Learning on the Fly: Thoughts on Birding and Nursing During a Pandemic

“This book is about interpreting what you see and hear in order to make better judgments.”

Tundra Swans, watercolor and ink, 2021 by Julianna Paradisi

It’s my opinion that every nursing textbook should open with the above statement. However, it’s from the introduction to Sibley’s Birding Basics, by David Allen Sibley.

During home isolation of the COVID-19 pandemic, my husband and I took up birdwatching as a way to get out of our home and entertain ourselves while maintaining our “bubble.” Armed with binoculars, David’s camera, and my artist’s field bag, we visit local wetlands and wildlife reserves, recording our finds. That led me to read Birding Basics.

Experience coupled with pattern recognition.

As a nurse, I can’t help but link the idea of “interpreting what you see and hear in order to make better judgments” as a definition of a nurse’s intuition, commonly referred to as a “nurse’s gut.”

While there are times when a nurse’s clinical intuition borders on the psychic, many of these revelations are a product of bedside experience. For instance, patients, including infants, sometimes exhibit facial grimaces or say words that a hawk-eyed bedside nurse rightly interprets as signs of impending doom such as a […]

2021-03-23T10:13:08-04:00March 23rd, 2021|Nursing|0 Comments

‘Right Under Our Noses’: Nightmarish Nursing Home Conditions During the Pandemic

As vaccinations increase and COVID-19 infection rates in nursing homes plummet, it’s easy to forget just how bad things got in many of them and how ill-equipped many were in the the early months of the pandemic to provide humane and effective care.

The following excerpt is from our March Reflections essay, “Right Under Our Noses: Nursing Homes and COVID-19,” which was written by a California nursing professor who volunteered to join a California Medical Assistance Team. The mission of her team was to bring aid to a skilled nursing facility where the coronavirus was rapidly infecting both patients and staff, a facility with little PPE available and many staff members refusing to come to work out of fear of infection.

The conditions I saw were shocking, even to an experienced nurse. I saw soggy diapers on the floor at the heads of many beds on most mornings. One day a bedbound patient needed the bedpan. I searched every closet and drawer but there were no supplies. I filled a basin with warm water and cut up a PPE gown to make washcloths to clean the patient. On the second day of my deployment I realized that many of the […]

No Country for Old People

In my editorial in the March issue, I ask, “Where do we go from here?’” in thinking about what’s next for nursing. In particular, I wonder if we’re going to make any strides in improving the quality of how we care for older adults who need long-term care.

Disasters give rise to assessments of what went wrong.

After prior disasters like hurricanes, heat waves, and flooding, there has often been a flurry of initial concern, with many committees convened to look at the deaths that occurred.

More recently, the New York Times has reported on the fate of nursing home residents during the Covid-19 pandemic in relation to the deterioration of quality in nursing homes once they are owned by for-profit entities—as 70% of nursing homes now are. So here we are once again, this time decrying the conditions revealed by Covid-19. Will things change this time?

In answer to this question, I’m especially pleased with the article in our March issue by 22 nurse gerontology experts. They issue a call (a challenge?) for the Centers for Medicare and Medicaid Services (CMS) Coronavirus Commission for Safety and Quality in Nursing Homes to rewrite standards to finally address under-resourcing and ensure residents get the care […]

Congress Adds a Nurse

U.S. Representative Cori Bush goes to Washington.

U.S. Rep. Cori Bush (D-MO). Photo courtesy of Cori Bush.

“It’s critical that nurses have a seat at the table when it comes to the policies coming out of Congress. Every single policy needs a nurse’s eye. We talk a lot about the social determinants of health, because it’s all connected . . . nurses see things in a different way.”

As described in this month’s Profiles column, U.S. Representative Cori Bush, RN, arrived in Washington, DC, in January, bringing with her a nurse’s eye and experience as an activist and pastor.

An election representing several firsts.

Her election marked several firsts: she is the first nurse and Black woman Missouri has sent to Congress, and she is also the first woman representative in her district in its almost 200-year history. Bush joins two other nurses in Congress, Representatives Eddie Bernice Johnson of Texas and Lauren Underwood of Illinois. […]

Johnson and Johnson Vaccine a Valuable Addition to the COVID-19 Toolbox

With the emergency use authorization (EUA) of the Janssen Pharmaceuticals/Johnson & Johnson COVID-19 vaccine, three vaccines are now available in the U.S. to prevent SARS-CoV-2 hospitalizations and death. The newest vaccine, given as a single dose and stable at refrigeration temperatures for at least three months, presents far fewer logistical challenges in getting doses to consumers.

All of the three current U.S. vaccines use a single protein from SARS-CoV-2 to enable the body to react to the whole virus. The Pfizer/BioNTech and Moderna vaccines are messenger RNA vaccines that use a synthetic version of part of the SARS-CoV-2 genome to teach our cells to replicate the spike protein found on the surface of the virus. This copy of the protein then stimulates the immune system to produce antibodies and other cells that will recognize the actual virus if it is encountered in the future.

The new vaccine employs a different mechanism to produce the same result. A human adenovirus, modified to disable its ability to multiply and infect, acts as a “vector” to carry a gene from the spike protein into our own cells, where the protein is replicated and activates the immune system as above.

(The Oxford/AstraZeneca COVID-19 vaccine, currently in use in the UK, Canada, and Australia, is also a vector vaccine. Granted emergency use listing by the World Health […]

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