PEBT

June 6, 2013

South Coast Hospice

On June 5th, half of our team went to the South Coast Hospice. The South Coast Hospice was established in 1983 and focused on a home care program for terminally ill people. Over the years, an in-patient unit has opened, the Integrated Community-based Home Care model was developed, and mental health counseling services have been introduced. On our day here, we each went out with a different Home Based Care team. The goal of the MDR-TB team is to provide MDR-TB patients with their injections. The standardized MDR-TB regimen in South Africa consists of an intensive phase (also called injectable...
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June 5, 2013

MDR-TB Presentation & Observations

It was a very productive day here at Merchison Hospital. In addition to other activities, time was made for rounds of interesting observations in the male and female MDR-TB wards and for observing a physician engaging in follow up appointments. We met with patients who were looking quite well and were surprisingly cooperative. I am so intrigued with the positive attitudes and courtesy South Africans all have. Endless smiles with the willingness to help makes this place remarkable. I was also given the opportunity to present my topic of MDR-TB and pregnancy to some of the enrolled nurses and...
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June 5, 2013

May WAS Better Hearing and Speech Month

If you read the “IHP News” you know that in May each year, associations and professionals and patients that care about speech and hearing celebrate these functions. I have procrastinated on a well-intentioned blog about May being “Better Hearing and Speech Month. I have lots of excuses: 1. I already wrote a blog about Nurses Week earlier in the month. 2. Since I recently have experienced my first personal experience with speech and hearing problems, it’s just too hard to talk about in a blog. 3. !Having spent the last 30+ years focused on this particular set of conditions, there is just too...
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June 4, 2013

First Clinical Day (06/03)

Monday was our first full day at Murchison Hospital. We arrived at the hospital in the morning to learn about the national data collection and structure of patient care. The first part of the day was spent learning about the process of data capturing at the hospital. The data is extremely important; without it, South Africa nationally cannot critically analyze how well DR-TB treatment is working, overall patient outcomes, and a variety of other information from a public health and health care standpoint. The registers (the manual book that contains a summary of patient treatment and outcomes...
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June 4, 2013

Oribi Gorge and Braai

We were very excited to experience some of the South African culture during our first weekend here! On Saturday we took a 7km hike through the Oribi Gorge Nature Reserve. The gorge was carved by the Umzimkulwana River and is located about 21km inland from Port Shepstone. We encountered breathtaking views of greenery and sandstone cliffs as we hiked for two hours before reaching a waterfall. The sight of the waterfall was certainly the highlight of the excursion. After hiking, we stopped for lunch and spent some time at Leopard Rock. The view from the rock was spectacular. We were able to see...
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June 2, 2013

First visit to Murchison Hospital

It is our second day. We are still recovering from jetlag but we are very excited to visit Murchison Hospital with the Johns Hopkins team. Murchison hospital is one of the satellite clinics that provides inpatient, outpatient medical and surgical cares as well as mother & child rehabilitation services for people with MDR-TB (multi-drug resistant tuberculosis) and those with HIV positive. Murchison Hospital was established by Dr. Barton who used to ride a horse to visit patients in villages. The land was granted by the Chief and a wood and corrugated iron building was built to start...
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May 30, 2013

Arrival at Port Shepstone

Zulu scholars arriving at Port Shepstone We saw domestic cows and wild monkeys on our way to the B&B in Port Shepstone, South Africa. Zulu scholars arrived safe and sound.
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May 29, 2013

Logan Airport

We are just about to board. We are all here and ready to go on our South African adventure! Farewell, Zulu Scholars
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May 23, 2013

Zulu Scholars

Welcome to our Zulu Scholars 2013 site. We will be leaving Boston on May 29th to go to Port Shepstone, South Africa. I am the faculty member for this course and welcome all of the readers of this blog to contribute with comments, questions, or suggestions. The members of our group will introduce themselves in subsequent blogs. Inge
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May 8, 2013

Thinking About Nursing

It's National Nurses Week. I am not sure why there is only one week where the nursing profession is celebrated, as so many other job categories have a whole month. If it were up to me it would be National Nursing Year, celebrated 365 days a year. Recently, I experienced a week-long hospital stay after a very long surgical procedure. My stay was in our own Mass General. For me, the nursing professionals with whom I interacted and from whom I received care were transformational. I was prepared to write a blog about this personal experience and I will do that in the future. I have tried to...
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