“What would you do, doctor?” The family had been explicit in wanting straightforward communication about their child, whose neurological disease had progressed to the point where she was continually seizing, despite every medication the physicians had tried. The seizures were in turn damaging her brain, such that she was minimally responsive to stimuli and was … Continue reading The Ethical Use of our Therapeutic Connections with Patients’ Families
professionalism
Fifteen Years as a PICU Nurse: When the Romance Fades
I hit my 15 year anniversary as a PICU nurse over the weekend. This was a few days after we said goodbye to some of our most beloved senior nurses in our unit, after their positions were eliminated at the hospital due to all the budgeting constraints from nationwide political pressures. I've found myself reflecting … Continue reading Fifteen Years as a PICU Nurse: When the Romance Fades
When Empathy and Desire to Help Others are not Enough to Fuel Nursing
In a recent harrowing shift and the subsequent “I feel like I’ve been hit by a truck” day after, I found myself wondering what was really behind some feelings in me that we generally label “burnout.” Did I just not care enough about my patient and her family to consider all the hard work more … Continue reading When Empathy and Desire to Help Others are not Enough to Fuel Nursing
The Year I Almost Walked Out on the Job
I would venture to say that two attributes we all have in common in the pediatric ICU (and nursing in general) are our affinity to be problem-solvers in tough situations, and to be comforters to the suffering. These attributes are what make us all so good at our jobs. They likely also exacerbate our distress … Continue reading The Year I Almost Walked Out on the Job
The Living Components of the Healthcare System
*This post is adapted from an article I wrote for our pediatric ICU's quarterly newsletter. Being a healthcare worker involves increasingly more than caring for the physical patients and their parents. It also involves giving attention to the system as a ‘patient’ of sorts, with its own temperament, ailings and needs. What’s curious is that … Continue reading The Living Components of the Healthcare System
The Tensions We Constantly Navigate as Healthcare Workers
My therapist recently noted how much inner work and wrestling I must be constantly doing as a nurse, without being fully aware of what is rumbling underneath the surface. Today I find myself feeling really tender, and I’ve got a feeling it’s because of the recent accumulation of patient stories that have gone unpacked, evoking … Continue reading The Tensions We Constantly Navigate as Healthcare Workers
Wholehearted Nursing vs Codependency
How do you know if you’ve crossed the line from trying to be wholehearted and deeply empathetic, to being co-dependent? This was a question that came up in a couple of conversations at the recent (and incredible!) End Well conference. I’ve thought about it quite a bit over the years, as there is without doubt … Continue reading Wholehearted Nursing vs Codependency
The Art of Healthcare
(An earlier version of this article was recently printed in our PICU's newsletter.) There is a long list of technology, procedures and interventions to learn about in order to care for patients in the PICU. We can’t avoid marrying so much of our care for the patient with our management of all the technology and … Continue reading The Art of Healthcare
Returning to Bedside Nursing after My Own Cancer Journey
As described in previous posts, the first half of this year took me sideways on a cancer journey that I never anticipated. I had my lumpectomy in January, which was followed by a complication with a massive hematoma at the surgical site that had me swollen, in pain, and oozing old blood from my incision … Continue reading Returning to Bedside Nursing after My Own Cancer Journey
Seen from the Outside In and Inside Out
When I was first getting my diagnostic mammogram, ultrasound, and ultimately biopsy for the lump I’d found, I remember being so struck by how busy the breast clinic was. The women sitting in the clinic were of varying ages and ethnic backgrounds, with differing clothing and hairstyles giving clues to our personalities. But one by … Continue reading Seen from the Outside In and Inside Out
The Heart of Nursing 