Soooo, about the kiddies I work with. I spend my mornings on the burn unit, helping out with dressing changes. I have learned much more than I ever wanted to about how to treat burns (at least in South Africa) and seen children’s faces marred beyond recognition. The kids are usually so afraid of it hurting that they are in tears before the changing even starts. Most of the nursing staff and even parents frown upon the children crying or showing their pain. This does make my job very difficult, because we generally encourage children to talk about what they are feeling and to tell someone if something hurts. I do my best to keep in good spirits around the children who are in pain and let them know that it is okay to be nervous. I think it is easy for some to brush off children’s pain, especially after working in the burn unit for so long, because it would just break you down to see so many children that way.
The rest of the day, I spend on different wards. I spend some time in oncology, where I currently have 1 patient (the second was able to go home last Friday, yay!!). He is my most difficult patient because he is up and alert but refuses to talk to talk to me. He will nod his head to “yes” and “no” questions and will point to things he needs, but will not speak (he is 8yrs old, so is able to speak). I have a few other patients, some with TB, HIV+, pneumonia, bone cancer or some other disease of which I am not yet aware. A few have all these diseases together.
One of my patients is an older child and I have no idea what her diagnosis is, other than diabetes. Ironically, I am working closest with this patient. At this point, it is less important for me to know what her diagnosis is and more important to get to know her and the procedures she needs. She goes into surgery tomorrow to drain some cysts in her pancreas, I have no idea why they are there, but all I need to know is how the doctor’s are going to remove them. So far, so good. She had to transfer hospitals today, which was extremely stressful for her, so I sat with her and mum in the new room for nearly 2 hours and tried to distract her, answer questions and do a couple art projects.
I’ve been getting in the hang of things at work. At least I know how to get around and who I need to see. My biggest challenge is lack of experience. Sometimes I have no idea what to do with or for a patient and that is a terrible feeling. Also, sometimes I feel like there’s more I should be doing, but I don’t know what it is. I guess that will take some more experience too.
Anyway, for now that’s all I’ve got. Keep you all updated on new experiences J
Love from Cape Town.