New CE for Nurses: Understanding the Origins of the Obesity Epidemic

By Gaulsstin/via Wikimedia Commons By Gaulsstin/via Wikimedia Commons

One of our two December feature CE articles, “The Obesity Epidemic, Part 1: Understanding the Origins,” is about a pervasive and complex issue that nurses see the health consequences of in every practice setting:

. . . more than 35% of adults and 16% of children ages two to 18 are obese. Obesity disproportionately affects racial and ethnic minorities as well as people at lower income and educational levels, though it is prevalent among men and women in every segment of society. Obese children and adults are at risk for type 2 diabetes, cardiovascular disease, musculoskeletal dysfunction, and certain types of cancer. The Centers for Medicare and Medicaid Services estimates the annual national health care expenditure on obesity to be about $147 billion, with per capita spending on obese people averaging $1,429 more than spending on individuals of normal weight.

Knowledge about this epidemic continues to evolve. This article is part 1 of a two-part series and provides readers a concise overview of current theories about the pathophysiologic, psychological, and social factors that influence weight control. As the overview points out, ” [t]o contribute to obesity’s treatment and prevention, nurses must be conversant in a wide range of theoretical and clinical perspectives on the problem.” […]

2016-11-21T13:03:22-05:00December 10th, 2014|nursing perspective, patient engagement, Patients|0 Comments
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AJN’s November Issue: Voices of New RNs, Intraosseous Vascular Access, Measuring Dyspnea, Coccidiodomycosis, More

AJN1113 Cover OnlineAJN’s November issue is now available on our Web site. Here’s a selection of what not to miss.

New RNs. Hospitals invest in orientation or residency programs for newly licensed nurses, but turnover rates for first-year nurses remain relatively high. This month’s original research article, “Hearing the Voices of Newly Licensed RNs: The Transition to Practice,” looks at the orientation experience of new nurses in order to explore how institutions can best transition new nurses from an academic to a clinical setting. If you’re reading AJN on your iPad, you can listen to a podcast interview with the author by clicking on the podcast icon on the first page of the article. The podcast is also available on our Web site.

Starting an IV. Nurses are often faced with the challenge of starting an IV line in a patient who is dehydrated, has suffered trauma, or is in shock. This month’s Emergency CE feature, “Intraosseous Vascular Access for Alert Patients,” describes how nurses can use this fast, safe, and effective route for delivering fluids and medications when IV access fails. Earn 2.1 CE credits by reading this article and taking the test that follows. Don’t miss the video demonstration of the placement of an intraosseous  (IO) needle in the proximal tibia using an IO access power driver (click on the video icon […]

2016-11-21T13:06:12-05:00October 25th, 2013|nursing perspective, nursing research|0 Comments
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When Loved Ones and Patients Don’t Choose Life

By Karen Roush, AJN clinical managing editor

Photo by the author Photo by the author

This isn’t the blog post I started out to write. That was a more personal story about someone close to me, let’s call this person Jess, who died after years of chronic illness worsened by self-neglect—after years of being that person Olsen talks about in this month’s article (free until August 15) on helping patients who don’t help themselves (and in his related blog post from last week).

But as I wrote, I realized that it wasn’t fair, that I was leaving out the complex story behind their persistent unhealthy behaviors, behaviors that eventually led to a lingering, awful death.

And without that background knowledge, it was too easy to be judgmental—as it is sometimes too easy for us as nurses to be judgmental of patients who don’t help themselves, who even seem to be willfully destroying their own health: the obese person who keeps drinking those giant sodas, the smoker who lights up another cigarette. As a nurse it can be very frustrating to care for a patient who ignores health recommendations, to their own detriment. As a family member or friend, it can be heartbreaking and infuriating.

There are limits to what we can do. We cannot force patients to eat well, take necessary medications, quit smoking, modify their alcohol intake, wear their seatbelts . . . the list goes on and on. Yes, we […]

2016-11-21T13:07:02-05:00July 15th, 2013|nursing perspective|4 Comments
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Obesity as Disease and the Health Care Culture’s Take on Personal Responsibility and Suffering

Doug OlsenBy Doug Olsen, PhD, RN, associate professor, Michigan State University College of Nursing, and AJN contributing editor. Olsen regularly addresses topics related to nursing ethics. His most recent article for AJN was “Helping Patients Who Don’t Help Themselves” (July issue; free until August 15).

Why does the American Medical Association’s recognition of obesity as a disease (AMA, 2013) stir strong feelings? People are just as heavy as before, their health is suffering as much, and the therapies for obesity remain the same. The main difference is that the label may give clinicians a better rationale to seek reimbursement for obesity-related services, which might help increase treatment rates. No one yet knows if the new label will really have an effect on treatment rates; in any case, this is not what people are concerned about.

The issue is what labeling a health problem with a behavioral component as a “disease” implies about personal responsibility—or what people think it means. How does personal responsibility relate to individual suffering?

The relationship between decision making, suffering, and personal responsibility is at the heart of bioethics as it is practiced in the United States. But bioethics didn’t invent our cultural tendency to connect personal responsibility and sympathetic regard for suffering, and our current approach to the issue was developed […]

2017-04-03T12:12:36-04:00July 11th, 2013|Ethics, patient engagement, Public health|0 Comments
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Web Pickings: 2013 Predictions, Good Fat, Mammograms, Moderation, Nurse Wisdom, More

By Jacob Molyneux, senior editor

Cartoon showing baby representing New Year 1905 chasing old man 1904 into history/ Wikipedia Cartoon showing baby representing New Year 1905 chasing old man 1904 into history/ Wikipedia

Ah, another new year starts (not 1905, despite the illustration) and received wisdom is overturned. Sort of. Consider the widely reported news that a JAMA study has found that being overweight doesn’t seem to increase your risk of dying, or, as the Kaiser Health News headline puts it, “A Little Extra Fat Could Be Protective.”

Many news summaries do point out that severely obese people had a higher risk of dying than did people of normal weight. What the study does and does not mean is being debated, with some pointing out that the study didn’t look at whether being overweight increased consumption of health care resources, number of prescribed medications, etc. We’re sure to hear more on this.

To continue with the theme of questioning long-term assumptions, NPR’s story “Breast Cancer: What We Learned in 2012” gives a nice summary of updated guidelines for who should and shouldn’t get mammograms, including pro and con arguments, the latest research, and so on.

Some pretty cynical journalism can be found in an opinion piece in the Palm Beach (Fl.) Post, which suggests that Hillary Clinton’s blood clot is a hoax.

A New York Times piece, in giving a tidy summary of important exercise-related research from the […]

2016-11-21T13:08:38-05:00January 2nd, 2013|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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