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Christina Carpenter

This guest post is by Christina Carpenter, RN, a nurse and writer. She’s pursuing her master’s degree at the Hunter-Bellevue School of Nursing in New York City, where she was a student last year in CHMP senior fellow Joy Jacobson’s narrative writing class for graduate nursing students. She writes poetry, fiction, and books for children. View her writings at her blog, The Key To Faith.

 

Magnet status is a coveted designation for many hospitals today. It means that they give excellent nursing care and demonstrate excellence in many areas, including lower patient mortality rates. At a recent visit I learned that St. Jude Children’s Research Hospital in Memphis, Tennessee, earned its magnet status in August of 2015.

 

Along with a few fellow nurses from the National Black Nurses Association and other esteemed guests, I had the privilege of experiencing this magnificent place last July. I got to witness first-hand the beauty of the building, feel the pride of the staff who work there, and catch the highlights of the good things this facility is doing. We were given an exclusive tour to the most widely known children’s cancer hospital in the country.

 

St. Jude, started by Danny Thomas in 1962, is a name that’s recognized all over the country. And this hospital is leading the way to change the prognosis of in children with a life-altering diagnosis of cancer.

 

I was impressed by the pristine beauty—the clean, modern radiance of the facility with its expansive manicured lawn at the front of the campus. The careening sidewalks are lined with flowers. Upon our arrival inside, we were greeted with a complementary lunch of pulled pork and chicken BBQ sandwiches, lemonade, and banana pudding. We were seated in a moderately sized auditorium with its red plush seats and movable writing desks.

 

We listened as one nurse gave an impassioned speech on the excellent working conditions at St. Jude. She called the facility “the closest thing to being the ivory tower for nurses because they go by the book.” The nurse to patient ratio there, she said, is averaging 1:3. “You actually have time for yourself, to eat your lunch, unlike other hospitals.”

 

She spoke of the people who come to the facility for treatment, only to be disappointed that they have to have a referral from their physician. But St. Jude strives to give hope to each family and make them feel welcomed there. The facility understands how precious time is to families when a child is sick and does not bill for treatment; 75% of revenue into the hospital comes from public funding.

 

Another nurse spoke of the goals of research at the institution—simply to find cures and make a better life for cancer patients. They want to help others, more than to get credit.

 

The world at St. Jude is highly secured to maintain patient confidentiality, so cameras are prohibited in certain areas. Though I didn’t take pictures, I can say that the feeling you get as you walk along is a cheerful one. Around every turn there is hope. Maybe it’s the high ceilings, the Starbucks cafes, and the artwork that give hope and encouragement.

 

My favorite parts were the artwork and photographs lining the corridors and the thought-provoking quotes on the walls. Especially moving were the artwork by patients and the photos of adult survivors holding black-and-white pictures of themselves as childhood cancer patients at St. Jude. Every survivor looked so healthy and happy compared to his or her sicker days. Young patients have access to an Xbox center, with a Nintendo game center. A play area features a big plastic tree spread out like an umbrella for children to play under.

 

If you have never been to St. Jude I suggest you visit it. However, if you never visit Tennessee, at least think of donating to the cause. Every dollar counts. I saw how St. Jude is a beacon of hope for so many. God bless those who work selflessly for and support the hospital’s research mission.

[caption id="attachment_11814" align="alignleft" width="225"] Christina Carpenter[/caption] This guest

Julie Ward, Fresh Food Alchemy

Julie Ward, Fresh Food Alchemy

 

Today’s blog and HealthCetera interview continues a series exploring how integrative healing modalities are being shared with underserved populations. The focus is whole food, plant based diets and access for the underserved.

 

There are many variations in food habits and preferences influenced by culture, health needs, the media, and current trends. Much emphasis has been placed on the benefits of a plant based, whole food diet. Kaiser Permanente Health System has promoted a whole food, plant based diet as a healthier way to eat. Patient education material encourages patients to “Eat food. Not too much. Mostly plants.” (https://share.kaiserpermanente.org/wp-content/uploads/2015/10/The-Plant-Based-Diet-booklet.pdf)

 

A whole-food, plant-based diet is centered on whole, unrefined, or minimally refined plants. It’s a diet based on fruits, vegetables, tubers, whole grains, and legumes; and it excludes or minimizes meat (including chicken and fish), dairy products, and eggs, as well as highly refined foods like bleached flour, refined sugar, and oil. (http://www.forksoverknives.com/what-to-eat/)

 

But are whole food, plant based foods accessible to all communities? What are ways in which underserved populations can access the types of fresh, whole foods being recommended by healthcare organizations, and the benefits of which are supported by current research? (http://nutritionstudies.org/top-10-plant-based-research-and-news-stories-of-2015/)

 

Eve Adler RN RYT speaks with Julie Ward, a Food Alchemist (http://www.freshfoodalchemy.com/), ACE Health Coach, member of the Los Angeles Food Policy Council, Co-Chair of the Food As Medicine Working Group, and founder of Fresh Food Alchemy about her experiences bringing the knowledge of healthy food alternatives to underserved populations in Los Angeles.

 

Tune in on Thursday at 1:00pm to HealthCetera Radio on WBAI 99.5 FM in New York City, or streaming online at www.wbai.org; or you can listen to the interview anytime by clicking here:

[caption id="attachment_11750" align="aligncenter" width="300"] Julie Ward, Fresh

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credit: Anique (cc license)

Elder abuse affects approximately 1 in 10 older adults in the United States with serious, long-lasting effects on physical and mental health. With over 23 million emergency department visits by older adults annually, the ED is an important setting to identify elder abuse, initiate interventions to ensure patient safety, and deal with unmet care needs.

 

But according to a recent study, emergency providers make a formal diagnosis of elder abuse in just one in 7,700 visits. This indicates that a majority of victims of elder abuse pass through the emergency department without the problems being identified, according to senior study author Timothy Platts-Mills, MD, assistant professor of emergency medicine and co-director of the division of geriatric emergency medicine at the University of North Carolina School of Medicine. The research appears in the September 2016 issue of the Journal of the American Geriatrics Society.

 

Platts-Mills said that given the burden of this problem, this is a major missed opportunity. Emergency providers strive to make sure that for each patient who comes through the door, all serious and life-threatening conditions are identified and addressed, but “for elder abuse, EDs across the country are falling short.”

 

Identifying elder abuse is challenging. Older adults who are physically frail or have cognitive impairment are vulnerable to injuries and may have difficulty caring for themselves.

 

“It can be very difficult distinguishing whether a bruise is from a fall or physical abuse, or whether poor hygiene is a result of a patient asking to be left alone or the result of overt neglect on the part of a care provider,” Platts-Mills said. “But those difficulties don’t change the reality that elder abuse is common, takes a tremendous toll on its victims, and is frequently missed.”

 

In New York State, 76 out of every 1,000 older New Yorkers were victims of elder abuse in a one year period. The Elder Abuse Prevalence in New York State study found a dramatic gap between the rate of elder abuse events reported by older New Yorkers and the number of cases referred to and served in the formal elder abuse service system. The reported incidence rate is nearly 24 times greater than the number of referred cases.  This suggests that many elders are not seeking – or getting – the assistance they need.
Elder abuse comes in many forms:

  • Emotional Abuse: causing mental anguish and despair by name calling, or by insulting, ignoring, threatening, isolating, demeaning, and controlling behavior.
  • Financial Abuse: illegally or unethically exploiting an older person through use of his/her cash, credit cards, funds or other assets without permission or through coerced permission. An analysis by the office of New York State Attorney General Eric Schneiderman recently found that phone scams aimed at the elderly are on the rise.
  • Physical Abuse: slapping, bruising, coercing (including sexual coercion), cutting, burning, or forcibly restraining an older person.
  • Neglect: refusing or failing to carry out caretaking responsibilities (e.g., withholding food, medicine, glasses or dentures); also, abandoning a dependent older person.

 

Tackling this problem takes education and resources, including more health provider training and greater access to social workers who can identify and address unmet care needs, according to Platts-Mills. His team is currently looking at ways to improve the identification of elder abuse in the emergency department through new setting-specific screening tools.

 

Anyone who suspects elder abuse can contact their state’s Adult Protective Services, the Eldercare Locator online or at 1-800-677-1116. If someone is in immediate danger, please call 911.

[caption id="attachment_11769" align="alignright" width="240"] credit: Anique (cc