Post on 02-Jan-2016
Brianne Black, PhD(c), RNUniversity of Iowa/ University of the Gambia
What Can I Do in the Gambia World Cup 2010Visit the BeachWeddingsHistorical SitesTourist LocationsTry the local
dishesShop in the local
MarketsMAKE FRIENDS!
Gambia
Health Clinics: Hands on Care 4 weeks Both inpatient and out patient wards Specializes in women’s and reproductive
healthOne physician and 2 nurses provide
consultationsHIV clinic and counselingCommunity health nurses make home visits
Motor bikes, motor bikes, motor bikes!
Hands on Care: HIV Counseling Attended HIV counseling sessions
The session were completed in their native language (Wolof), but I was still able to engage in the emotional experience.
Witness numerous families and couples receive an HIV+ diagnoses.
Counselor would translate post counseling session
Hands on Care: Community Health Language Barrier Scope of practice for nurses in the
Gambia is more complex than that of nurses in the US, as Gambian nurses are expected to diagnose and treat. unable to participate in direct patient care.
I was able to “trek” to the homes of locals and observe the nurses
Hands on Care: Outpatient Clinic Every day 50-100 women and children lined
up outside the clinic and would wait for hours to see the doctor or nurse consultant
I was able to shadow one of the nurse consultantsPrenatal VisitsSTD education and treatmentPediatric check ups
Research: BAFROW 4 weeksThe Foundation for Research on Women’s
Health, Productivity and the Environment (BAFROW)
BAFROW research headquartersBAFROW president expressed an interested in
submitting a grant application I prepared the concept paper using pamphlets
and information given to me by the president and vice president of the organization.
BAFROW Community OutreachI attended a 3 day workshop in
Mandinaba, The Gambia where rural women were taught basic principles in female genital mutilation and obstetric fistulasThese women were then expected to return to their local villages and share the information with the women in the community
Staff Training: BAFROW Clinics Shadowed at the community clinics on
Mondays Noted that pain assessment and management
was greatly neglected by health care providers in the Gambia
Offered to provide a staff training/in-service on the BASIC principles of pain assessment and management
BAFROW: Staff Training:Basic principles in pain assessment and management A total of 9 staff member attended the trainingInterdisciplinary participants
Nursing Orderlies Pharmacist Laboratory Scientist Housekeeping
Most of the staff members who attended admitted to having never received training on pain assessment and management.
Staff Training Agenda What is Pain? What are the types of pain?
What is persistent pain? How should nurses assess pain?What are some approaches to managing pain?
Why is all of this important?
Any Questions?