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Thyroid storm: A cause for grave concern

Your patient, Barbara Dulaney*, was admitted last night to the progressive care unit for right lower lobe pneumonia. She’s 51 years old, smokes two packs of cigarettes per day, and was diagnosed with Graves’ disease 10 years ago.

How to choose your first nursing job wisely

Interview tool helps nurses find the right fit. Takeaways: Asking the right questions can help ensure you choose a positive practice environment A positive work environment is critical to a smooth transition into professional practice. (more…)
strategies promote patients rest sleep florence nightingale

Reflections on Nightingale in the Year of the Nurse

Nurses continue to build bridges for patients and their families. Takeaways: 2020 is the Year of the Nurse and Midwife. Established by the W.H.O to celebrate nurses’ role in transforming health care throughout the world, the designation also coincides with…

Expanding decision-making options

Guide new graduates to broaden their career choices. Takeaways: Many new nurses make career decisions based on what their peers are doing. Expanding decision-making options can help nurses find a career path that’s right for them. The WRAP decision-making model…

Children and post-traumatic stress disorder

Many children and adolescents around the world have been victims of at least one traumatic event—child abuse and neglect, war, school shootings, natural disasters, accidents and injuries, and more.
Nurse showing gratitude with her hands over her heart

How being grateful is good for healthcare

About a year ago, one of my graduating students gave me a fan with this Korean text 선생님 사랑해요, which translates to “I love you teacher.” I’m told that it’s customary in Korea to give the teacher a small token…
ICU-vasopressors

Caring for patients receiving vasopressors and inotropes in the ICU

After shock is recognized and I.V. fluid resuscitation is initiated, vasopressors and inotropes are used as supportive therapies in critical care settings. Safe and effective titration of these pharmacologic agents requires that nurses understand shock pathophysiology and hemodynamic monitoring.

Sepsis beyond the hospital

Nurses are on the frontline of preventing sepsis in the community. Early recognition of sepsis symptoms is essential to initiate timely interventions, avoid rehospitalization, and prevent poor outcomes.
depression effects health black white note

Depression and chronic medical illness in adults

MAJOR depressive disorder (MDD) affects more than 16 million adults in the United States each year and is a leading cause of disability for individuals ages 15 to 44. (See Facts and figures.) In middle-aged and older adults, depression becomes…

Facing the challenge of masked communication

“Can you hear me now?” was the byline of a popular TV ad in the early 2000s for a cell phone company, promising excellent cellular connectivity for life! (Can you imagine?) These days, I am overhearing, with effort, a variation…
Healthy Nurse - Naps

To nap or not to nap?

How to implement planned naps for hospital nurses.  To nap or not to nap? That’s a question we recommend all hospital nurses and administrators ask and answer, especially for nurses working long shifts (12 hours or more). The 2014 American…
genomics and precision health

Genomics and precision health

Looking into the future At the June 2021 American Nurses Association (ANA) Membership Assembly, we discussed an important topic that many of us know little about: genomics and precision health. Although currently many tests are performed using different applications of…

Understanding bipolar disorder

Bipolar disorder (BD) is characterized by extreme mood swings—from emotional highs (mania) to lows (depression). Unfortunately, BD frequently is misdiagnosed, which can lead to delays in treatment with mood stabilizers and harmful exposure to antidepressants as monotherapy.
Motivate Gen Z nursing students

Motivate Gen Z nursing students

Facilitate—don’t direct—education.    Takeaways: Intrinsic motivators—learning facilitation, passionate presentation, content value revelation, concise information delivery, student and educator engagement, experiential learning, and meaningful feedback—improve Gen Z student learning retention. Authentic relationships between educators and students promote positive learning environments and allow…
BA.2

BA.2 Omicron variant now in more than half of U.S. states

WHO continuing to monitor, says BA.2 “not a variant of concern” yet The latest COVID-19 variant is now beginning to exhibit variants of its own – but the effects are still largely unknown. Omicron variant BA.2 is now reported in…