March is National Nutrition Month and offers up a good time to think of tweaking your diet.
Nurses are especially prone to falling into an eating-on-the-run trap. With long shifts that barely offer time to sit, nurses rarely have the luxury of taking the time to eat a relaxing meal when they are on the job. No one recommends eating quickly, but, let’s face it, most nurses have to eat quickly or they won’t eat at all.
During National Nutrition Month, the Academy of Nutrition and Dietetics helps people focus on making nutritious choices. Knowing that nurses have short bursts of time in which to get the most nutrition possible, they have to plan ahead to map out what is the best eating plan for them. Leaving it all to chance means fast food that might be higher in fat and salt and lower in things like fiber.
What makes sense for nurses? Figure out what and how you eat throughout the day and try to find foods that can fit that pattern but that offer a nutrition boost. Do you make a coffee run and add in a danish or a roll? Is lunch whatever is left in the vending machine and that you can eat in the few minutes you have?
Packing your food at home and bringing it with you is an easy option. Once you get into the habit of prepping your food at home (beware – it can feel like a chore until you get into a groove) you’ll have an instant fallback of food you like to eat, that gives you energy, and that provides you with the most nutrition possible.
Salads are an excellent way to pack in vegetables, fruits, and some great protein, but they take a lot of time to eat. You can keep the focus on the nutrition a salad provides and bring other foods that are healthy but take less time to eat. One of the easiest ways to pack in all those veggies and fruits is with a smoothie. Throw all the ingredients into a blender, add some protein powder or high-protein Greek yogurt, and you have an easy-to-digest and quick-to-eat option.
Lots of granola bars in the supermarket offer wholesome ingredients without extra sugar or added binders. With pure ingredients like nuts, seeds, and dried fruit, these bars are easy to tuck into a bag, don’t take a lot of time to eat, and offer energy-boosting nutrition. You can also make your own trail mix to bring. Customize it to include the ingredients you like and you’ll get an even more pure (and less sugary) small meal. Pair it with a yogurt drink, a hard boiled egg, or a few slices of rolled deli meat and you’ll feel more energized for a longer time.
If you think it will fit into your day, pack smaller portions, but eat more frequently. A small bowl of brown rice or quinoa, lentils, beans, or chicken, and some finely chopped veggies takes less time to eat than a bagel with cream cheese and offers a powerhouse of hunger-fighting fiber, protein, and nutrients.
And one of the best ways to keep yourself energized is to stay hydrated. Instead of fueling with caffeine all day, add in some other beverages. Try to swap out soda with flavored seltzers (add in some juice if you need more flavor) or throw a couple of fruit-flavored herbal tea bags into your water bottle with a little lemon. Being even slightly dehydrated quickly saps your energy and makes your body work harder at everything.
With a few small changes, you can give your body the energy and nutrition to have a more productive day and better overall health.
I’m orienting as a charge nurse at a clinic. A middle-aged gay man (well, late middle age), surrounded by young women. Something odd happened that I want to share. My clinical partner, a charge nurse with 35 years of experience, pulled me into a room. “I’m going to tell you something awkward. Some of the nurses have said they feel uncomfortable when you touch them on the shoulder.”
You could have knocked me over with a feather. I honestly didn’t remember ever touching anyone and said as much. However, later that same day I actually caught myself just as I was about to touch a coworker on the shoulder and say, “Thanks for helping me with that patient.” So I had touched someone….without their permission, without thinking about it. I really had to rethink my behavior toward the opposite sex in the current climate.
Women are finding their power. Things that might have slipped by in the past are no longer going to get a pass. Frankly, I think it was a long (centuries) time coming. I hope it continues. I know it will. I’m excited to live in a time where women’s rights and female empowerment is in ascendancy.
I guess I just thought that being gay somehow made me immune from charges of sexual harassment (from women at least). This is just not the case. Harassment is in the eye of the beholder. If someone is uncomfortable with something, he or she has a right to their feelings, even if, from the other side, he/she/we may feel that nothing was done wrong (or at least intended). It’s hard to grasp, but important. Harassment is whatever someone says it is.
I admit, my feelings were hurt. I did not intend to make a coworker uncomfortable. My being gay or straight has no bearing on the issue of someone else’s feelings. I won’t argue that I didn’t mean to. I won’t say that I’m a hugger, or come from an affectionate family. Whatever my reasons for touching someone without their permission are not pertinent. All I can do is identify the behavior that caused the problem and fix it going forward.
Some might argue that the pendulum of women’s rights has swung too far. Anyone can say they feel harassed about anything. Any innocent touch, a pat on the back, is harassment and it’s just too crazy. That’s not the way to look at it. The #MeToo movement did not happen in a vacuum. It takes place in the context of an entire human history of women being treated as property and all that entails. There was a time when gay-bashing was, if not a national past-time, at least a frequent diversion, and I’ve been the victim of it several times. Gay rights didn’t happen in a vacuum, either. The broken body of Mathew Sheppard brings to mind exactly why we are fighting. Now, women are fighting.
What I’m saying is that I understand that women have a right to be seen and heard, respected, and not touched in the workplace. They have a right to pick and choose how they will be interacted with and what is appropriate. They fought for that right and continue to do so.
I’m glad that someone thought enough about me to point out something I could improve upon in my work life. I’ll keep an open mind, and my hands to myself in the future.
It might seem ironic that the kickoff of the National Sleep Foundation’s Sleep Awareness Week starts with an hour less of precious shut eye.
While Daylight Savings Time has most of us springing our clocks ahead one hour early in the morning of Sunday, March 11, it also means we are losing that extra hour of snoozing.
But paying attention to your forty winks is nothing to slack off on. Nurses, traditional whirlwinds chameleons thanks to long shifts, nighttime hours, family and school obligations, and just plain stress, are typically fairly sleep deprived. Known to fit amazing amounts of tasks into one day, nurses often accomplish these things while shorting their bodies of necessary sleep.
Here are four reasons to pay more attention to your sleep.
1. Your Work Performance
According to the American Sleep Association, lack of dreamtime contributes to big problems on and off the job. You know you’ll feel sleepier during the day, and that’s a problem for nurses when they are working. Given the fast pace of the job and the critical thinking necessary to dose medications or provide care, chronic sleepiness will impact your patient care negatively.
2. Your Health
Not getting enough slumber can also lead to potential health problems. A body that is sleep deprived gets the hormones that regulate appetite mixed up. Not only are you awake extra hours, but you are hungrier during those hours as your body tries to stay alert. If you aren’t careful, this can quickly lead to weight gain and associated problems like high cholesterol or high blood pressure. Lack of sleep can even trigger an improper processing of glucose and can make you more prone to developing Type 2 diabetes.
3. Your Mood
Sleepiness can easily turn to crankiness as your body craves needed rest. Sleep gives you the extra cushion against the things in the world that irritate you. When you haven’t had enough good rest, your mood takes a nosedive and everyone around you notices it. You might be more short-tempered with your friends and loved ones, but it can also impact your attitude with your patients and with your colleagues.
4. Your Quality of Life
As a nurse, you work hard for everyone else’s well being. You spend your days taking care of other people and other needs, often while neglecting what you need. Not getting enough sleep is a sure-fire way to put a wrench into your forward momentum and finding a balance that is sustainable.
The next time you find yourself skimping yet again on crawling into bed, think of how often you tell your patients they need rest to heal and rest to recover. Treat yourself the same way and see if it makes a difference in your life.
February is American Heart Month — what better time to reassess how well you are taking care of your heart health?
Know Your Risk Factors
As a minority nurse, you probably know certain minority groups have higher risks for heart disease. According to the American Heart Association, African Americans, American Indians/Native Alaskans, and Hispanics have an increased risk of heart disease and its associated problems like high blood pressure, heart attack, and stroke.
Other risk factors include hereditary factors (others in your family have heart disease), smoking, obesity, sedentary lifestyle, and poor diet.
Know the Signs
According to the Centers for Disease Control and Prevention, there are a few heart attack signs and symptoms that you shouldn’t ignore.
If you experience any of these symptoms, call 911 immediately.
- Pain or discomfort in the jaw, neck, or back
- Feeling weak, light-headed, or faint
- Chest pain or discomfort
- Pain or discomfort in arms or shoulder
- Shortness of breath
Women also tend to have symptoms that are different from men and, therefore, aren’t always immediately considered as heart trouble.
Watch for these unusual signs:
- Nausea or vomiting
- Extreme fatigue
- Feelings of unease or anxiety
Heart disease isn’t called the silent killer for no reason. If you feel something is off, whether that’s occasional chest pain with exercise or under stress, heart palpitations, or off-and-on chest discomfort, always be cautious and get it checked.
Reduce Your Risk
If you have risk factors for heart disease, you should monitor your blood pressure, your cholesterol, and your blood sugar. Try to reduce your risk by maintaining a healthy weight, getting enough physical activity, being sure to rest, staying connected with loved ones, and trying to keep your stress levels in check.
With the hectic pace of a nurse’s day, getting any time to bring your stress down a notch is a struggle. But one simple way to help with stress reduction is to step outside. Plenty of research backs up the idea that more time outside is better for your health. A few minutes walking at lunch, parking far enough away in a parking lot, or even just getting a few breaths of fresh air on a break can have huge benefits on your physical health and your mental health. Getting into nature can clear your mind, lower your blood pressure, and help you clear out the mental clutter enough to focus better when you come back to work.
Heart disease is the number-one killer of men and women in the United States, so paying attention to your own heart health is one of the best preventative measures you can take.
The connections between the eye and the brain have been well known and established for centuries. Indeed in a sense the eye is a part of the brain. Often described as the window of the soul, the eye can actually be a window onto our cognitive and neurological functions, being a visible and accessible organ that frequently reflects changes in the larger network.
Conditions such as Alzheimer’s disease, Parkinson’s disease and even Multiple Sclerosis can have eye-based indicators. On a more basic level, the excessive avoidance of eye contact can be suggestive of autism. With roughly 83% of our perception, learning, cognition and activity mediated via sight, the eye is by far our most important sensory organ.
Across the globe eye disease is reaching epidemic proportions. According to a study published in The Lancet last year, in 2015 36 million people worldwide were blind, while a further 217 million were suffering from moderate or severe distance vision impairment. Glaucoma in Asia and Africa is a huge problem that is still on the increase, but the shocking (if hopeful) fact is that 75% of visual impairment is avoidable. 1.1bn people are vision impaired because they don’t have access to spectacles. That is a failure of social, economic and political causes rather than a scientific one. In the meantime, the development of new treatment methods and technology could see the possibilities for full and partial restoration of sight increase dramatically over the next few years.
Rohit Varma, MD, MPH, is a world leader in the study of eye disease. He has recently been researching new imaging techniques in early diagnosis of glaucomatous optic nerve damage and is involved in developing implantable intraocular pressure sensors and drainage devices. He is particularly concerned with studying eye disease in minority populations.
Elsewhere, implantable visual prosthetics have been developed by companies in California (Second Sight), Germany (Retina Implant AG), and France (Pixium Vision), while ground-breaking trials have been carried out in the UK. In 2015, Manchester surgeons restored partial sight to a blind, 80-year-old sufferer from age-related macular degeneration (AMD) using a visual prosthetic, while in 2016 a blind woman was successfully given a “bionic eye” at Oxford Eye Hospital.
So-called bionic eyes stimulate the brain with light from a tiny video camera, but scientists have also begun researching ways to restore vision by working directly on the brain, bypassing the eye altogether. We perceive patterns of light as a result of electrical impulses delivered to the visual cortex. On this basis, Second Sight has begun developing a device that generates similar electrical signals and hopes to recreate some degree of visual perception without working on the eye at all.
In recent years we have seen a huge and helpful boom in smartphone apps to diagnose medical disorders. The applications have also been employed in treating eye conditions. Peek Retina is a portable ophthalmoscope in the form of an app on your phone that can be used to capture and record retinal images and to measure visual acuity. It has been successfully used in diagnosis in remote areas such as sub-Saharan Africa.
EyeNetra meanwhile have developed a diagnostic device for easily spotting refractive errors. A headset is combined with an app to flag up errors in perception and to recommend the correct eyeglass prescription.
Advances in treatment of the eye could also be made possible using the CRISPR-Cas9 gene editing technique. CRISPR has been used to repair a genetic mutation producing retinitis pigmentosa in induced pluripotent stem cells from a patient suffering from the disease. Research at the Center for Genome Engineering at the Institute for Basic Science suggests that CRISPR can be used to correct the effects of non-hereditary conditions as well as inherited ones, following gene surgery on mice suffering from AMD.
It is to be hoped that research will provide us with a better understanding of the connections between the eye and the brain, and the way in which vision works, as well as providing practical solutions to the widespread problems of blindness and vision impairment. Speculation that virtual reality technology might one day be able to recreate our full field of vision within the visual cortex may seem far-fetched but is not beyond the bounds of possibility. Whether brain diseases and even mental illness can ever be treated using similar methods remains to be seen. When we recall that what we see is an interpretation of the world rather than the world as it is, it may be thought that problems of adjustment and understanding could be literally related to how we see things after all.
This month, New York University (NYU) Rory Meyers College of Nursing welcomed Jacquelyn Taylor, PhD, PNP-BC, RN, FAHA, FAAN, as the inaugural Vernice D. Ferguson Professor in Health Equity.
Taylor has already had a notable career. In January 2017, she was awarded the Presidential Early Career Award for Scientists and Engineers by President Barack Obama, the highest honor awarded by the federal government to scientists and engineers, where she will examine next-generation sequencing-environment interactions on cardiovascular outcomes among African Americans.
Vernice D. Ferguson (1928-2012) was a distinguished nurse leader, educator, and executive who championed the health of all people throughout her career. Ferguson, who received a baccalaureate in nursing from NYU, pioneered leadership positions for nurses and elevated the nursing profession through advocating for increased opportunities, respect, and wages, as well as fostering nursing research.
Taylor says it’s a tremendous honor to be selected to serve as the inaugural Vernice D. Ferguson Professor in Health Equity. “It is my sincere hope that the research I lead is as beneficial to the public as the work of the iconic Vernice D. Ferguson.”
Over the course of Taylor’s career her work has focused on health equity in Black populations for common and chronic diseases such as hypertension, both in the United States and in Africa.
“African Americans have the highest incidence and prevalence of hypertension than any other ethnic group in the U.S.,” says Taylor. “In particular, African American women have the highest incidence and prevalence of hypertension than any ethnicity or gender. Understanding the genomic underpinnings and social factors that contribute to this disparity can help providers to intervene early in life to eliminate such disparities. On a personal level, my father had hypertension and had a stroke, and my mother had cardiovascular complications as well. I would like for the work that I do to help others to avoid these complications.”
Another primary goal for Taylor is to study the genomics of lead poising in Flint, Michigan. She says the purpose of this project is to better understand the harmful effects of chronic lead exposure, the psychosocial insults of the Flint water crisis, and the underlying omic mechanisms involved that may contribute to increases in blood pressure in this already at-risk African American population in Flint.
“An intergenerational, multi-omic (genetic and epigenetic), and psychosocial approach will be utilized to understand one of the major symptoms of chronic lead exposure—high blood pressure—among African American families in Flint,” Taylor explains. “This research will provide critical insights that will add a layer of functional outcomes for health providers to best understand, assess, and intervene with tailored treatments based on an individual’s unique environmental, omic, and psychosocial profile and will help in mitigating long-term cardiovascular and other health risks.”
Taylor says her primary goal during her professorship is to continue to build on the work she has done in omic-environment interaction studies among minority populations by utilizing multiple advanced genomic techniques and expanding to more minority populations across the USA and abroad.
“I would also like to expand my reach as a leader in nursing science by taking on a more key administrative role that will aid in building up the next cadre of minority nurse scientists.”