Where Night Is Day

Where Night Is Day

The World of the ICU

This book is also available as an ebook from Amazon/Kindle, iBooks, Google EbooksKobo, and Nook.

Awarded second place in the 2013 American Journal of Nursing Book of the Year Awards in the Critical Care-Emergency Nursing category.

Awarded second place in the 2013 American Journal of Nursing Book of the Year Awards in the Public Interest and Creative Works category.



"There is no night in the ICU. There is day, lesser day, then day again. There are rhythms. Every twelve hours: shift change. Report: first all together in the big room, then at the bedside, nurse to nurse. Morning rounds. A group of doctors moves slowly through the unit like a harrow through a field. At each room, like a game, a different one rotates into the center. They leave behind a trail of new orders. Wean, extubate, titrate, start this, stop that, scan, film, scope. The steep hill the patient is asked to climb. Can you breathe on your own? Can you wake up? Can you live?"—from Where Night Is Day

Where Night Is Day is a nonfiction narrative grounded in the day-by-day, hour-by-hour rhythms of an ICU in a teaching hospital in the heart of New Mexico. It takes place over a thirteen-week period, the time of the average rotation of residents through the ICU. It begins in September and ends at Christmas. It is the story of patients and families, suddenly faced with critical illness, who find themselves in the ICU. It describes how they navigate through it and find their way. James Kelly is a sensitive witness to the quiet courage and resourcefulness of ordinary people.

Kelly leads the reader into a parallel world: the world of illness. This world, invisible but not hidden, not articulated by but known by the ill, does not readily offer itself to our understanding. In this context, Kelly reflects on the nature of medicine and nursing, on how doctors and nurses see themselves and how they see each other. Drawing on the words of medical historians, doctor-writers, and nursing scholars, Kelly examines the relationship of professional and lay observers to the meaning of illness, empathy, caring, and the silence of suffering. Kelly offers up an intimate portrait of the ICU and its inhabitants.




Also of interest

Gender and Racial Inequality at Work
The Sources and Consequences of Job Segregation
Donald Tomaskovic-Devey

Series

The Culture and Politics of Health Care Work

Subjects

Labor and Workplace Issues : Anthropology/Sociology of Work
Medicine : Health Care Professions and Policy

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