National Pregnancy and Infant Loss Remembrance Day: Stories That Stay With You

by dave shafer/via flickr

October 15 is National Pregnancy and Infant Loss Remembrance Day, a day of remembrance for those who have suffered a miscarriage, stillbirth, or infant loss. Ronald Reagan proclaimed October a month for recognizing this kind of loss in 1998, and a resolution to declare October 15 a day of remembrance was passed by the United States House of Representatives on September 28, 2006, following an initiative by three mothers who had suffered losses.

The day serves to promote greater awareness, remembrance, and support of the estimated one in four individuals and families whose lives are altered by the death of their children during pregnancy, at birth, and in infancy.

‘A lonely grief.’

In a way, I wish I didn’t know this. I myself suffered an unexpected, second-trimester loss two years ago. The grief, excruciating in the days and months that followed, has subsided, but never fully disappears. It is a “lonely” grief. I found that miscarriage and infant loss is a topic a lot of people tend to shy away from—they don’t always know what to say or sometimes say something unintentionally hurtful (it was God’s will, you can go on to have more children).

This can be very isolating. Only through talking […]

2019-10-11T09:57:32-04:00October 11th, 2019|Nursing|1 Comment

Infections in Acute Care: Still More to Do

A sharply increased focus on hospital-acquired infections (HAIs).

This month marks the 14th anniversary of the National Healthcare Safety Network (NHSN), the CDC’s data repository for health care–associated infections. Since 2005, when a limited number of hospitals began reporting infections data, the health care community has sharply increased its focus on the prevention, early recognition, and treatment of infections in the hospital. Research on risk factors, closer attention to limiting device use (urinary catheters, central lines), and support for meticulous hand hygiene and environmental cleaning protocols have decreased rates of CAUTIs, CLABSIs, and surgical site infections.

The risk is always there.

Still, as nurses well know, hospitalized patients remain at increased risk for developing infections, especially if they are immunosuppressed or have diabetes, need invasive devices, have many comorbidities, or stay in a critical care unit.

The current evidence reviewed.

In “Infection in Acute Care: Evidence for Practice” in this month’s AJN, Douglas Houghton reviews the latest evidence on common infections in acute care settings, including community- and hospital-acquired pneumonia, surgical site infections, and C. difficile. […]

2019-10-09T10:09:54-04:00October 9th, 2019|infection control, Nursing|1 Comment

Emergency Nursing 2019: Interactive Learning and Today’s Health Crises

The medical transport helicopter was at the ready. Meanwhile, the trauma team was in the midst of resuscitating a man. The crowd of onlookers remarked on the extreme pallor of the patient and were ready to jump in to help as needed. Fortunately, this was not a real life trauma but a scene in the exhibit hall of the sold-out Emergency Nurses Association (ENA) meeting in Austin, Texas, last week.

Four thousand ED nurses spent four days at Emergency Nursing 2019 attending educational sessions, skills labs (including a mock ED and a cadaver lab), and CE classes; viewing exhibit hall products; and relaxing in ‘Awesome Austin,’ celebrating themselves and the important work they do.

Documentary film producer Carolyn Jones (The American Nurse; Defining Hope) opened the meeting by presenting previews from her current documentary on emergency nurses, In Case of Emergency, a project in collaboration with the ENA for its 50th anniversary, to be released in May 2020. Jones and her film team traveled to seven EDs around the country, from an urban ED to rural farm country, to document ER nurses at work. […]

What Would It Take to Make You Appreciate the Precious Moments of Your Life?

Illustration by McClain Moore for AJN.

Imagination vs. reality.

Who hasn’t thought about it from time to time, the sudden grim diagnosis, the force of the realization that all that time you thought you had to live, love, learn, explore, and change may really be finite after all? Who hasn’t wondered what you would do with the remaining time if that happened—and by corollary, what you should be doing differently now?

But that’s all in the mind and imagination. The real clarifying shock of such an experience remains out of reach for most of us—until it happens.

Collecting experiences ‘like Mario connecting coins.’

This month’s Reflections essay, “The Last One,” is by Fran Wiedenhoeft, a former nurse anesthetist in the military. In it, she describes her own reaction after she found herself, at a relatively young age, facing just such a diagnosis.

In the two weeks before the surgery . . . I threw myself with frantic determination into collecting lasts: last long run . . . , last trip to the zoo, last potato peeled, last kiss, last caress. . . . Rather than enjoying each precious moment and every last experience, I was rushing through […]

October Issue: Infections in Acute Care, Understanding ‘Omics’ Sciences, Countering Vaccine Misinformation, More

“What we . . . may consider a passing moment in the course of our day—a short exchange with a family member, a few words of encouragement to a patient—might very well be a pivotal life event. . . . we must choose our words and actions carefully.”editor-in-chief Shawn Kennedy, in her editorial, “It’s the Moments That Matter

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

CE: Infection in Acute Care: Evidence for Practice

The author reviews the evidence on preventing and treating common infections in acute care settings, focusing on community- and hospital-acquired pneumonia, surgical site infections, and Clostridioides difficile infection.

CE: Knowledge of Precision Medicine and Health Care: An Essential Nursing Competency

This article provides a background in precision health care and the “omics” sciences—those that use genomic technologies to investigate the molecules in an organism’s cells—and discusses the implications for nursing practice, research, and education. […]

2019-09-30T09:16:31-04:00September 30th, 2019|Nursing|0 Comments
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