cultural identifiers, yet often miss the most obvious things about these patients . . . the things that make them just like us, despite apparently vast cultural differences.—JM, senior editor/blog editor

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2016-11-21T13:14:39-05:00December 17th, 2010|nursing perspective, patient engagement, Public health, students|0 Comments
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Turkey, Sweet Potatoes, and Living Wills

By Christine Moffa, MS, RN, AJN clinical editor

When I was growing up, my family spent Thanksgiving dinner at my grandmother’s house. She was a star in the kitchen, with cooking and baking skills beyond compare. However, while she made a chocolate cream pie to kill for, her knack for turning every conversation into a newsfeed of various neighbors’ illnesses, symptoms, and near-death experiences, if not actual deaths, stood out more. She did this so much that my brother began referring to her as Grandma Kevorkian.

It turns out that death-and-dying discussions on Thanksgiving might not be such a bad thing, according to Engage with Grace, a nonprofit organization that promotes end-of-life discussions. In 2008 they launched a blog rally timed with Thanksgiving weekend, for bloggers to get the word out about end-of-life discussions. The idea is to have the conversation when most of the family members are together, and the Thanksgiving holiday is a perfect fit. There’s a five-question tool available on the site that can be used as a conversation starter, as well as other resources.

While talking about these topics could potentially clear a room, it’s a lot worse to be sitting at a family member’s bedside in the ICU and not knowing what to choose for them because they didn’t let you know in advance.

For additional information on end-of-life discussions and options, see the AJN articles “Life-Support Interventions at the End of Life: Unintended Consequences,” by […]

2016-11-21T13:14:50-05:00November 24th, 2010|nursing perspective, patient engagement, Public health|2 Comments
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Anti-Antibiotics Week

Not only is antibiotic resistance dangerous and expensive, it’s on the rise. Unfortunately cold and flu season can make people so uncomfortable they’ll do anything to feel better, including insisting their health care provider write a prescription for a medication that can’t help them. In an effort to change this, the CDC and FDA have teamed up for the 3rd annual Get Smart about Antibiotics Week (November 15–21).

2016-11-21T13:14:54-05:00November 18th, 2010|patient engagement, Public health|3 Comments
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A Tough Act to Swallow

By Christine Moffa, MS, RN, AJN clinical editor

For most people, eating is a simple pleasure that they usually take for granted. However, for patients recovering from stroke or esophageal disease, getting food down is a pretty big deal. Patients with dysphagia are at increased risk for malnutrition (which can lead to impaired healing), dehydration, and aspiration pneumonia. Unfortunately, liquid, soft, and pureed diets are not only unappealing and unappetizing for many patients, but they also mean different things at different hospitals. Have you ever seen a health worker “prepare” a liquid diet tray for a patient by taking the milk, juice, and mashed potatoes and mixing them together, then wondering why it’s taking an hour to get the patient to eat it? […]

2016-04-18T15:54:41-04:00November 10th, 2010|Nursing, patient engagement|1 Comment
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Harm Reduction or Stigmatization: What’s Your Approach to Drug-Addicted Patients?

[youtube=http://www.youtube.com/watch?v=tDZhVnR3HC8]

By Alison Bulman, senior editorial coordinator

How much of your nursing education focused on how to handle drug addicts and substance abuse? Probably not much, according to speakers at a recent event I attended with my colleague Christine Moffa, AJN’s clinical editor, at the Center for Health, Media, and Policy at Hunter College.

The event was focused around a clip (longer than the one above) from “Bevel Up: Drugs, Users and Outreach Nursing,” an award-winning film by Canadian documentary filmmaker Nettie Wild. (A photo of a street nurse from the program appeared on AJN’s cover in July 2009, along with an article about the program.) Fiona Gold, BA, RN, and Juanita Maginley, MA, BSN, RN, whose work in Vancouver is the subject of the film, spoke on the panel about the value of harm reduction and about the systemic flaws and tendency to stigmatize drug addicts that prevent health care from reaching this population.

The powerful clip showed street nurses searching the city’s alleys and housing complexes for drug addicts, dealers, and sex workers. They carry bags full of syringes, condoms, and crack pipe mouthpieces which they deliver to those willing to take them. They ask street patients whether they might be pregnant, have unsafe sex, may have a disease, and if they want to have the nurses draw blood for testing.

The outreach project started in response to Vancouver’s alarming increase in HIV infections. Medical services were not reaching the most vulnerable people, so nurses devised a plan to […]

2017-06-28T15:00:01-04:00November 1st, 2010|nursing perspective, patient engagement, Public health|23 Comments
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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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