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Nursing with a heart
 
SSN Selvarani takes the time to listen and understand
her patients.
 
For Senior Staff Nurse (SSN) Selvarani Singaram, her interest in nursing began when she joined the St. John’s Ambulance Brigade uniform group in her secondary school days. But she only truly fell in love with the profession when she started work as a psychiatric nurse at the Institute of Mental Health (IMH)/Woodbridge Hospital. She is now into her 15th year at IMH.

For SSN Selvarani, learning is a lifelong journey. She has a health science (nursing) degree from the Singapore Institute of Management, in addition to the Advanced Diploma in Mental Health Nursing from Nanyang Polytechnic. She was also awarded the Health Manpower Development Programme scholarship in Rehabilitation Psychiatry.

Despite the fact that she was a fully qualified nurse when she decided to further her studies, SSN Selvarani pursued and obtained her degree, all the while balancing the demands of family and work.

Growing to love her job
Working with the mentally ill is often not the choice field of profession for many nurses. SSN Selvarani was no different.

She started out as an assistant nurse at the neonatal intensive care unit of Kedang Kerbau Hospital. She then went for training to become a staff nurse. When she completed the training, she was informed that she would be posted to Woodbridge Hospital as a psychiatric nurse. She reluctantly took up the posting as she needed the job stability, having just started a family.

Back then, there were many misconceptions about mental patients. This remains true to this day.

She said: “People have the misconception that mental patients are aggressive, good-for-nothing, talk nonsense… However, not all patients are violent. There is usually a reason behind their behaviour if we take the time to listen and investigate.”

Eventually, SSN Selvarani grew to enjoy her job and discovered that psychiatry helps her in every aspect of her life.

“Not only have I learnt to use psychiatry to help my patients, I also apply it to my daily life and family,” she said.

“For example, knowledge of psychiatry helps me to motivate my patients to do things which they believe they are not able to do. In the same
way, I also use my knowledge to encourage and motivate my children
to study.”

Emotionally challenging but rewarding

Working as a psychiatric nurse is vastly different from being a normal nurse. She explained: “An ordinary nurse takes care of a patient’s physical condition and often, his or her job ends when the patient is discharged. A psychiatric nurse, however, has to deal with a patient’s emotions, feelings, behaviour, and his/her family. So a psychiatric nurse provides extended care to the patient and even his family.”

Sharing on the demands of her job, SSN Selvarani said: “Being a psychiatric nurse involves using yourself as a therapeutic tool. You go through a whole range of emotions. Fortunately, we have a great team of staff to share the load.”

So how does she handle difficult patients?

“I talk to the patients, try to understand them, tell them I will help them, do the task with them and give them lots of praises,” she said.

This gentle, caring approach has helped many patients. For example, there was a lady patient who was diagnosed with obsessive compulsive disorder. She had a fear of nearly everything, even the most mundane tasks like doing the laundry. After staying in IMH for two and a half months, the patient could take the bus, cook, do her laundry and express herself better, thanks to the tireless efforts of SSN Selvarani and her multi-disciplinary team comprising doctors, nurses, social workers, psychologists and other healthcare staff. The patient was discharged in early 2004 and has had no relapse since.

Pressing on with passion

SSN Selvarani’s advice to aspiring nurses is never to give up, no matter how tough the going may get sometimes.

“Don’t lose hope in your patients,” she said. “A psychiatric nurse must be caring, but most importantly, be committed and have a passion for
the job.”
 
 
By PS21 Office

Next:
A caring profession
 
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