10 Years After Fukushima Nuclear Disaster, an Actionable Preparedness Reminder

The 10th anniversary of this disaster is a reminder to review the availability, accessibility, and dosing of potassium iodide.

In the midst of a global health pandemic, it’s difficult to imagine focusing on the seemingly more nebulous threat of a nuclear accident. Yet the 10th anniversary of Japan’s Fukushima nuclear disaster on March 11, which occurred following an earthquake and tsunami, serves as an important reminder of the unexpectedness of these events and the need for greater preparedness, especially among health care providers.

Climate threats to nuclear plants raise concerns.

“More than one-third of Americans live or work within 50 miles of a nuclear power plant,” the authors of the February issue’s Environments and Health article, “Lessons from Fukushima: Potassium Iodide After a Nuclear Disaster,” point out (the article will be free until March 21).

As the frigid weather last month in Texas demonstrated, sources of power are particularly vulnerable to severe weather events. This threat is especially acute for U.S. nuclear power plants, many of which are situated in areas, such as along the East Coast, susceptible to extreme weather. Hurricanes in the Atlantic, for instance, have been occurring more frequently and intensely in recent years.

Concern that such climate change events could lead to a nuclear accident has heightened awareness of the need for preparation.

Ensuring potassium iodide availability as a public health preventive measure.

AJN March Issue Highlights: A Nurse’s Guide to COVID-19, QSEN in an Amazon World, Opioid Dosing, More

“This will be nursing’s postpandemic challenge: to identify how, with all our competing organizations, unions, and special interest groups, we can come together in this pivotal moment to remodel our health system . . .”editor-in-chief Shawn Kennedy in her editorial, “Where Do We Go from Here?”

The March issue of AJN is now live. Here’s what’s new. Some articles may be free only to subscribers.

A Nurse’s Guide to COVID-19

An evidence-based review of the care of hospitalized adults with this disease, including pharmacological management, critical illness management, oxygen therapy, prone positioning, and an overview of investigational agents.

Policy and Politics: A Call to the CMS: Mandate Adequate Professional Nurse Staffing in Nursing Homes

The authors address the association between low RN staffing levels and poor health outcomes in nursing homes and urge the Centers for Medicare and Medicaid Services to enact reform.

Special Feature: QSEN in an Amazon World

Citing Amazon as a powerful social force, the authors examine its impact on both the health care industry and the six Quality and Safety Education for Nurses (QSEN) competencies, and outline steps nurses can take to incorporate the QSEN competencies into practice. […]

2021-03-01T08:39:16-05:00March 1st, 2021|Nursing|0 Comments

Joy, Relief, Reverence: Positive Side Effects of a First COVID-19 Vaccination

A family’s long year, brushed by COVID-19.

Photo by Jon Tyson on Unsplash

On February 23, 2020, three days before a flight to Israel to speak at a nursing conference, I received a message from the host that the ministry of health had issued a restriction to stop all conferences and meetings in the health care system because of the coronavirus. I had other business scheduled, so I boarded the flight. While in Israel, I followed the global health news, and returned home a week later fully aware that COVID-19 was an emerging pandemic. But when I landed and entered the international arrivals terminal at Newark Airport, business was as usual and only a handful of us in line wore masks going through customs.

It’s been a hard year since that time. My son, a healthy 27-year-old, had COVID in late March, during the worst surge of positive cases and deaths in New York City. Testing wasn’t available. He lived a subway ride away. For 10 days, I monitored his symptoms by texts, along with his primary care provider. He fully recovered. My 95-year-old mother died in April in a  New York State assisted living facility. We don’t believe her death was COVID related. Restrictions prevented my visiting her for […]

For the Mentally Ill in Crisis, Someone Safe to Call for Help

A troubling encounter.

by julianna paradisi

Although it happened over two months ago, I’m still haunted by the memory, particularly during this cold, harsh winter following on the heels of a politically tumultuous summer and fall.

I’ve run the same loop along the Willamette River in Portland, Oregon, for years. This particular morning, a young man walked some 20 feet ahead of me on the sidewalk. He carried by its neck a 1/2 gallon jug of apple juice. Unexpectedly, he tossed an opened box of granola bars, with several individually wrapped bars inside, to the ground and kept walking.

He stopped abruptly at the same time I stopped to wait on the curb for traffic to subside so I could cross to the other side of the street, which is what I routinely do on my route.

We were now six to eight feet apart. From my peripheral vision I noticed him turn and face me. Because we’re in the middle of a pandemic, I was wearing a mask; this and my proximity seemed to disturb him. I stepped away a few paces, giving him more space.

Over my shoulder he said, “You’re a bitch.” I ignored him. He stepped closer, and repeated more loudly, “You’re a bitch!”

There […]

With Severe Mental Illness, A Vicious Circle of Stigma and Lack of Support

Although psychiatric facilities no longer treat patients the way movies like The Snake Pit and One Flew Over the Cuckoo’s Nest depicted, society’s treatment of people with mental illness is still lacking.

As a psychiatric nurse practitioner, I provide care for patients coping with the challenges of mental illness. Symptoms are often painful, life altering, and frightening. Sadly, patients experience additional suffering from the guilt, shame, and social isolation that comes with having a psychiatric disorder. That’s because mental illness continues to carry a stigma that inhibits people from seeking help and limits the amount of services available for those who do seek it.

Had they received the support they needed….

In this month’s Viewpoint in AJN, Juliet Hegdal, a family nurse practitioner, discusses the impact severe mental illness has on patients and their family members. The author shares what it was like being raised by a mother with schizophrenia and the lack of resources available to her and her family. She posits that her mother and society would have been better off had she received the support she needed. […]

2021-02-23T13:48:16-05:00February 23rd, 2021|mental illness|0 Comments
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