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A World of Difference
From a busy suburban ER to the remote corners of Africa, nurse finds patients’ appreciation of compassionate care sustains her personally and professionally

 
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When times are tough because of the nursing shortage or any other reason, Kathy Phelan, RN, draws on those two or three experiences that stick with a nurse for a career and say “I make a difference.”

For Phelan, trauma coordinator at Advocate Good Shepherd Hospital in Barrington, Ill., there are the faces of families and patients from her own emergency department and the villages of Tanzania half a world away.

Phelan, 45, assesses every traumatically injured patient admitted to the suburban Chicago hospital through the emergency department, which logs 30,000 visits a year.

She has a wealth of other duties, too: developing communitywide injury prevention programs, ensuring that RNs have the education to maintain their state trauma nurse specialist certifications, and contributing data to the Illinois nursing registry to spot trends in emergency care.

Phelan said she would like to expand her community education and teaching roles when she completes her bachelor’s degree at the University of St. Francis in Joliet, and eventually earn a master’s degree.

“In emergency nursing, there’s something new every day. You never know what’s coming through the door,” Phelan said. “You get to use all of the skills you learned in nursing school.”

Two instances serve as Phelan’s reminder that people notice and appreciate when a nurse goes beyond the necessary, from care to compassionate care. In one case from the emergency department, it took years to acknowledge; in the other, while traveling in Africa, the human connection was immediate and profound.

Phelan recalled a young girl who had been at a birthday party and was in a rollover van accident. “It took us a long time to get hold of the mother,” she said, because the girl carried no ID. “So I stayed with her.”

When the mother arrived to learn that her daughter had died, there still was the challenge of reaching the father and a brother who were on a fishing trip. “I felt so terrible about this poor woman who was all by herself,” Phelan said.

Years later, she said that she recognized the parents again in the emergency room. “I was very hesitant to say anything to them because I wasn’t sure how they’d react,” she said. “But I just said, ‘I remember when your daughter came in.’ And they were so thankful that I remembered their daughter. That really touched me.”

Phelan said she was equally touched by villagers in northern Tanzania, who, by their need, turned a trip led by her cultural anthropology professor into a quasi-medical mission.

The tribespeople were so appreciative that Phelan would take time to assess their conditions and treat them with supplies brought for her own tourist group that she plans to return in the summer of 2004 as a full-fledged caregiver.

“I saw eye infections. I saw malnourished babies,” Phelan said. “But I also saw some very healthy people,” even though age 50 or 60 was ancient. “They were willing to bring us into their homes and to teach us their culture and how they live and what was important. They were more giving and open and loving and caring than I could have imagined.”

She said she looked at the cataract-covered eyes of one man. “He had a half a dozen goats and he had two wives and multiple children. It was very difficult for me to know that I couldn’t help him,” she said.

“But he did thank me graciously. He wanted to know if I would be one of his wives. And he offered me goat’s milk to thank me. They lived with nothing. Nothing. And here he was offering me milk.”

Phelan said that next time she’ll be prepared with medical supplies, such as antibiotic cream that could have helped a baby who had fallen into a fire and suffered burns. She’ll also take soap and disinfectants.

“There will be a next time,” Phelan said. “I went there to see the animals.

“But it’s the people that you go back for.”


 

 

 

 

 

 

     
 

 
 
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