My 6yr old had open heart surgery last year. As a paediatrician myself, stepping over onto the other side was hard.
5 things I learnt from being a parent on a paediatric ward.
A 🧵 /1
1. I have a name.
Being referred to as "mum" is fine, I get it and did it a million times, but there was one nurse who used my first name and it meant the world to me at a time when I felt really vulnerable.
I felt seen.
Learn parents' names and use them /2
2. Always acknowledge the patient & their family.
Whilst on ICU a group of 10 healthcare professionals did the ward round. They stood muttering at the end of the bed then walked off without explaining or acknowledging me. I left the unit & cried.
Families must come first. /3
3. Parents need to be shown around the ward. Where can they shower, get a cuppa? How do they charge their phone?
I had never done this as a paediatrician making the assumption that the nurses had, but what if you are the first person that sees the family?
Make them feel safe.
4. Sleep
The night before my daughter's surgery I didn't sleep. Anxiety, alarms from other kids' monitors in the bay, unnecessary obs on my daughter.
Think about how you can reduce the impact of sleep deprivation eg the need for obs at 2am, how loud are you talking, lighting /5
5. Talking
After my daughter went into theatre, I returned to the ward to get my stuff. The staff were all busy but one of the drs saw me, blotchy eyed & terrified.
He made me a cuppa and sat and chatted.
Anyone can help a parent feel held. It's not doctoring, it's humanity. /6
As health professionals, we can get caught up in service provision, bogged down by the endless list of jobs
As a parent, having a child in hospital is stressful & upsetting. Unfamiliarity, a different language, helplessness, lack of control.
We need to acknowledge this. /7
You don't need to have had children yourself to understand this.
It's about tapping into your own humanity & vulnerability.
Patients & their families MUST be at the forefront of every contact.
Here are the 5 things that mattered most to her whilst we were in hospital.
Read & learn from a 5yr old.
A 🧵
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1. Don't make unrealistic promises
Just after she came out of ICU, she had a procedure. The doctor said:
"Count to 3, breathe in & you'll be able to go home."
She did as she was told but unsurprisingly she didn't go home.
Building trust is key. Don't lie.
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2. Explain what you're doing
When she had her chest drains removed, the dr came at her with a scalpel. With no explanation of what he would do with it, he approached her chest
She was terrified.
A simple explanation and demonstration will ensure procedures aren't traumatic.
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As doctors, we strive to do our best for patients. We often make sacrifices to ensure patient care is as good as possible in what, let's face it, is a system that is breaking at the seams. #MedTwitter #MedStudentTwitter
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Many decisions made by doctors are layered with emotional & moral dilemmas.
Weighing up the different elements of scenarios, the pros & cons, the potential consequences & risks.
Generally we can reconcile the outcome of these decisions with the fact that we've done our best
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But during the pandemic, doctors faced decisions that left them feeling that they hadn't done their best.
Patients dying without their relatives, decisions to determine who gets the last ICU bed, delays in cancer surgery, deciding who gets a chance at life & who doesn't.
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