Do Unto Others: Caring for Patients with Traumatic Brain Injuries

When I was 12 years old, my dad had an “accident.” I remember the day it happened so very clearly. My sixth grade teacher told me I would be going home with one of my very best friends, Madison, to stay the night at her house. I was as excited as any preteen is when they learn they get to have a sleepover on a school night!

When we got home from school, I asked Madison’s mom why we got to have a sleepover. “Your parents are taking a little siesta,” she said. I simply thought this meant that they had gone on vacation without us. Instead, siesta was a code word. My dad was in a coma after suffering a traumatic brain injury (TBI).

The long road to rehabilitation after a TBI.

If you have any experience with TBIs, you know the recovery is often just as traumatic as the injury itself. I think of the accident often, especially when I start my shift. I sit in the parking lot remembering what it was like to be on the other side of TBI rehabilitation.

All […]

2022-04-18T18:07:02-04:00April 18th, 2022|Nursing|0 Comments

CDC Draws Attention to Youth Concussion Risks, Offers Training and Resources

This post was contributed to AJN‘s blog by the Traumatic  Brain Injury Team at the CDC Injury Center.

As an A-student and star soccer player, Sarah was used to hard work. However, after she sustained a concussion while playing a varsity soccer game during her freshman year in high school, she found herself challenged in ways she had never expected.

“Recovering from the concussion was harder than recovering from other injuries I’ve had,” Sarah recalls. “When I got a concussion, I expected to sit out some games, but I never realized that it would actually hurt to think. For nearly two months I needed frequent breaks to make it through the school day. I would have to go to the school clinic and rest when I was overcome by headaches from the lights and noise of the classroom.”

Sarah’s story is not unusual. In fact, children and teens have the highest rate of emergency department visits for traumatic brain injury (TBI), including concussion, of all age groups. Fortunately, Sarah made a full recovery after four months and continues […]

2017-07-27T11:40:44-04:00April 11th, 2017|Public health, school nurses|0 Comments

The Hardest Decision: A Military Husband Returns to Tragedy at Home

FebruaryReflectionsIllustrationOur February Reflections essay, “The Hardest Decision,” is by a Amanda Richmond, a nurse based in Arkansas. It’s about a husband facing a drastically changed world upon return from deployment overseas—and a nurse who bears witness. Here’s the opening paragragh. Reflections essays can always be read without a subscription to AJN.—JM, senior editor

That she was still beautiful made her situation all the more tragic. She had little visible damage. An EVD tube snaked out from under her hair and deposited its contents into a drip chamber. Her chest rose and fell at a preselected rate of 14 breaths per minute. iv lines disappeared under her gown and terminated into a central line. On the monitor, her vital signs were flawless.

Military Medicine Has a Head Nurse – Notes from Our Interview

By Maureen ‘Shawn’ Kennedy, MA, RN, AJN editor-in-chief

“Hi, this is General Patty Horoho,” and so began a phone interview with army nurse Lieutenant General Patricia Horoho, who was sworn in as the 43rd Army Surgeon General in December.

Horoho made history, becoming the first woman and the first nonphysician to assume command of the U.S. Army Medical Command, a $13 billion global health system. She had also been the first nurse to command Walter Reed Army Medical Center, taking over after a report  in the Washington Post revealed a host of deficiencies in care, housing, and processes at that facility, leading to the firing of the commanding officer, Maj. General George Weightman.

She was recommended for her new position by the prior Army Surgeon General, Eric Schoomaker, and it then went up the chain to the secretary of the army and the secretary of the defense, who then recommended her appointment to President Barack Obama.

We (there were representatives from four nursing publications on the call) spent over an hour peppering General Horoho with questions about her experience, objectives, strategic plans, and major challenges. Here’s a few of the highlights:

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