Isn’t It Ironic: A Nurse Reflects on Her J&J Vaccination

Irony: a state of affairs or an event that seems deliberately contrary to what one expects and is often amusing as a result. -dictionary.com

Vaccine, by Julianna Paradisi

On a recent Saturday afternoon I received the Johnson and Johnson/Janssen COVID-19 vaccine. The following Tuesday, its further administration was put on pause, “out of an abundance of caution,” after reports that six women between the ages of 18 and 48 developed a rare but serious form of blood clot six to 13 days after receiving the vaccine. One of the six women died.

There is nothing amusing about the irony that people seeking protection from COVID-19 may have developed a life-threatening adverse reaction from the vaccine. For health care providers, and perhaps especially for nurses, such events are heartbreaking.

Lifting the J&J pause.

On Friday, April 23, the Centers for Disease Control and Prevention (CDC) and the FDA lifted the 10-day pause on the J&J vaccine, without restrictions, instead issuing a fact sheet to medical providers warning them of the potential for the extremely rare but serious blood clots.

When the pause was lifted, over 7 million people had received the vaccine, with additional confirmed cases of blood clots that had been reported bringing […]

2021-04-26T11:16:05-04:00April 26th, 2021|COVID-19, infectious diseases, Nursing, nursing perspective, Public health|0 Comments
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AJN May Issue: What We Know About MIS-C, Clinician Peer Support, More

“The nursing mentality is complicated: we typically prioritize patients, family, and friends above ourselves. . . . No one understands the mentality except those in it.”—Janey Eden Kottler in her Reflections essay, “Built for This”

May is National Nurses Month. This month, and always, AJN and its publisher, Wolters Kluwer, honor the work of all nurses as you demonstrate to the world the power and value of nursing. To thank you, the entire May issue is free to read for the month.

CE: Multisystem Inflammatory Syndrome in Children: A Review

This comprehensive evidence-based review describes the epidemiology, pathophysiology, signs and symptoms, alternative potential diagnoses, and treatment options of MIS-C, an emerging pediatric disorder associated with COVID-19.

CE: Providing Care for Caregivers During COVID-19

The authors discuss Care for the Caregiver—a peer-to-peer program that provides support to clinicians who have experienced an unexpected and emotionally distressing event—and how it was adapted in their health system in response to the pandemic.

Special Feature: A Look Back at the Year of the Nurse and the Midwife

A photo-essay highlights the diverse experiences of nurses and midwives around the world during a challenging year. […]

2021-04-23T10:15:02-04:00April 23rd, 2021|Nursing|0 Comments
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Celebrating Earth Day: Connecting Health and the Environment

Photo by Fateme Alaie via Unsplash

Earth Day, celebrated on April 22, is an annual event to demonstrate support for environmental protections. First held in 1970, it now includes a wide range of events coordinated in more than 192 countries across the globe. The Earth Day celebration that stands out most for me was the 20th anniversary held in Central Park in New York. The event was estimated to have drawn more than 750,000 people—a big incentive being the free concert, which included a performance by the B-52s (who doesn’t love “Love Shack”?).

This year marks the 41st Earth Day, and amidst a global pandemic, activities will look a lot different. (Click here for more information on the virtual events taking place this year.)

Free articles from our environments and health column.

In honor of Earth Day, AJN would like to offer free access to the below selection of articles from our Environments and Health column until May 15. There’s a lot to unpack in these articles—from steps to reduce waste at the hospital level, to how nurses can get involved in fighting climate change, to how patients’ health can be affected by our environment, particularly the mental health conditions that may arise amid extreme […]

2021-04-22T14:42:23-04:00April 22nd, 2021|climate change, environmental health, environmental health, Nursing|0 Comments
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Chemotherapy-Induced Neuropathy: More Than Just Pins and Needles

When I was in graduate school, I worked as a chemotherapy nurse. Patients would often talk about the side effects of the medications. One of the most bothersome was the peripheral neuropathy that caused numbness and tingling—the “pins and needles”—and often cramping, pain, and weakness that made walking difficult.

Assessing and managing CIPN as well as educating patients.

This month, Robert Knoerl’s article, “Chemotherapy-Induced Peripheral Neuropathy” (CIPN), provides a review of “strategies to use in assessing, managing, and educating patients who are at risk for or are experiencing CIPN.” He notes that CIPN affects 68% of patients receiving many commonly used drugs for cancer treatment and can begin as early as the first treatment and continue long after treatment ends, resulting in months of debilitating symptoms.

Although certain classes of medication may help alleviate symptoms in some patients, there are no medications approved specifically for treating CIPN. There is, however, some evidence that exercise can help mitigate the effects. […]

2021-04-22T07:29:29-04:00April 19th, 2021|Nursing|0 Comments
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Nurse Volunteers on the Front Lines of the Vaccination Effort

Joanne Disch, PhD, RN, FAAN, is professor ad honorem at the University of Minnesota School of Nursing, Minneapolis, and Ellen Elpern, MSN, RN, is a retired advanced practice nurse, formerly at Rush University Medical Center, Chicago.

Nurse volunteers as an essential resource.

As of April 15, 2021, there have been over 31 million cases of COVID-19 in the United States and over 561,000 deaths. Sobering numbers. But there are some heartening numbers as well: 198 million vaccination shots have been administered so far, with 3 million doses now being given per day. To reach and continue to meet the current pace has required an extraordinary ramp-up of sites—and of the number of individuals administering the vaccines. An essential resource that’s emerged is the use of nurses as volunteers to help staff these sites.

For more than a year, the public has witnessed the compassion, competence, and heroism of nurses who are on the front lines of the COVID pandemic. Those of us who are nurses and not in the clinical setting watched with pride and empathy, knowing better than most what these nurses were experiencing—and wishing there were something that we could do. Stepping forward to volunteer for service in a vaccine clinic is one way to make a difference. These volunteer opportunities are as varied as the vaccination sites themselves, but in all cases the effort is being enriched by the active engagement of nurses, retired and otherwise.

Defuniak Springs, Florida

2021-04-16T09:15:42-04:00April 16th, 2021|COVID-19, infectious diseases, Nursing, nursing career|0 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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