Nurse

; DOUBLE THE HOPE.

Nursing children on the Africa Mercy is the highlight of Wellington nurse Robyn Ferguson’s volunteer experience

It was time for a new professional challenge and a different kind of experience. As Robyn Ferguson searched for a volunteer nursing opportunity to ‘give back’ using the skills gained over her extensive nursing career, she found Mercy Ships – the hospital ship charity providing surgical care in Africa for patients who would otherwise have little access to essential services.

The Wellingtonian was inspired by her three-month tour-of-duty in 2010; now she is a familiar face among the 450-strong international crew. The most recent field service in Senegal, West Africa – paused due to COVID-19 – was Robyn’s ninth time volunteering on board the Africa Mercy.

The hospital ship has five operating theatres, 80 ward beds, intensive care, and all the required auxiliary services to treat patients in the specialities provided; ophthalmic, maxillofacial, paediatric orthopaedic, women’s health, burns and plastic reconstruction, and paediatric general surgery. Other services include mental health, oral health, palliative care, and Ponseti treatment for babies born with clubfoot.

For ten months at a time, the self-contained floating hospital provides free care in low-income countries where healthcare resources are usually inaccessible and unaffordable. ‘The long queues of people at the Mercy Ships screenings show how desperate people are for treatment; many have walked for days to get there,’ explains Robyn.

One of the unique aspects of the Mercy Ships wards is the level of interaction between the patients; people who were strangers before admission.  Robyn clarifies, ‘Patients support each other and follow cues from others who have been in the ward longer. It is very community-based. In western countries, people want privacy from others and would not think of asking another patient what to do, or they would not want to be seen to interfere.

‘As patients don’t speak English we have ward translators, but they are not medically trained. I have be known to resort to making up my own sign language to show patients what needs to be done. When caring for obstetric fistula patients who needed perineal/catheter care, I had the habit of indicating time for this treatment by saying and acting ‘Wash.’ One day a patient asked for Mama WashWash, which apparently was me!’

The Mercy Ships hospital processes were familiar to Robyn from the beginning. ‘There are nurses from across the globe with different nursing backgrounds and styles, so on board care pathways guide our day-to-day care for different specialities, similar to pathways used at home. There are policies and procedures to follow such as hand hygiene, infection control, IV therapy, all in line with my nursing experience.’

‘The equipment is similar. I was surprised to see more BP machines on the ward of 20 patients than that on the ward of 30 that I had left in New Zealand.

Robyn mentors Elyse, a ward assistant from Madagascar

When asked about what was most surprising aspect of nursing on board, Robyn was quick to reply, ‘How easily the patients accept us. They come into an unfamiliar environment, not speaking or understanding the language, and not knowing what the outcome of their surgery will be. After seeing other patients’ reactions, they are encouraged. They relax and settle in, letting us hold their hands and accepting hugs. They sing and dance and laugh. One day I gave a hug to a lady who was crying. When she settled, the patient in the next bed put her arms out for a hug too. Then I had to give a hug to all the ladies in the ward. This became a part of my working day.’

Mentoring and teaching

With an emphasis on mentoring and teaching, Mercy Ships leans on the experience of professionals like Robyn to strengthen the healthcare capacity of the host nation. She explains, ‘If we were doing surgery without mentoring, teaching and training, then change won’t occur. We help nurses, doctors and technicians learn new skills. We provide protocols like the WHO Safe Surgery Checklist, the importance of hand hygiene and specific surgical techniques. Local colleagues teach this to others, improving on what they are already doing.’

While patients experience physical healing through the surgeries they receive, they often find much more. For many, access to surgery means finding hope again. Patients frequently report that the level of personal and unconditional care provided by the Mercy Ships nurses is a deeply meaningful boost to their holistic recovery. Mothers and fathers are able to return work and provide for their families. Children can go to school. Community relationships are restored.

‘I love Africa,’ Robyn declares, ‘… the people, community spirit, the sights and sounds, the chaos and the acceptance. I make friends in each of these countries, and they stay with me always.’

Global Mercy to be launched

As the global backlog of surgical care has escalated during COVID-19, there has never been a more urgent time for Mercy Ships to double its services for people who live in low-income countries in Africa. The deployment of a new Mercy Ship Global Mercy ™  next year will more than double the surgical care the not-for-profit can provide to people with little other access to the essential services they require.

The new Mercy Ship is close to completion and will be on the water in 2021. The Global Mercy ™  will have state-of-the-art technology and instrumentation, six operating theatres and 199 hospital beds.

Healthcare mentoring and developing capacity in host nations is a critical part of all Mercy Ships programmes and to facilitate this, Global Mercy ™  will have a training centre that includes a simulation lab, virtual reality stations, and the latest teaching equipment.

It is a very big ship and, for the volunteers, an experience potentially quite like no other. 600 crew members from across the globe will power the new ship, which has ample accommodation to make nurses, surgeons, maritime crew, cooks, teachers, electricians, technicians and all our other essential people feel at home.

Over the next 50 years, it is estimated that more than 150,000 people’s lives will be changed onboard the Global Mercy ™  through surgery alone, with countless more lives helped by the ship’s medical training and infrastructure programmes. In close collaboration with host nations in Africa, the Global Mercy ™ , together with the Africa Mercy, will more than double the charity’s work.

Published with permission of Kai Tiaki, NZNO, December 2020

Find out more  about volunteer opportunities for paediatric, theatre, wound care and other nurse specialists with Mercy Ships for 2021 and beyond.

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Marthe takes a bow for the nurses after recovering from her life-transforming surgery

 

Hannah Peters’ huge heart took her to Benin, Madagascar and Cameroon caring for people with devastating conditions. She shares the remarkable transformation that occurs on the inside and outside of her patients, and Marthe in particular. Read Hannah’s story in That’s Life magazine here

 

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Victoria was on her own in the world

Victoria never lost hope. Not after her parents died when she was a girl, not after she was forced to start begging in the streets, and not even when she began developing a massive facial tumour when she was only 18 years old.

Now, the resilient 23-year-old sat on the deck of the Africa Mercy, one hand holding a blue cloth to her bandaged face. Above the white bandages, her eyes sparkled when they caught the sunlight. It was difficult for her to speak after her tumour removal surgery, but warmth radiated from her smile. Her story was begging to spill out.

Her journey, like that of many of the patients who come to the ship, was marked by courage. It was not a short one … nor was it easy. Her travels took her from the far north, beyond Cameroon’s borders, on an arduous three-day journey to the port city where the Africa Mercy is docked.

Orphaned from an early age, the brave young woman made the trip alone. She was accustomed to facing obstacles. She had spent her adolescence fending for herself – living on the streets and sometimes forced to beg for money. Then the tumour appeared, slowly expanding over her face, affecting her in ways that stretched beyond the physical. It was difficult to eat or speak clearly. People avoided looking at her, and it became more challenging to find work to earn a living.

Victoria could have easily given in to the bitterness of a hardened heart. But, even in these difficult circumstances, her love for Jesus remained. It shone brilliantly in her eyes and was evident in her gentle spirit.

After hearing about Mercy Ships, Victoria bravely left the familiar behind for a chance at a brighter future — one without the weight of the tumour that had burdened her for five years.

“Victoria was all joy the night she came to the ship. The surgery took some of her energy and spark. Yet, through moments on the ward and dances down the hall, Victoria recovered

Victoria’s eyes tell the story of her healing

well both in heart and health,” said Kayla Bissonette, a volunteer ward nurse. “What was once work and exercises changed to laughs and friendships during her stay … the smile that reaches her eyes is how I’ll remember her!”

Victoria’s time on the ship gave her plenty of opportunities to exercise her engaging smile. While recovering from surgery, she celebrated her 24th birthday on the Africa Mercy, surrounded by fellow patients and caring crew members.

Before long, Victoria’s bandages were removed, and she saw herself tumour-free for the first time in years! “Thank you for making me beautiful,” she said to a nurse.

“You’ve always been beautiful,” the nurse replied.

Victoria’s first surgery left her free to eat, speak, and move with much more ease than before, but her journey to a full recovery was not yet complete. A routine second surgery awaited her to tighten the stretched skin on her chin.

But as she sat on the deck in the warm sunshine, Victoria’s journey to healing had already begun. By bravely telling her story, Victoria shared the hope she received, and her powerful transformation is evident in her beautiful smile and sparkling eyes.

‘Thanks for making me beautiful,’ Victoria told a nurse after the surgery to remove her tumour. ‘You’ve always been beautiful,’ the nurse replied.

Story by Rose Talbot

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Melanie tends to 4-year-old Mediatrice

These days, Pirongia-born nurse Melanie Allen begins each shift with a two-minute walk to work – down several flights of stairs and into the hospital deck of the world’s largest civilian hospital ship, Africa Mercy. In February Melanie joined the volunteer crew of the 16,000 tonne Mercy Ships vessel in Cameroon, West Africa. Her two-month tour-of-duty has already been both eye-opening and professionally challenging.

The 24-year-old is assigned to the ‘plastics’ ward caring, for both child and adult patients after they have received free reconstructive surgery for disabling burns.

‘The most common surgery I have seen so far among my paediatric patients is the release of burn contractures using skin grafts,’ explains Melanie. ‘These burns are often caused by spilling or falling into hot water or oil. The scar tissue that forms becomes tight and shortens, causing the limb to be stuck in a bent position, limiting their mobility and functionality. Other common problems I have seen so far are keloid scars where a prominent scar forms after injury from excessive tissue growth and lipomas which are benign tumours made up of fatty tissue.’

‘In general, the problems patients coming to Mercy Ships may face due to these conditions include a limited ability to work, or get an education, and some may even be ostracized from their communities.’

Armstrong had a large keloid tumour removed from his chin. Melanie is checking his pain level after surgery.

Cameroon can boast only 77 physicians for every million people, so even if patients could scrape together enough money to pay for treatment, timely care is simply not accessible. Similar statistics are echoed all over West Africa, which is why the not-for-profit has been operating hospital ships in the regions for decades.

‘For some people here, the Mercy Ship is their only hope for surgery,’ observes Melanie. ‘They to want regain their dignity, be acceptance back into community life and to have the ability to do things others take for granted.’

‘The Africa Mercy is unique because each year it sails to countries that most need help. It is like a little city with all sorts of people with various roles on board. People from all over the world come to volunteer their time and expertise. It is so well organised and I feel very supported.

‘Each morning the chaplaincy team come into the wards, and there is singing and dancing with African drums. During the evening patients pour out into the hallways where there is singing and dancing African-style. It can be very loud! It is an environment full of joy, love and thankfulness. Prayer is integrated into patient care. At the start of each shift we gather together and our team leader prays.

Serving with Mercy Ships has taken me back to the heart of nursing. There is less paperwork and more quality patient time. It has also challenged me to be more creative with the way I communicate with my patients across culture and language barriers. French is the main language spoken here in Cameroon but there are many other languages also. I try to learn key phrases that I can use, frequently use interpreters (our lovely local day crew), picture pain scales etc. I have also experienced how a smile or warm gesture can go a long way.

The Mercy Ship and her crew feature in the eight-part National Geographic series The Surgery Ship, on SKY Channel 072 beginning Saturday 7 April, at 6.30pm. For more information and behind the scenes stories, return to the homepage.

Around 40 New Zealanders volunteer with Mercy Ships every year for weeks, months and even years at a time working in medical, maritime and operational capacities.  To see the incredible results of the work of these hidden Kiwis heroes, watch The Surgery Ship.

Thanks to the Te Awamutu Courier for publishing Melanie’s story

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NZ Woman’s Weekly story of  Auckland nurse Steph Clark’s volunteer work on the hospital ship Africa Mercy, providing free hospital care to developing countries. She and her husband Jonathan will return to serve with Mercy Ships later this year in Guinea, West Africa.  Read the article here

      

Steph specialises in the care of children

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How a young software developer and paediatric nurse duo found a place to volunteer together, and the remarkableand life-saving events that they became part of. Read Us Two magazine here

Jonny and Stephanie Clark volunteered for three months in Benin, West Africa

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LISTEN ONLINE to RNZ’s Nine to Noon interviews nurse Deb Adesanya about the special bond speaking the local dialect gave when interfacing with her patients, and other remarkable aspects of her five-month voluntary service on the Mercy Ship.

Listen online 

 

 

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Ward Nurse Deb Adesanya holds a baby after his surgery

The backstory: Caring for children recovering from major surgery was Deborah Adesanya’s assignment olunteering in the wards aboard the 16,000 tonne hospital ship, Africa Mercy. Some of her most poignant moments were with babies receiving surgery to correct birth defects like cleft lip and palate.  Most of her long-stay paediatric patients were recovering from surgery to straighten their badly bowed legs or plastic surgery for cooking-fire burns. Both operations restore limb movement that will give these children a fresh chance at a decent future.

One of the 26-year-old volunteer’s most memorable patients was a boy named Saidou.

Saidou was three years old when, while working in the fields with his father, a strong wind blew on their camp-fire and it burned out of control. He was badly burned causing severe damage to his arms, chest and neck.

In a developed nation Saidou would have been rushed to an intensive care unit but, like most people in Benin, his family had no access to either medical care or pain relief.  Against all odds and despite the lack of treatment, he stubbornly clung to life. The agonising burns gradually healed, and scarring contracted each joint it crossed.  He grew up with restricted upper body movement and for the following eight years Saidou’s jaw was pulled so tight, he could make only garbled sounds. The little boy was trapped in an immobilised body, unable to speak through the remaining tiny O-shaped mouth. Yet despite the trauma that constricted every part of his life, Saidou was indomitable. He defied pity – endlessly fascinated with the world around him and often creating his own world of make-believe. Somehow this remarkable child was both even-keeled and happy despite all.

After years of saving the family eventually scraped together enough money for treatment which failed. They were demoralised as Saidou’s condition worsened.

When they heard the news that Mercy Ships was coming to Benin to provide surgery and rehabilitation free of charge, Saidou and his parents gained new hope.

After assessment by the one of the ship’s surgeons, Saidou was admitted for complex burns contracture release and plastic reconstructive surgery. He was placed in Deborah’s ward for his long post-operative recovery.

Deb did far more than simply tend Saidou’s wounds to help him heal

The eleven-year-old’s upper body was swathed in casts and bandaged to restrict any upper body movement while his skin grafts healed. ‘I took care of him over a series of shifts,’ explains Deborah. ‘On the afternoon of my third shift looking after him, I felt like we had built a great rapport. He recognised me and we had developed little ways of communicating. He was one of the bravest patients I have ever encountered. He enduredmany IV insertions blood tests, and movement which would have been incredibly painful due to his surgery, yet he hardly ever cried. Some of the treatment he received was painful, yet he was so brave.’

As Deborah and the nursing team cared for Saidou during his long weeks of recovery, they made sure to take time to play games with him. They encouraged him and prayed for him and, with the help of the ward translators, told him about all the new things he would be able to do when he finally went home.

 

After weeks of physiotherapy, Saidou is now able to move his arms and begin to regain lost movement. He can move his head and neck from side to side. But the most poignant achievement of all was when Saidou began to speak in complete sentences for the first time—ever.

 

His parents were deeply moved to simply hear his voice. Saidou was finally able to express things he had been thinking throughout those long, silent years of his childhood. He had a lot to catch up on. He was so excited to call his mother – 10-hours-travel away – and actually talk to her. His dad was consistently kind and gentle, staying within arm’s reach for the 134 days his son received care from Mercy Ships. He took enormous delight in declaring that his son was now a chatterbox!

 

Deborah was both impressed and challenged by the patients she met on the surgery ship.  ‘My favourite part of this whole experience was the people: I loved the patients, their families, the day crew, and the locals I met!’ she declared ‘Often the patients looked at me with confusion because, being from Nigeria I can understand Yoruba, which some of the people in Benin also speak. It was awesome being able to converse in Yoruba. It really deepened our connection and the level of trust they had in me. Being a nurse of African origins on the ship I found a lot of the patients were drawn to me. In a way I felt like they were proud of me. It was as if some of the parents looked at me thinking if I can do it, so can their child.’

Deb Adesanya’s 20 weeks with Mercy Ships changed her life

 

                                                         Read Deb’s story from Nigeria to New Zealand, to Benin and back again, in the Woman’s Day magazine in stores August 12
Click here to help make a difference today

 

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Interview by The Herald.

 

Steph and Jonathan hanging out with a tiny patient
Steph and Jonathan hanging out on the hospital ship deck with a tiny patient

 

Using their skills for good, IT specialist Jonathan and his wife, nurse Stephanie Clark embark on a journey to make a difference.Watch The Herald interview here

 

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Jess Doney encountered more than she bargained forAfter five years as an intensive care nurse at Christchurch Hospital, Jess Doney is used to dealing with crises. Her acquired skills have been put to the test when she recently stepped into a new and extraordinary surgical environment.

The 26-year-old signed on articles for a two-month tour-our-duty in Benin, West Africa, providing care for patients who receive free essential surgery that is inaccessible in their own nation. Jess worked primarily in the ship’s ICU, and one of the five wards where she cared for patients of all ages recovering after the removal of huge, benign yet life-threatening, tumours.

But what Jess says she didn’t expect during her volunteer service was a shift in her own perspective, “Mainly in being thankful for the ‘little things’.

“I visited at the boys’ orphanage here in Cotonou regularly. One week the boys were asked what they were thankful for. Their responses were along the lines of,  ‘ I am thankful because I am alive’, and ‘Because I woke up today – lots of people didn’t!’” These comments from little boys have made her think differently about just being grateful for life, and the simple joys that each day brings.”

“Mercy Ships is unique in their work ethic, their willingness to help and serve the people of Benin,” Jess comments in reflection. “I would definitely volunteer again.”

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