Final-year paramedicine student Murphy Knowles’ international clinical placement provided invaluable lessons beyond a classroom.
“In the heart of Nepal, during our three-week Clinical Adventurer program, I came to appreciate the profound importance of patient-centred care. This journey has illuminated the significance of human connections, kindness, and above all, honesty in healthcare.
Our adventure took our team (11 final year paramedicine students accompanied by an academic and an expedition leader) to a small village in the Helambu region, where access to primary healthcare can be limited.
In just 72 hours our team attended to 240 patients, marking the beginning of a crucial dialogue.
The range of medical presentations was diverse, encompassing individuals seeking basic check-ups to those grappling with complex respiratory, gastrointestinal, cardiovascular, optical, and neurological pathologies.
The stark reality was that we were working with limited resources in a remote location, with constrained referral options.
This moment of acceptance was pivotal; we had to find comfort in our discomfort.
Despite our collective desire to make a substantial impact on their healthcare journey, we learned to adapt to the resources at hand.
This experience forced me to re-evaluate my perspective on what truly matters in healthcare.
I realised that asking what truly matters is insufficient. Instead, the crucial consideration is what matters to each individual.
In the clinic, we discovered that, for most patients, the presence of "abnormal" findings, such as high blood pressure, potentially undiagnosed diabetes, and deteriorating vision, did not rank as their most pressing concern.
Musculoskeletal pain took precedence as it profoundly impacted their ability to work.
In our transformative journey in Nepal, we gleaned some valuable lessons that transcend borders and resonate with paramedic practice right here in Australia.
First and foremost, we reaffirmed the critical importance of patient-centred care. Regardless of our location, we found that focusing on the unique needs of each patient should always be at the forefront of our practice.
Adapting to limited resources was another crucial skill we honed. Whether in a remote village in Nepal or in our own metropolitan areas, the ability to function effectively within constraints is invaluable.
Communication was an added challenge, as we often had to rely on a translator to bridge the language gap and ensure effective interaction with the individuals we were there to help. Effective communication emerged as a universal lesson. We found that simplicity in communication is paramount.
Cultural safety is vital, both abroad and at home. Understanding and respecting cultural nuances and diversity is fundamental to providing effective care.
Engaging with the community is another universal principle. Active participation in community healthcare, whether in Nepal or Australia, builds trust and fosters strong relationships ultimately leading to better healthcare outcomes – we witnessed this firsthand in Nepal.
Prioritising patient concerns, regardless of what we might consider 'abnormal,' is a valuable lesson. Addressing patients' most pressing issues can have a profound impact on their well-being.
The experience reached its pinnacle with the partial completion of an expedition medicine module during our ascent of Poon Hill, where we were treated to breathtaking panoramic views.
Through our efforts, we not only raised $5,500 but also sourced additional funds for clinical equipment through Explora Medical. With these resources, we were able to furnish the clinic, equip it with necessary medical equipment, and provide essential consumables and medications.
Our journey in Nepal taught us that while our mission was unique, the principles and skills we acquired can be applied to paramedic practice right here at home.
The essence of patient-centred care, adaptability, effective communication, and community engagement remains universal, reminding us of the lasting impact we can make on the lives of those we serve.”