Issue 9
5 Diamond EMR/EHR Rating
Issue 9 August 2011
Travel
Auspicious Saudi Arabia
Divinely
+
Sized
Inked! Nursing Tips
From a Tattoo Parlor
Creating a
Low Fat diet Plan
Listen Like a
Nurse Leader
Tobacco Free Nurses
1
Fabulous Nurse Magazine
2
Issue 9
3
Fabulous Nurse Magazine
Elsie Ekwa
Writers
Editor-in-Chief Founder of Lissie Harrington Publishers, Elsie, is the vision behind Fabulous Nurse Magazine. As a nurse, she saw the need for a lifestyle magazine that all at once serves as a celebration of nurses, a guide for better living, and a guilt-free escape from the sometimes grueling shifts nurses work. She is also the managing editor for the Pacific Writer’s Corner online magazine. Elsie writes as Sonya Justice and speaks on health and wellness issues, the business of writing, and entrepreneurship.
Matthew Fowler Writer
Masthead/Contributor Masthead/Contributor Publisher Lissie Harrington Publishers
Editorial Elsie Ekwa
Art & Graphic Design To submit artwork / ad creative Email: ads@fabulousnurse.com
Matthew Fowler, founder of A Sodality of Wordsmiths, is currently a professional writer for the US government, namely, the US Department of Labor, where he adjudicates claims and writes formal decisions regarding labor issues. He got his start in the career field of language arts as an active duty soldier, civil affairs division, writing press releases and the like. As an active duty soldier he traveled, literally, around the world in various capacities and including combat operations in Bosnia, the Philippines, and Afghanistan to deliver the Army story. His practical experience is bolstered by considerable education, a B.A in Communications and an M.P.A in Public Policy.
Advertising & Marketing
Olusegun Iselaiye
Writers
Editor & Writer
Olusegun is seasoned freelance writer, researcher, and entrepreneur. He taught nursing students Human Anatomy in his home country of Nigeria before going into fulltime writing. Olusegun, whose mother happens to be a respiratory nurse, is also a huge fan of the nursing profession. His ambition is to offer a meaningful contribution to Africa and his home country. When some give his country a bad reputation, it is good to see that there are many who live by higher standards. It is thanks to Olusegun that Fabulous Nurse Magazine will be bringing you its rating system. Contact Olusegun via email at isedot@yahoo.com.
Karen Kalis Writer
Karen Kalis has ten years of experience as a professional copywriter. She has worked in industries such as education, real estate, healthcare, technology, and with non-profit organizations. With an M.A. in Creative Writing, Karen’s clients include: Fabulous Nurse Magazine, RMS Technologies, Lincoln Electric, Multi-Care Management, and The EPIC Group. An entrepreneur at heart, Karen focuses on helping businesses communicate what they have to offer with precision.
Margaret Smith Writer
Margaret Smith is a native Texan who loves God, family, country, and writing. She has a variety of interests, and has worked in diverse fields from retail to education. Although she is not a nurse, she has done volunteer work in hospitals, where she has always admired the dedication and skill of the nurses she has seen in action. She recently made the decision to become a full-time writer. Margaret enjoys the process of discovery and development in each new project. 4
For advertising opportunities Email: ads@fabulousnurse.com Contact our Sales Director, Rod Vickery Tel: (503) 877 – 3617 To submit articles for publication Email: editor@fabulousnurse.com
Reach Us By Post Lissie Harrington Publishers ATTN: Fabulous Nurse Magazine Department 29030 SW Town Center Loop E Ste. 202 Wilsonville, OR 97070-9490 info@fabulousnurse.com www.fabulousnurse.com
Editorial Issue 9
Mercivous! à
T
he process of launching Fabulous Nurse, educating the public about our one of a kind magazine, and effectively partnering with individuals and companies who opt to advance Nursing has been a challenging, albeit, a very enjoyable one. :). It is finally here, our inaugural issue which features advertisers. I am glad to say that there are many who recognize our vision and passion and also see the immense value of the one thing so many nurses take for granted; themselves. On behalf of the staff at Fabulous Nurse Magazine and our subscribers the world over, all 100, 000 plus strong, I extend a heartfelt thank you. It is thanks to you that we are exhibiting staying power. It is thanks to you that we continue on our mission to celebrate the nurse in everyone. As the French say, “Merci à vous!”
We want you to be happy always. So, we discuss different things you can do to enrich your relationships at work and at home. And as a gesture of good will, to show how much we love nurses, there is a special treat in the form of a recipe for homemade ice-cream. Let us know if it is a hit at your next cooking event. Treat your family. Treat your friends. Treat yourself. You deserve to. Nurses rule!
Each time we publish a new issue, we are a little wiser about the many and varied things that affect nurses on a daily basis. For example, while a co-worker and fellow nurse discussed the custom tattoo design she desired with a tattoo practitioner, I took a leisurely walk on the boardwalk of Venice Beach, CA. If you have been to Venice Beach, you’ll recall that there is plenty to distract the tourist. I could not help but wonder why so many people lined up to get hennas and tattoos. That thought was the genesis of the article, Inked! By the time Inked was completed, I must say I learned a lot about tattoos. Did you know that metallic pigments in some tattoo inks can affect MRIs and even risk your chances of getting an Epidural during childbirth? Who knew, right? As a subscriber, you know that while we revel in sharing fun tips about fabulous lashes or the best ways to blow dry your hair, Fabulous Nurse Magazine, probes further to reveal health and safety concerns we may take for granted. After reading the article on tattoos, I hope you do incorporate some of the valuable information that is shared into your patient care. 5
Table of Fabulous Nurse Magazine
Contents
COVER ARTICLES
FEATURES
P.61
Listen Like a Nurse Leader
P.68
Conduct Unbecoming of a Nurse
P.15
Inked! Nursing Tips From a Tattoo Parlor
P.40
Baby Boomer Fitness Options
P.26
Signs & Symptoms of Testicular Cancer
P.63
5 Diamond EMR/EHR Rating
P.55
Travel Auspicious Saudi Arabia
P.76
The Nurse’s Footprints
P.9
Divinely Plus-Sized!
P.80
Book Review: 1st Year As a Nurse
P.44
Tobacco Free Nurses
P.28
5 Happy Ways Couples Stay Close
P.36
Creating a Low Fat diet Plan
P.46
Educating Tomorrow’s Nurses
CONDUCT UNBECOMING OF A NURSE
68
6
W
hat happens when Professionalism is separated from nursing?
August 2011
EDITORIAL
P.5 Merci
Issue 9
HOME ORGANIZATION
P.50
Organize Kids School Stuff
HOBBIES P.51
Sewing a Scrub Top
PETS
FASHION WATCH
P.11
Back to School Clogs!
BEAUTY SECRETS
P.20
Best Blow-Dry Technique, Ever!
ATTITUDE RE-DEFINED
P.22
Keeping the Mind Healthy
LIVING WELL
P.25
Chronic fatigue Syndrome
P.67 5 Diamond Nursing School Rating: UCSF
FABULOUS FOODIE
Finance
P.32
Extend Summer Fruits Into Fall
P.33
Fabulous Recipes
P.72
Income Booster: Nurse Author
P.75
The Accounting Game
LAUGH OUT LOUD
P.78
Nursing Humor
PARENTING
P.78
General Humor
P.49
RESOURCES
FABULOUS & FIT
P.41
Good walking Shoes
Parenting the Attachment Challenged Child
P.53
Common Flea & Tick Prevention
THE NURSE’S STATION
P.64 5 Star Hospital Rating: Greene Memorial Hospital, OH Sydney Adventist Hospital, Australia P.66
P.81
5 Star Staffing Agency Rating: Trinity Healthcare Staffing Group
August Nursing Conferences Around The World
7
Fabulous Nurse Magazine
8
FASHION Watch
L
et’s face it. Being on a diet does not mean you cannot look absolutely fabulous. We’ve found 8 deliciously divine dresses in which to celebrate the end of summer.
Divinely
Issue 9
Plus-Sized A flowing v-neck sets you apart while diverting attention from arms and hips.
axi Strap M i t t e h g Spa art ley Stew by Ash
.99
$39
A self-tie belt hides any elasticized waist and accentuates your curves.
Desert Ra in Maxi by Kiyona 10 way Ashley Stewart ggest Bi e th on Dress Loser Finalist
Alexandra Ga Dress by K thered iyona
$59
$129
Floral Summers by Ashley Stewart
ress Legacy Wrap D a on from Kiy
$59
$98
Convertible dresses add punch to your wardrobe without breaking the bank.
Lun a colle Gown l im ction from ited Igigi
$128 Victoria by Swak Designs
$275
$64 9
Fabulous Nurse Magazine
10
H
Back to School
ow time flies. Summer is winding down and it is time to hit the books, once again. This is when we start wondering about the best clog styles for the new school year. It matters not if your classes are on campus or online. It matters not if you are the professor or a student. Check out these clogs that make a fierce statement and declare that you are “Back in school!”
Issue 9
! s g o Cl Birki’s Super-Birki (ALPRO - Foam) $79.95
AnyWear Women’s Zone Medical Clogs $29.99
Birky Boston Unisex Clogs $129
Classic Nursing shoes by Clinic $79 -$99
Crocs Islander Khaki-Chocolate $32 Easy Spirit denim white slip ons $59.99
White Arsenal Nursing shoes $15 - $69 Ted’s Black Belt ballet style nursing shoes $19 11
Men’s
Scrub Styles
Fabulous Nurse Magazine
9-102 Two-tone brown. Available in S-3XL. Get the latest styles. www.dressamed.com
12
9-102 Ciel. Available in S-3XL. Get the latest styles. www.dressamed.com
9-102 Solid brown. Available in S-3XL. Get the latest styles. www.dressamed.com
Beauty Secrets
Issue 9
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Fabulous Nurse Magazine
14
Inked! Issue 9
By Sonya Justice
Nursing Tips From a Tattoo Parlor used rakes, combs, chisels, and picks to puncture the skin before adding pigment. Indeed, some areas of the world perfected the art of tattoo placement by pulling a thread coated with soot through the skin. Ouch! 3. Tattoos have also been found on Egyptian mummies dating as far back as 2000 B.C. 4. The word “tattoo” comes from the Tahitian word “tattau,” which means “to mark,” and was first mentioned in explorer James Cook’s records from his 1769 expedition to the South Pacific. 5. Although some people, teens primarily, get tattoos as an act of rebellion, the actual creation of a tattoo requires rigid conformity and adherence to the outlines and technique
T
o some, it is a form of self-mutilation,
Each time I look at it, I am reminded of the
the result of deeply rooted psycholog-
many reasons I have to be grateful. Each day
ical issues. To others, tattoos conjure
I count one more reason like the beads on my
up images of road weary, leather jacket in the
rosary.” As she described her reasons for get-
summer wearing, tough as nails biker gangs in
ting a tattoo, her eyes welled up belying the
smoked filled dive bars. Whereas some use tat-
serene expression on her face. It was obvious
toos as an alternative to wearing makeup. Still,
this was not just another tattoo. It was a spiri-
to many others, tattoos are simply just another
tual journey; one that she embarked on daily.
form of self-expression and self-acceptance. There are many reasons why people get tattoos. Some get tattoos to commemorate an event or to honor a loved one. Others as Patricia Burke, RN, PhD stated of the rosary around her ankle, “It spoke to me. My tattoo represents my love of self, the world, and God.
Fun Facts 1. The main reason people regret getting a tattoo is because it spells out somebody’s name. Duh. Right? 2. In ancient times, a tattoo practitioner
applied. 6. When receiving a tattoo, your skin is pricked between 50 and 3,000 times per minute by a needle in the tattoo machine. 7. Not much has changed since tattoo machines were first introduced in the late 19th century. That’s more than 100 years of stagnation! 8.
Did you know that most tattoo machines
consist of four parts; a needle, a tube that holds ink, an electric motor, and a foot pedal to control the movement (just like a sewing machine). 15
Fabulous Nurse Magazine
Finding a Tattoo Practitioner Think before you act. Tattoos are meant to ink
mend that you keep the following in mind as
any problems. What is the artist’s availability
you search for the right tattoo artists:
should you have concerns about your tattoo
you for life. This is not the decision you want
•
to make on a drunken dare or in the heat of
tioner and request to see their license (if your
the moment. There are many questions you
state registers tattoo artists). It is okay to also
should ask yourself before you get a tattoo.
ask about their membership in professional or-
For example, what type of tattoo do you want?
ganizations because information gleaned from
How big a tattoo should you get? Where do
those organizations helps keep them up to date
you want your tattoo to be placed? How long
with the latest developments in their industry.
will it take to complete your tattoo? Under-
Check that they are a registered practi-
months from the date of application?
Tattoo Creation & Application Does it hurt? Well let’s think on this for a minute…A tattoo is a permanent mark or design made on the body when pigment is inserted into the dermal layer of the skin through ruptures in the skin’s top layer. What do you think,
Request to see their body of work or
now? Sounds painful, right? Thankfully, the
watch them actually apply a tattoo on someone
perception of pain is very subjective and var-
else. While proper credentialing assures that
ies by individual. While some nurses told us
Once you have thought through your decision,
they have been trained, it does not necessarily
that the sensation of getting a tattoo is similar
we recom-
mean they are following safety protocols and
to a bee stings or being pinched, others expe-
sterilization procedures.
rienced pins and needles. Location and size of
standing your reasons for getting a tattoo will help narrow your choices.
•
•
Require your tattoo practitioner to wear
gloves; blood is exposed during this process. As nurses we understand the potential danger in that. •
Take a mental sweep of the place. Do the
floors and surfaces look clean? Are all needles used new and disposable? •
Expect some discomfort. As a general rule of thumb, getting a tattoo over a bony prominence will produce more pain. A tattoo artists or practitioner should approach their work like a nurse does when anticipating contact with body fluids. As directed by the International Tattoo Artists Association, ITAA,
They absolutely must have an autoclave
to sterilize their equipment between clients. Hospital grade autoclaves kill every organism on the equipment through the use of heat, steam, and pressure. According to Discovery Health, “An autoclave uses time, temperature, and pressure in one of two combinations: A temperature of 250° F (121° C) under 10 pounds of pressure for 30 minutes. A temperature of 270° F (132° C) under 15 pounds of pressure for 15 minutes.” • Be sure that all dyes or ink and dressings used are sterile packed and unopened.
16
the tattoo greatly affect the perception of pain.
before starting, the tattoo practitioner should do the following: Disinfect the work area with an EPA-approved viricide. Place plastic bags on spray bottles to prevent cross-contamination. Explain the sterilization process to the client. The autoclave is a popular way to sterilize any tattoo equipment that isn’t disposable. A combination of heat, steam and pressure kills all bacteria and organisms to prevent infection. Wash and inspect their hands for cuts and abrasions. Dorn gloves. Remove all equipment from its sterile packaging in front of the client. Shave and disinfect (with a mixture of water and antiseptic soap) the area to be tattooed. There are four basic steps in the tattooing process; outlining, shading, color, and finally, cleaning and bandaging.
After Care
• The artist should be available
Proper care of a new tattoo can prevent health
for the first 24 hours if you have
problems and protect the quality of the newly
Issue 9
minted image. Most reputable artists give cli-
route of transmission for blood borne patho-
too parlors must wait 12 months after receiv-
ents an aftercare pamphlet which details at-
gens such as syphilis, hepatitis B, tuberculo-
ing the tattoo to present to donate blood.”
home care and symptoms to report.
sis, and possibly HIV. Thankfully, no cases
For example, people who receive tattoos
of HIV transmission from tattoo applications
from states that do not regulate tattoo par-
have been documented by the CDC but that
lors, such as Washington must wait one full
does not minimize the potential for exposure.
year before they are eligible to donate blood,
•
Unless you are instructed otherwise, it is
generally acceptable to remove the bandage 1 – 2 hours after application. •
Wash area gently with cool or luke-
Blood & Ink:
again. Also, in case the humanitarian desire to donate blood overwhelms you while visiting Japan, refrain from doing so if you have
warm water, using a mild antibacterial soap.
A spokesperson for the American Red Cross
Avoid soaking the tattoo in water or letting the
Association in Portland, OR, Tara Trullinger,
shower pound directly on it. Pat and dub dry.
said that, “The rules for blood donation by
last year.
(Don’t rub!)
people with tattoos vary state by state.
Pregnancy & Breastfeeding Considerations
•
Apply very thin coats of antibacterial
ointment and work into the skin. Too much ointment can pull color out of the tattoo. •
Avoid direct exposure to the sun, sea, and
People with tattoos can present to donate blood if their tattoo was applied by a state-
had a tattoo of any kind placed within the
regulated parlor using sterile needles and ink
At present, very little information is avail-
that has not been reused. Those who receive
able with regard to the risks associated with
tattoos in a state that does not regulate tat-
skin dyes during pregnancy or to an in-
swimming pools until healed. •
Scabs after a tattoo are okay. Try not to
scratch or pick at the scab. They should fall off on their own within three weeks. Call a doctor if you notice signs of infection.
Cost According to various tattoo artists, tattoos of one inch or smaller in size should cost about $50 - $100. Expect larger sized tattoos and custom designed tattoos to cost more; often requiring multiple sessions with the tattoo artists.
Health Concerns Metals & MRIs Tattoos may be the last thing on your mind which will present an MRI risk. This can become a concern because some of the inks and pigments used contain metal which needless to say can make an otherwise painless MRI experience quite painful. The tattoo may even affect magnetic resonance imaging results (MRI). As a healthcare practitioner check to see if tattoos are mentioned in your pre-MRI check list.
Infection Concerns: Sharp items and exposure to blood present a 17
Fabulous Nurse Magazine
fant less than 12 weeks old. The American Pregnancy Association raises grave concerns about getting a tattoo while pregnant or during breastfeeding. It is possible to pass on an infection contracted during a tattoo session to your unborn child or infant. While some anesthesiologists or CRNAs may be resistant to placing an epidural if you have a tattoo on your back, there is no conclusive data about the risks. The henna which is discussed at the end of this article, may present an alternative for you during pregnancy and breastfeeding. Be sure to speak with your Nurse Practitioner or physician before any application. You may be surprised to learn that in spite of the safety risks associated with tattoo application, the U.S. Food and Drug Administra-
Tattoo removal
Non-permanent Alternatives
Most dermatologic surgeons caution that complete tattoo removal is not possible. Tattoos are meant to be permanent, so removing them is difficult. Few surgeons guarantee complete removal. That said, there are several methods of tattoo removal which have proven effective. The degree of remaining color variations or blemishes depends upon several factors, including size, location, the individual’s ability to heal, how the tattoo was applied and how long it has been in place. For example, a tattoo applied by a more experienced artist may be easier to remove since the pigment was evenly injected in the same level of the skin. New tattoos may also be more difficult to remove than old ones. Doctors say they can’t predict the exact degree of removal because they generally don’t know which of the 100 tattoo inks available today were used.
Want to get inked but not ready for a permanent tattoo? Unable to commit to a certain design or just curious which ones will look best on you? Skirmish around sharp penetrating objects such as needles? There are temporary alternatives for you. While a stick-on tattoo might be your thing, the henna is a very popular alternative.
Tattoo removal options include dermabrasion, cryosurgery, excision, and laser removal.
tion (FDA) does not regulate the inks used for tattoos. In addition, few states regulate tattoo parlors, so you assume all the risks when you step into a tattoo parlor.
Tattoos and Labor Laws: Fact. Visible tattoos make you un-hirable in certain job markets. Patricia Burke’s tattoo was strategically placed on her ankle which can be hidden with pants and stockings. I have heard of stories where nurses who are heavily inked wear bandages over their tattoos while at work. David Darsow, CEO of Montana Body Art states that employer, “Policies against having tattoos or piercings on the face, neck, hands or uncovered arms are allowable and not considered to be discriminatory in nature.” So, before you get a visible tattoo, think long and hard about your carrier goals and possibility of advancement. 18
According to the American Academy of Dermatology, Lasers (Light Amplification by the Stimulated Emission of Radiation) are the gold standard for tattoo removal. This is because laser removal procedures are effective, bloodless, low risk, and have minimal side effects. Each laser tattoo removal procedure is done on an outpatient basis. This can be in a single visit or a series of visits. Patients may or may not require topical or local anesthesia. Laser procedures have undergone several changes from short light pulsations to the presently used high-energy light pulsation technique known as Q-switching. During the procedure, the light passes harmlessly through the top layers of the skin and is selectively absorbed by the tattoo pigment. This laser energy causes the tattoo pigment to fragment into smaller particles which are then removed by the body’s own immune system. Surrounding skin is not damaged because researchers have determined which wavelengths of light to use in order to deliver the laser’s output for the safest and most effective ink removal.
Hennas are paste used to dye the skin similar to creating tattoos except it is temporary; designs last one day to four weeks. Our research for this article revealed that many women in the Middle East apply beautiful designs of henna on their pregnant bellies in the third trimester for “good luck.” Folklore and local customs say the henna brings safety in childbirth and a happy baby. Natural and synthetic forms of hennas are present in today’s marketplace. Synthetic henna contains para-phenylendiamine (PPD), which causes burns, blisters and various reactions that may last for months and is often difficult to diagnose and treat. Natural henna does not contain PPD. Natural henna will stain the skin orange, red, brown, cinnamon, brick, chocolate, or coffee. If other shades of henna are offered to you, chances are that it contains PPD. Synthetic henna which contains PPD is usually black or neutral. Think twice and make the safe henna choice. When I took it upon myself to reveal the secrets behind tattoos and body art, I had no idea what to expect. You may blame my Roman Catholic upbringing and very traditional home environment, either way, I approached this assignment with many pre-conceived notions and a rigid point of view; one I admit I am thoroughly ashamed of…I knew so much and yet I knew nothing. Talking to Ms. Burke and the many other nurses who have tattoos in visible and not so visible places has given me a new perception on getting inked. In fact, I am thinking of getting one, well, maybe just a temporarily one for starters. Nurse or not, I do have a fear of needles, especially when directed my way! LOL!
Issue 9
19
Fabulous Nurse Magazine
A
hhhh, the perfect blowout. How is it you never really look as put together as you do when you leave the salon after a professional blow dry? Is there magic to achieving the perfect blowout or is possible, just possible to do it yourself? Actually, it is, as long as, you follow the right steps.
way up the hair shaft. Finish by combing the product through hair.
“otherwise, moisture stays in the hair shaft and frizzes it up.”
If you have flat, limp hair, spritz a thickening spray (I swear by Bumble and Bumble Thickening Spray) or work in a mousse. Stay away from gels.
6.
Straight, glossy hair is rarely out of style and a good blowout can last several days. Once you learn how to do it the right way and you take your time, you should be able to keep the look for several days. If you find hair is getting greasy, a bit of baby powder along the crown not only soaks up oils, it adds body.
3.
Break out the blowdryer
If hair is still pretty wet, use a dryer to remove excess moisture before you start the blowdry or let hair airdry for a few minutes. 4.
Separate hair into sections.
•
Styling product for your hair type
•
Wide-tooth comb
•
Clips or ponytail holders
Divide combed hair into sections and secure with clips or ponytail holders. I find winding hair into mini buns -- two in the back and one on each side -- works best. If you have super thick or heavy hair, try dividing each of your sections. One above the other helps manage the blowout. Leave out a section to start with.
•
Blow-dryer
5.
What You Need:
• Wide-barreled brush, preferably a mix of boar and synthetic bristles Procedure 1.
Start with freshly-washed hair.
If you have dry hair, condition in the shower. If you have fine hair, condition only the ends. Blot hair -- never rub -- with a towel to get rid of excess moisture. You can’t do a blowout with super wet hair or it will take forever. 2.
Apply product to towel-dried hair.
A good styling product is key to the perfect blowout. It adds body to fine, limp hair, while women with thick, curly hair need to keep the frizzes at bay. The secret is to coat every strand of hair with product.
Start with your fingers.
Stylists know the secret to the perfect blowout is to start with your fingers. Pull your fingers through hair starting at the roots. Pull hair out a few inches and hold it while you use the dryer to shoot air at the crown on down. “A brush can only get so close in,” says Manhattan stylist David Dieguez, in the July 2007 issue of Lucky Magazine. Dieguez suggests holding hair super taut,
Move on the round brush.
Now that your roots are dry, it’s time to move on to a round-barreled brush (Ken Paves prefers a “mixed-bristle brush” -- a mix of boar and synthetic bristles). Pull the brush through hair as you blow-dry, pointing the nozzle downward onto hair (this supposedly helps with frizz). Celebrity stylist Ken Paves likes to start with the ends, because they tend to dry fastest. 7.
Pull hair super taut as you dry.
As you pull the brush through hair, follow the brush with the dryer. I love Dieguez’s tip in Lucky, “Imagine there’s a point six inches in front of your nose. Stretch the hair toward that point as you dry. It sounds crazy, but when you’re done, the tips won’t flip under or up -- they’ll just sort of fan out over your shoulders.” 8.
Lock in style with the “cool button.”
The last step for each section is to pull hair taut with the brush and blast it with cool air from your dryer. You can also each dried section up in a Velcro roller. 9.
Continue through all sections until hair is dry. 10. Finish off with a serum. Weigh down random frizzy bits with a shine serum or balm. Skip this step if you have limp, oily hair.
Best Blow-Dry Technique,
If you have dry hair, work in a leave-in conditioner, a straightening balm or shine serum. Start by coating the ends, working your
Ever! 20
By Julyne Derrick
Issue 9
Attitude
Re-defined
21
Fabulous Nurse Magazine
Keeping the
Often, the memory loss with loss of mental acuity associated with aging is not a natural part of aging at all. It’s simply a result of not staying mentally active. The old saying is true: use it or lose it! To keep your mind active and healthy, here are some ways you can challenge it. Challenge your mind. It is easy to keep your mind busy and to come up with activities to keep it functioning at a high level. When you do physical activity and exercise, you’re not only challenging your muscles, you’re challenging your mind too. Playing mind games that encourage you to think is another technique. Even learning a new skill can challenge your mind. This could be the perfect time to sign up for that class you always wanted to take but couldn’t justify spending the time. Start scrapbooking. Not only does scrapbooking challenge your mind to think creatively, it reinforces those memory skills. It will also keep your interest and train your brain to focus on an activity for a length of time.
Mind Healthy A
n Active Mind is a Healthy Mind. When we think about our health and fitness, we usually think about our muscles and bones and our heart, and everything we need to do to keep them working in top form. But do you make a conscious
decision to stop and treat your brain like muscle, too?
Play games. Crosswords puzzles, Sudoku,
your mind active. If they aren’t able to meet
checkers or chess can challenge your mind
with you, look for a group or club you can
too. These mind games force you to look at
join for some social interaction. Experts rec-
things from different perspectives, which is
ommend engaging in social activities at least
a brain-building activity.
once a week, possibly more.
Exercise. We’ve mentioned that exercise is
Find a hobby. Engaging in a hobby you en-
a good way to challenge your brain. Activi-
joy can also keep the mind sharp. It might
ties like Pilates and Yoga are gentle on the
be gardening, woodworking, or even writing
body but they also require a great degree of
your memoirs. The important thing is that
mental focus. Exercise your brain while you
you do it. You will have fun and also keep
move your body. Going for a walk or taking
your mind healthy.
a low-impact aerobics class is also a great brain workout.
of your overall health and fitness. By chal-
Socialize. Getting together with your friends
lenging your brain with some of the above
is not only enjoyable, it’s a mental activity.
ideas, you will keep your mind active. An
As we get older, we sometimes lose connec-
active mind is a healthy mind.
tions with family and friends. Now you have one more reason to meet with them – to keep
22
Looking after your mind is an important part
Issue 9
23
Fabulous Nurse Magazine
Living
Well 24
Chronic Fatigue is characterized by one main and quite severe symptom – debilitating fatigue. Even without a formal diagnosis, you might have Chronic Fatigue if you’ve suffered serious fatigue for more than six months. Chronic Fatigue isn’t normal tiredness. It’s the kind of fatigue that keeps you in bed literally unable to get up and do much of anything. It affects both your body and your mind. Other symptoms which are common for everyone with Chronic Fatigue include: •
Sore throat.
•
Headaches. Generally the headaches
will change in pattern and severity. They’ll be new headaches that you haven’t had before. •
Swollen and sore lymph nodes.
•
Sore muscles.
Chronic Fatigue
Issue 9
Syndrome
c
hronic Fatigue affects more than one million people in the United States and several million globally. It’s generally found in women in their 40’s and 50’s. However, it attacks people of all ages, genders, socioeconomic status, and
race. No one yet knows what causes it. However, the symptoms are quite similar across the board.
breath and a chronic cough are also all com-
learn to manage Chronic Fatigue and treat
mon symptoms; visual difficulties including
the symptoms. Get help from your healthcare
blurring, sensitivity to light and dry eyes.
practitioner. They can prescribe combined
If you have allergies, they may worsen or
•
Joint pain without swelling or redness.
•
Sleep that is not refreshing. Meaning
medicine, outdoor elements, or chemicals.
you sleep all night and wake up feeling com-
Mood changes, dizziness, and balance prob-
pletely exhausted.
lems may be experienced. Understandably, if
•
Fatigue or malaise after activity. This is
an extremely common symptom. You head out for a walk with a friend and then cannot get out of bed for three days. Chronic Fatigue is worsened by mental and physical activity. •
Memory loss – generally short term
memory loss. •
Difficulty concentrating.
In addition to these common symptoms for
therapies to help you regain normalcy.
you may develop new allergies to foods,
you’re feeling exhausted for days, weeks in a row; you’re going to have emotional issues. Some common emotions that go hand in hand with Chronic Fatigue include depression, irritability, and anxiety. It’s also not uncommon to experience weight loss or weight gain with Chronic Fatigue Syndrome. It’s not known whether these secondary symptoms are caused by Chronic Fatigue directly or indirectly. It could be that Chronic Fatigue weakens your immune system thus causing other issues.
all Chronic Fatigue sufferers, there are some
If you suffer from Chronic Fatigue
less common symptoms. These include di-
it’s important to know that while
gestive disorders causing bloating, diarrhea,
there isn’t a cure, there are treat-
pain and nausea; difficulty regulating your
ments that can help you regain
body’s temperature; alternating between
control over your life. You can
chills and sweating; chest pain, shortness of 25
Fabulous Nurse Magazine
c
ommon to men who are young to
which occurs. However, a lump which is
middle age, testicular cancer is
detected in the testicle is a matter that does
curable if detected early. However,
require a biopsy.
if untreated, it can spread to the lymph nodes in the abdomen, chest, neck, and finally to the lungs. There seems to be no connection between the two testicles and thus the disease is unlikely to spread from one to the other.
ticle, surgery would be required to remove
system after surgery. A diet filled with pro-
the diseased testicle. You need not worry
tein is essential; exercise regularly; and
about fertility or potency, as the other testi-
avoid stress.
cle is fully functioning. In addition, radiation Moreover, if the cancer has advanced to the
tection of a lump in the testicle. Because the
lymph nodes, surgery would need to be per-
lump grows slowly, you may not be aware
formed to remove the nearby lymph nodes
of it. Therefore, you need to perform self-
for further examination.
hands, and gently roll it between your fingers and thumb. Feel the surface of each testicle to search for any lump or swelling. If you find a lump or swelling, call for an appointment to see your physician.
known, there are certain measures you can take to maintain your health and immune
The symptom of testicular cancer is the de-
a bath or shower, hold each testicle with both
While the cause of testicular cancer is not
If it is determined you have cancer of the tes-
or chemotherapy may be required as well.
examination of the testicles regularly. After
doctor just to be safe.
When anyone hears the word “cancer,” it is most difficult to deal with; not just the word itself, but the anticipation of not knowing what may eventually occur. Cancer research has produced amazing results, and there is no reason to think that testicular cancer –
It should also be noted that there are other
when caught early enough – can’t be treated.
conditions which may cause lumps in the
For men especially, testicular cancer has
testicle. For example: cysts, inflammation or
different connotations which invites denial;
physical injury may cause fluid to build up
worry; and questions the ability to perform.
in or around the testicles. So too, enlarged veins can cause swelling in the scrotum. A bacterial infection may cause inflammation
Also noteworthy to mention is that swelling
of the testicle; or in some cases, having the
in the scrotum may not signify any danger.
mumps can also be a contributing factor. If
There is often small, insignificant swelling
you detect any abnormality, check with your
Once again, having testicular cancer neither makes you infertile nor impotent. Once you remove negative thoughts from your mind, you are well on your way to physical, mental, and emotional good health.
Signs and Symptoms
Testicular Cancer 26
Issue 9
Marriage Dating
&
27
5 Fabulous Nurse Magazine
Happy Ways
has nearly taken hold, but she stopped as she re-
Couples Can
Stay Close
membered Eugene just worked a full shift with a private security firm after his regular patrol. They need the money from that extra shift to make up for the furloughs that hit the coun-
ty sheriffs department. She also remembered what an amazing sex life they had 10 years, 25
By Matthew Fowler
pounds, and two children ago. “Sure, babe, I’ll
urse Jesse was impressed with the gen-
married now; they could have sex as much as
As Jesse drives to swim practice she reflects that
eral feeling of contentment that seemed
they wanted without any guilt or other such con-
to drive her daily activities, and she
sequences. Fast forward 10 years, 25 pounds,
N
unloaded the boxes of her husband’s junk without complaint. She’d make room. After all, the most important thing was that she was with the man of her dreams, her new husband, forever. As she unloaded the dreadful contents of that last box and began to find a permanent home for those things, they saw each other. They were soon overcome with a longing to become one flesh. The feeling was palpable and overpowering. They embraced; all mundane activities ceased; and they made Olympic quality love for the third time that day. Why not? They were
28
help. The desire to bellow at the top of her lungs
take her to swim practice; I know you’re tired.” having sex once a week is not enough, but can’t imagine when else she could possibly have it.
and two children.
“What happened?” she wonders.
Jesse is underwhelmed at what her life has be-
Is it natural for passion to subside as you grow
come, and general contentment has been replaced with physical and emotional fatigue. She is just plain fed up with cleaning her husband’s and children’s messes; she cleans her patients’ messes all day. And dog gone it, if she has to tell anyone to pick up his or her clothes one more time, she’ll explode for sure. She sees her husband, Eugene, and is overcome with the feeling that she is about to be asked for another tedious favor the lazy jerk could have done without her
older? Is slowly drifting apart an expected consequence of a relationship’s longevity? What does “working on your relationship” really mean anyway? But what about the elderly couple next door? Their team work and intimacy make any NBA championship team’s movements look like the Keystone Cops. Surely, there must be Happy Ways Couples Can Stay Close. According to Self Growth, an online consortium
Issue 9
3.
5.
istic; couples often confuse fascination and sex-
that all time spent together is quality time, or
manner. Give your partner enough information
ual fulfillment with love; and unfortunately, one
in other words, shared drudgery serves to bond
to self analyze and self adjust without beating
partner begins mistreating the other emotionally
couples together. Jesse could help mow the
him or her over the head with repetition or vit-
and even physically. You don’t have to be a psy-
grass and ask for help with the laundry in return.
riol. Tell Eugene you are feeling overwhelmed,
chologist to understand these ideas. Simply put,
4.
disappointed, happy, tired, or “in the mood.”
of psychological advice, there are 3 main reasons couples drift and fall apart: couples expectations of each other and marriage in general is unreal-
the first reason means you fell in love with the concept of a person as opposed to the real person, and/or your idealized version of marriage belongs in a Disney movie, not your house. Then, reality reared its ugly head, and you were disappointed. The second reason means you allowed yourself to be overcome with emotions that are consequences of love as opposed to love
Spend less time as individuals and more time together, especially during mundane
activities or chores. USA Today also pointed out
Understand and accept the differences and
Finally, be open with your partner. Voice your concerns, disappointments, and yes,
joyous times with your partner in a constructive
failings of your partner. No one can ever
There are physiological changes that decrease
satisfy all your needs, all the time, and any rela-
sex drive over time, and increasing responsibili-
tionship has to have disappointments as part of
ties can push marriage aside in your hierarchy
its natural cycle. Know that you will suffer dis-
of priorities. However, couples who understand
appointments, and that your partner will be dis-
and employ the above principles can keep their
appointed in some of your actions as well. It’s
relationship strong and healthy and fresh.
not Olympic quality sex, but it is time together.
itself. When those feverish emotions fizzled, so did your perception of love. The third reason is tautological; no one wants to stay where he or she is being mistreated. However, this is not the end of the story. The July 17, 2008, edition of USA Today used much university research to offer some prescriptions for couples who love each other, but find themselves drifting apart.
1.
Find time to spend alone, free of children, financial consequences, or other
such stressors. “Date Night” may be part of the American lexicon, but might not be realistic. Dinner, movie, and a babysitter could easily run 150-200 bucks; try something different. You could enjoy a rendezvous lunch on Wednesdays at a locale where the meal is a six dollar lunch special. Watch a television program you both enjoy together; the idea is to have fun, not necessarily spend money. This is especially true for men, according to USA Today, because research shows men want their partner to be their best friend as well as their lover and partner.
2.
Be aware of gender differences as those differences apply to bonding and friend-
ship.
Idem research also shows that women
want to bond through intimacy and in-depth conversation, while men are disappointed that a date never means a round of golf or a ball game. Couples should accommodate each other’s needs. Jesse could suggest going to a ball game and have her long talk during the 7th inning stretch. 29
nks
N TO IEW
Issue 9
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