RSV Prophylaxis for Infants and Children: Now Available, But Is it Accessible?

July, a month typically characterized by the relative hibernation of communicable respiratory illnesses, brought with it the U.S. Food and Drug Administration’s (FDA’s) approval of nirsevimab-alip (brand name: Beyfortus) and thus a reminder of the gearing up necessary for the respiratory disease season ahead. Nirsevimab, approved for the prevention of respiratory syncytial virus (RSV), is poised to mitigate the staggering effects of this lower respiratory tract disease. Since significant barriers remain related to distribution, accessibility, and insurance reimbursement for this drug, it is especially important for primary care RNs and nurse practitioners in clinics and medical homes to be well informed on this topic.

RSV: a significant public health burden.

Transmission electron microscopic image revealing morphologic traits exhibited by a human respiratory syncytial virus (RSV)/ CDC

RSV is primarily of concern in the youngest and most vulnerable of the pediatric population, such as those born prematurely, with chronic lung or congenital heart disease. As many of us know all too well, RSV carries significant public health burden, causing more hospitalizations than any other illness in U.S. infants and accounting for 100 to 300 deaths each year in children under […]

2023-09-21T11:10:58-04:00September 21st, 2023|infectious diseases, Nursing, pediatrics, pediatrics|0 Comments

The Healing Power of Animals: Reducing Stress in Patients and Nursing Students

Nursing students are known to have high stress levels during their nursing programs. While many researchers have explored different coping mechanisms to help nursing students cope with their stress and anxiety, not many have looked at animal interventions.

I am a huge fan of animal interventions after seeing their positive effects on patients (and staff) while I was working bedside in the hospital. Frustrated or anxious patients would usually become more accepting of care after a visit from an animal. Scared and lonely patients who were shutting down became more vibrant and open. Visitors and staff also benefitted from the visits. There were many times that as the therapy animal came down the hallway to a patient room, staff members stopped and took a moment to relax with the animal in a way that clearly refreshed them.

Becoming a therapy animal handler.

Seeing the effects of therapy animals in the hospital inspired me to pursue being a therapy animal handler myself. The hospital where I work had rabbits as part of their therapy animal program. This was a small enough animal for me to handle and care for. I picked out my first two, and I was hooked from the get-go.

The rabbits are very interactive—I like to say they are nosy. […]

2023-09-18T11:45:53-04:00September 18th, 2023|Nursing, nursing students, patient experience|0 Comments

Unseen Struggles: When the Pain of Chronic Illness Meets Disbelief

A friend’s desperation.

Photo by Ben Blennerhassett on Unsplash

It was early in the morning when I received a call from my best friend, who was crying and
distraught. She frantically rattled off her symptoms: “My stomach is on fire, I can’t sleep, nothing is relieving the discomfort, and I’m in excruciating pain.” Although she’d been feeling discomfort for the previous two weeks, at first she’d thought the intensity of her current symptoms might be from food poisoning. Given her not always healthy diet, which she and I had discussed in the past, I too at first thought she might have eaten something that set the symptoms off.

“It hurts so badly I don’t think I can take it anymore,” she told me over the phone. “I can’t stop going to the bathroom.”

She said that despite the severity of her pain, her family just thought she was being dramatic. I could sense her desperation as she sobbed over the phone. Even though she did not want to seek medical attention, I begged her to go to the nearest clinic or hospital and told her I’d meet her there.

Crohn’s disease: When nurses doubt a patient’s pain.

In the emergency department (ED) where she […]

Investigating Nurse-Reported Missed Care: Recommended Reading in AJN’s September Issue

The September issue of AJN is now live.

This month features two Original Research articles:

“Exploring the Human Experience in Health Care,” the first article in a new series from health care performance improvement organization Press Ganey, discusses the emerging concept of human-centered care—and how data can be used to help deliver it.

Read “Pneumococcal Vaccination in Adults” to learn about updated pneumococcal vaccine recommendations from the Centers for Disease Control and Prevention, which include two new vaccines.

What can nurses do to protect patient safety and provide good care in light of record-high, ongoing national drug shortages? See AJN Reports to find out.

See also the extensive health care news sections, the Journal Watch and Drug Watch sections, a Specialty Spotlight column highlighting the role of […]

2023-08-28T09:13:22-04:00August 28th, 2023|Nursing|0 Comments

Telehealth in Rural Nursing: Embracing Change for Better Patient Outcomes

rural road Photo by Bradyn Shock on Unsplash

When I first heard of telehealth services coming to our rural hospital, no one was a bigger skeptic than I was.

Perhaps the main reason was the way I was educated as a nurse and how I learned to practice as an APRN. Honestly, I am “old school” in every way possible. My first thought was, “This is not good practice; how could it be? Won’t there be shortcuts? How about the lack of a physical exam? How can you properly physically evaluate someone over telehealth? How can you take safe care of patients and avoid missing something that’s potentially life-threatening if you can’t touch them? How could someone a thousand miles away help me way up in the mountains of the Eastern Panhandle? What could they know about the community here and their needs?”

These were just a few of the questions and concerns I had regarding telehealth coming to our rural community access hospital. When we assess our patients, we not only to listen to their heart and lungs, look into their eyes, hear their voice, feel the temperature of their skin, but we connect. We are building trust and ensuring support with looking, listening, and feeling.

The […]

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