Archive for March 25, 2019

California – Museum Experience

By Kate Bautista

Our time at Chapa-de was very impactful, but it left us all pretty exhausted from the sheer amount of activities we had done. Saturday was a time for rest…but we didn’t stop learning! The program manager of Sierra Native Alliance Loren Nakai highly recommended visiting the Maidu Museum in Roseville. After sleeping in and eating waffles in our pajamas instead of professional clothes, a van load of people headed to the museum. 

The Nisenan Maidu were the people who had lived in this part of California. Native people have free admission to the museum. Inside, they had many different exhibits about California Indian traditional culture and practices, like acorn processing and basket weaving. Acorn processing begins with removing the meat from the shell then grinding it down with a mortar and pestle. It is then leached to remove the tannins. The end product is acorn flour. There were photographs of Lilly and Daisy Baker, who are the last of the elder Maidu Indian basket weavers, working together, side-by-side. The museum also included the history of forced relocation (i.e. the Nome Cult Walk) and the boarding schools that were made to wipe out their culture. It was really amazing to see that exhibit amongst all the other exhibits that showed that the U.S. government’s attempt to erase their culture and practices away had failed.

California – Welcome to Chapa De

By Michael Anthony Price

Welcome to Chapa De in Auburn, California! We are super excited to be here and start working with Annie and the team at Chapa De. Last night we had dinner with Annie and went over the logistics of the trip. We were broken out into three groups, The Obstetrics groups, the Case Management group and the Native Recovery Group. These three teams would work with various practitioners at Chapa De to learn how these teams work together to provide wraparound services for patients.

On Day 1, the Native Recovery Group went to Harm Reduction Services in Sacramento. We learned about the importance of Harm Reduction Services. They assist drug users, sex workers and those with mental illness effectively with treatment and services in the community. Also, they offer risk reduction counseling and HIV and HCV testing. They promote access to health and related services to underserved populations and give out and collect syringes in a free, anonymous program.

We understand that Harm Reduction Services can be a controversial issue. Some people may feel that it condones drug use. Melinda Ruger, Director of Harm Reduction Services, gave us a response for people that feel that way. “Better is better.” Harm Reduction Services is a judgment-neutral space that meets substance abusers where they are to prevent them from becoming ill or contracting diseases. Their stance is to improve the health of those that are afflicted by substance abuse and that work requires a judgment-free space to build and maintain those relationships to improve the health of the community.

Kingston, Jamaica – Day 4

By Alaina Armendariz

Day 4 in Kingston was eventful and full of memories that we’ll hold dear in our hearts. We ate breakfast together in the hotel and then headed over to Bethlehem House. Half of our group stayed there for the day to complete functional assessments while the other half drove to Holy Innocents, the facility that only houses women. This was a special treat for those of us who loved maternity because this is where pregnant and new mothers seek shelter when they have nowhere else to go.

Holy Innocents is also the only facility belonging to Missionaries of the Poor that’s run by the sisters. They maintain a very strict schedule and routine at their home. When we arrived, we were immediately put to work cleaning the floor and bathing the residents. The sisters believed that cleanliness was just as important as assessments.

For lunch we ate with the sisters and had the opportunity to meet Mother Superior, with whom we built stronger connections during our meal. She seemed eager for us to return next year, with hopefully more days spent at her facility. We performed our functional assessments in the afternoon and also had the opportunity to provide education to a few of the new mothers in the house. We taught them about feeding, changing and bathing their babies as well as how to breastfeed and use hand expression.

Before we left for the day, we returned to the Bethlehem House to say goodbye to the children we had come to know and love. They were all sad to see us go and we took many photos with them to commemorate our visit.

Dinner was Mediterranean, and we enjoyed trying the falafel and pita bread while discussing our day and experiences. We can’t wait to take our trip up the mountain tomorrow for our last day of service!

Kingston, Jamaica – Day 3

By Jenny Choe

Day 3 in Kingston started off at Lord’s Place and Bethlehem House where we completed a variety of nursing tasks such as range of motion, feeding, and assessments. Afterwords, a few of us got to help out at another women’s center called Jacob’s Well House. Jacob’s Well is a women’s center, and the women there were so warm and affectionate. As soon as we walked through the gates several women ran up and embraced us. Throughout our time there, they continued to give us hugs and welcome us with their cheerful presence.

A few of also got to participate in wound care. It was a great learning experience, as we rarely see wounds like that in the U.S. The woman whose dressing I changed had a stage III ulcer all the way down her lower leg that had not healed for ten years. Similarly, wound care in the centers looks very different from wound care we were used to providing in the U.S. While resources are plentiful in our hospitals, many of the supplies were saved, washed and reused at the centers to conserve resources.

We ended the day with dinner and ice cream outdoors at Devon’s House. Devon’s House was the mansion of Jamaica’s first millionaire of color and has since been turned into a historic landmark. The weather, food and ambiance were amazing and were a perfect end to our busy day.

Kingston, Jamaica – Day 2

“Up in The Air”

A day and a life as a nurse at Kingston Public Hospital (Victoria Jubilee Maternity Hospital)

By Nekea Smith

Up in the air would be the best way to describe a typical nurse’s day at this hospital. KPH is one of the oldest hospitals in the world, with 503 beds. It is the only public hospital in Kingston, Jamaica that services the majority of the citizens in Kingston, and the Caribbean. Being a public hospital, the healthcare services that are provided are mostly free to patients, even medication, but free also comes at a cost. At KPH there is a major nursing shortage, which most times causes one nurse to care for anywhere between 7-15 patients alone. KPH is also severely underfunded, limiting resources available for the number of patients’ that KPH services. For example, there are only 9 ICU rooms for the entire hospital, and approximately 9 ventilators. At the Jubilee Maternity Hospital, their NICU has 143 beds but only 1 ventilator. Because the hospitals are public, they are not allowed to turn anyone away. This is when nurses use the best tool available to them; triage. Also, due to policy of not being able to turn anyone away there is an actual shortage of beds for patients to lay on. While visiting the emergency ward the charge nurse stated, “Sometimes we have to put patients on the floor. If that’s what we have to do to save a life, then we get on the floor.” Though KPH and Victoria Jubilee Maternity hospital services the majority of Kingston, and the Caribbean, it is up in the air whether or not it can continue as a public health hospital. With limited funding, and resources, nursing administration says they are just not sure whether they can hold on.

After touring the hospitals, we decided to end our day with a late lunch up in the air. We traveled up the narrow, and winding roads to the top of blue mountain. Our destination was Strawberry Hill. Strawberry Hill use to be home to the manager of famous Jamaican reggae artist Bob Marley. It has now been turned into a resort with absolutely breathtaking views, which made for a very serene, and relaxing afternoon.

Kingston, Jamaica – Day 1

nursing student holds child

By Griselda Gonzalez

Breakfast on the terrace was the best way to start off our morning in Kingston. The open space and sunny Jamaican weather were to die for. The food ranged from traditional Jamaican dishes like Bammy to French toast. After a delicious breakfast, we made our way to The Bethlehem House and helped with getting the children ready for mass. Seeing all of their faces definitely brightened our day. They were full of life and joy. Attending mass was enlightening. I learned of the many ways they include every resident into the service. It was also neat to learn that offerings in Kingston consist of fresh vegetables and fruits that come from community gardens as opposed to money like in America. We danced and sang along with the residents and then thanked them for allowing us to be there at the end of the service.

Our driver, Ron, then gave us a quick little tour of Kingston and took us for a little shopping spree at one of Kingston’s souvenir shops. Everyone that we came across was incredibly sweet and helpful. We were all very excited to see everything that Kingston had to offer!

School of Nursing instructor to be named ‘Ally of the Year’ at Emory Pride Awards

Michelle Sariev, 06N, MSN

By Andy Goodell
Communications Manager, Nell Hodgson Woodruff School of Nursing

Michelle Sariev, 06N, MSN, will receive Emory University’s “Ally of the Year” award at the 2019 Emory Pride awards on March 5 at the Miller-Ward Alumni House.

The peer-nominated Ally of the Year award honors and acknowledges contributions made by an individual, department or organization to Emory’s lesbian, gay, bisexual, transgender and queer communities throughout the past year. These contributions resulted in the creation or improvement of an inclusive, respectful and safe climate for the LGBTQ community, and thereby furthered the mission of the Office of LGBT Life at Emory University.

Sariev is alum of the Nell Hodgson Woodruff School of Nursing and currently serves as a clinical instructor for various courses in the School of Nursing that focus on human development and sexuality. She has spent the past 10 years caring for LGBTQ patients’ needs, which includes HIV treatment and prevention as well as transgender and gender-affirming care.

“Historically, nurses have been given the privilege of caring for individuals from all walks of life and assisting individuals and families through the most challenging times,” says Emory School of Nursing Dean Linda McCauley, 79MSN, PhD, RN, FAAN, FAAOHN. “Sexuality is part of the human experience, so it is imperative for nurses to develop the sensitivity to recognize, accept and care for individuals regardless of race, gender, religion or sexuality. It is what we do.”

Understanding that many LGBTQ people have had negative medical clinic experiences is important to Sariev. She knows that anxiety about seeking medical attention often stems from bad experiences.

“Primary care is about keeping people healthy, involving everything from screenings to vaccines to diet and exercise,” says Sariev. “But when you talk about LGBTQ people, they’ve had such a bad experience historically in medical clinics. Oftentimes, they don’t go into care because they’re afraid they’re going to have another bad experience. So they miss out.”

A big part of changing this starts with how nursing students are taught about care for LGBTQ people.  In the spring of 2018, Sariev was recruited by the School of Nursing to teach their Human Sexuality course. The School of Nursing also approved a new elective specifically focused on LGBTQ health. Sariev, along with MSN Program Director Elizabeth Downes 04MPH, DNP, will co-teach that course sometime in the next year.

The community is invited to attend the 2010 Emory Pride Awards. RSVP here.