SDSU CNSA Vital Signs - Spring 2016 Issue No. 1

VITAL

SIGNS Spring2016 Issue

FEATURING: Stu den ts H .E.A.L. CODE BLUE Fr esh m an Cor n er &Sen ior Cen tr al Sel f-Actu al ization W or k It Ou t!

Nu r sin g Car eer Path s Cr osswor d Netfl ix H idden Gem s M edical l y-Assisted Su icide Stu dy Sn ack s

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CONTENTS STUDENTS H.E.A.L. Expl or e Th ail an d with th is exposĂŠ on th e Stu den ts H .E.A.L. an n u al m edical br igade.

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FRESHMANCORNER& SENIORCENTRAL

CODEBLUE

Peek in side th e m in ds of ou r pr ogr am 's n ewest an d ol dest stu den ts. An d pick u p a few tr ick s!

A stu den t jou r n al abou t exper ien cin g patien t death for th e fir st tim e.

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ENDOF LIFEOPTIONACT A cl oser l ook at th e n ew l egisl ation su r r ou n din g eu th an asia an d h ow it wil l affect you r pr actice.

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ANDMORE!

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it is our j obas nurses to assess our patient?s understandingandgive themal l thetool s they needtobehealthy.

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STUDENTS

H.E.A.L. Th er e on ce l ived a m on k wh o l oved wal k in g on th e beach ever y m or n in g. On e day after a stor m y n igh t, h e cam e to th e beach an d n oticed th ou san ds of star fish wash ed on to th e beach by th e tide, l eft to die. H e ben t down an d star ted th r owin g th e star fish back in to th e water on e by on e. As th e day wen t on , a m an appr oach ed h im an d spok e: ?m ay I ask you wh at you ar e doin g??

Th e m on k r epl ied, ?I am th r owin g th e star fish back in . Th e tide wash ed th em u p an d th ey can ?t go back in to th e sea by th em sel ves. Th ey wil l al l die at n oon u n l ess I th r ow th em back in th e water.? Th e m an l au gh ed, ?th er e ar e

th ou san ds of star fish on th is beach , I?m afr aid you won t be m ak in g th at big of a differ en ce.?

Th e m on k ben t down , pick ed u p an oth er star fish , th r ew it in , sm il ed an d said, ?I m ade a differ en ce to th at on e?.

Th e m an wh o qu estion ed th en ben t down , pick ed u p a star fish an d th r ew it back in th e ocean . Th is r en dition of Eisel ey?s The Star Thr ower was th e wel com e stor y we wer e gr eeted with by ou r tr avel com pan y, Star fish , at th e begin n in g of ou r br igade in San gk h l abu r i, Th ail an d. Fr om Jan u ar y 4th to Jan u ar y 13th of 2016, I h eaded on a m edical br igade with San Diego State

Un iver sity?s n u r sin g stu den t or gan ization H .E.A.L. (H eal th an d Edu cation Abr oad th r ou gh Leader sh ip) to San gk h l abu r i to pr ovide fr ee h eal th car e for th e u n der pr ivil eged Th ai an d Bu r m ese peopl e.

Th is tr ip n ot on l y open ed m y eyes to gl obal h eal th car e n eeds, bu t to th e power n u r ses h ave in m ak in g a differ en ce, on e l ittl e star fish at a tim e.

Ever yday,we wou l d wak e u p ear l y to eat br eak fast an d l isten to a l ectu r e fr om on e of th e Doctor s befor e h eadin g ou t to ou r assign m en ts in th e back s of pick u p tr u ck s. W e dr ove with ban dan as or su r gical m ask s ar ou n d ou r faces

th r ou gh bam boo ju n gl es, du sty r oads, m u d, cu ttin g win ds an d absol u tel y beau tifu l h il l sides to r each com m u n ities with l ittl e-to-n o access to h eal th car e. W e set u p cl in ics in tem pl es, vil l age cou n cil ?bu il din gs?, or ph an ages an d sch ool s. Ou r cl in ics wer e m ade u p of th r ee section s: tr iage, assessm en t, an d ph ar m acy. Th e section th at open ed m y eyes th e m ost was assessm en t. At tr iage, th e patien t?s vital sign s an d ch ief com pl ain t wer e tak en an d th ey wer e th en h an ded off to pair of car egiver s. Th en , as an assessm en t team , we u sed th is in for m ation to per for m a focu sed

FRESHMAN CORNER M y advice to in com in g n u r sin g stu den ts is wh atever you do, DONT cr am ! Spr ead ou t you r stu dyin g th r ou gh ou t th e week so you don 't over l oad you r br ain an d over wh el m you r sel f. M y favor ite spot to stu dy on cam pu s is th e bottom fl oor of th e l ibr ar y. A gr eat stu dy spot off cam pu s if you n eed a ch an ge of scen er y is Lestat's on Par k . Th e coffee is am azin g an d it's open 24/ 7 :) -K at el y n K el l y

TIPS FOR SOPHOMORE YEAR

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1) Pl an wh en an d wh at you ar e goin g to stu dy.

2) Be r eal istic in wh at you expect to l ear n in th e tim e you h ave.

3) Br eak u p you r stu dyin g by settin g l ittl e r ewar ds for you r sel f (l ik e r ewar d you r sel f with Fr oyo with fr ien ds for gettin g h al f way th r ou gh th e th e m ater ial you n eed to stu dy) 4) Don 't wait to stu dy til l th e l ast m in u te!

5) I per son al l y l ik e to stu dy in a sem i-qu ite ar ea in th e l ibr ar y -Sam Du f f l e

W ORK IT OUT AMERICANHEART ASSOCIATION RECOMMENDATIONS FOREXERCISEINADULTS "Ph ysical activity is anything th at m ak es you m ove you r body an d bu r n cal or ies."

H er e's th e scoop on car dio: For Ov er al l Car d i ov ascu l ar H eal t h : At l east 30 m in u tes of m oder ate-in ten sity aer obic activity at l east 5 days per week for a total of 150 OR At l east 25 m in u tes of vigor ou s aer obic activity at l east 3 days per week for a total of 75 m in u tes; or a com bin ation of m oder ate- an d vigor ou s-in ten sity aer obic activity AND M oder ate- to h igh -in ten sity m u scl e-str en gth en in g activity at l east 2 days per week for addition al h eal th ben efits.

For L ow er i n g Bl ood Pr essu r e an d Ch ol est er ol : An aver age 40 m in u tes of m oder ate- to vigor ou s-in ten sity aer obic activity 3 or 4 tim es per week

If you feel l ik e th is is ask in g too m u ch , star t sl ow an d wor k you r way u p!

"Som eth in g is al ways better th an n oth in g!" www.heart.org 8

CODE BLU E byaimeedel eonrn, bsn former cnsacommunications director

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THIS IS REAL. THIS GUYIS AHUMANBEING. THIS IS SOMEONE'S LIFEWE'RETRYINGTOSAVE.

AJOURNAL ABOUT A FIRST PATIENT DEATH EXPERIENCE You n ever k n ow wh at you r day h ol ds, especial l y in n u r sin g. I cer tain l y didn ?t wak e u p in th e m or n in g expectin g to exper ien ce wh at I h ad for th e day. Th e day began with m an y fir sts: fir st tim e goin g to a cath

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l ab, fir st tim e h el pin g ou t th e staff in th e cath l ab, alm ost fir st tim e watch in g a tr ach eostom y pr ocedu r e, fir st tim e gettin g u p cl ose du r in g a code bl u e, fir st tim e per for m in g ch est com pr ession s? an d fir st tim e l osin g a patien t. M y pr ofessor tol d u s th e best way to h an dl e th is situ ation is to jou r n al an d th at is wh y I am wr itin g. I?m

u n abl e to pr ocess m y th ou gh ts with ou t wr itin g becau se th is situ ation is so n ew to m e.

It was pr etty su r r eal . I was excited at fir st to h ear th e over h ead an n ou n ce th e Code Bl u e was on ou r u n it on l y becau se th at gr an ted m e th e oppor tu n ity to see it - an d th at?s as far as m y expectation s wen t. I wan ted to see th e dyn am ics of th e staff, h ow wel l th ey wer e a team , an d appl y ACLS tr ain in g k n owl edge in to wh at I was obser vin g. As a n u r sin g stu den t, I tr ied to tak e advan tage of th e situ ation too. I wr iggl ed m y way cl oser an d cl oser to th e scen e. I saw th e code team was gettin g tir ed an d I h ad a h u n ch I cou l d par ticipate if I spok e u p, wh ich I did an d I was pu l l ed in an d I did ch est com pr ession s. I won ?t

m e I cou l d al m ost visu al ize th e sadn ess an d despair over com e m e th e way dye l ook s l ik e wh en you diffu se it in a gl ass of cl ear l iqu id. I wal k ed ou t an d m y pr ofessor was stan din g ou tside of th e r oom waitin g for m e so I can give h er m y r epor t on m y patien t for th e day. Sh e k n ew I was in th er e doin g com pr ession s. Sh e ask ed, ?So?? an d I sh ook m y h ead an d th e tear s star ted to br im an d n atu r al l y,I n er vou sl y l au gh ed befor e I cou l d speak becau se l au gh ter is m y defen se m ech an ism for difficu l t situ ation s. I sh ook m y h ead. Sh e l ook ed as disappoin ted as I did. M y fr ien d l ook ed in tr igu ed at th e situ ation we exper ien ced togeth er. I cou l dn ?t stop m y th ou gh ts - h is fam il y wasn ?t th er e an d h e ju st died. Th ey?r e goin g to fin d ou t h e died gettin g tr an sfer r ed to th e ICU. Th ey?r e goin g to be devastated. I cou l dn ?t stop th e spin n in g th ou gh ts. I was r eal l y sad. I k n ew h e was in V-tach for a wh il e an d m y in str u ctor l et m e l eave th e fl oor to tak e a br eak .

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WHETHERWELIKEIT ORNOT - DEATHIS A PART OF THEPACKAGE THAT COMES WITH NURSING.

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desen sitized to th ese situ ation s th at th ey h ave exper ien ced m an y tim es th an m ysel f. Bu t to becom e so desen sitized th at you for get th at per son isn ?t ju st a body? It?s a sh am e. I?m sad h e didn ?t m ak e it an d was in v-tach an d pu l sel ess for too l on g.

I?m sad th at h e didn ?t m ak e it. Th is was a bad day for som eon e ou t th er e. I?m wr itin g becau se I car e an d th ou gh I don ?t feel th e W h y was ever yon e sam e weigh t as actin g l ik e it was som eon e wh o k n ew per fectl y n or m al ? I h im per son al l y,bu t I Th er e?s a bal an ce we k n ow it?s a par t of th e h ave m y deepest h ave to h ave r egar din g job, bu t th at doesn ?t sym path ies m ean th is isn ?t h u m an . h ow m u ch em otion pen etr atin g aim l essl y an d attach m en t we Th is isn ?t r eal l ife. H e th r ou gh th e u n iver se h ave towar d th ese wasn ?t ju st a body we towar d an on ym ou s pr acticed on . H e was a em otion al l y difficu l t an d facel ess peopl e. I situ ation s, an d a safe per son . H e was a didn ?t k n ow h im , an d distan ce we h ave to fath er ,br oth er ,u n cl e, h e wasn ?t m y patien t cr eate becau se n eph ew, son , an d h e for th e day - bu t h e was bar el y al ive in ou r wh eth er we l ik e it or was stil l a patien t, bu t n ot ? death is a par t of h an ds an d it?s over. I m or e th an th at. H e didn ?t l ose m ysel f over th e pack age th at I got a coffee at th e was a h u m an bein g com es with n u r sin g. I l obby becau se I wan ted th is situ ation in th e wh o on ce h ad l ife in u n der stan d th at peopl e h ospital . I was in total to be away for a h im . Som eth in g we con tr ol of m y em otion s do exper ien ce bu r n ou t, m om en t. I fou n d th e sh ou l dn ?t for get in th e com passion fatigu e, an d was fu l l y code team discu ssin g fiel d? an d becom e fu n ction al , bu t I ju st h ow th ey didn ?t l ik e so-an d-so for bein g so bossy an d a r am bl e of wh at didn ?t go r igh t in ter m s of som eon e?s attitu de. I was stil l speech l ess. ?H e?s dead you gu ys,? I th ou gh t, ?Th at?s th e bigger pictu r e h er e, isn ?t it?? Th ey n oticed m e an d th an k ed m e for bein g a par t of th e code an d givin g som e of th e code team a r est. I wal k ed away sm il in g, bu t in side I was con fu sed.

cou l dn ?t bel ieve h ow n on ch al an t ever yon e was ar ou n d m e. I gave m ysel f a m om en t to cr y as I sat in th e n u r sin g l ou n ge in fr on t of th ese gian t win dows I adm ir e abou t th is h ospital . I l ook ed at th e car s passin g on th e fr eeway an d th ou gh t, ?Th ose ar e al ive h u m an bein gs. Th ey?r e al l al ive. H e isn ?t.?

W asn ?t an yon e el se at l east disappoin ted it didn ?t wor k ou t? It was al m ost ju st an oth er u su al wor k pr ocess for th em .

ANEWOPTION FOR ENDOF LIFE. I can r ecal l watch in g an em otion al episode of Pr ivate Pr actice wh en a doctor ?s best fr ien d was diagn osed with H u n tin gton ?s disease an d wan ted to be eu th an ized. Th e doctor faced an eth ical dil em m a between wan tin g to h el p h er fr ien d an d fol l owin g an oath to do n o h ar m . M aybe you h ave watch ed a sim il ar situ ation u n fol d in th e m edia, or h ave h ad a sim il ar exper ien ce in you r pr ofession al or per son al l ife. Th e issu e of m edical l y assisted su icide h as l on g been debated.

Cal ifor n ia h as join ed 4 oth er states: Or egon , W ash in gton , M on tan a, an d Ver m on t, in passin g a l aw th at wil l al l ow 14

m edical l y assisted su icide. Star tin g Ju n e 9th , 2016 th e En d of Life Option Act wil l al l ow ph ysician s in Cal ifor n ia to pr escr ibe l eth al doses of dr u gs to th ose with ter m in al il l n ess wish in g to en d th eir own l ives. Th e l aw r equ ir es th e con sen t of two ph ysician s for th e pr escr iption of th e l eth al dose to a patien t th at is ter m in al l y il l with a pr ogn osis of six m on th s or l ess. Th e patien ts m u st al so be abl e to swal l ow th e m edication th em sel ves an d affir m in wr itin g 48 h ou r s befor eh an d th at th ey wil l do so.

Th e issu e h as br ou gh t ou t passion ate opin ion s fr om both sides. Som e sh ar e th e opin ion of Sen ator Bil l

M on n in g, th at th e l aw al l ows peopl e a tr an sfor m ative option of a com passion ate en d of l ife exper ien ce.

M ean wh il e, oth er s su ch as Sen ior Pol icy An al yst of th e Disabil ity Righ ts Edu cation & Defen se Fu n d, M ar il yn Gol den , bel ieve th at th er e r em ain s a n eed for m easu r es to pr otect peopl e fr om abu se as wel l as a n eed to expl or e an d in for m doctor s, n u r ses an d ph ar m acists th at th ey don 't h ave to par ticipate.

Th e l aw n ot on l y im pacts ph ysician s, bu t can al so h ave im pl ication s for n u r sin g pr actice an d th e en tir e in ter discipl in ar y team , especial l y in r egar ds to en d of l ife

car e an d h ospice tr eatm en t. It is im por tan t for u s as fu tu r e n u r ses to be awar e of th is l egisl ation an d h ow it m ay affect ou r pr actice.

W h at if you ar e a n u r se an d you r patien t h as ju st been give a pr ogn osis of l ess th an 6 m on th s to l ive an d th ey'r e in ter ested in m edical l y assisted su icide? W il l you be abl e to pr ovide u n biased com passion ate car e?

W h at if th e facil ity you wor k for is n ot wil l in g to par ticipate in th is pr actice? H ow wil l you advocate for th em ? Th ese ar e th in gs to con sider as you l ear n abou t th e En d of Life Option Act.

-M ichaela Taylor

CONTACT US: PRESIDENT: SHERYL W ARFIELD SDSUCNSAPRES@GMAIL.COM VICEPRESIDENT: SAMANTHAHELBIG CNSA.SDSU.VP@GMAIL.COM TREASURER: SUSANALVARADO SDSUCNSATREASURER1@GMAIL.COM SECRETARY: JOCELYNALGIERI SDSUCNSASECRETARY@GMAIL.COM LEGISLATIVE: HANNAHOSUNA& CHLOEROACH SDSUCNSALEGIS@GMAIL.COM COMMUNITYHEALTH: SHIVANI KANERIA& MONICAO'NEILL SDSUCNSACOMMUNITY@GMAIL.COM BREAKTHROUGHTONURSING: KIMMARIANO& VRENI ILLUSTRISIMO SDSUCNSABTN@GMAIL.COM FUNDRAISING: ATHEENAGARCIA& SHANTAEMCDOWELL SDSUCNSAFUNDRAISING@GMAIL.COM MEMBERSHIP/ MENTORSHIP: KATELYNKRIECH SDSUCNSAMM@GMAIL.COM GLOBAL INITIATIVES: MEGHANIHDE& ANNMARIECORREA SDSUCNSAGLOBAL@GMAIL.COM IMAGEOF NURSING: RACHEL BATTLES SDSUCNSAIMAGE@GMAIL.COM COMMUNICATIONS: KAITLYNJOHNSON CNSACOMM@GMAIL.COM Th is issu e of th e Vital Sign s Newsl etter h as been br ou gh t to you by th e SDSU CNSA Vital Sign s Com m ittee: Kyl e Littl e (2015-2016 CNSA Com m u n ication s Dir ector ) Jack ie Lim Nor a Gu stafson Lin dsey Padel for d with con tr ibu tion s fr om : M ich ael a Tayl or (2015-2016 CNSA Legisl ative Dir ector ) M ar th a Qu er o (2015-2016 Com m u n ity H eal l th Co-Dir ector ) Dr. Ph il ip Gr ein er

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