ÿþ<HTML><HEAD><TITLE>TNAI JOURNAL</TITLE> <META http-equiv=Content-Type content="text/html; charset=iso-8859-1"> <META content="Microsoft FrontPage 5.0" name=GENERATOR> </HEAD> <BODY background="../../img/thenursaningjournalH1.gif"> <DIV align=left> <TABLE cellSpacing=0 cellPadding=0 width="100%" border=0> <TBODY> <TR bgColor=#006699> <TD> <DIV align=center><img src="img/thenursaningjournal.gif" width="400" height="123"></DIV> </TD></TR> <TR> <TD> <DIV align=center><b><font face="Arial, Helvetica, sans-serif" size="2">January 2009&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;VOL. C No. 1</font></b></DIV> </TD></TR></TBODY></TABLE></DIV> <HR noShade> <DIV align=right>&lt;&lt; <A href="javascript:history.back()">Previous Page</A><BR></DIV> <table width="95%" border=0 align="center" cellpadding=2 cellspacing=0> <tbody> <tr bgcolor=#f8efcd> <td height="51" valign="top" bgcolor="#C6ECFF"> <div align=center> <p align="CENTER"><strong><font color="#9900CC" size="4" face="Verdana, Arial, Helvetica, sans-serif"><font color="#CC6600"><strong><font color="#000000">Address by Dr. APJ Abdul Kalam during the Inaugural Function of Centenary<br> Conference of The Trained Nurses&#8217; Association of India, Mumbai </font></strong></font></font></strong> <p align="CENTER">&nbsp; </div></td> </tr> <tr bgcolor=#f8efcd> <td height="2618" bgcolor="#FFFFFF"> <table width="100%" border="0" cellpadding="1" cellspacing="2" bgcolor="#006699"> <tr> <td height="2610" valign="top" bgcolor="#FFFFFF"> <blockquote> <div align="left"> <table width="90%" border="0" cellspacing="0" cellpadding="3"> <tr> <td width="27%"><img src="pp.jpg" width="194" height="187"></td> <td width="73%" valign="top"><font size="2" face="Verdana, Arial, Helvetica, sans-serif"><strong> <div align="center">Address by Dr. APJ Abdul Kalam during the<br> Inaugural Function of<br> Centenary Conference of The Trained Nurses&#8217;<br> Association of India, Mumbai </div> </strong></font> <div align="center"><strong><font face="Verdana, Arial, Helvetica, sans-serif"> </font></strong> </div> <p align="center"><font size="2" face="Verdana, Arial, Helvetica, sans-serif">Let my care, remove the pain<br> &#8220;Nursing is a beautiful mission&#8221;</font></p> </td> </tr> <tr valign="top"> <td height="639" colspan="2"> <p align="justify"><font size="2" face="Verdana, Arial, Helvetica, sans-serif">I am delighted to participate in the inauguration of Centenary Conference of Trained Nurses&#8217; Association of India (TNAI), Mumbai. My greetings to all the members of the TNAI. I have been interacting with lakhs of people in the noble profession of nursing all over the country - some in eye care, some in emergency management, some caring old age patients, some in psychiatric care, some in attending to transplant patients and so on. But there has been one common quality that I have observed, that is of removing the pain, and giving consolation and relief to the patients and patient&#8217;s relatives. I would like to share with you all, few thoughts on the topic &#8220;Let my care remove the Pain&#8221;. While I am with you, I recall my participation in the National Awards Function organised by the Ministry of Health and Family Welfare for recognising the meritorious services of the nursing professionals in the country as a part of the International Nurses Day to rightly remember the great nurse Florence Nightingale.</font></p> <p align="justify"><font size="2" face="Verdana, Arial, Helvetica, sans-serif"><strong>Lady with a Lamp:</strong><br> During that function, the legend of Florence Nightingale, the mother of nursing profession came alive in my memory. She volunteered to work for three years in the battlefield taking care of thousands of wounded soldiers travelling from England to Turkey in a ship. She walked four miles every night among sick soldiers, with a lamp for light. The grateful soldiers would kiss the shadow of Florence Nightingale as she passed by. She is definitely an example of &#8220;giving&#8221; for removing the pain of the suffering people. She opened the first nursing school and she wrote the first text book of nursing in 1860. She inspired many women to take to nursing as a respectable career. I particularly like her views on education. She says &#8220;education is to teach not to know, but to do&#8221;. There is a big message for educationists from this statement. India is a leading country in education and training of quality nursing professionals, I am sure many nurses are working with passion and love this profession. I visualise in my country many Nightingales who represent the peak of nursing profession and shining examples for future nurses. </font></p> <p align="justify"><font size="2" face="Verdana, Arial, Helvetica, sans-serif"><strong>Blending Care with Knowledge</strong><br> There has been a division between the technological and scientific basis of nursing and its nurturing or caring role during the last 150 years. Nightingale believed very strongly that good nurses were the product of moral rectitude, maturity and a deep understanding of the character traits needed to care for sick and vulnerable people. The second wave of reforms in nursing was led by Ethel Bedford-Fenwick (1857-1947) in England, and Adams Hampton Robb (1860-1910) in America. They chose a medical model for professional nursing which emphasised education in the sciences. In 1909, Dr Ida S. Scudder started India&#8217;s first School of Nursing at Vellore. In the 21st century, nurses have to become knowledge workers because of the advancement in healthcare technologies. Today, with the rapid advancement in healthcare system and creation of specialties and super-specialties in medicine, there is definitely a need to look at the super specialties needed in nursing to compliment the doctors. </font></p> <p align="justify"><font size="2" face="Verdana, Arial, Helvetica, sans-serif"><strong>Specialist Training to Nurses</strong><br> A gradual revolution is taking place as a public-private effort to attend to medical emergencies. One key part of this endeavour which has already been introduced in 11 states is the training for emergency management technicians. A training programme has been introduced in the country in collaboration with Stanford Medical School. The objective of this emergency health service is to save million lives in a year starting from 2010. Already this mission has started performing. For any emergency service, the citizens have to dial</font></p></td> </tr> <tr> <td colspan="2"><hr align="JUSTIFY"></td> </tr> <tr valign="top"> <td height="901" colspan="2"> <div align="justify"> <p><font size="2" face="Verdana, Arial, Helvetica, sans-serif"> The toll free number 108 in the eleven states and it is going to spread in the whole country. The 108 Ambulance movement has become a friend to all the rural and urban citizens of the states where they are in operation. As soon as a call is received, ambulance departs within 60 seconds and reaches the site of emergency in an average of 14 minutes if it is an urban area, or 25 minutes in the rural area. EMRI is a modern service with high-tech communication system, GPS system, interlinked network with well maintained ambulance system, always waiting to deal with any emergency occurring at any point in the state. In India, the nursing community will become a partner in the emergency health service. </font></p> <p><font size="2" face="Verdana, Arial, Helvetica, sans-serif"><strong>Nurses as Teachers for Patient s families</strong> <br> Recently, there was a meeting of cured patients, their doctors and a few social workers in a hospital. One important point that emerged during the interaction was, that the relationship between the patient and doctor extends to patients family. This, in turn transmits effective messages from one family to another family on advice to prevent diseases, necessity of periodic checks, the dietary habits and the need for life style changes including exercise for good health. I believe this good contact between the doctor and patients is very valuable. If we have specialist nurses performing this role, it can enable the families to understand the disease prevention method leading to a healthy way of life. I request every nurse to become a teacher for the families of patients. By this complimentary role, the work load on the doctors will come down and the patients and their families will be benefited substantially.</font></p> <p><font size="2" face="Verdana, Arial, Helvetica, sans-serif"> <strong>My Experience in Philippines</strong><br> In 2006, when I was in Philippines, I addressed and interacted with the students and faculty members of the College of Nursing of University of Philippines. Pilipino nurses have established the credentials of nursing profession all over the world. Just like Indian nursing community, the hard work of Pilipino nurses in world s best hospitals has kept alive faith of people in modern medicine. The nursing college of University of Philippines is indeed a unique college that has a PhD programme in nursing. In our country also, few universities and medical colleges have introduced such PhD programmes. Qualified nurses can practice medicine in the rural primary healthcare centres. In addition, we should conduct number of Post Graduate nursing degree courses for our working nurses through distance education system, so that we can give them career growth potential. I have discussed with both Philippines and Indian nursing experts. Dr Josefina Thazn, Dean of Nursing in University of Philippines visited here.</font></p> <p><font size="2" face="Verdana, Arial, Helvetica, sans-serif"> It is essential that there should be common classes in physiology, psychology and anatomy for graduate and post graduate nurses along with MBBS course participants. Also, the Indian Nursing Council should review their nursing courses continuously in view of the continuous technological changes taking place. I was very happy to see certain post graduate education coming up recently through a distance education programme in CARE Hospitals, Hyderabad in partnership with Netaji Subhas Open University (NSOU), Kolkata. These courses  empower the nurses to take up carriers in Hospital Management and as Nurse Clinicians. I would suggest the Trained Nurses Association to consider institution of such in-house training facilities for providing continuing education to the nurses in various hospitals located in different parts of the country.</font></p> <p><font size="2" face="Verdana, Arial, Helvetica, sans-serif"> <strong>Liver Transplant: A Case Study</strong><br> Like any organ in the body, the liver is subjected to diseases. The unfortunate aspect of liver diseases is that the symptoms show up only after the damage has set in. Generally patients are unaware of any damage to the liver for years together. This phenomenon I learnt in a hard way through the traumatic experience of one of my Scientist friend, which eventually resulted in liver transplant. He went to St James Hospital in UK for liver transplant where the doctors and nurses explained to him all the pros and cons of the surgery and registered for a compatible liver. He was kept in the waiting list. </font></p> <p><font size="2" face="Verdana, Arial, Helvetica, sans-serif">There was a long waiting list. Finally my friend was operated on the 13 June 2000 by Dr Peter Lodge of St James Hospital in UK and his gifted team of doctors, one of whom Prof Merwin Davies who happened to be the close friend of Prof Acharya of AIIMS, New Delhi. The operation took seven hours. Later he regained consciousness and saw the people around him who were in smiles after the successful operation. He is now hale and hearty with a British liver. He left the hospital after 17 days and weighed only 57 kg when he was wheeled out. He was slowly <font size="2" face="Verdana, Arial, Helvetica, sans-serif">permitted to eat everything except grape fruit. As usual all the medicines caused their own side effects. He remained in Leeds for over three months under the care of expert doctors after the operation and flew back to India with his family. </font> </font></p> </div></td> </tr> <tr> <td colspan="2"><hr align="JUSTIFY"></td> </tr> <tr valign="top"> <td height="757" colspan="2"> <div align="justify"> <p><font size="2" face="Verdana, Arial, Helvetica, sans-serif"><strong>Experience with the Transplant Nursing Community</strong><br> I talked to my friend about his experience in the UK hospital with the nursing team. He mentioned that the Nursing community in UK looking after the transplant cases possessed following unique characteristics: <strong><br> A .</strong> Patient and the donor were under 24x7 care of the nurses.<br> <strong>B.</strong> The patient and the donor were provided with the total literature pertaining to the transplant and encouraged to ask questions if they did not understand any part of the material. <strong><br> C .</strong> The patient was given explanation about the treatment, side effects and what they should do in case of any difficulty.<br> <strong>D.</strong> The dedication and commitment of the nursing team was total. <br> <strong>E.</strong> The knowledge base of the nurses was wide and deep. <br> <strong>F.</strong> The nurses were always smiling. <br> <strong>G.</strong> The patient can report any problem to the nurse, even though it may not concern them directly. The nurse will undertake the problem and report what has been done. <br> <strong>H.</strong> The nurse will always ask,  what I can do for you? They will also say,  if you need anything, do not hesitate to ask me? This type of attitude keeps the patient at high spirit and makes them feel that there is somebody to take care of them always. I am sure, many of you assembled here may be providing similar care to the patients in Indian hospitals. I am telling this experience of my friend to the nursing community assembled here, so that you can document it and include it in the training programme of the nurses at various stages of their career. </font></p> <p><font size="2" face="Verdana, Arial, Helvetica, sans-serif"><strong>Conclusion </strong><br> While you have been doing an admirable job for caring for patients, can you also help in preventive care? With your vast experience, you would have come across many cases where an illness or accident could have been avoided if only sufficient precautions had been taken much in advance. Also there is a need for conveying certain healthy practices and hygiene guidelines to our people particularly to the rural population. Do you think it is possible to take an initiative in this direction? Let me refer to the  Help Your Body and Mind programme which was launched in Mumbai on 16 August 2008. </font></p> <p><font size="2" face="Verdana, Arial, Helvetica, sans-serif">This programme proposes to create awareness among the people about the methods to combat chronic diseases through 20,000 doctors and supporting nursing community who will function as spokesperson in a zone. Simultaneously, 90 diagnostic centres across 47 cities are being established for providing free testing for detecting chronic diseases. In addition, it is also proposed to enlist the support of local communities for building momentum. Nursing community has always to be partners in such types of societal mission. Dear members of nursing community, I have designed a six-point oath for you. Can you repeat the oath with me? </font></p> <p><font size="2" face="Verdana, Arial, Helvetica, sans-serif"><strong>Oath for Nursing Community</strong><br> <strong>1.</strong> I love my profession of nursing, the noble mission.<br> <strong>2.</strong> I realise, removing the pain is a great Godly mission. <br> <strong>3.</strong> I will treat all patients equally with kindness and care. <br> <strong>4.</strong> I will take special care of at least 20 rural patients. <br> <strong>5.</strong> I will be a life long learner in nursing.<br> <strong>6.</strong> I will follow the motto  Let my care, remove your pain and bring smiles .</font></p> <p><font size="2" face="Verdana, Arial, Helvetica, sans-serif"> My greetings and best wishes to the all the members of nursing community for success in their mission of removing the pain of the patients.</font></p> <p><font size="2" face="Verdana, Arial, Helvetica, sans-serif"> May God bless you. </font></p> </div></td> </tr> </table> </div> </blockquote> <blockquote> <p align="center"><font color=#330033><font face="Tahoma, Arial" size=1>:: <a href="../../policy.htm">POLICY &amp; POSITION STATEMENT</a> :: <a href="../../resources.htm">RESOURCES &amp; PUBLICATION</a> :: <a href="../../thenursing.htm">THE NURSING JOURNAL OF INDIA</a><br> <a href="../../membership.htm">MEMBERSHIP DETAILS</a> :: <a href="../../advertise.htm">ADVERTISE WITH US</a> :: <a href="../../events.htm">EVENT DIARY</a> :: <a href="../../what.htm">WHAT'S NEW</a> :: <a href="../../guest.htm">SIGN OUR GUEST BOOK</a> :: <a href="../../contact.htm">CONTACT US</a> :: <a href="../../nurse.htm">NURSE PLEDGE</a></font><br> <font size=2><i>Trained Nurses' Association of India (TNAI)</i></font></font> </blockquote></td> </tr> </table></td> </tr> </tbody> </table> </BODY></HTML>