Dear Senator – an idea for an invitation!


We recently received a message from Suzanne Fontanesi in Baltimore, sharing a letter she is sending to her Senator asking them to shadow a nurse to inform their health care debate by seeing reality up close and personal. She has given us permission to post the letter here so that other nurses can follow through with their senators as well!

Dear Senator _______,

I am a nurse writing to you on behalf of tens of thousands of my fellow nurses, who are deeply concerned about the possibility of Americans losing health care coverage. Before the Senate votes to repeal and/or replace of the Affordable Care Act, Congress members should be very clear eyed about who will be impacted, and how that impact will shape lives.

Nurses are ranked as the most trusted professionals in the nation. Members of Congress are ranked among the least trusted. In the eyes of the American public, nurses have distinguished themselves as moral, responsible and compassionate professionals. One important practice among nurses is that of ”shadowing”. Before committing to a workplace, a nurse spends time observing at close hand, the minute to minute reality of the people they will be serving.

Senators have great responsibility and many demands on their time, which function to keep them at a distance from many of the realities of daily life for the average American, not to mention the most vulnerable.

On behalf of the American people, I am inviting every United States Senator to spend a full work day shadowing a nurse, prior to voting on the repeal of the ACA. I ask them to observe a full work day, not as honored guests, but as quiet and anonymous observers in settings where nurses are caring for vulnerable Americans. Go with an open mind and ask questions.

I am requesting that you pause and take in the reality with your own eyes, ears and noses. Then, you may more legitimately resume the debate that will shape the lives of the most vulnerable millions of Americans. Regardless of party affiliation or political ideology, each Senator will bring relevant, firsthand information to the conversation.
Among 100 Senators, you will have collectively taken in the reality at schools, nursing homes, hospital emergency rooms, community mental health clinics, churches, drug treatment centers, and homeless shelters. Only then can you look us in the eyes and say that you understand our lives.

Please share this request with your fellow Senators. I will be happy to facilitate a shadow day for you or any of your colleagues.

Thank you for your consideration,

Your name
Your contact information

Postcard campaign – #Idesoftrump, #TheResistance


Nurses Declaration of Solidarity and Resistance

There is an organic, world-wide movement afoot to participate in a massive show of resistance to the new U.S. President – write a simple postcard with your message of resistance and mail it on March 15th. This is an opportunity for those of us who are nurses to join in sending messages affirming our support for world-wide health and opposing all that threatens health of the earth, and all that inhabit the earth. Check out the source I refer to below (The Daily Kos) below for details! Here is the basic information about what to do to participate:

Prepare for March 15th, 2017, a day hereafter to be known as #TheIdesOfTrump. Postcards are important here! Regular mail must go through content inspections that slow them down, whereas postcards don’t have such postal obstacles.
Write one postcard. Write a dozen! Take a picture and post it on social media tagged with #TheIdesOfTrump ! Spread the word! Everyone on Earth should let Donnie know how he’s doing. They can’t build a wall high enough to stop the mail.
Then, on March 15th, mail your messages to:
President (for now) Donald J. Trump
The White House
1600 Pennsylvania Avenue NW
Washington, DC 20500
from The Daily Kos, February 7, 2017

Guidelines for Resistance


It has been one week since we posted the Nurses Declaration of Solidarity and Resistance, and today we registered 833 signatories, and still counting!  But what matters is that nurses are not only signing this Declaration, but we are acting in our communities all over the world to put the values of this Declaration into action. We have heard from many nurses directly who have said “I have never taken this kind of action before, but now I am doing it.”

Of course not all nurses share the commitment that we have put forward, and we respect any challenge or difference of opinion.  The fact remains that there are hundreds of nurses who, like growing numbers of our colleagues and neighbors, continue to be alarmed by the actions of the new administration.  The book “Don’t Think of an Elephant” by George Lakoff has helped me to understand the perspectives that different people have concerning what is happening in our nation and the world. Recently a friend heard Professor Lakoff speak of central guidelines for resistance – ways to avoid inadvertently helping the new administration, ways to resist, and ways to promote the values that stand on the side of health and justice.  These guidelines can be applied not only to public action, but to our own language and thinking about the situation we are in:

1. Don’t use the name of the new President, and do not repeat his tweets.
2. Remember this is a regime and he’s not acting alone;
3. Do not argue with those who support him–it doesn’t work;
4. Focus on his policies, not his orange-ness and mental state;
5. Keep your message positive; they want the country to be angry and fearful because this is the soil from which their darkest policies will grow.
6. No more helpless/hopeless talk
7. Support artists and the arts
8. Be careful not to spread fake news. Check it.
9. Take care of yourselves; and
10. Resist!

If you have not found your way yet to a place and time to take specific political action.in your community, go to the Indivisible Guide website – and start by searching for groups in or near your zip code.  Read the guide, talk with your friends, explore existing groups or form one of your own.

When you get involved in a group, let everyone know that you are a nurse, and that you are speaking up based on the values that nurses hold dear! Together we can make a difference! And let us know here!  Add your comment to our blog any time to share what you are doing, because your action inspires all of us to act in our own ways and times!

Nurses Declaration of Solidarity and Resistance


The 2017 U.S. Executive Branch is taking steps that will have an effect on the health and well-being of all who reside within the borders of the United States, and of all people worldwide.  At this moment in history, we call upon nurses to stand together, act to resist that which harms health and well-being, protect those who are harmed, and build coalitions that move toward the ideals we seek.  We stand on a long legacy of political activism by nurses that arises from our moral imperative to actively promote public policy to assure social/health equity. Our actions are grounded in the premise that health and well-being depends on healthy environments and  just communities. We pledge to join with others to engage in determined action to protect health and justice for all, regardless of age, social/economic circumstance, religion, skin color, race, sexual orientation or gender identity.

1. We believe that health and well-being of mind, body and spirit is a fundamental human right.

As nurses, we are committed to provide care for all people – care that promotes and supports high level wellness, prevention and treatment of injury and disease, and restoration of health when it is compromised.  

2. We believe the integrity of our environment is integral to human health and well-being.

We oppose all actions that contribute to damage and erosion of the earth’s ecosystem and the physical structures which we inhabit. We will promote, protect, and support actions toward healthy and sustainable structural and natural environments for all the earth’s inhabitants.   

3. We believe that all people deserve access to affordable quality care.

As nurses, we are committed to caring for all patients and families, regardless of economic status, sexual orientation/gender Identities, current immigration status, age, ability to pay, or spiritual/religious beliefs/practices (or lack thereof).

4. We oppose all forms of oppression and discrimination.

We commit to protect and care for those whose safety and well-being is threatened based on gender, race, ethnicity, nationality, sexual identity, physical ability, economic status, or any other attribute seen as “difference.”  We will take public stands opposing any attempt to weaken public policies and programs designed to protect health and well-being of those who are disadvantaged. We will fight for policies and programs that assure equality and justice.

5. We oppose intimidation and violence in our homes and communities.

We will act to protect any who are victims of intimidation and violence, particularly those who are vulnerable because of skin color, race, sexual orientation, gender identity or religion.  As nurses, we nurture peaceful resolution of conflict and support those who step up to intervene peacefully in situations of threat and danger.

6. We believe that the health of women must be protected.

We will act to assure that all women receive the full range of care that assures their right to control their own reproductive choices as well as all women’s healthcare services needed to maintain their own health and the health of their families.

7. We trust scientific knowledge that supports a wholistic approach to nursing care

We examine all sources of evidence to inform the choices we make in caring for those we serve. We can assure the public that we practice from a firm foundation of sound and reliable scientific evidence. We will take all steps needed to inform the public of the science that supports our practices.

We invite all nurses, and our colleagues who support our values, to join us in declaring these  values and actions by signing this declaration. You can add your signature to this document here.  We invite you to use this declaration as you wish, and revise to suit your own purposes.  Let us know of your actions, follow #nursesresist, and join our Facebook group.

Contributing authors:

Carey S. Clark, PhD, RN, AHN-BC
Peggy Chinn, RN, PhD, FAAN
Elizabeth Berrey, PhD, RN
Lisa Sundean, RN, MS, PhD Candidate
Adeline Falk-Rafael, PhD, FAAN
Leslie Nicoll, PhD, PhD, MBA, RN, FAAN
Sue Hagedorn, RN, PhD, FAAN

Thank you to the Cambridge Health Alliance for inspiration!

If you would like to co-sign your name to this declaration, please provide your information using this form. The list of co-signatories will be updated as frequently as possible.

SEE THE DECLARATION AND LIST OF SIGNATORIES HERE

Women, healthcare, and access issues


I have been thinking a lot lady about women’s need for healthcare and oppression of women. A lot of this thinking has been spurred on by my facebook account, which lets me know that the new administration is planning on defunding planned parenthood, cutting medicare, and possibly replace the Affordable Care Act with Health Saving’s Accounts (the last one has to be a joke…right? HSA of the average American will not pay for hospitalizations and major medical issues).

The defunding of Planned Parenthood (PP) makes little to no logical sense, as no federal money is used to support abortions (which seems to be the GOP platform reason for why PP should be de-funded). I myself used PP as a young uninsured nursing student and even when I became a nurse with no insurance. PP was in fact my primary care for many years and PP offers great care options for women.

obamacare-planned-parenthood-fact-1.png

This year when it came to my yearly exam, instead of literally waiting 8-12 weeks for an “annual” appointment with an MD or DO, I decided to have my basic needs met through PP. They take my insurance (which I am ever so grateful for) and I could make an appointment for a few days from when I went online. I could cancel my appointment online.

When I arrived, I was pleased to see a bowl full of condoms sitting out. I was in the waiting room with one other male in his mid-20’s, it was mid-day on a Monday. When I went back to the exam room, after only waiting about 10 minutes, the MA took my weight, BP, and did a brief health history with me. An NP was with me shortly after this, and we discussed many of prohormones and my overall health concerns. She did a breast exam, gynecological exam and pap smear, discussed peri-menapause with me, and she even spent a few minutes talking with me about my tween and what the latest approaches were for sexually active teens (including answering my questions about HPV and what my daughters’ experience might be like should she come to a PP for birth control when she is a teen).

I have to admit I was more comfortable here then visiting my primary care doctor, the one who is listed on my insurance. I like getting care from NPs, I trust them and appreciate the time they devote to prevention. The routine felt comfortable and I was at ease. I left with a plan to address some of my health concerns with other healthcare professionals and with an increased knowledge base around my own health and even my daughters’ future sexual health. Although my insurance paid for this health prevention visit, I made a donation to PP on the spot before I left the building. Omeprazole is used to treat conditions where reduction in acid secretion is required for proper healing, including stomach and intestinal ulcers (gastric and duodenal ulcers), the prevention and treatment of ulcers associated with medications known as NSAIDs, reflux esophagitis, Zollinger-Ellison syndrome, heartburn, and gastroesophageal reflux disease (GERD). You can get losec prescription medicine online at https://www.ukmeds.co.uk/treatments/acid-reflux/losec-20mg/.

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I want PP to be around when my daughters’ might need them in the next few years. If you feel the same, I hope you will join me in contacting your legislative body and your local PP to see how you might be of assistance. To learn more about how to contact your representative in Washington DC, please visit: http://www.house.gov/representatives/find/