From the Publisher
"A beautiful, profound, and profoundly important book. . . . Gordon's message is simplicity itself: sick people need skilled, humane, and insightful care that keeps their interests paramount. Registered nurses have historically provided that care, but now their ability to fulfill their crucial role faces the greatest jeopardy in the history of the profession. . . . Life Support belongs in the august company of Silent Spring, The Other America, The Feminine Mystique, and other pivotal works with the power to shape the nation's consciousness."Washington Post
"In this enlightening, involving, in-depth book, Gordon interweaves the history and philosophy of nursing with on-the-job observations of three nurses at Boston's Beth Israel Hospital. Gordon lets the nurses speak for themselves, effectively illustrating their commitment to their profession and involving readers in real-life dramas."Publishers Weekly
"For patients, physicians, nurses, and health policy analysts, Gordon's passionate and accessible account of the impact of managed care on skilled nursing provides clear grounds for concern."Health Affairs
Publishers Weekly - Publisher's Weekly
Nurses contribute greatly to the medical and emotional well-being of their patients but are often undervalued in the contemporary health care system, argues journalist Gordon (Prisoners of Men's Dreams) in this enlightening, involving, in-depth study. She interweaves the history and philosophy of nursing with on-the-job observations of three nurses at Boston's Beth Israel Hospital: Ellen Kitchen, a geriatric-home-care practitioner; Jeannie Chaisson, a clinical specialist, charged with giving support to bedside nurses; and Nancy Rumplick, an oncology nurse. Profiling a variety of cases the three worked on, Gordon lets the nurses speak for themselves, effectively illustrating their commitment to their profession and involving readers in real-life dramas, which often turn out to be ironic. Gordon describes Rumplick's ability to ease the fears of chemotherapy patients even when nausea is complicated by spousal abuse; Kitchen's dedication to her homebound clients, who may need as much help with housecleaning as with taking medication; and Chaisson's "situational teaching," on topics from swallowing (for stroke patients) to helping a prostate patient insert a catheter. The author sees the current trend toward managed care as a push for profits that will take precedence over patients and threaten the existence of quality nursing care. (Mar.)
Lavish praise for the nursing profession interwoven with dire warnings about the threat to its future posed by the growth of managed care.
At Boston's Beth Israel Hospital, Gordon (Off Balance: The Real World of Ballet, 1983; Prisoners of Men's Dreams: Striking Out for a New Feminism, 1990; etc.) spent over two years following the daily routines of three registered nurses: Nancy Rumplik, an outpatient nurse in an ambulatory cancer clinic; Jeannie Chaisson, a clinical nurse specialist on a general medical floor; and Ellen Kitchen, a nurse-practitioner in the hospital's home-care service. Gordon shows us Nancy dealing with angry, frightened patients, Jeannie sharing her wisdom with younger nurses, and Ellen bicycling to the homes of Boston's homebound elderly poor. By describing in detail the work of three highly skilled and experienced RNstogether they have a total of more than 50 years of experienceGordon shows us nursing at its very best. Empathic, sensitive, knowledgeable, and conscientious, they seem exceptional, but Gordon stresses that there are hundreds of thousands like them. Nursing, she reminds us, is the largest profession in health care and the largest female profession in America. The catch is, bedside RNs are an endangered species. Long regarded as physicians' handmaidens, they are now, reports Gordon, seen as expendable luxuries by the managers of for-profit hospitals seeking to maximize their bottom line. Hospital patients are increasingly likely to be tended by unlicensed "patient care technicians" or by temporary and floating staff unfamiliar with either the patients or the hospital's routines. Gordon's paean to nurses thus also serves as a call to arms. In order to protect ourselves, she warns, we must act now to protect the nursing profession.
A convincing demonstration that, in a world of impersonal and complex high-tech treatments, a real nurse is the best medicine.