Monday 19 December 2016

An update on Tammy’s work in Zimbabwe

From left: Denford Gudyanga, Case Manager; Tendai Mayuni, Programmes Officer, M&E; Charity Shonai, Case Manager; Tammy Palmer and Mlambo Nefasi, Case Manager

In July we heard from 
Community Psychiatric Nurse Tammy Palmer, who was planning to travel to Zimbabwe to help spread the success of the Early Intervention in Psychosis (EIP) model of care. Here’s her first update.

I am now three months into my year-long career break, during which I’m supporting work to introduce the EIP model through the Zimbabwe National Association for Mental Health (ZIMNAMH), a non-governmental organisation that advocates for the rights of people with mental health problems.

Monday 5 December 2016

International Volunteer Day

5 December is International Volunteer Day. One of our volunteers, Thomas, has written his volunteering story.

How I volunteer


I am now an established volunteer for Nottingham Healthcare NHS Foundation Trust, with all of my work based at their offices at Duncan Macmillan House on Portchester Road.

With well-established skills in software development, and more recently, qualifications and skills in website related development, my main area of volunteering is in developing a more dynamic front end to a website used for managing and reporting on the feedback of patients on the services which they have received from the NHS. More specifically, I will be replacing graphical information presented as a static picture with graphics generated dynamically from information in a database.

With experience of being on the autistic spectrum, I also volunteer for Story Shop afternoons. On such afternoons, a number of us travel to a venue (a local teaching hospital, the offices of the local authority, or a public library) to give an account of our health related experiences to successive groups of medical students, local authority employees, or interested members of the public. On such afternoons, I talk about my experiences of being on the autistic spectrum.

Tuesday 8 November 2016

Keeping people safe: Occupational Therapy and the Fire Service


Occupational therapist Lyndsay Beck explains why her team are working with the Nottinghamshire Fire and Rescue Service, to help older people stay safe and independent.


I am an occupational therapist at Nottinghamshire Healthcare and I work with older adults with mental health needs, such as depression and dementia. An occupational therapist’s role is to help people to carry on with the activities which they need and want to do.

It may seem like an unlikely combination, but my colleagues and I have been working closely with Nottinghamshire Fire and Rescue Service. You may be wondering why? It’s because often the older people we work with – who may be isolated and have poor mental and/or physical health - are the types of people who are most likely to be affected by fire. Fires related to heating and cooking appliances are the most common in Nottinghamshire.

Tuesday 1 November 2016

Life after Rio


Earlier in the year we heard from paediatric physiotherapist Julie Gray, who was looking forward to being part of the Rio Paralympics. Julie went to Rio as the Head of Classification for the International Canoe Federation (ICF). Now she's settled back in to normal life, we asked her about her experiences.

What was the atmosphere like?


The atmosphere in the athlete’s village and in Rio was joyous. The Brazilian people were so friendly and welcoming, and the Carioca spirit covers every aspect of daily life. They want to share it with all their guests, to help them to feel a little of the sheer joy of living, and to take it away with them to wherever they are going in the world.


Monday 24 October 2016

Why is the flu vaccine important for your child?

Flu season is upon us again and many parents will be deciding whether their child should have the flu vaccine. We asked the Trust's School Aged Immunisation Team to tell us more about the vaccine and why you should consider it for your child.


Like many Immunisation Team nurses across the country, we will be giving the flu vaccine to primary school children in Years 1, 2 and 3 over the next few months.
  

Wednesday 19 October 2016

"Sometimes it feels like the support group might have saved my life": Julia's story

The Child and Adolescent Mental Health Service (CAMHS) Self-Harm Team run a support group for parents of children who self harm. One of the mums from the group, Julia, shares her story.



Sometimes it feels like Caroline and Marie’s support group might have saved my life. That might be an exaggeration but it’s certainly gone a long way towards supporting my mental health…and I can only adequately support my children when I’m doing okay myself.

Tuesday 18 October 2016

What is mindfulness?


You might have heard people talk about mindfulness as something which can help with mental health and wellbeing. But what exactly is mindfulness?

Wednesday 12 October 2016

Nottingham Mental Health Awareness Weeks: "There's a lot that people don't know"

Rachel is a service user and Involvement Volunteer with us at Nottinghamshire Healthcare. She wanted to talk to us about Haven House, which she thinks is a fantastic support to people experiencing a mental health crisis.

Haven House, which is run in partnership with Turning Point, provides 24-hour support for up to seven days to people from Nottingham and south Nottinghamshire.

I came to the crisis house because I was having difficulties with a neighbour, and I needed a quiet place to get some respite. I have bipolar, and I was becoming very stressed and having high moods.

The best thing about Haven House is the calm atmosphere and the camaraderie. A lot of support comes from the other people who are using the service. We’re like a family, and we look after one another. We cook together and help each other out. We’ve recently had a burger night, and we’ve had cream tea together. You get a lot of support from the other clients.


Monday 10 October 2016

"Our family life was changing beyond recognition": Nicky's story

The Child and Adolescent Mental Health Service (CAMHS) Self-Harm Team run a support group for parents of children who self harm. One of the mums from the group, Nicky, shares her story.


It’s hard to express how I felt when I discovered that my daughter was self harming. I lived with constant anxiety, worry and in a state of nervous tension, feeling a mixture of guilt and shame, wondering what I’d done wrong and how I could have supported her better.


Thursday 29 September 2016

“Health visitors are a lifeboat in the stormy days of having a new baby.”

As a doctor, Lucy knew all about the role of health visitors. However, it wasn’t until she became a mum herself that she realised just how important their work really was.

At seven-weeks-old Lucy’s daughter, Rosie, was diagnosed with an inguinal hernia which occurs when fatty tissue or part of the bowel pokes through into the groin. Shortly afterwards, Rosie underwent an operation to have her hernia repaired.

It was a difficult time for Lucy, who found support not only from her family, but from her local health visitor too.

“Nicola had been helping me with breastfeeding Rosie because she had lost a lot of weight following her birth” recalls Lucy. “When I showed her the hernia, she was reassuring and kind, which was just what I needed."

Wednesday 28 September 2016

All you need to know about potty training

Most families will experience the ups and downs of potty training at one time or another. Nicola Lilley, a health visitor with the Trust, gave us her top tips for toilet training.


Wait until they are ready


Don’t feel pressured to start toilet training if you do not feel your child is ready. Toilet training is more likely to be successful if you let your child set the pace. If your child isn’t ready, success will take longer and the likelihood of accidents is greater.

When are children ready to toilet train?


There is no right age to start toilet training. Most children are around two-years-old but many are nearer three-years-old before they start showing signs of being ready.

Monday 26 September 2016

"I never expected to get the care that we did. Nicola was fantastic!"

When Gina, mum to two-year-old Cleo, contacted her local health visitor for help with potty training, she wasn’t sure what to expect. However, after a few visits from Nicola, a health visitor with the Trust, Gina soon realised she’d get more than she expected.


“My GP suggested I contact my health visitor” explains Gina, “because Cleo was struggling to poo on the potty. I didn’t know what to expect from Nicola, but I didn’t think we’d get anything like the one-to-one care that we did. She was fantastic."

Wednesday 7 September 2016

"I hope that more people with impairments will take up sport"

Julie even has a new Rio inspired hair style!
Julie Gray is a paediatric physiotherapist at Nottinghamshire Healthcare. Here she talks to us about her role at the Rio 2016 Paralympics.

As a volunteer, I’ve been running a canoe and kayaking club for young people with special needs for the last 25 years.

When British Canoeing was looking for someone to train as a medical classifier, my name was put forward, as I have not only the medical skills as a physiotherapist, but also understand some of the technical aspects of the sport through coaching the youngsters in my club.

Monday 18 July 2016

Taking Early Intervention in Psychosis to Africa

Community Psychiatric Nurse Tammy Palmer is traveling to Zimbabwe later this year to develop a pilot Early Intervention in Psychosis service.  Here, she talks about her motivation and hopes for the project and why she is embarking on the trip...

Working with the Early Intervention in Psychosis (EIP) Team has really shaped my life and passions within mental health nursing. I’ve worked with and seen so many young people experiencing psychosis for the first time and have been so privileged to be part of a team who help those young people, along with their families, to discover that there is a hope and a future, despite this really scary experience that can have so much stigma attached to it. It’s so inspiring, watching someone go from feeling extremely nervous and distrusting of themselves and others around them, to developing a new sense of confidence, supporting others, and moving on to succeed in their lives… so much so, that I have been inspired to take this specialist way of working to Zimbabwe - the place where I was born. 

Thursday 23 June 2016

“The support group helped me realise I wasn't alone. And I was doing a good job!”


Nicole, 37, always knew she wanted to breastfeed. Her mum had breastfed her, and Nicole had already done the same with her three sons. 

However, when she had her fourth child, Scarlett, breastfeeding didn’t go quite as well as she expected.

After finding support at her local breastfeeding support group, run by the Trust, Nicole is now sharing her story seven months on, to encourage other mums who are struggling to access the help that’s available.

“The first few weeks were very hard and draining” Nicole explains. “Scarlett had lost a lot of weight and wanted to be fed constantly. My husband and sons helped around the house so I could concentrate on feeding Scarlett, but I was tired and upset, and I felt I was failing her.

“When the Health Visitor came to visit, she referred Scarlett to a pediatrician to check everything was ok. The pediatrician said Scarlett was doing everything she should be doing. She told me breastfed babies should have a different chart in the red book to formula-fed babies as they digest breast milk easier, so feed more often, and some babies may take a little longer before they begin to follow the weight chart."

Wednesday 22 June 2016

11 top tips for successful breastfeeding

Breastfeeding offers both you and your baby so many health benefits, as well as creating a really strong bond between you.

Breastfed babies are five times less likely to suffer tummy bugs and urine infections, and two times less likely to suffer from ear infections. Mums have a lower risk of breast and ovarian cancer, and will burn up to 500 calories per day.


As part of Breastfeeding Celebration Week, we spoke to mums and breastfeeding support workers to find out their top tips.

Tuesday 21 June 2016

“Breastfeeding doesn’t come naturally to all mums. Some of us need a bit more support!”

For Charlotte, 30, memories of breastfeeding her first baby were tinged with sadness. After three weeks struggling to feed her newborn son, she made the difficult decision to stop. It’s something she has always regretted.

But, when she had her second baby, Jacob, last year, she decided to give breastfeeding another go, this time armed with support from her local breastfeeding support group, run by the Trust. 


Now, over a year later, Charlotte is sharing her breastfeeding story, to encourage other mums who are struggling to access the help that’s available.

“The first few weeks were very difficult” Charlotte explains. “Jacob was a ‘sleepy feeder’ and would take up to an hour to feed – and then he’d be hungry again an hour later. Not ideal with having a toddler too. I had very painful nipples. And then developed mastitis as well, which was extremely painful. When the Health Visitor came to visit one day, I was so upset I just burst into tears. I was already struggling – this was the last thing I needed!"

Monday 20 June 2016

“I never thought I’d be a Mum who went to groups, but I wouldn’t be without my boob group now!”

Hannah, 32, always knew she wanted to breastfeed but, during the first few days of motherhood, it didn’t go quite as she’d hoped.

However, after finding support at her local breastfeeding group, run by the Trust, Hannah is now sharing her story to encourage other mums who are struggling to access the help that’s available.


At a few days old, Hannah’s new son, Isaac, was admitted to hospital with weight loss after struggling to latch on. It was a hard time for new parents Hannah and Simon. “The first few weeks were very difficult” Hannah explains. “I felt guilty for not being able to provide what Issac needed. Feeding was painful. And the struggle affected my relationship with Simon – he wanted to start formula feeding, so we could see how much Isaac was having. But I was determined to succeed at breastfeeding! I wasn’t ready to give up.”

Thursday 2 June 2016

Volunteering: my experience as a Governor

1-12 June is Volunteers’ Week. We have lots of different types of volunteers in our Trust – one which you might not think about is the role of Governor. We asked Natalie Jennings, who is new to the role of staff Governor, about her experience so far.



I put myself forward for the Governor role (nursing) within the Trust, as I am a passionate nurse who is keen to understand how as a workforce decisions are made which involve such a large group of people.

I am an inquisitive person and enthusiastic about being part of the future of nursing, and how we can shape and support our workforce through challenging times. As I am dual qualified with a broad range of nursing experience, I feel I can represent the views of others.

Wednesday 1 June 2016

Improving oral health in Zimbabwe


Monica Zendera, a Dental Therapist within the Trust’s Salaried Dental Service, recently travelled to Zimbabwe with Dentaid to provide treatment for local residents. 

The trip had an extra special meaning for Monica though, as she explains here.



I was born and raised in Zimbabwe before I moved to the UK in 2003, when I was 15. I first heard about Dentaid at a dentistry conference. The charity had only visited Zimbabwe once before. As soon as I heard about their second visit, I knew I had to get involved. It was my time to give back and help the people of Zimbabwe. 

I started fundraising and, with the help of friends, family, colleagues and well-wishers, I raised over £2,000 to fund my trip.

Tuesday 31 May 2016

A poem for World No Tobacco Day

31 May is World No Tobacco Day. To celebrate, we're sharing a poem from a service user who has given up smoking. The poem below was written by Shelly, a patient at The Wells Road Centre.



Smoking


I gave up smoking
As I started choking 
My cravings are kicking in
But I’m going to win
No more fags for me
I will live, just wait and see

People around me are having a drag
On their life threatening fag, 
I wish people would learn, 
That smoking causes their arteries to burn 

Think about those you love, 
Think how they will feel when you’re sent above, 
Smoking causes death too quick
So use this time to quit. 

Our Trust is going Smokefree from October 2016. This means that smoking will not be allowed in our buildings or grounds. To find out more, visit www.nottinghamshirehealthcare.nhs.uk/smokefree.

Friday 27 May 2016

Seeds of hope at Highbury

Preparations to open an allotment garden at Highbury are well underway, so we caught up with Suzanne Foulk from The Live Project to find out more.




There’s been a lot happening on the Come Grow With Me @ Highbury allotment garden recently, in preparation for our official opening on the 16 June at our Summer Fayre.

Monday 23 May 2016

47 years working at Rampton Hospital


Jan Wilkinson worked at Rampton Hospital for 47 years before retiring last week. Before she left, we asked Jan to reflect on her time there and the changes she has seen over the years.

Of course, Rampton Hospital was different in 1969 when I started working here. There were less than 30 staff on the administration side of the workforce, and if I remember correctly the hospital employed a total of approximately 600 staff (there are now 1500). At that time the hospital housed 1200 or so patients, whereas today there are around 350.

Thursday 12 May 2016

What's it like to be a mental health nurse?

12 May is International Nurses' Day. We’re all familiar with the role of physical health nurses, but you might not know as much about psychiatric nurses. We spoke to Steven Daykin, who is a Ward Manager at Highbury Hospital, about what a psychiatric nurse does and what being a nurse means to him.



I got into psychiatric nursing because I had been around mental illness from a young age. My Grandma had Alzheimer’s, and from around the age of 10 I spent many a day in a psychiatric hospital in Derby. I was around very ill people, who didn’t know who they were and who were saying quite strange things. They were often emotional or sad, and this became a normal everyday environment for me.

Tuesday 12 April 2016

The A Word: fact or fiction?

The A Word is a BBC One drama about a family struggling to come to terms with 5 year old Joe being diagnosed with autism. We asked Autism Spectrum Disorder Nurse Consultant Jacqueline Dziewanowska, who works with adults with autism, what she thought to the programme.


Feeling on the outside


I often hear stories of childhood experiences very similar to those shown in the programme. The parent’s experience of inviting the whole class to a birthday party and their child never being invited to other children’s parties. The experience of other adults judging when the child has a meltdown, people staring in supermarkets and the parent feeling a failure because their child is different.

What was portrayed sensitively was when Joe’s mum stays outside and watches Joe in the playground. The pain she feels as Joe stands by himself against the wall in the playground is a scene that both parents and the person with autism can often remember well.

Monday 4 April 2016

That winning feeling

Trevor arriving at the awards
Trevor Clower is an active member of the Trust and our Involvement Centre, as a volunteer and parent carer. Trevor won the Unsung Hero Award at our staff awards, the Outstanding Service Contribution and Recognition Scheme (OSCARS), in March. Here’s how he felt to be a winner.

Getting a phone call to say I had been nominated for an OSCAR completely floored me. It was amazing to find out that so many people had written about me to put me forward for an award.

Being nominated was the most overwhelming experience I have had in my life, short of seeing my two children being born, that would always take precedence I feel.

I didn’t think the feeling of being nominated would ever be topped, until I arrived at the awards ceremony.

Wednesday 9 March 2016

Smoking: it's good to be a quitter

Wednesday 9 March is No Smoking Day. While studies show that two-thirds of smokers want to quit, nearly one in five UK adults continue to smoke.


We spoke to Sheila Wright, one of our Non-Executive Directors, about giving up.

Sheila’s story

"My first experience of smoking was aged nine years, smoking cigarettes supplied by friends who had ‘stolen’ them from their parents. By 16 I was addicted to nicotine, financed through my dinner money and pocket money.

Tuesday 1 March 2016

Young people and self-harm

We spoke to Marie Armstrong, Clinical Lead for the Child and Adolescent Mental Health Services (CAMHS) self-harm team, to find out about young people experiencing self-harm.

My name in Marie Armstrong, and I have been Nurse Consultant, Clinical Lead for the CAMHS self-harm team for 15 years. During that time it has been a privilege that so many young people have shared their different stories, their experiences, pain and distress but also their hopes and recoveries with me.


What is self-harm?


Self-harm includes things like cutting, burning or taking an overdose – harming yourself in any way. Self-harm can affect adults as well as young people, and lots of the advice in this blog applies to adults, too.

Monday 29 February 2016

Cheryl’s story: my postpartum psychosis

Cheryl McAulay didn’t have a typical 21st birthday. Instead of the big party she’d planned, the mother-of-one saw in her birthday at the mother and baby unit in Nottingham, where she was being treated for postpartum psychosis

Cheryl was admitted to the MBU at the Queen's Medical Centre (which has now been replaced by Hopewood), three weeks after giving birth to her son, Joel. Now, inspired by the BBC’s recent In the Mind season, she is sharing her story to help raise awareness of perinatal mental illness.

Cheryl's story

“I was 20 when I fell pregnant. Not many of my friends had children. I attended a few antenatal classes, visits with the midwife and GP, but mental health wasn’t a topic we ever talked about. It never came up.

Cheryl with Joel
A couple of days after I had Joel I went home to my parents’ house and then, shortly afterwards, I went to live with Joel’s dad, at his parents’ house.

I didn’t recognise it at the time, but my behaviour had started to change. I felt so hyper. I was talking at high speed. Sleeping was a struggle. The smallest tasks, just making dinner, felt impossible. One day, Joel’s dad walked in on me holding Joel’s foot under cold running water. ‘I was training him not to cry’ I said. It was after that I agreed to see my doctor.

Friday 12 February 2016

Learning from experience: plans for our new Mother and Baby Unit

Blogger Eve was cared for at our Mother and Baby Unit, after the birth of her son. She now campaigns to improve access to mother and baby units, and is advising EastEnders on Stacey Branning’s postpartum psychosis storyline. We are creating a brand new site for children, young people and families, so we asked Eve about our plans.

Eve's thoughts on the new unit

I was in the QMC Mother and Baby Unit when I was unwell after the birth of my son. I was at rock bottom and thought my only chance of ridding myself of my despair was by not being alive anymore. But it turned out that wasn’t right; there was another way, and that was by being admitted to the unit.

Eve and Joe, three weeks before Eve was admitted to the Mother and Baby Unit

As a Mum, I needed to be somewhere that was safe, calm, homely and purposeful. And that is what the unit is and needs to remain in its new guise– a warm place with friendly faces with a knowledge of how to get you better. There is no better evidence base than lived experience and I am delighted that former patients have been spoken to with no subject being off limits when discussing improvement options for the new unit.

Friday 5 February 2016

Supporting young carers

Last week we heard from Mike, who shared his experience of being a young carer. We spoke to Alyson Leeks, Family Intervention Coordinator, to find out more about young carers, and what the Trust is doing to help.


Who do young carers care for? 


A young carer is anyone under the age of 18 who provides physical or emotional support for a family member or loved one.

Young carers may be involved in caring for a parent, grandparent, sibling or other family member with a range of physical, mental health difficulties or intellectual disabilities. Many do not identify themselves as carers.


Young people caring for loved ones with mental health difficulties or substance misuse issues can be “hidden” carers. They carry out a caring role unnoticed by others, and this can have an enormous impact on their own development, education and opportunities.

Wednesday 27 January 2016

7 emotions of a young carer

The experience of being a carer can run from helping someone with mild physical limitations to do a few activities or tasks, all the way to providing round-the-clock care for a person with a high level of need, whether that be physical, mental or both.

Whatever the need, the challenge is always compounded when the carer is young.

Mike’s experience of being a young adult carer began when he was 22, after a close family member developed a severe mental health condition.

Here he talks through some of the most common emotions of being a young carer.


Confusion

This originates in one of two ways, depending on how the caring role begins.

For those who have been carers from a very young age, the situation may initially seem normal because it’s all they’ve ever known. But as they get older and discover that their friends don’t carry out the same caring role, they may find it confusing. Why doesn't their mum/dad need them to help out like mine does? For many very young carers, real childhood is something they never experience.

In cases where the family member suddenly falls ill and the young carer is much older, the situation is a lot more jarring and disorientating. With caring, you learn on-the-job, and the upheaval and reversal of roles can be difficult to adjust to.

Loss

When a loved one develops a serious mental health condition, it can often feel like a death has occurred. There is not enough time and too much risk for you to leave the person you care for on their own, so your social life evaporates.

If you live with other family members who help to care, this is alleviated somewhat, but for those who live on their own it can be an excruciatingly solitary experience. The sense of loss can be profound.

For a very young carer, the loss may not be felt until many years later, when they realise that in many ways, they weren’t able to have a ‘normal’ childhood. While they may have gained skills such as independence, compassion and self-reliance, in doing so they missed out on being a child.


Anger

While I loved the person I cared for, I often felt bitter and angry about the situation I was in. How could they do this to me, to my life? It wasn't their fault, how could it be? But caring is so full of strong and contradictory emotions, that it’s no wonder I was sometimes angry and frustrated.

There was also a sense of guilt and self-recrimination that maybe my family had somehow been the cause of this illness, that we could have done something to stop it. That's not rational, but anger rarely is.

Fear

Fear that the person you care for will never get better. Fear that they’ll hurt themselves. Fear that you and your family will never get your lives back. Fear that you will be trapped in this demanding situation forever. These are all thoughts I had, which became more prevalent as the years went past.

Fear can go both ways. Parents who are cared for by their young children may often be afraid to seek help from local authorities as they fear their child will be taken away.

Exhaustion

One of the worst aspects of being a long-term carer is exhaustion. When caring for someone with a mental health problem, you sleep very lightly, and the slightest noise can have you wide awake in seconds. Are they wandering around again? Are they trying to get outside? What will I find if I go downstairs at 3 o'clock in the morning?

And during the day, if they keep pestering you over and over, telling you their fixations and delusions, it can seem endless when you try to explain everything is going to be alright.

When young carers are trying to combine the efforts of school, exams, university and  part-time jobs, all with the focus of trying to better themselves and improve their prospects, it can often feel like there’s not enough time to do everything.

Loneliness 

The person you love seems little more than a ghost most days. You often don't get time to go to school, college or university. You don't really see your friends any more. You ask yourself "why me?" But there’s no real answer. It’s just one of those things, with no-one to blame.

The sense of having no route of escape, no way out of the situation, makes the world seem like a grey and lonely place.

That is why it is absolutely vital that carers' groups and social support for carers, especially young ones, are given the chance to exist. Seeing that you are not alone and that a happy, productive life is possible is essential for the wellbeing of carers. This is especially true for young carers, who may be going through a difficult enough time in adolescence as it is, when loneliness is often commonplace already.

Hope

And yet, despite all this, something keeps most carers going; love for the person they care for, determination and grit, or the presence of a support network which can facilitate and reinforce these qualities and emotions. Life can continue, and continue well, provided that the young carer is given what they need to make the most of a very challenging situation.

I was lucky that I had the Rosewood Involvement Centre, which rescued me from my feelings of gloom and isolation and reminded me that I am never alone as long as I am with people who have known the struggle of caring, and can offer support in good times and bad.

It’s worth remembering that people can recover. My loved one has made a full recovery since September 2014, and there has been no relapse since. I'm cautious, but it feels as though life may have gone back to normal forever.

Still, I take it one day at a time, and am mindful that so many others may never recover. Some young people may be carers for decades to come, or even their entire lives.

It is vital that we never forget what carers do for our society, especially young carers, who need extra support to help them achieve their full potential in life.

For information about caring, or if you’re a carer looking for advice or support, visit Carers Trust.