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Sunday 24 August 2014

Final Blog Post...

This is my final blog post for my time here as I am leaving to come home tomorrow.
My decision to come here has been the best one I have ever made in my life. I have genuinely loved every minute of my time here. I have learned such an incredible amount about myself which I did not expect at all. Moreover, I have learned a huge amount about mental health and the nursing profession. Seeing this from a different perspective has allowed me to question, reflect and appreciate contemporary nursing practice.

As this is my final post, I wanted to share something that I have been thinking a lot abut during my time here...

From the moment I applied to do a mental health nursing degree I have been asked the question “why mental health?” from family, friends, associates, lecturers, nurses, mentors and most recently, Swede’s. For some reason, I have always struggled to find an answer in the face of this question. My inability to provide a concise and consistent answer really irritated me and until recently I didn’t know why I struggled with it so much, especially considering my passion for the field. 

My time in Umea, has taught me a huge amount about myself. Having time alone, to truly reflect on each experience professionally or otherwise, has finally equipped me to be able to answer this question. Although it is most certainly not yet concise. I have tens of reasons why I want to do this, but for the purpose of this blog entry I have tried to summarise my most prominent ones.

Reason 1:
Have you ever had a day where you just feel down? … You don’t know why you feel down. There is no reason for it. Your mood simply will not lift – you wish to isolate yourself, you feel lazy, you have no interest in anything. And the next day, you wonder what yesterday was all about and move on. Every second of which, taking your mental health for granted. That “down day” is life for someone with depression.
Have you ever been home alone and think you hear someone/something? You tell yourself it’s nothing. But then you hear another noise and are now uncertain if your anxious mind is playing tricks on you or someone is in your home. Then, you rationalise and know that you’re being ridiculous. That frightening, anxiety provoking small noise is simply a fraction of what someone experiencing auditory hallucinations is like. Furthermore, these noises are rationalised like yours - but are still real.
I used these examples as a way of demonstrating how close each and every one of us is to “madness”. Being mentally unwell is not alien, nor is it that far removed from what we consider “sane”. Now, I am well aware of how complex mental illness is and the cause of each diagnosis has been researched for years, each one differing slightly. However, my point is that becoming mentally unwell is every bit as innocent as becoming physically unwell. Our mental health impacts on every single aspect of our lives: from our appearance, to our relationships, to our ability to eat, to our ability to simply get up and have a wash. This experience has shown me that no matter where you’re from or what your culture we are all human and therefore we all experience the same joys and difficulties. Therefore, reason number one – why not mental health?!

Reason 2:
Because I’m a people person. I’ve always been a people person. Every single school report since I was five years old has said “pleasant girl – chats too much”. I love getting to know people and working with a person. I have been told I am a friendly person and I feel proud of that. I think this had a lot to do with my appreciation for the authentic beauty of mental health. Having a chat with someone, or even better having a laugh with someone is one of life’s greatest simple joys. Therefore, reason number two, put simply, is that I did not want to become a mental health nurse simply to care for and treat people who are mentally unwell, but because I have a passion for the sanctity of mental health and wellbeing.

Reason 3:
Because mental ill-health is grossly misunderstood and under-represented. We as a society in the United Kingdom are living in blissful ignorance of the prevalence and difficulty of mental illness. This ranges from simply not feeling safe to talk about it at our dinner tables or at our pubs to the horrifically stigmatising attitudes of our media and films. Words like “psycho” or “junkie” are still thrown around as something negative, embarrassing or even humorous. It is utterly shameful that these labels and prejudice still own a place in our society.  It has never been easier to find out the truth, we live in a world of social media and instant information. Yet somehow, myths about mental illness are still rife. Furthermore, we tolerate such discriminating and downright appalling labelling of our own people who have simply fallen unwell. We live in a culture of blame where the “alky” is there cause he chose to drink. Where the “psycho” can’t be trusted cause she’s “dangerous”. I feel continuously angered, horrified and heart-broken by this and I know that soo many people feel the same way I do. So, reason number three: If I can do my part, somehow, to change some of these attitudes and be a part of the increasing movements seen by health professionals and mental health charities then I will consider every day worthwhile. A career which I can dedicate to this cause, to take this passion I possess and contribute to a culture of change. That is the career for me.


“Rather, ten times, die in the surf, heralding the way to a new world, than stand idly on the shore.”  -Florence Nightingale.


Reason 4:
Because I’m inspired and ever-challenged by the fact that I will never know it all. In mental health, each and every person is so unique that the job is always interesting and there is constantly more to learn. The thought of being in a career where I will never stop learning is the most motivating prospect I could ever imagine. What’s more is it’s a career where you don’t do something for someone. Instead, if you’re lucky, you get work with people, supporting them and assisting them to get better. In mental health there is no magic fix. There is no easy answer. In order to find an answer you are required to try in partnership with someone to find a solution that is right for them. The very fact that already, certain people have intrusted me with their story and welcomed my input into their lives makes me feel unbelievably privileged. As a mental health nurse I can continue this work and I can’t begin to imagine anything better than that.

Reason 5:
This is my most personal reason. For the last two years, I have tried to deny to myself that my personal circumstances are what got me into this field. But it is impossible to deny such a thing that impacted upon every aspect of my life. My mother’s battle with mental illness not only introduced me to complexity of mental ill health, but gave me direct insight into its plights. What’s more is it taught me from the heart, qualities which now lie at my very core, such as empathy and compassion. It showed me the heart-ache, the anguish and the pain of mental illness. As well as the importance of small and seemingly insignificant victories in an attempt to recover. I also experienced first-hand the impact such ill health has on families, relationships and lifestyles. And most significantly, it taught me to be a skilled and compassionate carer who truly understands and appreciates person-centredness and how centrally important this is.

So there it is. I believe I can now answer this question – provided you allow me thirty minutes or so to explain it! I hope this wasn’t too boring or insignificant for some of my loyal readers.
This experience here in Sweden has been so unbelievably valuable to my development as a young woman and as a young mental health professional. Coming here was without doubt the best decision I have ever made in my life. Thank you for the encouragement and support from lecturers, family and friends. And thank you very much for keeping up with blog. It means a lot. See ye’s in Glesga!

Monday 18 August 2014

End of Week 12...

I now only have one week left in the most beautiful place in the world!

This week I have been working closely with the social work team to understand the work they do here which has been really enjoyable. Their roles and responsibilities are very similar to that of social workers at home. What really impressed me though was the clear and effective communication between social workers and other relevant agencies such as supported living and Försäkringskassan (job centre plus).

I also worked with another nurse continuing with medicine preparation and administration. I also attended a few home visits, one to a supported living for young people which was again, really interesting. We also visited a kind of "youth centre" for young people along with a patient who was interested in their activities. The staff there were really friendly and provided a lot of information about the activities available, most of which were completely free and this is located in the city centre.

I also visited "Teg" which again, is a community based care team but it is set in a very large house in a residential area. Here, they work mainly with people with a diagnosis of a personality disorder. Some of their service-users live in the home for a period of time for consistent support and this is very person-centred, each person has their own bedroom, decorated to their tastes. They also share the responsibility of the running of the house and get involved in outings or group activitites as well as group therapy and individual therapy. This appeared to be very much an "open house" those who had previously lived here and were now well enough to live independently often return to "fika" or for a chat if need be. It was so enjoyable to see such a forward-thinking, recovery-focussed model of care.

I now have only one wee left here and I feel heartbroken about that.

I will post my final blog post next week. 

Julie :)

Monday 11 August 2014

End of Week 11...

I am now at the beginning of week 12 here in Umeå and i really cannot believe how fast it's all going in!!

Last week I spent two days at the methadone clinic here which was a really interesting experience as I have spent time on these clinics in Scotland. What surprised me most was the difference in presentation between the service-users... All of the service-users here have permanent housing, and most of them were in employment. Which is a stark contrast from what I have seen in Glasgow, where the majority of the service-users have come from or are still living in relative poverty.
However, unlike in Glasgow, the service here in Umeå does not offer a needle exchange programme nor does it operate Naloxone training or give out Naloxone kits. However the principles and aims of the programme were very similar to home as well as the terms of commitment to the programme. I believe needle exchange programmes do operate in some of the bigger city's such as Stockholm.

At the weekend I spent time with some friends, as some of the people I have met here have been finishing up there summer jobs and having a short break before classes begin again.

This week I will be spending a lot of time with one of the social workers on the Rehab team to find out more about their role within mental health care here in Sweden. I will also continue with medicine administration and some home visits.

I am still absolutely loving it here and beginning to panic about how little time I have left!

Julie :) 

Monday 4 August 2014

End of Week 10...

Week 10 in Umeå was another really great one - I completed my last shifts on the in-patient ward for the summer so the remainder of my placement will be on the out-patient unit. I really enjoyed my time on the ward as it was a really unique setting in that we don't really have anything similar at home. I also met some really inspiring patients who were more than happy to tell me more about themselves and in English. I believe the care and treatment of people with substance misuse problems here in Sweden is fantastic and the experience has further motivated my aspirations as an soon to be mental health nurse.  

My friend, Emma also came to Umeå this week to visit me! It was so good to see a good friend after over 2 months. We spent most of our time in the sun and made the most of the lake which is so nearby. I will attach a beautiful photograph I took while there.

I am absolutely loving my time here and the thought of going home in just three weeks is starting to panic me as I could very happily stay on here!

This week I will continue on the out-patient unit and I am spending two days at the methadone clinic which I am really looking forward to. I feel my Swedish language is coming along too, although my own patter isn't yet perfect I am able to understand other's pretty well and can usually follow the general idea of a conversation by listening. 

Again, this entire experience has proven to me first hand the importance of non verbal communication and has shown me not only how important it is to assess this effectively in a service-user, but how imperative it is for me to be aware of my own non-verbal communication as a way of developing my therapeutic relationships.

Only 3 weeks to go so I'm off to enjoy them! hope you like the photo. This truly is the most beautiful place in the world. (in my opinion).

Julie :)



 

Monday 28 July 2014

End of Week 9...

Week 9 in Umeå was another really enjoyable one! I continued with my own patients and was given the responsibility of some more challenging situations which were brilliant learning experiences. The weather here has been absolutely gorgeous, sunny, clear skies and temperatures of up to 32 degrees.

I feel as though my therapeutic relationships with service users are really coming along as well as my relationships with other team members - nurses and MDT members which is making this an even more enjoyable working experience.

I have also been involved in some admin which is done here to ensure patient safety and quality control which has been really interesting. I have picked up some good practice which exists here which I am very keen to bring home with me to Scotland and share with colleagues.

At the weekend I spent time in the sun as well as spending time with a friend who is a psychology student here, which again is a great opportunity to find out more about the Swedish healthcare system in an informal way. 

On Sunday Helena and I went to the beach to go swimming which was amazing! swimming in the sea surrounded by forest and trees. I am continuously getting the chance to do new things and live typically "Swedish".

This week my friend, Emma is coming to visit which I am very excited for. Today we also arranged for me to spend a day next week at the methadone clinic here, I have had short experience of the way this works in Scotland, so again I am interested to compare the two.

Julie :)

Sunday 20 July 2014

End of Week 8....

I have now completed week 8 of 13 here in Umeå and I'm starting to fear the the countdown is on for coming home...

I now feel very settled into my wee life here and really enjoying it. This week at work I continued on the out-patient unit and at the inpatient ward where I continued with medicine administration and building upon therapeutic relationships. I've also spent more time studying both Scottish & Swedish mental health law and comparing these too.

This week I also flew to Stockholm for 24 hours where I met my dad and his partner. Stockholm was amazing - but I experienced a bit of a culture shock, within a culture shock. Stockholm is so busy and vast compared to Umeå. It was so good to see the capital city and all it has to offer. Although I was only there for 24 hours I managed to get a lot done!

On Saturday night I went swimming in the lake as the weather here has continued to be amazing! My father and his partner then came to Umeå and met me here too. It has been great to spend time with family as I have not seen them in such a long time. Although this entire experience is flying in! I cant quite believe I've been here 8 full weeks already!

I've attached a video link for a brilliant video! ... Just like in Scotland, here in Sweden there is a major shortage of nurses. Although, unlike in Scotland, this is because there simply are not enough nurses in Sweden to fill the jobs, as opposed to Scotland where due to lack of money there simply aren't enough nursing positions within the NHS. 
Anyway, the hospital I'm working at is a massive university hospital which meets the needs of the majority of Northern Sweden. The staff on the ortho ward decided to make a promo video to try and get nurses to apply for the jobs they are struggling to fill. I think this video is amazing. It was filmed in the real ortho ward and all the people in it are real staff, even the hospital manager features. The song is in Swedish but the lyrics basically say "we really need nurses, we're a brilliant team, come and work with us please!" Enjoy....

https://www.youtube.com/watch?v=HbDW4He3jUg


Another busy week at work starting tomorrow.

Julie :)  

Sunday 13 July 2014

End of Week 7...

This week on placement I continued working between the out-patient rehab unit and the in-patient ward. I also took part in out-patient medicine administration. This was an interesting experience to compare this service to ones at home. Unlike at home, the healthcare system no longer uses Kardex's or written notes as all record keeping is done one the computer on a shared system. I find this to be a far more efficient method of storing records as everything is on a central system and locating previous notes is incredibly easy.

On Friday afternoon I also had the opportunity to visit a supported accommodation unit. This supported accommodoation was relatively new so everything was of very high spec. Every person's room reflected their personal interests and character. It was very person-centred and really interesting to see.

On Friday night I spent time with Helena as the weather has been so good here! and we went to a bar in the city centre. On Saturday I spent most of the day relaxing and sunbathing and on Saturday night I visited the lake again.

Week 8 begins tomorrow and this week I am going to visit Stockholm!

Julie :)