Trauma

How many times do we hear the news of a traumatic death in the media? We might stop for a moment and think how shocking it is or we might not even do that, we might be too busy to ponder anything except the task at hand. I remember when I worked in hospital I often thought, after I’d nursed someone with a broken leg, that never again would I say “oh, that’s good they just got a broken leg” after hearing about an accident. Until you see injury and death up close you don’t realize just how physical it is, how weighty and wearing on all involved.

A year into my remote area nursing I was called to a stabbing where a short while later the victim died. I couldn’t sleep properly for weeks. The sheer physicality of the event had lodged in my imagination, I couldn’t get free of the movie that kept replaying in my mind.

I saw a visiting psychiatrist who told me that the murder had ticked every box indicating it was indeed traumatic, but as I spoke to him throughout the week he was visiting the community, he told me in his opinion, I’d been more traumatised by a sequence of events involving bullying by two nurse colleagues in a hospital prior to me working as a RAN.

What traumatises us is as unique to each of us, as is what contribute to our recovery, and the time and the journey our healing takes.

For me, I’ve always needed to get out into nature on my own and just be. It somehow seems to put emotional upsets into a larger, calmer context. Pictured here was my favourite getting out into nature spot in Aurukun, the landing, where I often walked to after work and sat until sunset or the mosquitoes came out.

Mental Health

I just finished reading a book called “Madness: a memoir” by Melbourne doctor, Kate Richards. It’s an honest and poignant account of her experience with mental illness. She ends the book by saying…”I’m grateful to be living in a country where medication and therapy are mostly available and affordable. However even in Australia, we are still not caring for the most vulnerable members of our communities. Those who, through no fault of their own, are not as lucky as I have been to respond to medication or to be able to find the right kind of therapy. These people are of all ages and backgrounds, and we ignore their suffering because most of us don’t understand their ways of seeing the world or we are afraid of their difference or embarrassed by their appearance and because we don’t see their injuries. No-one ever wakes up one morning and thinks, today I’d like to go mad, lose my job and friends, and end up odd-looking and living on the streets, anymore than they think, today I’d like to get cancer.”

Aurukun has the highest number of mental health clients in Cape York and is serviced well by visiting mental health teams. The RFDS built a Wellbeing Centre (pictured here) in the grounds of the clinic a few years ago which offers support, counselling and education. But providing services is just one way to support “vulnerable members of our communities”, having, and showing, kindness and compassion, firstly on ourselves in our demanding work as remote area nurses and then to others is the key to our continuing mental health and our patients healing.