Are You a Well Being?

By Shawn Kennedy, AJN editor-in-chief

A tweet from the UK’s Nursing Times recently caught my eye. It was directing Twitter followers to a post on its Web site, asking what “well-being” meant to them. The post discusses the work life vs. home life seesaw and whether readers’ chosen careers leave them time to enjoy other aspects of life. There’s actually a national well-being debate in the UK, where the Office for National Statistics is seeking public input in developing new measures of national well-being.

We measure well-being here in the U.S. too, with the CDC’s measures of health-related quality of life (HRQOL) index. While noting that “there is no consensus around a general definition of well-being,” the CDC sketches the concept of well-being in the following way:

“. . . at minimum, well-being includes the presence of positive emotions and moods (e.g., contentment, happiness), the absence of negative emotions (e.g., depression, anxiety), satisfaction with life, fulfillment and positive functioning. In simple terms, well-being can be described as judging life positively and feeling good. . . . physical well-being (e.g., feeling very healthy and full of energy) is also viewed as critical to overall well-being.”

Most people I know say they’re working harder than they ever did before. I see single parents and don’t know how they work full-time, deal with childrens’ schedules and needs, and make time for themselves. (I guess mostly they don’t—especially the part about making time for […]

Voluntarily Stopping Eating and Drinking (VSED): What Is It and How Does It Work?

Is there a legal end-of-life option for people who are terminally ill or whose quality of life has reached what they feel to be an unbearable level? Even in states without right-to-die laws, there is. It’s  called voluntarily stopping eating and drinking (VSED). Judith Schwarz wrote about VSED in the September 2009 issue of AJN. The article includes a case study. Here’s an excerpt:

Gertrude (not her real name; other identifying details have been changed) was 99 years old. Having survived the Holocaust and overcome many other challenges in her long life, she thought it ironic that she had to ask her children to help her die.

Although she was not terminally ill, the quality of her life was significantly diminished by many chronic ailments. Despite two hearing aids, her hearing loss was such that she could no longer indulge her one remaining pleasure: listening to classical music. She had fallen and broken a hip when she was 96 and now had to use a wheelchair when moving around her apartment. She had severe arthritis, and she rarely left her apartment except for medical appointments. All friends and many family members had long since died, and her deteriorating vision-a result of a recent bout of shingles-left her unable to read or watch television. After years of living with these and other chronic conditions, she told her family she was tired of life and was ready to leave. Her children and grandchildren told her to be patient. She was almost 100; […]

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