A COVID-Era Telehealth Appointment Drives Home the Fragility and Strength of the Therapeutic Relationship

The Reflections essay in this month’s AJN is by LaRae Huyck, a psychiatric mental health NP. In this one-page story with a dramatic COVID-era twist, she explores her years accompanying a young counseling patient from suicidal depression during adolescence to joyful engagement with life as she heads out into the world on her own. Writes Huyck:

The time I spent with her seems so short, but in actuality it made up nearly a fourth of her life. We had traveled though the awkward adolescent years, the landmine of her parents’ divorce, the loss of a beloved grandmother, and a failed relationship that ended her dreams of a prom date.”

The healing power of a therapeutic relationship.

“The Importance of Time” adroitly summarizes this journey, revealing the author’s compassion for this young woman and her hopes for her as well. It’s a story of healing and growth that reveals the good that therapeutic relationships coupled with medication can do for some patients. […]

Hospital Visiting Policies in the Days of COVID-19

Last month, I watched a YouTube video with two physicians, ZdoggMD (Zubin Damania) and Vinay Prasad, both active on social media, discussing Prasad’s perspective that allowing patients “to die alone is a human rights violation.” He argued that clinicians should not accept blanket rules from administrators and believes there are ways around what seems to have been standard practice in hospitals during the COVID-19 pandemic.

So when we asked on AJN’s Facebook page (December 13), “Should hospitals allow patients with Covid-19 to have visitors?”, I was surprised that the comments were split. Many respondents supported the need for patients to be able to have loved ones with them, but many others felt visitors shouldn’t be allowed because PPE was scarce or because visitors didn’t follow rules and, as one commenter noted, “We don’t have time to be the PPE police.”

No one should die alone.

Nurses have been assisting patients to connect with family members by tablets or mobile phones, or in many cases filling in as surrogate family at the time of death. A colleague told me that in her ICU, nurses decided no one would die alone and made sure that one member of the staff was there with the patient. And while this was comforting to many families, I know from a recent […]

AJN’s Top 10 Articles of 2020

What captured the interest of AJN‘s readers in 2020? More than just COVID-19, suprisingly! Though the pandemic dominated our collective attention, other topics in nursing continued to resonate. We’ve compiled a list of the past year’s most-read (new) articles below—all are currently free to access.

1. “COVID-19 Brings Changes to NP Scope of Practice”

2. “Staffing Ratios and Burnout”

3. “Perceived Barriers to Rapid Response Team Activation Among Nurses”

4. “CE: Acute Care for Patients with Dementia”

5. “Urinary Incontinence in Older Adults”

6. “Original Research: How Magnet Hospital Status Affects Nurses, Patients, and Organizations: A Systematic Review”

7. “CE: Opioid Use Disorder: Pathophysiology, Assessment, and Effective Interventions”

8. “CE: Mitigating the Dangers of Polypharmacy in Community-Dwelling Older Adults”

9. “Mirror Therapy in the Management of Phantom Limb Pain”

10. “CE: PANDAS: Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infection”

2021-01-06T08:16:31-05:00January 6th, 2021|Nursing|0 Comments

January Issue Highlights: Understanding the CBC, COVID-19 Timeline, Book of the Year Awards, More

“As we move into 2021, my wish for this new year is that we resolve to approach it with a renewed sense of purpose . . .”—editor-in-chief Shawn Kennedy in her editorial, “2020: A Year of Let Down and Loss”

The January issue of AJN is now live. Here’s what’s new:

Original Research: Nurses’ Perspectives on Caring for Patients with Do-Not-Resuscitate Orders

This study explored direct care nurses’ understanding and interpretation of do-not-resuscitate orders in relation to caring for hospitalized adults with such orders, and examined the misconceptions many nurses have about the meaning of DNR orders.

2020: The Year of COVID-19

A timeline of key events and milestones illustrates how the pandemic has unfolded over the past year.

CE: Back to Basics: The Complete Blood Count

The author discusses the meaning and function of complete blood count components, highlighting the important pathophysiological evidence they provide.

[…]

2020-12-29T09:28:31-05:00December 29th, 2020|Nursing|0 Comments
Go to Top