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Nurses' Review


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Nurses' Review
Physical Description:
2 v. : ill. ; 29 cm
Nurses Association of the Bahamas
Nurses Association of the Bahamas
Place of Publication:
Nassau, Bahamas
completely irregular


Subjects / Keywords:
Nursing -- Periodicals -- Bahamas   ( lcsh )
Nursing -- Periodicals
serial   ( sobekcm )
periodical   ( marcgt )
Temporal Coverage:
1973 - 1977


General Note:
The official voice of the Nurses Association of the Bahamas

Record Information

Source Institution:
Hilda Bowen Library
Holding Location:
Hilda Bowen Library
Rights Management:
All rights reserved by the source institution.
Resource Identifier:
oclc - 37534407
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OFFICERS OF THE ASSOCIATION 1976 President ............ ........... ... .... . ...... ....... ... MS. CLEOPATRA FERGUSON First Vice President. . . . . . . . . . . . . . . . . . . . . . . . ..... MS. HAZEL COLEBY Second Vice President. ............................................ MS. MAJOR Secretary. . . . . . . . . . . . . . . . . . . . . . . . . . MS. MARILYN BETIIEL Treasurer . . . . . . . . . . . . . . . . . . . . . . . . ... . MS. MAVIS ROLLE Asst. Tre a surer . . . . . . . . . . . . . . . . . . . . MS. GENEVA THORNTON CHAIRPERSONS Education & Research . . . . . . . . . . . . . . . . . . . . . . . . MS. MARY THOMPSON Membership & Publicity ........................................... . MS. SUSAN ROBERTS Socio Economic & Welfare ...................... ...... ............... MS. SHARON BROWN REVIEW Chairperson . . . . . . . . . . . . . . . ........................... MS. SUSAN ROBERTS MS. JACQUELINE THOMPSON .. ... ....... ...................... : : ... MS. OPHELIA MUNNINGS MS. MAVIS ROLLE . . . . . . . . . . . . . . . . . . . . . . . . . . MS. MONICA DAVIS MS. ANGELA CARROLL . . . . . . . . . . . . . . ...... . ........ MS. ANDREA ADDERLEY ......... ...... ................... MS. ORVILLE GIBSON ................... . ............. 1977 President . . . . . . . . . . . . . . . . . . . .. . . ....... ..... . MS. MARY THOMPSON First Vice President ....... ....................... ...... . . MS. ESMERALDA RUTHERFORD Second Vice President . . . . . . . . . . . . . . . . . . . . . . MS. MARILYN BETHEL Secretary. . . . . :. . . . . . ...... ........ . . . ... MS. FREDERICKA BLAKELY Asst. Secretary .. ............................................ MS. LARRIE WILLIAMS Treasurer ........ .... ............ ........................ MS. ORVILLE GIBSON Ass t. Treasurer ..... ................ ... . . . ....... MS. MARGARET BOSTWICK CHAIRPERSONS Education & Research . . . . . . . . . . . . . . . . . . . . . . . MS. CASTELLA BOWLEG Membership & Publicity. . . . . . . . . . . . . . . . . . . . . .... MS. SUSAN ROBERTS Socio-Econi>rnic & Welfare . . . . . . . . . . . . . . . . ....... MS. HANNAH RAHMING PUBLICITY COMMITTEE Chairpmon. . . . . . . . . . . . . . . . . . . . . . . . . . . ... MS. SUSAN ROBERTS MS. MONICA DAVIS . . . . . . . . . ..................... ....... ... MS. ANGELA CARROLL MS. GENEVA THOMPSON MS. MAVIS ROLLE MS. PEARL RAHMING. . . . . . . . . . . . . . . . . . . . . . MS. MARGARET BOSTWICK . . . . . . . . . . .......... MS. JACQUELINE TIIOMPSON .................. ........... .


INDEX Page Editorial . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Know Your Nurses . . . . . . . . . . . . . . . . . . . . . . . . . ......... 2 Nursing, A Commitment to the Ministry of Healing ............................ ... ...... 3 lOth Biennial Conference of The Caribbean Nurses Organization . . . . . . ..... 4, 5, 37 Introducing The Car ibbean Nurses Organization . . . . . . . . . . . . . . . . . 6 UWI Advanced Nursing Unit marks I Oth Anniversary ............... .......... ........ . 7 Introducing The I.C N ................................................. .......... 8 Qualified Nursing Resolution ......... .... .... . .... . . .............. ......... I 0 TCN adopts Definition of "Nurse" .. ... .......... ....................... .......... I 0 LC.N Congress . . . . . . . . . . . . . . . . . . . . ..... .... I 1 Nutritional Problems in Children .............. ....... . . .... . .......... 12.13 Phenylketonuria or P K.U .. ...... .... . ...... . ......... ...... . . . . . . . . 14 Nursing in the Ch ristian Era . . . . . . . . . . . . . . . . . . . . 15 Abilities Unlin1ited . . . . . . . . . . . . . . . . . ................ ....... J 6,17 Care of the Hospitalized Dent a l Patient . . . . . . . ...... ....... ....... . ...... I 8 The Clini cal Nurses in The Bal1amas ....................................... ......... 19 Caring : A Psy c hiatric Nursing Perspective ......... .......... . .... ... ............. 2 0,21 Love and Compassion . . . . . . . . . . . . . . . . . . . . . . . . . . 22 Patience . . . . . . . . . . . . . . . . . . .............. ... .. .. ........ 22 Regional Nursing Body .................. ................... ........... ..... 2 4,25 Commonwealth Nurses Federation ....... ..................... .......... ....... 26 Education Committee . . . . . . . . . . . . . . . . . . ....... ......... ... 26 Graduation I 9 7 6 ... ................... ......... ........ ...................... 28 Some Thoughts on the Midwife's Changing Role ............. . ... ................ ... 29 Hypertension Project ...................... . ......... ... ... .... ... ... ......... 30 Socio -Econo mi c Committee . . . . . . . . . . . . . . . . . . . . . . . . . 30 Chiristianity Professionalism and Womanhood . . . . . . . . . . . . . .... . . .... 31 What prompts me to pray . . . . . .................................... .... 3 I Bus h Medicine . ....... .............. ............. ................. ........ 32 Inte rnational Nursing Revi e w ............. ...... ...... ... ....... ................. 32 Patients ca n help themselves ......................... ....... ..... ........... . 34 New Extension of Princess Marg a r e t Hospital. . . . . . . . . . . . . . . . . . . . . 35 Anecd o tes ..................... ............... ........................... 36 News ....... ............................ ..... ..... ......... .............. 36 Meetings . . . . . . . ....... ....................... .......... 36 Price: $2.00


Editorial The word "COMMITMENT" is often heard today, but what does it mean to us as nurses? What are our COMMITMENTS? As professional people, we should be committed not only to our profession but also to the people whom we serve. Commitment to the profession can be displayed by the way in which we participate in the affairs of nursing, the necessary risks we take to uphold the dignity of the profession, and our determination to develop professionally Such a display can only enhance the image of nursing, motivate, and encourage others to become a part of so great a profession. Our responsibility to our community can be portrayed through our involvement in community activities. We also have a responsibility to ensure that the people of our community receive a high standard of health care. This may require changes, but we must welcome the opportunity to be agents of change Change, although sometimes difficult to achieve, is often necessary, but the goal we set can be more easily achieved if we are COMMITIED and share this COMMITMENT. Let us for one moment honestly evaluate ourselves Are we doing all we could to improve and maintain our professional status? Are we doing all we could to main tain excellence of service to the people of our community? Are we active members of our professional organization? Are you happy with the results of your evaluation? If you are, then, the profession can only benefit by you. lf you are not, you must now begin to take positive action to improve your image Florence Nightingale gave us a lamp, but the lamp needs oil if it is to continue to give light. Let us continue to put oil in this lamp so that others may see by the light of our profession NURSING OUR COMMIT MENT! MISS CLEOPATRA FERGUSON President 1976 The Nurses Association of The Bahamas. NURSIS' IEVIEW '76-'77 -1


K N OW Y OU R NURSES NURSE GENEVA THORNTON Nurse Angela Carroll a registered nurse and midwife has been a member of the Nurses Association since 1951 She was responsible for the bir t h of the Nurse Queen Ball and wa s made "Nurse Quee n of the Ye ar for 1972 .AJ a member o f the Membersh i p an d Publici t y Com mittee for many years, Nurse C a rr olJ is very ac tive i n the .Association and a lway s w illing to assist wh erever sh e c an. She is a lso well known on the International s cene and was one of the f e w n u r ses t o attend the Inter national Council of N u rses Congr e ss i n G re ece and PortugaL "You know y o u have m y s upport", is her pa sswo rd. NURSE OPHELIA MUNNINGS 2 NUISIS' REVIEW '76-'77 Nurs e Geneva Thornton a registered nurse and mid wife, has bee n a member of the N urses Association since 19 5 7 She is a very active member and perhaps the most familiar face at the activities of the Association Nurse Thornton has also attended many of the Caribbean Nurses Organization Conferences and h as made many friends among the nurses of the Caribbean A member of the Executive Board of the Associati o n for many years Nurse Thornton now holds the posit ion of Assistant Treasurer. "Its a worthwhile experience", she says NURSE ANGELA C ARROLL "Child, you know I'm not as young as I used to be, but I'll do my best". A long and faithful worker of the Nurses Association is Nurse Ophelia Munnings. She received an award in 1972 for her devotion and out standing service to nursing and to her Association. A well known figure at the Baillou Hill Road Clinic, Nurse Munnings has taught mothers to cure many diaper rashes, common colds, advised expectant mothers and helped other members of the community to live healthier and happy lives. At present she is very active on the Membership and Publicity Committee.


N URS ING, A COMMI TMENT TO THE MINISTRY OF HEALING There are certain pivotal events that occur in our lives such a s birth, marriage, death, illn e s s an d major decis i ons. P eo ple who help us under such circ um sta nces g re ati y end e ar the mse lves to us and are q ui te ofte n rem emb ered for li f e. We are grateful that they he lpe d u s 'for o ur sake' a t a time w h e n w e we r e most in need.' W ithout them we co u ld not, in a cert ain sens e come through. They are the kind of pers o n s for whom w e are deeply grateful. They in s uch circ umstances, he lp u s to dis cover th e meaning and va.iue of our expe rience (of illness) by th e wa y in whi c h t hey h e lpe d. Nursing is one of the mean s of responding to a pivotal even t in human life illness. Th e illnes s may be physical, mental or emotional Nursing is a service in which the nurse meets th e p a t i en t in a n abnormal st ate In a real sense, during sicknes s y ou are 'not yourself.' Hence, fustly there is a need to be treated personally a s a person e ven thou gh the e x t ernal f a ct o rs may cause one to loo k m ore like an ani mal. Secondly the nurse needs to b e skiUed t o k n o w what he o r she is doing and to be supportive yet professio nal enough not to go to pieces Thirdl y the nurse offers in a real sense, the courage to b e able to cope. The n urse needs t o have faith in himsel f/ herself and to go out to others in s u ch a way as to inspi r e hope a s th e patient face s what may app e ar to be rlef eat. The nur e is on e whose duty is performed to the imm diacy of a person. She is in the servic e of resto r ing or prot e cting th e quali ty of human life his / h er mini s try therefor e, imm e d iat e l y inv olv e s offe ring hop e to the sick. Whene ver one thinks of a n ur s e o n e th inks o f som e one who i s c a ring, gen tl e, compassionate y e t strong and s up portive, someone who will see you through the event. I t helps grea tly when one is sick to b e in th e presence of someone who by their attention, presence and skill says to you in their actions "I will do the best l can to help you, do not be afraid.' When one i s ill, our real need is to meet someone who in c o mmon language, willl 'take good care of you who will hope for you. Nursing involves a very deep responsibility to meet the real need of others to be understanding of another s condition. The nurse must understand als o that when we are sick we may say or do ugly things, or we may appear ungrateful. It is more an experience of fear or of the humbling experi e nce of b e ing so much in need The nurse needs to be sensitively aware of the shyness we have of having others deaJ with us at such moments of our lives. Illness is a time when "the chips are down" in our lives in a real sense Those who nurse us meet us as we really are often afraid, insecure. To be involved in the ministry of nursing necessitates the continual awareness that we are dealing with the human person, even though it may simply be putting on a bandage, or t ak ing a temperature yet for e ach p erson it is their o nly 'me' and they are r e ally say ing 'handle with care', h owe v e r t h ey express this. Therefo r e, suc h a per s on who seeks to nurse n eeds to be aware always of hi mself or hersel f b e ca u s e who they are or how they ar e at a giv e n mo ment affects the healing of those wh om they mus t t o uch physicall y mentally em otio nall y spirit u ally. In a real sen se, the vibrations of the person o f the nurse touc hes the life of the patient. So there is the co nt inual n ee d to be re-created in one's bod y mind and spirit in one's direction to life. Sin c e nu r sing deals with the total human fabric, it is very draining. The ne ed for physical res t is obvious and there is a need for refreshing and creative 'distractions' s uch as swim ming, read i ng (n on-medi cal journals!) inter a c ting with people other than those in one's profession. There is a n e ed for c o nve r s ation, and for spending time in reflection for e ngagi n g in activities which give one a sense of the deeper qualitie s of life quiet moments of refl e c ti o n, looking at human life in a wider perspective sinc e nursin g te nd s to be dom inated by the suffering angle. M y own per s o nal feeli n g i s in order to sustain o t h er s in illness and themselves i n their work, there is a nee d to g r ow in spiritual d epth. I personally b elieve that anyone involved in n u rsin g needs to be constantly growin g In d ealin g w ith the seri ou s ness o f life in t he ar e a of nur s i n g we s h o uld foster lighth ear t e d ness to keep humour in the s i t u ation We preserve t he sens e of o ur limitation we are one of many not t o tak e eve ry thing so individualistically so that w e ar e d e stro yed. Our conc ern for o the r people is to see k h ow t o better equip ourselves for others but at the same time we m u s t see k ways in which we can grow We are to avoid t wo extremes: an over-professionalism which becomes mere science and efficiency, and becoming so emotionally involved that we are unequal to meeting the real need. For those of us who are believers, God, we believe, is present in the nurse administering the gift of healing: the Spirit of God in the tone of voice the concerned quality of their touch, the encouraging look, their hopeful attitude, their respectful presence. The nurse is a messenger of mercy, the nurse is a minister of healing. In a paraphrase of the words of Henry Nouwen, the nurse is called to be a 'wounded healer', one who knows what it is to have one's own wounds nursed, but at the same time being prepared to nurse the wounds of others Hence the nurse is truly both the 'wounded minister' and the 'healing minister.' by: Mgr Preston Moss. NURSES' REVIEW '76-'77 -3


lOTH BIENNIAL CONFERENCE OF THE CARIBBEAN NURSES ORGANIZATION JUL Y 25T H -31ST 1976 BARBAD OS The theme of t h e conferen ce was "WHO C ARES FOR WHOM". The conference began w ith an Ec umenical c hurch service on S u n da y morning (25th Jul y ) an d in the evening the official openin g c erem ony was held at Marine House, the con ference Venue There we re representa tives f rom all of the Caribbe a n te rrit ories in cluding Haiti Tur k s and Caicos and Guata lo up e The Baha mas had a delegation of eight nurses. Mis s Cle opa tr a Ferguson ( President a nd voting delegate), Mis s Sus an Ro b e rts (Vo ting delegat e), Mrs. Geneva Tho rnton Mrs. M izpah Davis (Vice President, Trained Oinical N ur ses Association), Miss Marva Jervis President, Student Nurses Associat i o n) Mrs. Rose Gardiner and M r s Doree n Fernander. At the opening ceremony speeches were mad e by the Honourab le E rrol Barr o w then Prim e Minister of B ar bados and Miss Josepha Wouter President of the Caribbean Nurses Org a nization Following the ce remony a reception was hosted by the Government of Barbados Thi s was the beginning of a week of Caribbean Co operatio n Trans lation w a s provided in English, French, Sp a nish an d Dutch "W e are free to be h uma n only in Community with other hu man b eings. This co nce p t is at th e very c or e of a di scu s ion on hea lth and h ealth care, said the speaker, "While the wor t h o f each indi vidual c ontri b utions i s valued," she continu ed, t he su rvival and vitality of the g roup must be placed above in dividual needs." IT'S TIME TO LISTEN! Translation w as provided in English, French, Spanish and Dutch. 4 NURSES' REVIEW '76-'77 Dr. Sylvia T albot was spe aking on "Concept s which Influen ce Health and Health C are in the Community." She e x p lored the areas of health a n d the community res ponsibility and accountability community partici p ation and Jus tice Dr. Talbo t emphasised the n e ed fo r hea lth educa tio n an d stated that the nursing p rofes ion h a s a gre at rol e to pla y in t hat area. "Nurses have sp ec ia l sk ills a n d knowledge whic h are usef ul in this process and n eed to recognise and t ake adv a n t age of the var iety o f opportunities available to you to educate she said. "Change is irreversible a nd nu rse s have to admit it, and take an active part to ensure the po s ition of nursing among the new technologies. Nurses as well as other professionals of the health field will need to reorient their lives and their occupation to better serve the future health needs of the Nation * "The Nurse in the 1980's" was the topic of Dr. Adeladia Sanavitis' presentation. Dr. Sanavitis, of Puerto Rico, said that nurses should prepare themselves to assume ro les wh i c h are broader in s cope and require a higher level of p rofi iency tha n those played by them today She envisages the day when o nl y three l evel s of nurses will b e needed: one will be the clinical specialist, anot he r the n urse ad m inistr ator who w ill p l an for, a nd admi nister health and patient care programs at a highe r so phistica ted and ind epe n dent lev el, and the third, will MISS CLEOPATRA FERGUSON, President speaking at the workshop on Nursing Education.


be the teacher and researcher in schools of nursing, hospitals and community. * THE NURSE AS AN AGENT OF CHANGE Miss Ena Walters Matron of Queen Elizabeth Hospital, Barbados said "It is obvious tha t nurs es can play a maJor role in the change and because of this they must always employ practices whicf1 will produce c hange with great ease and without trauma. Open-minded participation, a thorough examination of the goal being sought, and a knowledge of the importance of the c hang e itself were criteria Miss Walters cited which she felt must be met if change is to take place effectively. She explored the topic of "the nurs e as an agent of change in her profession in the health team and in the community. Caribbean nur ses were ur g ed tD evaluate thems elves, work together harmoniously, s triv e for attainm..:nt of goals and get inv o lved in changes whi c h arc important to general development. "In this way," s he s aid "We will be able t o brint; about < utstanding change s in our professi on will be able t o ensure a s tandard of cxccllcncc in nursing practice for our co mmunities anJ through our contributions and general intere s t will ass i s t in bringing about majur changes for the improvement of our societies." * "An Economic and General Wel.fare Program, in cluding collective bargaining is both appropriate and professional, if we are to remain politically viable," said Mrs. Verna Garcia, as she was speaking on the "Impli cations of an Economic General Welfare Program for Nurses Such a pr ogra m, she said, transcend s salaries and working conditions for nurses "It increases nurses participation in the planning for delivery of health care; it speaks to sex discrimination Insurance, R etirement Inequities and standards of Nursing practice." Mrs. Garcia expressed the great need for collective bargaining laws to include representation of Professionals by the Professional Association. She outlined the difference between the benefits derived from a Pro fessional Organization and a Trade Union. A Trade Union can represent nurses in collective bargaining and other aspects of contract service, but whose interest will prevail when it represents a variety of employees usually the majority of whom are not nurses? TI1e Professional Organization not only represents nurses in collective bargainin g but in all aspects of service and concerns itself solely with the interest of nurs es and nursing. The goals of an Economic and General Welfare Program should be: I) To provide quality nursing care 2) To promote professional self-determination 3) To protect and advance the economic and pro fessional status of Nurses. Mrs. Garcia expressed her sincere hope that nurses will urge and assist their Associations to move in the direction of such a Program. * ... The pati en t will see the nurse as no stranger. Through the community interaction he sees h er as frit>nd, counsellor. teacher and helper and not solely as one interested in his disease." Nursing students Beverly Straker and Patricia Yearwood was discus s ing "how the student nurse sees him self or herself in the changes of Health Care Delivery." They were much in favour of a Community Oriented Programme which will inc lude community involvement participation in Health Education, industrial areas an d family planning. The students expressed that the Community aspect of the prugram will bette r equip the student for the curative sectio n o f th e course for the following reasons : I Sh e has already met the individuals in their normal environment. 2. she is aware of their needs. 3 She is acutely aware of the conditions which lead to his admission to hospital. 4. She knows all the "wheres" and "hows" of obtaining (without difficulty) assistance for that individuaJ both inside and outside of the hospital. 5. Above all else she knows why he is there, and Continued on Page :r7 NURSES' REVIEW 76-'77 -5


INTRODUCING THE CARIBBEAN NURSES ORGANIZATION The CARIBBEAN NURSES ORGANIZATION is a self-governing Nurses Organization formed b nurses of the Caribbean and adjoining islands and coun pe MEMBERSHIP 1. Nurses who by virtue of the membership with OJ_eir National Nurses Association, are members of C.N.O. 2. Individual nurses living and working in territorie s where there is no association. 3. Individual nurses living outside of the region with an interest in Caribbean nurses and nursing. 4 "ASSOCIATES" who are lay and other professio nal persons who by their help and support to nurse s and nursing have been invited to belong to this section. C.N.O was founded in 1957 by 14 individual members. Today there are 20 member Asso c iations. These are: I Anguilla, Antigua, Bahamas, Barbados, Bermu a<, Belize, British Virgin Islands, Dominica, G enada Guyana, Jamaica, Netherlands Antilles, Puerto Rico, St. Croix, St. Kitts, Nevis, St. Lucia, St. Thomas, Best Wishes NURSES ASSOCIATION OF THE BAHAMAS from BAHAMAS PAPER COMPANY 6 --NURSES' REVIEW '76-'77 St. Vincent, Trinidad and Tobago and Surinam mdi-viCiual members are in England, Geneva, Guade loupe, Martinique, New Hampshire and New York. FUNGTIONS 1) i t advises, helps and encourages nurses to uphold e principles of nursing and to improve nursing ducation and nursing services. it promotes understanding and friendship between nurses in all parts of the Caribbean and in the ne ighbouring countries a nd Island s 3 ) it p vides ways by which nurses can meet and c ha h e knowled ge and experi e n ces, which will impro v e n ursing services and widen the outlook of nU[SeS, 4 ) it conside follows through and works on projects and/or } urveys which will lead to better health for the peoijle of the Caribb e an The C .0. holds biennial conferences. e TI nth Biennial Conference was held in Barbados J uly 25 30, 1976 where TI1e Bahamas had a delegation of eight nurses. ARIA'S ROBINSON ROAD near MARKET STREET CHILDREN'S QUALITY CLOTHES FABRIC! Calcutta Jersey ACCESSORIES NOTIONS Denim FABRIC! Gaberdine Quiana School Unifonn Material


UWI advlliUPd nursing zmit marks 1Oth anniversary The Advanced Nursing Education Unit at the University of the West Indies, marked its I Oth anniversary on Oct. 3 with a lecture and presen tation at the Mona Campus The one-year certificate programme in post-basic Nursing Education was started at the Mona Campus, in October 1966. The unit symbolises a milestone in the development of professional nursing in the English-Speaking Caribbean The programmes consist of two parallel courses which cover one academic year plus a summer session. One prepares tutors for Schools of Nursing and leads to the Certificate in Nursing Education; the other prepares administrative per sonnel for nursing service depart ments and leads to the Certificate in Nursing Administration In addidion to nursing qualifications and experience the candidates are required to meet the minimum University requirement. They must also take and pass an entrance examination set by the Faculty of Medicine Courses of study for the Certificate in Nursing Education The use of English . With this programme the students are exposed to relevant general education experience in a multi disciplinary setting and are provided the opportunities to develop skills in two functional areas of nursing teaching and administration. A large number of graduates from the programmes are at present functioning in the top nursing positions in their territories. To date, nine Bahamian students have been admitted to the unit; five for the Certificate in Nursing Administration and four for the Certificate in Nursing Education. All students have been granted In-Service Training Awards by the Bahamas Government. Miss Myrtle Gomez was the first Bahamian to attend the programme. She studied during the academic year 1961-1968. received the Certificate in Nursing Education and at present is pursuing further studies abroad. Miss Eloise Penn studied during the academic year 1968-1969; received the Certificate in Nursing Administration and at present is the Principal Nur sing Officer at Sandilands Rehabilitation Centre. Mrs Beverl'ey Ford studted durinR the academic year 1969-1970 and received the Certificate in Nursing Administration, She is at present a Senior Nursing Officer at the Princess Margaret Hospital. Mrs. Lula Knowles studied during the academic year 1969-1970 and received a Certificate in Nursing Administration. At present she is a Senior Nursing Officer at the Rand Memorial Hospital, Freeport, Grand Bahama. Mrs Evelyn Prescod studied during the academic year 1970-1971; received Certificate in Nursing Administration and at present is a Senior Nursing Officer at Community Nursing Service Andil LaRoda studied during the academic year 1971-1972, received his Certificate in Nursing Education and at present is a Nursing Officer, Grade I, at th'e Department of Nursing Education. Miss Cleopatra Ferguson studied during the academic year 1971-1972, received Certificate in Nursing Education and at present is a Nursing Officer, Grade I. at the Department of Nursing Education Mrs. Louise Tynes studied Nursing Administration during the academic year 1972-1973; at present she is a Nursing Officer Grade I, at the Department of Nursing Education. Miss Mary Johnson studied during the academic year 1972-1973, received a Certificate in Nursing Education and at present is a Nursing Officer, Grade I, at the Department of Nursing Education To celebrate the event an Anniversary Lecture will be given by an International Nursing Leader at the Mona Campus, along with open day displays and the presentation of r\NEU c Advanced Nursing Education Unit l pins The Nurses Association conGeneral Studies); gratulates the Advanced Nursing Unit and its Faculty for their achievements over the years, and for producing such fine leaders in Nursing. Do you know of a nurse who is studying. abroad? Be a friend send a copy of the NURSES' REVIEW News from home is always appreciated! NUISES' IIVIEW '76-'77 -7


INTRODUCING THE I.C.N. INTERNATIONAL COUNCIL OF NURSES Through the I.C.N. nurses have the opportunity to contribute to international understanding and co-operation. The International Council of Nurses, founded in 1899, is a federation of national nurses associations. Its purpose is to provide a medium through which member associations can share their common interest of de veloping the contribution of nursing towards the promotion of health of the people and the care of the sick. At the present Nurses Associations in 84 Countries around the world an: in membership with the I.C.N The Bahamas was received into the I.C.N. in 1973. FUNCTIONS-I. To promote the organization of the National Nurses Associations and to advise them in their continued development. 2. To assist National to play their part in developing and improving the health service for the public, the practice of nursing and the social and economic welfare of nurses. 3. To provide means of communication between nurses throughout the world for mutual understanding and co-operation 4. To establish and maintain liaison and co-operation with other international organizations and to serve as representative and spokesman for nurses at inter nationallevel. 5. To receive and manage funds and trusts which contribute to the advancement of nursing or for the benefit of nurses. O)fitft tlu o/ SOLOMON BROTHERS LTD. The Perfect Infant Food 8 NURSES' REVIEW '76-'77


6. To do all such other things as may be incidental or conducive to the attainment of the objectives of I.C.N. STRUCTURE: The governing body of the I.C.N. is the Council of National Representatives, which consists of the I.C.N. honorary officers and the presidents of member associa tions. It meets at least every other year and every four years in connection with an I.C.N. QUADRENNIAL Congress. The Board of Directors consists of the I.C.N. ho nora ry o fficers and e lev en (II) elected m e mb ers. It m e ets at least once a year. I. C.N. HEADQUARTERS Th e a ctivities o f the I.C.N. ar e carried out from headq uarters w her e t h e s ta f f are advi sory and cons ultative in their relati onship w ith t he Nation a l Nurses Associa tio ns, while at the s am e time be ing exe cu tive within the structure of I.C.N. ADDRESS: International Council of Nurses P.O. Box 42, 1211 Geneva 20 / SWITZERLAND. ouT ISLANDS MARSH HARBOUR ABA CO 224<4 lmporlers of HIGH GRADE BRITISH & EUROPEAN CLOTHING FOR LADIES & M E N SWJ SS W A TCHE S JEWELLERY PERFUME SOUVEN IR ITEMS LEATHER GOODS Tel. 21405 Bax N-3946 NURSES' REVIEW 76-'77 -9


QUALIFIED NU R SING RESO LUTION "Qualified Nurses must direct Nursing Education and N urs ing Service", s ays l.C.N. Re sol u t i on on Nursing Author it y as adopted, Augu s t 1975 by the C ou ncil of Nat i onal Represe n t atives. "WHEREAS, nursing is a profession in its own right altho ugh it i s allied in providi ng health c a r e with it s coLleagues in all o t h er health profe ion s and "WHEREAS, nur ses have the responsibility and accoun t abi l i t y f or nur ing services whi c h they pr i de for peop l e, sick a n d well; and "WHEREAS, nur sing has a body o f nursing knowledge and nursin g p ractices whi c h mus t b e ICN ADOPTS DEFINITION OF 11NURSE" The International Council of Nurses (ICN) has adopted a new defmition of the "nurse" for international use. The definition was agreed by the Coun cil of National Representatives (CNR), ICN s governing body, at its meeting in Singapore Augus t 4-8, 1975. 'The defmition of the"nur s e adopted b y the CNR reads: "A nurse is a person who has completed a programm e of basic nursing edu cation and is qualifie d and author ized in her/ his cou ntry to p r a ctise n ursing B asic nursing education is a formally recognized p rogram m e of study which provides a broad an d sound foundati o n for the practice of nursing and for p os t-b a s ic ed ucat i n which develops specific competanc y At the first le vel, the educational prog.ramm e prepares the nu rse, thro ugh study of behav i oural, life an d nursing scie nc e s an d clin i cal experience, for effective pra cti e an d dir ection of nursing care, and for the leade rsh i p role. The first level nurse is resp o nsible for p l anning p ro viding and evaluat: ing nursing care in all settings for the promotion of health, prevention o f illness, care of the sick and reha bilitati o n; and functions a s a member of the health team. In countries with more than one level of nursing perso nnel the seco n d level programme prepares the nurse, through study of nursing theory and clinical pra c tice, t o give nursing care in cooperativn with and uader the supervision of a first level nurse." 10 NURSES' REVIEW '76-'77 taught to nursing students who otherwi s wo uld not be educat e d to provide n urs ing services and "WHEREAS the sub j ec t m at te r of nu r sin g course s is di st i nct and d iffere n t fro m the conten t of s u h non nu r sing co u rses a m edical scie n ce, pharm eco logy p sycho l ogy, an d oth er subjects taught by n on-n urse faculty; THEREFORE BE IT RESOLVED ll1 a t all n ur s in g ser vices in heal t h are fac:iltties of all be by q u ali f i e d Lli recto r s wh are nur cs: and FINA L LY BE JT RESOLVED TI1at all of nursing c ursc theory a nd pr;Jcttc:c. be done by n urses who are u alilled to t each. VISIT OUR LARGE SHOWROOM FURNITURE APPLIANCES 8AS SETI BROOK WO OD VAUGHN STAN DA R D MATTRES S RHYNE KIMBERLEY GATE CITY LAWNLITE IRON P A TI O FU,RN\TUR Spec iali sing in a y Furniture NORG E ZEN ITH MAGI C CHEf illilliilll .. -'lijLI.J:.-.:"Jf====l;n .. 2-8862


I.C.N. CONGRESS You are invited to join other nurses from around the world at the 16th QUADRENNIAL Congress of the International Council of Nurses 30th May } rd June, 1977 in TOKYO, Japan . to explore "NEW HORIZONS FOR NURSING," in presentations, lectures, debates and panel discussions. Simultaneous interpreta tion will be provided in English, French German, Spanish and Japanese. In the afternoon participants will have opportunities to attend special interest sessions of their c hoice relating to the day's subjects. Among the issues which will be raised in the plenary sessions are: I. WHAT'S NEW IN NURSING PRACTICE AROUND THE WORLD A discussion of new to which nursing has addressed itself during the last five years and an overview of the future of nursing. 2. CHANGING DIRECTIONS IN NURSING EDUCA TION A d e bate on A new approach to education for nursing" and a panel discussion on "Changing focus in nursing primary health care." 3 NEW DIMENSIONS OF PROFESSIONAL RESPONS IBILITY OF NURSES. Papers presented by nurses speakers on nursing authority the rights of nurses and individual and collective responsibility. REGISTRATION FEES US$60 until February 28th, 1977 Students US$30. US$80 from March l st to March 31st 1977 Students US$50 Student nurses arc e ncoura ge d to particioate {It's rumoured there ar e other places to shop ) NURSES' REVIEW '76-'77 -11


NUTRITIONAL PROBLEMS IN CHILDREN By DR. SKEFFREY PAEDIATRICIAN In recent years nutritional deficiencies has become the most serious child health problem in developing countries. It is one of the most important groups of conditions affecting infant mortality. and the second year of life has recently been emphasized as a particular ly dangerous and risky one for those who have not attained a normal nutritional state and are more vulnerabl e du e to a c ombination of malnutrition and infectious diseases The basic body processes for which feed is required are the expenditure of energy, the maintainence of the internal environment, and cell growth and repair. Calories are needed for the expenditure of energy Water is essential for the main.. tainence of internal environment. The intake of specific nutrients i.e. protein carbohydrate, fats vitamins, and minerals provide for normal growth and cell m a intainence The problem of nutritional disord e r s is therefore an extremely complex one, presentin g a wide variety of clinical pictur e s a c c o rding to th e typ e and severity of the deficiency o r multiple defi c icnces the age of the patient, the duration of the diseas e a nd the envirorun e nt of the patient. In young children, the most common and wide s p rea d nutritional problem is probably general m a lnutriti o n resulting from dyspepsia, diarrhoea and gas tr o ent e r itis, as well as from a defective diet. Dys pep s i a may inc lude food intolerance, colic, and allergy F oo d int o ler a nce generally defined as poor acceptanc e of th e f or mula i s often manifested by frequent vomiting and diarrhoea o r both. Colic generally refers to peri o dic e xc essive c rying which may appear to be due to intestinal pain, o ften after fee ding and may o c cur i n o th erwise h eal thy infants. Most babies with coli c may res pond to improvement in feeding techniques or modific a ti o n of the diet. Frequent chang es in formula should be avoided Food allergy is rare in breast-fed babies Some artificial ly fed infants are allergic to cow's mill<. Infants may also be allergic to specific semi-solid foods. Diarrhoea and vomiting may result in dehydration from loss of body fluids and disturbances in acid-base balance (acid osi s or alk a l os es) The peak inciden c e of gas troenteritis is often followed by that of malnutrition clinically seen as wasting emaciation, marasmus, or growth failure. PROTEIN DEFICIENCY Kwashiorkor is a complex condition of protein deficiency often associated with other conditions both die t e ti c and infective. The name, derived from the Ga lan g uage o f A c cra Ghana indicates "the disease of the deposed child'. Tfie most acute form is generally found in a child of 10 to 24 months who has had an excessive ly carbohydrate diet containing relatively little protein. Signs include weight loss, oedema, depigmentation of skin and hair (hair becomes dry, sparse and straight, moreso in chronic eases), hepatomegaly, and a typical 'flaky paint' skin rash an d cachetic purpura in late and terminal stages. VITAMIN DEFICIENCES These normally produce disturbances in the patterns 12 -NURSES' REVIEW '76-'77 of g rowth m e taboli s m, and development. Such condi tions are rick e t s (D deficien c y); s c urvy (C defi c iency) xerophthalmia and follicular hyperkeratoses (A deficiency; beri-beri (B deficiency); cheilosis and cheilitis (riboflarin deficiency); pellagra (niacin deficiency); me galoblastic anemia (folic acid deficiency) and numerous other distinct symptoms. Scurvy and rickets are rare in the tropics Artificially fed infants may require supplements of C and D since cow's milk contains low levels of both. In the breast-fed infant if the mother is otherwise adequately nourished, D (very rarely) i s the only vitamin likely to require supplementation due to low D levels in breast milk. Antaminosi s A is one of the chief causes of blindness. M a nife s tations may occur as early as 9 days after birth. M os t c a s es are du e to unsuitable bottle feeds e.g swe etened cond e nsed milk and unsupplemented skimm ed milk powd e rs. It may also occur in prematures and twins. Pellag r a r a r e in children, does not occur in those on a milk die t but does in thos e o f a maize diet. Infantile beri-b e r i i s seen in an unsupplemented over milled white riceea ting population. MINERAL DEFICIENCIES Int e rf ere with growth and development and may rcsul t in a na emic (iron deficiency), acidos i s, alkalosis ric k e ts a nd tetany ( c alcium deficiency) a lack of calcium and vitamin D is accentuated by rapid growth such as seen in pr e mature and overweight babies. Some of the sweetened conden s ed milks are so deficient in calcium, proteins, vitamins A and D and contains so much c arbohydrate th a t rickets may result from their use. Iron deficien c y is the most common mineral defi c iency in children especially in many developing countries It is related to the adequacy of birth stores (inciden c e high in pre matures and twins due to inadequate birth stores ) rate of growth, and availability and form of exogenous iron. Often it results from a combination of factors such as di e tary deficiencies (prolonged unsupple mented huma n and cow's milk iron-poor staples) bacterial and parasitic infections, and genetic abnormal ities particularly sickle cell anemia. PREVENTION For preventative action, a knowledge and understand ing of basic nutritional. concepts and the ability to differentiate between types of disorders is essential, and can only be achieved by nutrition education not only for health workers but for everyone. Community health nurses are particularly important for nutrition education through the medium of well planned and operated maternal and child health services not only in the clinics but also in the home. They must make an effort to know the people who live in their various communities. Only then will they be able to determine whether or not the child can get the necessary foods, help in fmd ing out what is needed and educate the people in the


use of locally available foods. Community education may include many topics e g TilE ANTE-NATAL DIET good nutrition begins before the baby is born and the antenatal diet provides the food for the growth of the newborn infant. The pregnant mother needs to increase the amounts of food for growth and protection (e.g. extra milk, cheese to provide the calcium needed for the infant's teeth and bones fish and meat to provide protein, fresh vegetable and fruit for vitamins and iron) BREAST-FEEDING It is the duty of all health workers to encourage all mothers to breast-feed their babies Nature has provided the most perfect food for a newborn baby in the form of breast milk which supplies all the specialized nutrients for the infant and is the most valuable most convenient, cheapest but most neglected source of protein. CHOICE AND PREPARATION OF FOODS FOR INFANTS AND TODDLERS There are a variety of powdered milk feeds. All are similar and modify cow's milk towards similarity to breast milk but are made by different companies and vary in price. Significant differences are found in degree and refmement of modification unmodified cow's milk preparations are no longer recommended for infant feed ing due to the risks of neon atal tetany and hyper natreamia The important thing is t o advise one closest to breast milk in composition and which the mother can afford Sweetened condensed milk should never be used and babies under one year should not be given skimmed milk if any other is available. Extra amounts of food for growth and protection are needed in this age group e.g. extra milk, fruits and vegetable and cereals. SCHOOL LUNCHES The child needs sufficient energy for work and play during the school hours. A nutritious breakfast is important and milk must be included in the diet. This short article should impress on us all the important of understanding and being familiar with the multitudinous problems associated with the main tainance of good nutrition in order to promote the health of the nation. REFERENCES 1. Wilhs, N.H. Basic Infant Nutrition. 2. Williams C.D. and Jeliffe, D., Mothers and Child Health. WELLS FARGO EXPRESS LTD. NASSAU. BAHAMAS NEED A PURCHASE PICK UP OR DELIVERY TO OR FROM MIAMI AND FREEPORT? FARGO MAIL SERVICE PH 28907, 51901 NEXT DOOR TO SAWYER'S STUDIO EAST ST. NURSES' IEVIEW '76-'77 13


PHENYLKETONURIC OR P.K.U. This is an inborn error of protein metabolism. All proteins we eat contain animo-acid called phenylalanine Most of this is normally converted into another a mino acid caUed tyrosine but the phenylketonuric cannot do this. The disease is due to a fault in the liver not in the brain. It is a rare recessive genetic disease i.e. both parents have abnormal genes in which progressive failure of mental development is the most important feature This disease was discovered by Dr. Foiling of Norway in 1934. He noticed an unusual colour change when he added the solution of ferric chloride to urine of a mentally retarded child. For a long time this was the only method of confuming diagnosis. Phenistix test was devised because it would be used to test for phenylketones in a tiny drop of urine or on a wet napkin thus enabling diagnosis to be made in many babies early enough for effective treatment. It has now been super seded by the test using blood instead of urine. This test is called the Guthrie Test which demonstrates abnormal blood levels of phenylalanine This is done between the fifth -seventh day or shou l d not be done until the baby has established feeding. In premature babies the test should be repeated. The discs of fJ.lter paper are impregnated with blood taken from a heel stab r--------------, P.K.U. TEST SPECIMEN CARD Laboratory Specimen Number--------Date of Specimen------------lnfanu Name-------------Hospital Number-----------Male 0 Female 0 Birth Oat"------Premature 0 Full Term 0 OL---nv--------Time ___ 0 Baby Feeding: Poorly 0 Boule O Both Baby's Doctor--------------Completely Fill All Circles With Blood So* Thru 00 0 L _____ ------------_ _j In some places blood is collected into microcapillary tube Ends of the tube are sealed with plasticine before sending it to the testing laboratory. At Princess Margaret Hospital this test is being done routinely for screening purposes. Mothers are instructed to bring along the P.K.U cards at the laboratory on the date specified. When informing mothers about the Guthrie test I fmd it extremely important to choose words carefully for the images that nursing terminology conjures in the minds of lay persons are often quite different from those intended by the nurse. Early treatment preferably starting in the fust four weeks is essenthl. Treatment by a special diet, free of protein but with substitutes of it given. This is con tinued until adolescent because brain cells are developed and mental deficiency won't occur. It is essential to give the diet with little phenylalanine. Most normal 14 NUISES' IEVIEW '76-'77 protein foods and some vegetables are forbidden Bread, cakes and biscuits made with ordinary flour are not allowed. Milk can only be given in carefully measured qualities. Special protein foods are now manufactured from either casein or albumin from which most of the phenylalanine' has been removed. Pk Aid 1 and Amino gram are fairly new preparations and consist of mixtures of pure amino acids With these products, taste is better, quantity required is smaller and they contain fewer calories It is to give mineral supplement. ln low phenylalanine diet, each meal must contain, carefully calculated proportion of daily requirement of special protein and phenylalanine : portions. Free foods which contain little or no phenylalanine are given accord ing to appetite. Special vitamins are given daily. A dietitian specially trained in this work can advise mothers how to prepare attractive meals Results from treatment are very satisfactory if diet is started within the first few weeks of life. After late diagnosis treatment should always be considered although unfortunately for many it offers no hope of improvement. Therefore we as nurses should stress to mothers that anything which can be done to give the young a better, more stable start in life is to be welcomed in spite of the cost NURSE MAVIS CAMPBELL CARL G. TRECO CONTRACTORS Ltd. "SERVING NASSAU & THE BAHAMAS OVER 25 YEARS" BUILDERS OF THE LEADING HOMES & COMMERCIAL BUILDINGS CUSTOM BUll THOMES 2-4996 NITU, SUNDAYS, I HOLIDAYS DIAL 4-2831 OR 5-8725 MACKEY ST P.O. BOX N 1587 NASSAU, BAHAMAS


NURSING IN THE CHRISTIAN ERA Na lemme tell yer sumtin tink yer ought ter no It hav ter do boat nursin In the days of long ago Yinna ger tink er jokin But chile, I oughta no 'Cause I have been a patient In them days of long ago. We aint had no big ole bildin Like yinna have terday All we had was one lil room But we din had ter pay For God sen one good good lady Fabiola she did name She start ter bill a hospital That'll never be the same Cause she did tink was sin yer know Fer Marryin twice or more So e take all e welt and strent In helpin out the poor But woe be unto us and son No bathin there was done For they did say that when God wash And make us whole and one And oh the nursin workin Dey all did smell alarm cause when yer tink is patients sent Tbats causin all the harm Go walk away and smell again Is Nursis underarm Un when them sisters come in Wid dem staggin and they pose Dey rum scent wanta kill yer Bringin fresh cold from yer nose Un don't mis and leave yer fruits yer see Widout a -bite or bore Cus wen yer tink yer want it It just aint there no more Un ole Jerome e come in Wid e lantern and e bell If yer dont look good and careful You'l tink e come from hell And when e come down ringin And er talkin bout the grace Yer could almost see the tiredness On da poor old face At this point now, the nursis run Is prayer time yer see Them fools spen more time prayin An dis is time fer tea Dear God they say please wash them And make dem wi te as snow But what they should be prayin bout Is gettin' well yer know But since we on the subjick Bout gettin well and ting Yer shud stan back, relax and lissun And hear them sisters sing For God yer know that when these nuns Take pluse or temperature They would'nt a been a doin this If wasnt fer fear of yer Now summin it in one you see It wan'nt the best of course But everybody got their share Attention by the gross. by Patri cia Thompso n BEST WISHES to the BAHAMAS NURSES ASSOCIATION Kentucky Fried 4 LOCATIONS IN NASSAU ISES' REVIEW '76-'77 15


ABILITIES UNLIMITED (AU) by Francis Noronha, AU Public Relations Officer On Friday, 6th February, 1976, Livingstone M:>rtimer collapsed on his job. He was administered first aid and then rushed to the Princess Margaret Hospital where he was pronounced dead on arrival. Behind these bare facts lies a story of great human interest. An amputee, Livingstone Mortimer had been unemployed for 2 years due to his disability. However, when Abilities Unlimited, a branch of the Bahamas Council for the Handicapped, commenced operations in January 1975, the fiTst employee was Livingstone Mortimer who was thus given an opportunity to dignity and self-respect during the last year of his life. The two prime movers behind Abilities Unlimited are Dave Smalley, a paraplegic who won the Golden Heart Award of 1974, and John Fisk, well-known in community work in Nassau who has been seconded by the Salvation Army for 3 years to this organisation where he is the Manager. A charitable, non-profit company, whose directors comprise Bahamians, Americans and English people, Abilities Unlimited is assisted by a back-up organisation called the Ironsiders Club which numbers among its 140 members (most of whom live in this country) citizens of the Bahamas, U.S.A., Canada, Jamaica, Barbados, United Kingdom, India and other countries --a truly international venture. Abilities Unlimited is geared, not to doling hand-outs to deserving people --however admirable this may be in extreme cases--but to long-term goals of helping handicapped people to secure employment and thus a measure of dignity and self-respect. The long-term goals are well expressed in the ancient Chinese proverb: "Give a hungry man a fish and you feed him for a day; teach a hungry man to fish and you feed him for life". During 1975 the organisation provided employment for 24 handicapped people --paraplegics, deaf mutes, alcoholics and retarded and mentally ill people--in the areas of upholstery, sewing, spraying, repairing refurbishing furniture and other articles, and in the manufacture of brooms, brushes and mobiles of the coat of arms of the Bahamas. During 1976 it is intended to extend the range of activities. The U.K. Government has donated chalk moulds to the organisation to produce school chalks; the Rotary Club of West Nassau and philanthropic indivuals combined efforts to provide a small ceramic business in Palmdale which is producing Bahamian souvenirs; and the Rotary Club of East Nassau is constructing a 16 -NURSES' REVIEW '76-'77


temporary building to be used as a workshop. Financial and other help has been forthcoming from indivuals, organisations, inns, churches and service clubs but it needs to be continued and indeed increased during the formative years of the organisation which plans eventually to be financially self-sustaining. Official visits to Abilities Unlimited have been recently paid by the Prime Minister, the Rt. Hon. Lynden 0. Pindling; Sir Roland Symonette who is a member of the Ironsiders Club; and India's High Commissioner to the Bahamas (who is also the Ambassador of India to U.S.A.), the Honourable T. N. Kaul. NlDllerous indivuals, church groups and other organisations have visited the operations to see first-hand what is being done for the handicapped people and --far more important--what is being done by the handicapped people. A visitor to the on Mackey Street would be met by charming, efficient Ms. Rosebud Belle. Mr. David Wells and Mr. Redison Clarke combine efforts in the furniture department, while Mr. Rufus John and Mr. John Rolle operate in the soft fumi ture section. Mr. Hanover Hall and Ms. Ruth Collins are in charge of used postage stamps. The driver is Mr . John Johnson, and two boys from the Stapledon School for Retarded Children work on a parttime basis. The ceramic business in Palmdale is a beehive of a'ctivity with Ms. Leonie Forbes, Mr. funny Miller and Mr. Victor King working under the supervision of Ms. Faustina Albury. Ms. Mildred Skelton, of Nassau Pottery, lends her expertise to this venture, and Ms. Frankie Thompson assists in various ways. How can the general public help Abilities Unlimited? By becoming members of the Ironsiders Club for $10.00 annually, and urging friends to join, in an endeavour to attain the target of 1000 members. By publicising the work of the organisation. By saving used postage stamps. By assisting iL the various activities (such as operating a stall at the annual Fair, or selling tickets for concerts and other programmes), and organising other fund-rais1ng activities independently of Abilities Unlimited. By visiting the operations and taking a personal interest in the employees. A recent ILO pamphlet on vocational rehabilitation is entitled: "The Handicapped: Outcaste or Full Partner in Society?" The answer to this challenging moral question rests entirely with us. NURSES' REVIEW 76-'77 --17


CARING: A Psychiatric Nursing Perspective By MISS MARY JOHNSON Psychiatric Tutor If I were a psychiatric patient what would matter to me? To know that someone would understand and care for me and dare to prove it. The most essential quality in any person who is sincerely dedicated to helping the mentally ill return to reality and health is his capacity to "care" for the patient. A psychiatric nurse expressed the need thus: "We are facing a great challenge because we not only do in relation to our patients, we must also think and feel." 'Ulere are numerous ways in which you can meet this now generally recognised challenge. If you care for your patient you will give of your self to him -not material things but your joy, interest, understanding, knowledge, humour -all of that which is alive in you. In so doing you will enrich his life and BesiWishes from PALMDALE FURNITURE CO. For The Best Buys in Household Furnishings at MACKEY & ROSETTA STS. PHONE 23703-4 20 Nl4RSES' REVIEW '76-'77 enhance his sense of "aliveness" -you will feel re sponsibility for him not an obligation to dominate or be possessive but a desire and readiness to recognise his emotional needs as well as his physical needs and respond to him in terms of how he feds and not of how you feel or would like him to feel. You will feel respect for him not a need to have him depend upon or be servile to you, but rather, a willingness to let him grow and unfold for his own sake; to see him as he is and be aware of his unique in dividuality. By so doing, you will convey to him this feeling: "You are worthwhile, I wish you would let me help you". You will know, for instance, that he is angry, but, you will know him even more deeply than that; that he is anxious and worried; that he feels lonely, and guilty; that his anger is only the manifestation of something deeper. See him as anxious and embarrased, that is, as the suffering person, rather than an angry one. MODERNISTIC DRY GOODS Wulff Road Opposite the Theatre Specializing in Dry Goods, Shoes, Tennis, Wigs, Etc. School Uniforms Made to Order Margaret Demetrius Manageress P. 0. Box 2188 Phone 3-4580 Nassau, Bahamas


You will refrain from sympathy -not feeling or expressing pity at the traumatic circumstances of his life, because, such pitying might simply prevent the patient from looking at his participation in these events and at the useful alternatives that were indeed open to him and thus further prevent him from recognising his reason for not choosing the health provoking experiences that were available Rather, in your caring, you should attempt to furnish the patient with opportunities to use and develop his intelligence and help him in gaining useful explana tions of his experience especially during illness. No one has greater opportunity to care for the mentally ill than nursing service personnel. You, more than any others, deal with the sights and sounds, the textures and the colours, in short, the stark realities of everyday life in the wards and are faced with the task of defining and re-defining boundaries of reality to persons who are often not too sure of their own humanity let alone the boundaries of the world in which they exist. Unless you are able to care for your patient, make him feel that he matters to you, that you are available and understanding, concerned about him, have warmth and empathy for him, see him as a worthwhile human being with potential for recovery and not just as a remote hopeless figure in one of the wards; unless .... you are able to "care," all the textbook knowledge in the world, all the top grade classroom performance, all the newest scientific techniques will never bring about the theraputic response so vital to his recovery. In this article, an attempt has been made to focus attention primarily on the role of the nurse in the psychiatric environment. However, I believe that much of what has been said could well be applied to every segment of nursing if we are to effectively meet the needs of the medically ill and those with surgical conditions including the sick child, the geriatric and maternity patient. Caring, compassion, tenderness, and a readiness to help the other person can be the magic keys that free your patient to return to reality and health. "SERVING YOU SINCE 1922" EVERYTHING FOR THE HOME! FRIGIDAIRE REFRIGERATORS BASSETT RCA BEDROOM, DINING ROOM & LIVING ROOM FURNITURE COLOUR, BLACK & WHITE TV & STEREO RUGS & CARPETS OZITE FLOOR TILE PALMDALE SHOPPING PLAZA \2-86451 P O BOX N lll PALMDALE NURSES' REVIEW '76-'77 --21


LOVE AND COMPASS ION One of the Commandments says, "Thou shalt love thy neighbouras thyself" This Commandment may be very hard for some of us to live by, perhaps because of our social and economical status. Unless we are at peace with ourselves our minds become distorted in understanding other people whether at home, at work or in our social life. Love and compassion help us to recognise and appreciate the good qualities in each other. Love, whether we give or receive, is a great fulfill ment for if we have the capacity to love and not to expect any in return we have a special gift. As we go through life s journey, especially in our profession we see many facial expressions Some say "I love you", and some portray unhappiness. It may be a disgruntled boss or an employee with domestic problems However through compassion and love, one will be able to have the courage to change the things that one can by just trying to understand. We can have patience and compassion providing the necessary support, without being a crutch The beginning of love is to let those we love be perfectly themselves, and n o t to trust them to fit our own image o therwise we lov e o nly the r e flection of ourselv e s w e find in them CON TRIBUT E D BY: Nurs e Agn e s H. Davi e s PATIENCE Patience is the guardian of faith The preserver o f peace The cherisher o f love The teacher of humility Patience governs the flesh Strengthens the spirit Sweetens the temper Stifles anger, extinguishes envy Subdues pride She bridles the tongue, restrains the hand Tramples upon temptation Endures persecutions Consummates martyrdom Behold her appearance, and her attire Her countenance is calm and serene As the face of heaven And no wrinkle of grief or anger is seen On her forehead Her eyes are as the eye s of do v es f o r meekness And on her eyebrows sit cheerfulness and joy. She is clothe in robes of the martyrs And in her hand she holds a sceptre in the form of a cross She rides not in the whirlwind Or in stormy tempest of passion. Her throne is the humble and contrite heart And her kindgom is the kingdom of peace. CONTRl BUTEO BY: Nurse Ophelia Munnings AUTHOR: Unknown WE HIGHLY THE MORRIS AN Al'TO'\lOBILE WITH BOTH CLASS AND S TYLE B U T ALS O WITH DEPENDIBILITY The Marina four-door Saloon shares all the same advantages of it s British Leyland background. The same engineering ex pertise and safety-consciousness as the Coupe but offers a real alternativ e style. THREE ENGINE TO CHOOSE FROM 1.3 1.8 l.8TC ALL AVAILABLE NOW ONLY AT BAHAMAS BUS & TRUCK CO. LTD. VALIANT PLYMOUTH -CHRYSLER FARGO TRUCKS MORRIS -MG WOLSELEY P. 0. BOX N-1552 TEL: 2-1722 MONTROSE AVE. 22 -NURSES' REVIEW '76-'77


c:otA-C0LA 1'IC HGISTlllD TUOIIIAitK Of' TH( c:otA.cot.A COMPANY ) >r"'-..1'< c;/) .. it's the real thing B o tt led u nder the auth ority of The CocaCola Company by CARIBBEAN BOTILING COMPANY LTD. NURSES' REVIEW '76-'77 23


REGIONAL NURSING BODY The Regional Nursing Body is a non-statutory, autonomous, collaborative advisory organization which was established at the Inaugural Meeting held in Guyana in December 1972 NON-STATUTORY-AUTONOMOUS-COLLABORATIVE -ADVISORYwas set up through agree ments of the Governments of the participating terri tories and by resolution of nursing leaders and Min isters of Health, makes its own policies, regulates and controls its own affairs with the approval and consent of Ministers of Health of the unit Governments, seeks to work with the thorough existing nursing agencies and organisations in the Region, not to com plete with or displace any of them, The Regional Nursing BODY carefully collects and studies data on the basis of which it makes recommendations to Gov ernments or individuals concerning problems of interest. The Body consists of Nurse Representatives nominated by the following Governments and Organisa ti()ns one from each country:Antigua Guyana Bahamas Jamaica Barbados Montserrat Belize St. Kitts-Nevis-Anguilla Bermuda St. Lucia British Virgin Islands Dominica Trinidad and Tobago Grenada University of the West Indies St. Vincent OBJECTIVES OF THE REGIONAL NURSING BODY (a) To identify the need for the basic and post basic educational programme on a continuing basis sharing existing resour ces and giving impetus to the development of nursing services for the im provement of health care ;. (b) To determine priorities in the solution of health problems based on the study of needs which can 24 NURSES' REVIEW '76-'77 be dealt with on a basis of regional co-operation, and formulate policies and programmes to deal with same ; (c) To establish a pool of qualified persons who would act as Regional Nux-sing Examiners and assist in introducing objective procedures into Nursing Examinations ; (d) To inform territories of progressive trends in nursing; (e) To stimulate research in nursing education and nursing practice with emphasis on the quality of health care; (f) To provide advisory services to the Health Ministers Conference and individual territories when requested ; (g) To collaborate with other bodies in the identifica tion of health problems and the formulation and implementation of programmes to solve them. In relation to the objectives of the Regional Nursing Body, the following activities have been carried out:-1. ACCREDITATION OF SCHOOLS OF NURSING The Body-received and stud i ed data from a Survey of Nt.rsing School of the Region done in 1964 and 1971 selected and adopted criteria and procedures for use in accreditation of Nursing Schools Developed a system through which Nursing Schools will be given recognition for their standard of Nursing Education, and will give aid to those schools which have not been granted accredition in order that they may meet the criteria in two five years. 2 PANEL OF EXTERNAL EXAMINERS FOR USE WITHIN THE REGION Diffi c ulty in some territories in obtaining qualified Tutors to act as Examiners was considered a major problem It was agreed therefore to establish a Regional Pool of External Examine r s who could assist those territories both in providing persons qualified to act as Examiners, and to assist and advise territories in evaluation of students The Body proposes that persons selected to serve on the Panel of Examiners shall receive orientation to their functions. 3 REFRESHER COURSES FOR TUTORS With the assistance of external aid it is proposed to develop a system to provide continuing education for Tutors


r 4. ADVANCED NURSING EDUCATION PROGRAMME UWI The Body gives support and recommends to Govern ments that they approve the B.Sc. Degree Programme and continue support of the Certificate Programme in nursing at the UWI. The fourth Annual General Meeting of the Regional Body was held on August 23rd 27th, 1976 in Bermuda. At that meeting a decision was taken to have a feasibility study carried out on regional examinations for nurse registration in the region to determine: I. Whether the development of a regional examination is still relevant and timely and 2. What precisely do individual Governments think about regional examinations for nurses. The study will be conducted mainly by inteiViewing and questionnaire. Each country will be visited and the following persons will be inte!Viewed: (a) Ministry Personnel (b) Personnel from Schools of Nursing (c) Personnel from Nurs{ng Councils It is proposed that the study will take place between October and December 1976. The importance of introducing Regional Exarniations, for Registration would be to : 1. Establish a uniform standard of testing and evaluating nursing students for nurse registration in the Caribbean; 2. Implement a uniform policy for passing, failing and rewriting of examinations; 3. Provide adequate security for production and ad ministration of examinations; 4 Institute continuing research on examinations and examination policies; 5. Provide a tool for use in developing curriculum for school of nursing and nursing competency; 6. Implement a system through which reciprocal registration of nurses in the Region could be brought about. Finally to introduce a regional link into the general education system through the Caribbean Regional Examinations Council could be developed. Miss Florence Daley R.N B representative conducted the feasibility study in The Bahamas Monday and Tuesday November 1st and 2nd 197 6. THE DELTEC BANKING CORPORATION LIMITED Nassau, Bahamas NURSES' REVIEW '76-'77 -25


COMMONWEALTH NURSES FEDERATION Miss Margaret Brayton Executive Secretary of the Commonwealth Nurses Federation visited the Nurses Association August 9th to August 13th., 1976. EDUCATION COMMITTEE Members: Miss M. Thompson Chairman Miss M. Bethel Mrs. E. Rutherford Miss H. Rahming Mrs. P. Rahming Mrs. L. Major During the period June to August 1976 a series of lectures in Midwifery, Obstectrics and Gynaecology, General Surgery, and Surgical management of the patient were offered to nurses. The lectures given by Mrs. E. Rutherford midwifery tutor, Mrs. C. Bowleg, nurse educator, Dr. Sherman, Dr. Nottage, Dr. Soni and Dr. Farrington. In addit i on Mr. Lowe of Mead Johnson Company gave an interesting lecture and demonstration on Aseptic technique in relation to the preparation of infant feeds. Dr. Nottage also introduced the Partogram (the new Maternity forms used in the hospital) during this time. The committee takes this opportunity to convey additional thanks to all those who so willingly assisted with the lectures. HAVE YOUR CARPETING BEAUTIFULLY CLEANED IN YOUR OWN HOME In a matter of a few hours, we can revive its original beauty and freshness We use the famous Von Schrader dry-foam method. No moisture goes through to the underside to damage the pile or backing. There is no odor. Carpet can be used same day TRAN SIT RU G & UPHOLSTERY CLEANERS P 0. BOX N-4678 TEL. 54327 26 REVIEW '76-'77 She was met at th e airport by Miss Cleopatra Ferguson, then president of the Nurses Association, Mrs. Geneva Thornton, Miss Marva Jervis, Mrs. Mizpah Davis and Miss Glendamae Rolle. During Miss Brayton's stay she met with many Nurses and discussed the activities of the Federation at a meeting on August 11th. The Commonwealth Federation is an organization comprised of Commonwealth National Associations. The purpose of the Federation is to raise the standard and status of nursing. One of its objectives is to promote cooperation and co-ordinate activities between member associations for the exchange of knowledge and sharing of ideas. Miss Brayton presented the Association with a gift f 10 note with a portrait of Florence Nightingale This was in honour of International Women's Year. RANDY CURTIS Funeral Director memorial mortuarp "Your House of Comfort" MRS. UNA BOWE CURTIS Lady Attendant CARL TON CURTIS Apprentice Emba I mer Robinson Road and Fifth Street P O. Box N 3660 56621 24 HR. Answering Service 24591 Ext. C 681


lOTH BIENNIAL CONFERENCE OF THE CARIBBEAN NURSES ORGANIZATION -BARBADOS, JULY 1976 Bahamas Delegates outside Ma rine House where the Conference was held. Delegates outside the Church following the Ecumenical Service. D e l egates with Miss Nita Barro w bei ng enter tai ned at the home of Or. and M rs. Stawart. Having a chat during Coffee Break. Delegates Visiting The Queen Elizabeth Hospital. NURSES' REVIEW '76-'77 -27


GRADUATION 1976 NURSES PLEDGE In full knowledge of the obligations I am under taking, I promise to care for the sick with all the skill and understanding I possess, without regard to race, creed, colour, politics or social status, sparing no effort to conserve life to alleviate suffering and to promote health. I will respect at all times the dignity and religious beliefs of the patients under my care, holding in con fidence all personal information entrusted to me 28 -NURSES' REVIEW '76-'77 and refraining from any action which might endanger life or health. I wil l endeavour to keep my professional knowledge and skill at the highest level and to give local support and cooperation to all members of the health team. I will do my utmost to honour the international code of nursing ethics and to uphold the integrity of the nurse. c 0 N G R A T u L A T I 0 N s T 0 THE G R A D u A T E s 1976


SOME THOUGHTS ON THE MIDWIFE'S CHANGING ROLE HOW PREPARED IS SHE FOR THE ROLE THAT CHANGES DEMAND? It is increasingly recognized that inadequacies in the range and depth of midwives' performance exist, which may be as a direct result of in training. The presumptive role is not always consistent with the changes that have occured within the profession Increase in knowledge in the medical sciences has caused constant change in some aspects of midwifery This trend is likely to continue. The midwife, therefore, must keep up with these changes and advances, and it is imperative that she assumes responsibility for her own learning. Safe practice is based on sound training, but the importance of continued education for midwives must be also stressed. Unfortunately, midwives do not, as a whole, give appropriate attention to their OWN develop ment, on their OWN initiative and this often leads them to deliver a level of care that is below standard. One of the major changes observed is that instead of being basically a practitioner in her own right, the mid wife has become an autonomous member of a team. There is a great need to be a safe clinician, for safety of her practice is also being challenged from within the ranks of midwives as well as from the outside. In order to be effective within this team she must have knowledge of the changes and understand the processes that go on to affect individual and group actions and interactions She must (a) recognise the importance of, and fac!ors which inhibit, communi cation, {b) possess a sensivitity to the way other people see things; and (c) develop skills in dealing with their rigidities and peculiarities Many would agree that the midwife's opinion is no longer accepted unquestioningly. She often now functions as a counsellor, but in this role she must be equally sensitive to clients' views as well as the social and economic circumstances of the family. Whatever the matter on which counselling is desired, be it breast feeding or abortion, the midwife must leave decisions to client so that she (the client) feels she has come to the most appropriate and satisfying solution for herself and not left with a sense of guilt. With increased health education for groups and individuals the midwife's role as educator demands not only "instruction" as for example, in the use of in halation analgesia but also "enabling patients to under stand" and prepare for the physical and psychological changes before, during and after birth, and how to cope with the family adjustments that must be made. The truly professional midwife must always look critically at, and evaluate, her own work, be able to appraise the effectiveness of her actions and help and colleagues examine alternative practices or proposals. proposals. Her practice not only provides opportunity to demonstrate sound birthing knowledge, confident and competent professional skill at delivery, but also ability to provide the emotional and intellectual support needed by those who seek her assistance with emerging parent hood. Our identity as midwives must remain visible in the eyes of the professional as well as the non-professional public. In concluding these reflections, I would like you to Stop! Think! and Assess Your Performance! Then ask yourself the question .............. "What Will I Do Over The Next Year To Improve on What I Do Now!' Best Wi'shes. Nurses' E. RUTHERFORD (Ms.) Midwifery Tutor September, 1976. Choice SEIKO The precision, automaLion-age wa t c h that meets today's exactmg re-n if you are nola nurse. Seiko i s right fnr you. A wide choice of models. WATCH AND JEWELLERY HOUSE OF THE BAHAMAS BAY STREET EAST OF RAWSON SQUARE PHONE 2-tU2. 1-t1Sl 1 1Ur NURSES' REVIEW '76-'77 -29


Hypertension Project Members of Nurses Associat i on played an a c tive part in taking the blood pres s ure s of a large number of people of the community. The project on Hypertension was sponsored by the Nassau Kiwanis Club in April 1976 The Ass ociation t akes o pportunity to thank the nurses for their participation in such a worthwhile project. Pictured with Dr. Anthony Zervous and Miss Cleopatra Ferguson, Past Pre sident of the Nur ses Ass ociation, are m e mb e r s of the Nassau Kiwani s Club having their blood pressur e taken. Socio-Economic Committee 19 1 6 Mrs. Sharon Brown Mrs. Merle Key Mrs. Ruth Outten Miss Frederica Blakely Mrs. Andrea Adderley Chari man Miss Zorene Curry Mrs. Judy Deveaux Mrs. Zel Lockhart. During the year 1976 the committee sponsored several functions which were very well supported by the nurses. A Lenten Tea was held on 4th April at the home of the president. On Sunday May 2nd a Children's Fashion was held in the Royal Victoria Gardens and on Saturday, May 29th a Cookout was held on Goodman's Bay. The committee takes this opportunity to thank all those persons who helped to make the functions success ful by their many contributions. Proceeds from these functi o n s were us e d to send our delegates to the I Oth Bienniel Conference in Barbados July 1976. Florence Nightingale Birthday Service was held at Holy Trinity Anglican Church in Stapledon Gardens on Wednesday 12th May 1976. The service was conducted by Fr. Etienne Bowleg. Following the service refreshments were served at the home of Nurse Rollins Gibson in Staple don Gardens. The Offering was donated to the Emergency Hostel. NURSE CAN I SEE MY FINCO SAUINGS ACCOUNT BOOK AGAIN PLfASE ??! 30 -NURSES' REVIEW '76-'77 SORR.'< &OT 10 llME.S IS ENOUGH FOR ONE-t>A't'! THe DOC. TOR DOESN'T WANT YOU 6ETTIN' TOO EXC.ITED GRAt'\P PR06RESS


CHRISTIANITY, PROFESSIONALISM, AND WOMANHOOD By MS. JOYCE CLARKE LARRIMORE The year 1975-1976 has been declared Intern atio nal Women's year. The memb e r s of the Nurses A ssoc iati on of The Bahamas are proud to be a part ot: thi s history making occasion and salute women everywhere. Th e Nurses Association was founded and estab lished on Christian principles, and throughout the years of its existence the Association has practiced and upheld these principles The world in which we live is ever changing and becomes more comp lex each day This, if one is not careful can lead to lack of emphasis on some o f the more important things in life I believe that a nurse ought not forget that the spiritual aspects of her WHAT PROMPTS ME TO PRAY? by Nurse Angela Carroll Read Matthew 25: 36 -46 "Watch and pray, that ye enter not into temptation the spirit indeed is willing but the flesh is weak." Mathew 26:41 Three things lead me to pray daily: 1 The need to develop my realtionship with God 2. The desire to make my faith something real and vital in my life. 3. The effort to keep God always at the centre of my life. When we commune with God through prayer, we receive the firm conviction of His presence in our lives. This communion with God, this being in His presence is worth more in terms of spiritual vision and power than all the other aspects of prayer. The fact that prayer takes us into the presence of God makes it of supreme value to all of us. In his book the "Meaning of Prayer", Harry Emerson Fosdick says that the value of prayer is not asking, "it is the loftiest experience within the reach of any soul, communion with God". PRAYER: 0 God, help us through our communion with Thee to fmd the answers to our needs and anxieties. For the love of Jesus Amen. THOUGHT FOR THE DAY God channels His power to us through prayer. work, holds as important a place as the various areas of patient care. I further believe that the nursing profession is one of the most meaningful ways in which a woman can serve humanity. Those of us who are privileged to be a part of what ha s often been referred to as a ministry of healing ought to feel an obligation to serve with sincerity, honesty and love, for it was our Lord who himself said "Whatsoever ye have done unto one of the least of these my brethren ye have done it unto me." In conclusion I would offer a challenge to you as well as myself, that this "International Women s Year" be a time of ret1ection not only on the contributions we are making but more importantly on ways in which we might improve on them. We ought to also question our selves as to whether we are always as professional in our conduct as we could possibly be Do we by our conduct bring honour to our profession? Do other nurses see anything in us that they might wish to emulate if they so desired? Can other's look at you and remark, "There goes a christian a professional, and a woman!"? 9-ust !Rite !Bake'ly LOCATED ON COLLINS AVE. OPPOSITE COLUMBUS PRIMARY SCHOOL Specializing in FRENCH PASTRIES, CAKES Including SAMMIE'S CHEESE CAKE Pies, Bread and also "Just Rite Twist Loaf" FOR ALL YOUR ORDERS PHONE 3-4253 P. 0. BOX 5438 M.S. As You Know "Sammie" is Known for Quality NURSES' REVIEW '76-'77 -31


BUSH MEDIC INE For hundreds o( years Bahamians haVe been usiRg various plants to relieve or cure their bodily ills. The practice is widespread, especially with tho!e who live on the Family Islands where professional medical cal'e is often unattainable. Over one hundred local plants are in use and sixty of them have been identified and depict ed in a book written eight years ago entitled Bush Medicine in the Bahamas It is felt that many of the plants do have medicinal properties and the fact that they have been used for hundreds of years could prove their value in curing bodily ills. Our people certainly have faith in natures cures, and even children to identify the plants, used by their parents to reliev e their small bodies of pain. Unfortunately the cost of testing plants for pos s ible medicinal value is very high. In fact, it wsts over a million dollars to bring a plant through the te s ting period to the point where it is made into pill form for over-the-counter distribution. Therefore praL:tkally none of the plants in use here, have ever been t ested. Ancient tribes L:he wed the roots of the wil l ow bark which contain salicylate to r elieve pain. and thi s gave t o the world Aspirin whi c h contains salicy lat e as its pain killing property. Medicine men of South American Tribes used the barks of the Cinchona tre e to case fever. Tod ay it is known as quinine. The Foxglove plant produces digitali s used for ce rt ain ills Toda y digit alis TRAVEL IS OUR ONLY BUSINESS COMPLETE TRAVEL ARRANGEMEN 'TS FOREIGN & DOMESTIC FOR YOUR NEXT HOLIDAY OR BUSINESS TRIP CALL 12-8585 I 32 -NURSES' REVIEW '76-'77 P.O. lOX 1506 effe c tively treats certain types of heart ailments. Our lovely Periwiokle Vinca contains properties that arrest cases of leukemia and today pills derived from this plant are sold to relieve the symptoms. of old age. AJoe Ver a is considered a miracle drug. Its "gel", used for burns of any kind, relieves symptoms promptly. It is also said to remove skin cancers Bahamians have explicit faith in the efficiency of Bush Medicin e and many years will pass before it ceases to be used in our islands In fact medicine today tends to go backwards to embrace the old-fashioned cures of yester-year. Meanwhile we go steadily on our way minding what the good book has to tell us. "The Most High ha(h created medicines out of the earth and a wise man will not abhor them." (Mrs. leslie Higgs) INTERNATIONAL NURSING REVIEW The International Nursing Review is one of the nursing professio n's most prestigi o us p ublications, read regularly by nurses in more than 100 countries around the world Through its extensive coverage of nursin g affairs worldwide, readers of the International Nursing Review can foll o w International trends in nursing follow activities of their colleagues in other countries. keep up to date on International meetings and semmars Incr ease their pr ofess ional awareness outside their own country. Join the thousands who enjoy international horizons through the International Nursing Review. Six informa tion -packed issues per year will be yours when you fill out the coupon below a nd mail Don't miss the high lights of the coming year in International Nursing. Send your order now. r-------------------------, International Council of Nurses PLEASE PAINT P. 0. Box 42-CH-1211 GENE A 20, Switzerland Pleas e enter my subscription to the INTERNATIONAL NURSING REVIEW. I en close Swiss francs 34.00 (or US$ 12 .00 or English 4.50) for one year. Name Street-------------------City--------------------Province-----------------Position------------------Institution-----------------Country------------------Signature------------------L_---------------_.--.J




PAT I E NTS CAN HELP TH E MS EL VES The most distressing ordeal which a patient with a disabling neurological condition has to cope with is the feeling of isolation from the world around him. Those who live with the symptoms of chronic dis a b ility ar e aware that those about them who are healthy, and do not have difficulties, look upon them as being st r ange an d possibly undesirable. What I am g oing to sa y is something which I believe intensely I bel ieve it because it has been taught to me by the m any p a ti en ts that I have been priv ile ged to help over t h e years. I hav e been m ade aware of who a nd what t hey ar e by young m e n like John w h o s tated t h at his ex perie nc e with dy s tonia had helped hi m to h ave a greater de gre e o f dete rm ina tion in centive an d u n der sta n ding of pe p le a nd self. I hav e learned i t from you ng wo men lik Jan e t who co uld not walk b ut wa s willi ng to danc e o n her knee s at h e r school prom, and I have learned i t fro m Miriam w h o could not dive st he r s elf o f the sensat ion of b ing "outside" eve n after she was restored to a c o nd ition that coul d be calle d physically normal They ar c members o f a minority g rou p who have physical a s well as psycho logi c al problems. I honestly CAREY'S DEPARTMENT STORE uYour Fabric & Fashion Centre" MACKEY STREET "BARGAINS G ALORE "!! FAB RIC DEPARTMENT Some of the Finest FABRIC to be found on the I sland -and Priced th e Lowest eve r !!! OTHER DEPARTMENTS Lovely Dresses Wearing Apparel for the whole Family -Fashionable Hats -and Household Goods So for all your needs Check With CAREY'S DEPARTMENT STORE MACKEY STREET 34 -NURSES' REVIEW '76-'77 beli e v e that th ey the dystonic, the choreic, the multiple sclerotic the spastic and the epileptic are beautiful people They are imprisoned within themselves by mus cle s which w ill not r espond, by seiz ures w hi c h are inflic te d upon them and by thoughts tha t t h e y cannot s peak, but be au tifu l bec ause they are c ou r ageo us and h ave a speci al ability for endurance. Let u s follow the example of thes e beautiful people: (1) Adopt a positive attitude i t will prove to be a b onus. (2) Retain your self pri d e and independence. (3) Deal with yourself and others truthfully and openly. (4) P ay attent io n to your inn e r self and share it Wit h those ab o u t you. It will reap a great reward. J A CQUELINE mOMPSON Senior Staff Nurse. Compliments of DEAN'S PHARMACY DRUGS & NOTION Quarry Mission Road


N E W EXTEN S I O N OF PRIN C ESS MARGAR E T HOSPITAL -The Nurses Association congratulates the Ministry of Health and all those who contributed to this remarkable achievement. The f a cilities provide d at the new ex tension can only enhance the delivery of h e alth care to the Community. As nurses we will do all we can within the framework of our reiPonsibility to continue to strive for excellence o f service. ... Til f f? f t! 0\ l.Yt-. DE \1 0 PI' Dll G Ll B . LLIL OIONJ. H THE LOFTC OHR Ll8 .. N P .. '_, {<>lil .. tt;!lll_. ._,.rro 1..,1. "'f '"' ):' I .[Y ". lri f N t!\! 1 ) ,.1 .. .. "\' . A T T H E 0 p E N I N G c E R E M 0 N y JRSES' REVIEW '76-'77 35


I I I I I I I I I I I I I I I I I ANECDOTES A dodor read the day nurse's brief report "PT C/0 SOB MOST OF THE DAY". He wrote underneath: ''PROBABLY IN C'HF. PROGNOSIS ? GOK'' and then in he jotted down : "IN (' ASE YOU'RE NOT UP ON THAT IT MEANS, GOD ONLY KNOWS.., One al"ternLHln I pick ed up a very pleasant elderly lady in a wheel chair tu tJkc her fnr admission t o a room in the M edicJI wing. A s I nonchalantly wheeled her int o the room, I saw to m y dismay that J distinguished look i n g gentleman o ccupied the other bed Somewhat I started murmuring apo logies :md backing h e r ou t when s h e piped up in a linn voice "Not so fast. Nurse' I'm staying right here I w u uldn t miss thi s o n c e-in-a lifetime c hance for a nything'" Nonetheless, we had to f ind her anoth e r r o om M E ETINGS The Nurses' Association mce ts every second M onday in th m o nth. in the Physi othe rapy D ep artment at the Prin c ess Margaret llos pital. The A ssoc iati on need s yo ur support, thr o u g h your m o nthly due s and y o ur attendance at mee ting s Let us w ork t o et h e r for U NITY IS STRENGTH. We look forward to seeing you. ------------, THE NURSES ASSOCIATION Wants to join you! For information on becoming a member of your professional organization, just clip out this notice, fill in your name and address in the space provided, and mail to: The Nurses' Association Of The Bahamas P. 0 Box N1691 Nassau, Bahamas or Deliver by Hand to the Private Duty Nurses Registry Name -------------------------------------Address-----------------------P.O. Box ________________________________ ___ Phone No. ________________________________ __ L __________ _j 36 -NURSES' REVIEW '76-'77 NURSE JOSEPHA WOUTER MISS JOSEPHA WOUTER President of the Caribbean Nurse s Organization vis ited us from March 18th to Marc h 2 0th Th e purpose of her visit was to familiariz e herself with the functioning of the professi onal organiza tion_ W o urer e mphasized that a strong Association i s n ecessary if nurses arc to be agents of change and encouraged the Nurses to play an active role in the Ass o c iatt o n "For The Professional Woman" in White To Look Right SHOP AT THREE SISTERS UNIFORM SHOP We Carry The Best IN ALL Lines or Types of Uniforms see us at 3 SISTERS UNIFORM SHOP Frederick & Shirley Sts.


lOTH BIENNIAL CONFERENCE OF THE CARIBBEAN NURSES ORGANIZATION Continued from Page 5 that it is important for him to get back as quickly as possible to his home among family and friends. * The Role of Tutors and Ins tru cto r s in preparing Nurses for Giving Quality Care to the Community" was the topi c of the presentation by Mrs. Ruth Perez, President of the College of Professional Nursing of Puert o Rico. The paper was presented at the work shop on Nursing Education conducted especially for Nurse Educators. "I often say that nursing is the only profession that really does a fine job of fiscalizing itself. No other profession expects to employ new graduates and expect expertise performance at once." she said. The responsi bility of ensuring that the nurse i s able to meet the demands of the community for nursing care must be s hared by her employment agency, her nursing school and her professional organization. Mrs. P erez discussed th e role of the tutor today, teache r student relationships, clirucal teaching, and the environment of the clinical setting and cite d the following as recorrunendations which have been made SHAYNE'S DEPT. STORE STORE Phone: 2-8834 P.O. Box 6285 LADIES Madeira Shopping Plaza Latest styles in high fashion shoes and sandals._ dresses. blouses, skirts and underwear. Nurse Uniforms & Shoes GIRLS Wide variety of dress and school shoes. school un iform sweaters all colours and sizes. blouses, skirts and underwear. MEN AND BOYS Latest styles in high and low platform shoes, pants. and shirts for school, all types of dress pants and shi:-ts. socks, underwear. W e carry a full line of regular tennis, Dunlop and All Star Converse tennis. For the latest in shoes and clothing for the entire family SHOP AT SHAYNE' S in an effort to bridge the gap between Nursing Service and Nursing Education a never-ending problem l Knowledge and awareness of the philosophy and objective of each area 2 Nursing educators must be free to select the laboratories for the clinical experiences of the students from those available in the Community 3. The use of Clinical facilities by the students must be carefully co-ordinated and planned by both groups. 4 Joint nursing practice committee should be established and students should be included. 5. Assist nursing service people in their con t inuing Education programs for their nursing staff. 6. Involvement of faculty and students in com m unity health committees. In conclusion she stated th a t "sharing" and "involvement" were the key words but, above all we must share "COMMITMENT" and meet the challenge that nur sing today is. Attending the conference was a stimulating and re warding experience for all of the delegates. The next conference will be held in the Co-operative Republic of Guyana in 1978. MINNIS SERVICE STATION and MINNIS IMPORT PRODUCTS PETER & MARKET STREETS COMPLETE LINE OF AUTOMOTIVE PARTS WINDSHIELD GLASS PAINTTYRES AND BAITERY ETC. PHONE 36182 Carlos Sabala SALES MANAGI: K P. 0. BOX 201>3 NASSAU, BAHAMAS NURSES' REVIEW '76-'77 --37


[]]Q@) [fl] "For The Professional Woman" in White To Look Right SHOP AT THREE SISTERS UNIFORM SHOP We Carry The Best IN ALL Lines or Types of Uniforms see us at 3 SISTERS UNIFORM SHOP Frederick & Shirley Sts. 38 NURSES' REVIEW '76-'77 Serve on cracked ice One part Campari Two parts grapefruit juice BEAUTIFUL SELECTION of FINE JEWELLERY From: ITALY, CANADA, ENGLAND, U.S.A, 8)\HAMAS RINGS CHAINS BRACELETS CHARMS PH. 21488 LUNN BROS. Nassau Arcade Bay Street WATCHES by BULOVA & ACCUTRON 4 CARAVELLE P. 0. BOX N-375

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