October 29, 2009

My patient had Schizophrenia, undifferentiated, and i found out later on that she had been in DMC for quite a while now.

We left Davao at 5:30 in the morning of October 24 and arrived in CDO around 12:45-1:00 in the afternoon.

so that’s it for the basics. now for the meat of the meal:

After the 2-week duty, I realize that somehow my thirst for growth and development, for self-actualization and wholeness, grew a thousand-fold! I guess it has much to do with the fact that I only saw the bigger picture in Davao. I was also able to take in the impact of love and support from the family and the relevance of functional support systems in the mental hygiene and health of an individual. Finally, I measured myself and contemplated with much scrutiny the whole of my being and the purpose of my life.

I guess the two-week exposure was a makeshift pilgrimage for me. At the end of the day, I asked myself, why shouldn’t I be a nurse?

of grades and nursing

September 12, 2009

so how am i supposed to explain this phenomenon that seems to drag on and on and on?

we spend time, energy, sweat, saliva and materials, and yet we get almost nothing in exchange. aren’t we really just working for nothing but letters and numerical figures by the end of each semester? and when i think about it, grades aren’t even real! hell, they’re not even tangible. but we go through oceans and move beyond continents just for a measly letter off the alphabet that supposedly summarizes our performance! ha! one letter to cover the entire scope of my skills and the things that i learned?

and from that grade, from that single character written down in ink, lays our future. that letter can either make or break our sanity, can either be the drug to trigger our highs or the alcohol to pull us down the drain. that small figure stands as the main chairman between father and son, daughter and mother, aunts and neices/nephews on whether they’d share an open thrapeutic relationship or not.

and from there, comes the need to fulfill expectations and the illusion that we have to redeem ourselves for the sake of our parents and our ever supportive families.

when you think about it, it’s the angst ridden teenagers like me who would still suffer in the end. and they call it a fair system. pfft.

moving on.

i’ve learned something valuable to me today. i surmise that i am not able to perform at my best no matter how much i push myself because some part of me has already given up; somewhere within me has already concluded that i am not enough and that i shouldn’t even try. and this is where my fear takes over because i do not want to be insufficient and i always make it a point to AT LEAST try. I’ve drawn up a defense mechanism to compensate for that fear and now i realize as i look back that indeed, i have never seen myself perform my best since gradeschool.

although it seems too dramatic in the clinical setting, the fact that we are already tackling psychiatric topics have made me stop and contemplate on the individual that i am today. after all the reflection time i’ve spent, this is the end product. bearing this is mind, there is a need for me to improve on myself but before i can, i still have to go back to take out the root that’s been holding me back.

i’ve also learned for the past two weeks, that time wasted is opportunities for growth lost. many times, my priorities weren’t really as urgent and i ended up doing things i regretted since in the end, i realized i could have used the time spent for something more productive.

The Commission on Higher Education’s proposal about the 5-year Nursing curriculum has been a hot topic for most Filipinos today, mainly to discuss its advantages and disadvantages. And although it mostly involves students enrolled in the college of Nursing alone, the move would affect the whole country since the Philippines has already established the fact that our nurses are highly-competitive and sought after abroad. What would CHED’s proposal make of the one-year lag, if ever the proposal would be implemented? And what about the freshmen who have already mapped out their future on the basis that they would be leaving college within a four-year time frame? Wouldn’t it be unfair for their parents too, since an additional year would also mean another year working their butts out just to make ends meet? Nurses are expensive for a logical explanation; aside from the nurse’s specialized services, enrolling in the curriculum in itself is already financially-challenging.
On one hand, adding another year to the curriculum would provide ample time for reviews and opportunities to sharpen the Attitude, Knowledge and Skills for aspiring nurses, since the last year is supposedly devoted to lesson reviews for the licensure exams. And if this would be true, then nurses wouldn’t have to invest on review centers after they graduate. Another argument to consider is that the additional year would give students reason to take the course seriously and to really evaluate if he is willing and capable enough to commit five whole years on learning and hopefully, mastering the Nursing profession. Hey, five years is no joke when it comes to planning for the future, so if one is already having doubts with proceeding as a nurse, then he should speak up because it would only be a waste if he ends up graduating unhappily or dropping off college; either way, he’d be throwing away not only his parents money, time and effort but his identity as well. Lastly, with more time to study, there would be a reduction of some subjects that some students consider as “minors” since they aren’t closely related to the Nursing profession. Subtract some subjects and maybe the next batch of student-nurses would actually get to enjoy some of their summers without having to attend classes.
On the other hand, four years is already an economic burden for most Filipino families, adding another year would just be abusive. Wouldn’t some families find it more practical to make their children stop going to college and just settle with call centers and those other alternatives? Second of all, I believe it’s a strategy from the government to delay those nurses who would join the unemployed since there would be a one-year grace period. Third, another year is not assurance that quality in the Education would improve. If CHED plans to ensure quality among nurses, they should monitor and regulate the schools on their implementation of standards instead of prolonging the agony. Lastly, I strongly agree that it’s not fair. I think about my friends who are still in their freshmen year and I think they would be robbed off their right to choose since what they’ve chosen for themselves is a four-year Nursing course. If ever the proposal is implemented, they should implement it on the current graduating students in high school since they would be well aware by now.
I don’t want to follow CHED’s proposal. It may as well be a political scam for all we know. I also think that the deterioration of the current education cannot be fixed by adding another year. As I’ve said, there should be sufficient follow-ups on whether Nursing schools maintained the standards, because no matter how many years the course would take to finish, it would all be pointless if the set criteria are disregarded.
Should we follow the five-year Nursing education? No, let’s not. Maybe in the near future we can implement it if they’re really insistent, but for now, I’m settling with the four-year course, thank you very much.