Recovering From Hardship - NYTimes.com

Can adversity make us stronger?

In this week’s Science Times, Benedict Carey explores the issue of resilience: the ability to rebound from hardships like a serious health problem, the death of a family member, debt or other ills. “New research suggests that resilience may have at least as much to do with how often people have faced adversity in the past as it does with who they are — their personality, their genes, for example — or what they’re facing now. That is, the number of life blows a person has taken may affect his or her mental toughness more than any other factor,” he writes.

Interestingly, in one recent study that monitored the mental well-being of nearly 2,000 adults for several years, it wasn’t those who had never suffered a major setback, or those who had suffered the most, who fared best:

It was those in the middle, those reporting two to six stressful events, who scored highest on several measures of well-being, and who showed the most resilience in response to recent hits.

In short, the findings suggest that mental toughness is something like physical strength: It cannot develop without exercise, and it breaks down when overworked. Some people in the study reported having had more than a dozen stressful events, and it showed.

via well.blogs.nytimes.com

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The Long and Winding Road to the Emergency Room - NYTimes.com

He was the first patient of the day, dropped off at the emergency room by the police or a family member — a man in his 50s, unshaved, stumbling, engulfed in the pungent aroma of alcohol.

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Joseph Daniel Fiedler

When he blew into the breathalyzer’s strawlike tube, the readout was 0.18, more than twice the legal limit.

“I get seizures,” he said, referring to the dangerous reaction some people experience when they abruptly stop drinking. Then, as if to prove it, he held out trembling hands. Each bore the nicks and scars of a hard-lived life.

I looked at the beads of sweat on his brow, then down at his vital signs. Heart rate 120; blood pressure pushing 170/90. Despite his high alcohol level he was already in withdrawal. A medical detoxification — with drugs to counteract the sudden absence of alcohol in his system — was the right first step.

“Let’s admit him,” I said to his nurse. Because it was still early, there was a good chance a hospital bed would be available.

Her reply was apologetic but resigned: “He’s out of network.” I winced at my own naïveté. “Out of network,” a euphemism for “insurance will not pay,” was a roadblock I should have anticipated. A nuisance for many patients and would-be providers, it is ubiquitous in the second-class world of substance-abuse treatment, where insurance companies contract with selected hospitals and doctors to deliver care at bargain rates.

We called the few in-network hospitals within a broad radius. One had a bed. But before accepting my patient, the receiving doctor wanted a battery of tests, including an electrocardiogram and laboratory work, to rule out other medical concerns. It would be a day or so before the tests came back.

But the patient was already in withdrawal, I told the doctor. He couldn’t wait a day.

“Sorry,” he said flatly. “He

via nytimes.com

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20 Iconic Nurses Every Nursing Student Should Study | Nursing Schools.net

During your time in nursing school, you're bound to hear the names of countless famous and influential nurses thrown around. But if you're looking for inspiration in your own career or just want to further your education, there are some amazing women and men in the profession you should study. Here are twenty nurses who worked hard, often against the grain of the larger medical community, to change the face of health care in the United States and around the world.

1. Florence Nightingale: Even if you weren't in nursing school, you more than likely would have heard of this woman, perhaps the most famous nurse in history. Believing that God has called her to be a nurse, Nightingale went against expectations for aristocratic women at the time, pursuing a career rather than marrying and settling down. She is best known in stories for her nursing in the Crimean War, but should also be credited with laying the foundation for modern nursing with the establishment of the St. Thomas Hospital in London, the first secular school of its kind to train and educate nursing students.
2. Dorthea Dix: Born in 1802, Dix was one of the loudest voices in America when it came to lobbying Congress to improve the treatment and care for the mentally ill in the United States. Inspired by reforms she saw going on in England, Dix moved to establish new facilities and legislation that helped improve the social welfare of the insane both here and abroad. When the Civil War broke out, Dix was appointed Superintendent of Union Army Nurses, providing care to the wounded on both sides of the conflict.
3. Helen Fairchild: If you want to learn more about the realities of combat nursing during World War I, read through Helen Fairchild's collection of wartime letters to her family. You'll get vivid stories about the horrors and challenges that nurses faced when trying to care for patients who were the victims of sometimes horrific war injuries. After surviving heavy shelling and mustard gas on the battlefield in France, Fairchild would die from complications during an ulcer surgery after only five years as a nurse.

via nursingschools.net

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