In the final days of voting in our My Super Nurse campaign we’re still receiving nominations for MS nurses from around the country. You have until Monday 29 April to nominate your nurse – visit our MS Awareness Week site for more details.
Today’s nominee is Shona Flucker, lead MS specialist nurse at NHS Tayside. One of the people who nominated Shona explained just how she makes a difference:
When I was diagnosed Shona was there to explain everything to me about medication treatment and therapies. She is always only ever a phone call away and is such a good listener. She has supported my family through what was initially a difficult time. Shona is such a great person and I am very lucky to have her as my nurse.
How does it feel to be nominated as an MS Super Nurse?
I am delighted to be appreciated – especially around someone’s diagnosis of MS. I have been an MS specialist nurse for 13 years and I hope I never become complacent about delivering information with sensitivity, compassion and empathy.
How did you come to be an MS nurse?
When I was a student nurse in 1990 one of my placements involved neuromedical nursing, which was in Ward 10 of Dundee Royal Infirmary. I enjoyed this placement so much, I requested to return in my third year in order to complete my management placement. I enjoyed learning about all of the main neurological conditions, but at that time almost 50 per cent of the work load was dedicated to patients with MS, who were either in-patients or day cases for neurological investigation.
We cared for patients with MS who were at differing stages of the disease trajectory, which meant that you had to be accessible, visible and responsive to many and varied needs. When I finished my nurse training I was fortunate to be able to apply for my first nursing post in Ward 10. I worked as D and E grade and, when the Neurology Ward moved to Ninewells Hospital in Dundee, I was able to apply for the role of the MS specialist nurse in 1999.
How many people with MS do you work with?
Our geographical area covers Tayside and North Fife, which includes Angus, Dundee and Perth and Kinross. Our MS register records around 1,200 patients with MS. We have three MS nurses in our MS Team. I lead the MS nursing service and cover patients with MS living in Dundee and Angus. I have an excellent MS nurse practitioner who is responsible for all our patients on disease-modifying therapies and patients with lower urinary tract dysfunction and a newly appointed MS specialist nurse who covers Perth and Kinross. As a team we are responsive to any patient from any of our geographical areas.
How do you help people with MS ?
My aim is to respond to my patients’ needs, whatever their situation is. When I am with them I provide emotional support, good listening skills, empathy, understanding and communicate evidence-based research/knowledge of MS-related literature. At the time of diagnosis, for example, when someone has experienced an unexpected acute exacerbation of their condition, or when they realise that treatment is now ineffective and they may have to face the possibility of increasing disability, or, for some, how to manage advancing MS. My role is so varied, but the importance of being aware of not just what you say but how you say it, cannot be emphasised enough. You really only get one chance to make a good impression when dealing with people who are often at their most vulnerable and who are looking for advice and assistance to cope with an uncertain future. Overall, I aim to treat people with respect in a manner which reflects how I would hope to be cared for.
Has your role changed since you started?
Oh yes, quite considerably. When I was appointed in 1999, with our Consultant Neurologist, Dr Jonathan O’Riordan, we were responsible for developing the MS Service in Tayside and North Fife. The MS nursing service has evolved considerably over the years. I worked independently, developing a nurse-led service until 2003, when my additional two nurses were appointed. Before their support I made a huge effort to link with as many health and social care professionals to enable recognition of the MS service so that we would reach as many patients with MS as we could. There were many patients living in the community who had little access to the wide range of MS services that we now have in place. Networking and raising our profile is an ongoing objective to enable patients, health and social care professionals to contact us for advice, information and support. With the ever-changing choices of treatments, and new treatments for the future, it is important that we keep up to date in order to promote and provide the best possible options for our patients.
What difference has the MS Trust made to you?
The MS Trust has helped me to find out everything I wanted to ask or know about MS! The books, assistance with enquiries about the role of the MS nurse, care issues, standards of care, educational needs, presentation skills and slides, advice, support, access to research updates, the UK MS Specialist Nurse Association – well the list could go on and on! Their support is enormous and always available in abundance. When I was appointed to my post I really wanted to attend the MS Trust Nursing Conference which was in York in 1999. I was unable to access NHS funding to support my attendance but Christine Jones [co-founder of the MS Trust] had no hesitation in enabling my attendance, which I have always remembered. This was the first time that I had ever attended a Nursing Conference, and on such a grand scale!
What inspires you?
In terms of my role, what inspires me is that there are no two days the same. I hope that I remain as enthusiastic about my role as when I first started. Yes, it is incredibly busy, with not enough hours in the day, but I gain satisfaction from meeting many people and enabling patients to “move on” from what is often a devastating situation. It never fails to amaze me some of the situations that we encounter and how privileged we are when patients entrust us with their fears and anxieties.
In the final days of voting in our My Super Nurse campaign we’re still receiving nominations for MS nurses from around the country. You have until Monday 29 April to...
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