The Grief Train

Then came “the Morning.” There was coffee, the newspaper, and ironed shirts. I was getting ready for a student’s dissertation defense and Paul, my husband, faced his own challenging day. As I prepared to shower, a crash sounded beyond the bedroom door. Something about the silence that followed made me grab my robe and go running.

GriefTrainIllustrationThat’s a teaser paragraph from AJN‘s October Reflections essay, “The Grief Train,”  by nurse, professor, and award-winning author Cheryl Dellasega. She writes about teaching a course called Death and Dying, and then having to try to make sense of a sudden, terrible loss in her own life. Like many profound American stories, this one ends in a long train trip.

I edit this column every month, and some of the stories go right to the heart of life, love, death, health, illness, healing, human connection and disconnection. The essay is free, so please click on the link above and read the whole thing. It’s well worth five minutes of your time.—Jacob Molyneux, senior editor

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2016-11-21T13:06:25-05:00October 3rd, 2013|nursing perspective|1 Comment
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AJN’s April Issue: Sustainable Health Care Environments, Preventing Kidney Injury, Lateral Violence, Mental Health, More

AJN0413.Cover.2nd.inddAJN’s April issue is now available on our Web site. Here’s a selection of what not to miss.

Mechanical prophylactic devices such as intermittent pneumatic compression (IPC) devices, are applied, maintained, and monitored exclusively by nursing personnel. In this month’s original research article, “The Application of Intermittent Pneumatic Compression Devices for Thrombophylaxis,” the authors observed frequent misapplications of ordered IPC devices, and highlighted the need to study the consequences of such errors. This article is open access and can earn you 2.3 continuing education (CE) credits.

Over the past decade, the incidence of acute kidney injury requiring dialysis has risen sharply in the U.S., with associated death more than doubling. “Preventing and Responding to Acute Kidney Injury” makes the case that by identifying the signs and symptoms of acute kidney injury in its early stages, nurses may be able to help reduce the severity of injury and improve outcomes. This article is open access and can earn you 2.6 CE credits. You can also listen to a podcast interview with the author.

Lateral violence is a term used to describe what happens when a person acts in a verbally, emotionally, or physically abusive way toward someone else of a similar status or level of authority. As has been noted more than once before, RNs sometimes commit lateral violence against other staff members. “‘Crucial Conversations’ in the Workplace,” the second article in our leadership series, offers nurse managers a framework […]

2016-11-21T13:07:56-05:00April 5th, 2013|nursing perspective|0 Comments
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Fear of Violence: A Poor Rationale for Better Mental Health Care

Insulin shock therapy is given in Lapinlahti Hospital, Helsinki in 1950s (Wikimedia) Insulin shock therapy is given in Lapinlahti Hospital, Helsinki in 1950s (Wikimedia)

By Doug Olsen, PhD, RN, associate professor, Michigan State University College of Nursing, and AJN contributing editor. Olsen regularly addresses topics related to nursing ethics.

There are many good reasons to provide better mental health care in the United States; however, the prevention of mass murder is not one of them.

Mental disorders involve great suffering, and many people who could find some relief through treatment either don’t receive it in a timely fashion or never receive it at all. After the large psychiatric hospitals of the mid-20th century discharged their patients in waves of deinstitutionalization starting in the 1970s, many of the resources that were promised to support these people in the community never materialized. In recent decades, many persons with mental disorder have ended up in the prison system, often for minor offenses, where treatment, if received at all, can be harsh and inadequate. (See: Early, P. (2006). Crazy: A Father’s Search Through America’s Mental Health Madness). A

Adequate resources to support all persons with serious and persistent mental illness in the community would prevent and alleviate a tremendous […]

2016-11-21T13:08:34-05:00January 11th, 2013|Ethics, Nursing, Patients, safe staffing|1 Comment
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A Mental Health Nurse’s Perspective on Newtown and Its Aftermath

Mary Magdalene Crying statue/Wikimedia Commons Mary Magdalene Crying statue/Wikimedia Commons

By Donna Sabella, MEd, MSN, PhD, RN, mental health nurse, AJN contributing editor, and coordinator of the monthly Mental Health Matters column

As we all know by now, last Friday, December 14, our nation was forced to bear witness to another act of unconscionable violence, as 20 children and six adults were gunned down inside their elementary school on a morning that began with the murder of the  gunman’s mother.

As the country ponders why and how this could have happened, we know that there are no easy answers. Those answers that we do arrive at will undoubtedly involve much thought and soul-searching. How could one human being, one lone gunman barely an adult himself, wreak such devastation on so many?

The pain and grief of Friday hangs heavy over Newtown, and only those who lost a child or loved one that day can begin to imagine the sorrow they are experiencing. But the sorrow and grief do not stop there. As President Obama stated on Sunday night in his remarks to the Newtown community, the nation collectively shares their sorrow, disbelief, and pain.

As we know, one need not be directly involved in an event to be affected by it. This horrible event forces us all to confront the notion that while we are the land of the brave and the home of the free, we share our land with evil, with senseless […]

2016-11-21T13:08:40-05:00December 19th, 2012|nursing perspective|1 Comment
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Post-Sandy Emotional Self-Care for Nurses and Others

Hurricane Sandy, from International Space Station at 16:55:32 GMT on Oct. 29, 2012 / NASA

By Donna Sabella, MEd, MSN, PhD, RN, mental health nurse, AJN contributing editor, and coordinator of the monthly Mental Health Matters column

With the recent devastation caused by Sandy in the mid-Atlantic and New England areas we need to be mindful that the harm done in such events goes beyond property and the physical domains. Many exposed to Sandy’s wrath may be suffering from varying degrees of stress and psychological trauma. It is important to remember that, along with taking care of our physical needs, in the process of getting back to normal we also need to be mindful of our emotional needs and reach out for help as necessary.

As health care providers we nurses pride ourselves on being able to handle anything that comes our way as we strive to give patients the best care possible, but it is important for us to be aware of our own emotional needs during times of crisis and disaster. Sandy is considered a disaster—for those affected by the storm, either directly or indirectly, the experience can lead to thoughts, feelings, and behaviors that are outside our usual range, and which may indicate it’s time to seek help. Below, I offer some information that provides tips on how to take psychological care of ourselves after Sandy :

2016-11-21T13:08:52-05:00November 19th, 2012|nursing perspective|0 Comments
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Views expressed on the blog are solely those of the authors or persons quoted. They do not necessarily reflect AJN’s views or those of Wolters Kluwer Health/Lippincott Williams and Wilkins.
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