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?