Family Caregivers: Nurses by Default

Caregiver guides family member using safe stair-climbing technique. Photo courtesy of AARP Public Policy Institute.

We all know how compressed hospital stays are. Patients are frequently admitted and discharged within a few days, even for what used to be “big” surgeries. We dutifully send them home with discharge instructions—sometimes, pages of them—and often have only a few minutes to go over them with whoever is taking the patient home. And in many cases, that person is not even the one who will be caring for the patient, so instructions for medications and treatments are given second-hand. And we wonder why there are so many readmissions within 30 days!

Forty million plus unpaid caregivers in the United States.

As I note in this month’s editorial, there are over 40 million unpaid caregivers in this country who are administering complex medical and nursing interventions such as ostomy and wound care,  tube feedings, injections, and tracheostomy care, in addition to taking on bathing, toileting, and other necessary care. Many of these caregivers do so without any real training. Aside from the real danger […]

AJN in January: Year in Review, Fibromyalgia, Massage Redux, Fall Prevention, More

AJN0116 Cover Online

On this month’s cover, refugees clash with police as they attempt to cross the border into Macedonia from Greece. The photo, taken last August, depicts a chaotic scene that has become increasingly familiar as large numbers of migrants flee to Europe from the Middle East and Africa. At press time, the International Organization for Migration estimated that more than 832,000 refugees had crossed Europe’s borders by sea since January 2015. Many migrants, including those from Syria, are risking their lives to escape violence, destitution, and displacement caused by civil war.

Health concerns have arisen as Europe struggles to absorb the huge surge of arrivals. According to the World Health Organization (WHO), overcrowding in receiving facilities has led to unsanitary living conditions and instances of food- and waterborne diseases. But the journey itself also takes a toll: the WHO reports that injuries, burns, and psychological trauma are among the most frequent health problems refugees face. Those with chronic conditions like cardiovascular disease, diabetes, and hypertension find their diseases worsened by the interruption of treatment, and women suffer from pregnancy-related complications and sexual health issues.

As policy makers grapple with responding to the influx, the crisis is likely to remain a key global political and health issue in 2016. To read about this and other top health-related news stories of the past year related to nursing and health care […]

2017-03-24T03:43:24-04:00January 6th, 2016|Nursing, nursing perspective|1 Comment
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