Explorers Sans Frontieres http://www.explorerssf.org ESF Fri, 09 Jan 2015 22:05:12 +0000 en-US hourly 1 http://wordpress.org/?v=3.9.6 December 2014-January 2015 (combined) http://www.explorerssf.org/esf-newsletter-dec-2014-december-2014-january-2015-combined/ http://www.explorerssf.org/esf-newsletter-dec-2014-december-2014-january-2015-combined/#comments Tue, 06 Jan 2015 14:32:52 +0000 http://www.explorerssf.org/?p=5727 Happy Holiday’s from our ESF family to yours! This December 2014-January 2015 e-News is to a new and future ESF global trotter, James Odhran Brady. My son was born to Cormac and I on October 30, 2014. He is the joy and the sunshine of our universe and is destined for greatness. As a new […]

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Happy Holiday’s from our ESF family to yours!

This December 2014-January 2015 e-News is to a new and future ESF global trotter, James Odhran Brady. My son was born to Cormac and I on October 30, 2014. He is the joy and the sunshine of our universe and is destined for greatness. As a new parent, we both have and are learning something about ourselves, each other and of course the child each and every day.

We do not take a moment for granted and realize the impact and reflections of our actions. The moment we make a decision its always in consciousness with what is best for our son. We ask that you keep us in your hearts and prayers as our son is entering our global world and that he understands the importance, value added need to be a humanitarian.

ESF will be 7 years old in January 2015 so Happy Birthday to everyone and thank you for everything you have done to change the world, one person and one community at a time. ESF salutes all of those who are no longer with us as we end 2014 and approach the New Year with a stronger faith and hope that we remain physically and mentally healthy, financially stable and spiritually solid.

Thank you again for taking this journey along with me and ESF. If you would like to reach out to me or the team please do not hesitate to email or call us at info@explorersSF.org or 215-219-9588.
Sincerely yours,
Shonta D. Collins, MPA, RN, MSN, CRNP, FNP-C
Founder and President

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Drexel University Global Humanitarian Mission Haiti, June 2014 http://www.explorerssf.org/summary-esf-drexel-university-global-humanitarian-mission-haiti-june-2014/ http://www.explorerssf.org/summary-esf-drexel-university-global-humanitarian-mission-haiti-june-2014/#comments Tue, 06 Jan 2015 14:18:11 +0000 http://www.explorerssf.org/?p=5719 The Team comprised of Family Nurse Practitioner students from Drexel University and ESF volunteers on the ground in Haiti The team was able to successfully support over 1,000 persons between 4 different sites in Port-Au-Prince; 400 at Camp Sineous at the AMURT primary school, 100 at Foundation Sens Universal et Damabiah Orphanage in Delmas 48, […]

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The Team comprised of Family Nurse Practitioner students from Drexel University and ESF volunteers on the ground in Haiti

The team was able to successfully support over 1,000 persons between 4 different sites in Port-Au-Prince; 400 at Camp Sineous at the AMURT primary school, 100 at Foundation Sens Universal et Damabiah Orphanage in Delmas 48, Croix Des Bouquete 200 day 1 and 250 day 2 at the Haitian American Caucus-HAC and 100 at Camp Toto with Life is Good.

The agenda for the mission and general information on common diseases and infections treated included disorders ranging from Chronic Hypertension, Hypertensive Crisis/Emergency, Atrial Fibrillation, Diabetes (Non-Insulin Dependent), Depression, Anxiety, Anemia, GER,  Malaria, Chronic Pain, Candida Albicans, Bacterial Vaginosis, Menorraghia, Dysmenorrhea, Papurnia, Pelvic Inflammatory Disease (PID), Gonorrhea, Chlamydia, UTI, Allergic Rhinitis, Intestinal Parasites (worms), and Tinea Capitis.

In summary, team had artillery of medication at its disposal which included common OTC like Benadryl, Tylenol, Motrin, MV (Seniors, Adults and Children), Oral Rehydration Supplements (ORS), Zantac, Rantadine, Omeprazole, Claritin and Children/Infant Tylenol. Additionally, the team administered Anti-Hypertensive medications like ACE Inhibitors (Lisinopril), ARBs (Losartan with K+ and/or HCTZ), HCTZ alone, and CCB (Norvasc with HCTZ) Antibiotics ranged from Flagyl, Doxycycline, Ciprofloxicin, Diflucan, Ceftriaxione (IM), Mebendazole and Albendazole. Other inhalers, eye and ear drops were also available. The team made every attempt to provide education, recommend non-pharmacological alternatives and support for Therapeutic Lifestyle Changes, (TLC).

Thank you for giving us the opportunity to serve the community in such a large way.

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Spring into Health Community Day 2014 http://www.explorerssf.org/spring-health-community-day-2014/ http://www.explorerssf.org/spring-health-community-day-2014/#comments Wed, 07 May 2014 00:21:46 +0000 http://www.explorerssf.org/?p=5701 photo 4 (2)

It was a successful and beautiful day! Thanks to everyone who came out to support the community and take advantage of the free health screenings.

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It was a successful and beautiful day!

Thanks to everyone who came out to support the community and take advantage of the free health screenings.

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May 2014 News ESF Volunteer Thank you card http://www.explorerssf.org/may-2014-news-esf-volunteer-thank-card/ http://www.explorerssf.org/may-2014-news-esf-volunteer-thank-card/#comments Thu, 24 Apr 2014 22:30:14 +0000 http://www.explorerssf.org/?p=5698 ESF Drexel University student volunteer, Mindy Robert, Women’s Health Nurse Practitioner student found her experience to be invaluable and life changing. Please see her card with personal sentiments to ESF and the Haitian community. ESF Volunteer Thank you Card, Mindy Robert, Women’s Health Nurse__ Practitioner.pdf 2 (1)

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ESF Drexel University student volunteer, Mindy Robert, Women’s Health Nurse Practitioner student found her experience to be invaluable and life changing. Please see her card with personal sentiments to ESF and the Haitian community.

ESF Volunteer Thank you Card, Mindy Robert, Women’s Health Nurse__ Practitioner.pdf 2 (1)

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April 2014 Haiti Mission- Mental Health Report http://www.explorerssf.org/april-2014-haiti-mission-mental-health-report/ http://www.explorerssf.org/april-2014-haiti-mission-mental-health-report/#comments Tue, 08 Apr 2014 15:08:48 +0000 http://www.explorerssf.org/?p=5695 Crystal Taylor-Dietz, Psy.D. Director of Mental Health and Wellness The following report reveals the objectives and implementation of the mental health/wellness component of the ESF March 2014 mission, which took place March 21-March 27, 2014 and was held in collaboration with Drexel University Nurse Practitioner students from the Family, Women and Pediatric tracks and Drexel […]

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Crystal Taylor-Dietz, Psy.D.
Director of Mental Health and Wellness

The following report reveals the objectives and implementation of the mental health/wellness component of the ESF March 2014 mission, which took place March 21-March 27, 2014 and was held in collaboration with Drexel University Nurse Practitioner students from the Family, Women and Pediatric tracks and Drexel University Physician Assistant students.

OBJECTIVE

The purpose of the mental health/wellness component of the March 2014 medical mission was for Nurse Practitioner Psychiatry students and faculty to provide both general medical screenings and psychological support to adults and children serviced during medical clinics. Dr. Crystal Taylor-Dietz, Director of Mental Health and Wellness, was also present during the mission to provide both psychological and general humanitarian support during medical clinics, as well as to provide additional support and guidance to faculty and students that are unfamiliar with practicing in Haiti. In addition, it is always the goal of the director of mental health and wellness to ensure that culturally sensitive interventions are being utilized and that cultural considerations are at the forefront of clinician’s conceptualization and recommendations for patients.

SUMMARY OF IMPLEMENTATION AND ASSESSMENT OF MENTAL HEALTH CONDITIONS

Mental Health Professionals conducted both individual and group mental health support at all the medical clinics held during the mission. A break down of the types of services conducted at each site is listed below. It should be noted that all interventions include psychoeducation.

• Camp Toto with Life is Good: child focused art therapy groups, brief individual mental health consults with adults, child and family mental health consults, mindfulness exercises, and recommendations for behavioral strategies for utilization at home and school.

• Foundation Sens Universal et Damabiah Orphanage: child focused therapy groups utilizing art & mindfulness (attended by all 80 children living in the orphanage), Individual child consults conducted with adult caregivers, individual adult consults, recommendations to staff for behavior interventions to be utilized in the orphanage to support children with development delays in areas such as language and social skills.

• Camp Sineous at the AMURT primary school: Group mindfulness exercises, individual adult consultation, child and parent consultation. It should also be noted that multidisciplinary support was provided to a patient at this site with acute trauma symptoms from a sexual abuse. The mental health team provided a psychosocial screening, which included assessment of safety, relaxation/mindfulness training, and family therapy/group consultation session for the patient.

• Haitian American Caucus-HAC: Child focused group therapy in classroom setting, classroom observations & teacher recommendations of children with developmental delays, individual adult consultation and mindfulness exercises, and child and parent consultation.

The mental health team assessed a number of different mental health symptoms and clinical presentations. A summary of the most common symptoms assessed are listed below:

• Chronic stress due to lack of basic needs, inconsistent housing and insufficient financial means

• Complex PTSD presentations- repeated exposure to traumatic events

• Acute Trauma symptoms (typically a result of physical abuse, sexual abuse, and or community violence)

• Generalized Anxiety

• Depression symptoms

• Attention and concentration difficulties

• Developmental and cognitive delays (especially apparent in children)

• Grief and Loss

• Somatic complaints

CONCLUSION

The Mental Health Component of the March 2014 mission was a success. The team completed the objectives of the mission and served a large number of individuals that were in need of mental health support. Furthermore, students were able to think creatively about the types of interventions and methods that were culturally appropriate for the communities we serve in Haiti and overall, demonstrated flexibility with tailing interventions to specific patients and the environment in which they were being seen.

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Thank you card from the Haitian Staff to the USA based staff http://www.explorerssf.org/thank-card-haitian-staff-usa-based-staff/ http://www.explorerssf.org/thank-card-haitian-staff-usa-based-staff/#comments Thu, 03 Apr 2014 00:47:23 +0000 http://www.explorerssf.org/?p=5685 This is a thank you card from the Haitian Staff to the USA based staff who supported over 1050 persons on the mission to Haiti from March 21-27, 2014. Download / View Now

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This is a thank you card from the Haitian Staff to the USA based staff who supported over 1050 persons on the mission to Haiti from March 21-27, 2014.

Download / View Now

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March 2014 Summary of ESF-Drexel University Global Humanitarian Mission Haiti, March 21-17, 2014 http://www.explorerssf.org/summary-esf-drexel-university-global-humanitarian-mission-haiti-march-21-17-2014/ http://www.explorerssf.org/summary-esf-drexel-university-global-humanitarian-mission-haiti-march-21-17-2014/#comments Fri, 28 Mar 2014 00:43:22 +0000 http://www.explorerssf.org/?p=5683 The Team comprised of Family Nurse Practitioner students from Family, Pediatric, Women and Psychiatric tracks along with students from the Physician Assistants program, and non- medical personnel. The group was led by Professors Julie Kinzel, Louise Murray and Dana Murphy-Parker. ESF leadership included Dr. Crystal Taylor, Shonta D. Collins and Nicholas Monfred. The team was […]

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The Team comprised of Family Nurse Practitioner students from Family, Pediatric, Women and Psychiatric tracks along with students from the Physician Assistants program, and non- medical personnel. The group was led by Professors Julie Kinzel, Louise Murray and Dana Murphy-Parker. ESF leadership included Dr. Crystal Taylor, Shonta D. Collins and Nicholas Monfred.

The team was able to successfully support over 1,050 persons between 4 different sites in Port-Au-Prince; 300 at Camp Sineous at the AMURT primary school, 125 at Foundation Sens Universal et Damabiah Orphanage in Delmas 48, Croix Des Bouquete 200 day 1 and 250 day 2 at the Haitian American Caucus-HAC and 175 at Camp Toto with Life is Good.

The agenda for the mission and general information on common diseases and infections treated included disorders ranging from Chronic Hypertension, Hypertensive Crisis/Emergency, Atrial Fibrillation, Uncontrolled Diabetes (Non-Insulin Dependent) Depression, Anxiety, Anemia, GER, Malaria, Chronic Pain, Candida Albicans, Bacterial Vaginosis, Menorraghia, Dysmenorrhea, Papurnia, Pelvic Inflammatory Disease (PID), Gonorrhea, Chlamydia, UTI, Allergic Rhinitis, Intestinal Parasites (worms), and Tinea sapitis. One unique and findings identified included a patient with Gonadal Dysgenesis and high risk pregnant female with previous vertical incision. Other diagnosis made included a possible Ventricular Septal Defect (VSD) and murmur grade III-IV/IV of a 9 year old, a 5 year old with Hydrocephalus and Seizure disorder, and 1.2 year old with Congenital Cataract and Failure to Thrive. There were 2 emergencies which called the interdisciplinary team to pull together to assist the 5 year old with Hydrocephalus was actively seizing in triage to receive further support and it was discovered that the parents were not able to afford Phenobarbital for the past 2 weeks. The team was able to assist the family with social services and ESF In-Country Director will continue to purchase meditation monthly for the family and make home visits. The 1.2 year old child with Congenital Cataract was very dehydrated and listless during the exam. ESF-Drexel team members coordinated efforts to place an IV and administer IV fluids. The child was referred for social services and is followed by ESF In- Country Director. The child will receive assistance for cataract removal and Physical Therapy. Since the mission, the little girl is feeling better and no reported diarrhea or vomiting. Furthermore, ESF will support the consultation for a cardiothoracic surgeon to evaluate and repair the VSD in the 9 year old boy. ALL GREAT WORK INDEED!

In summary, team had artillery of medication at its disposal which included common OTC like Benadryl, Tylenol, Motrin, MV (Seniors, Adults and Children), Oral Rehydration Supplements (ORS), Zantac, Rantadine, Omeprazole, Claritin and Children/Infant Tylenol. Additionally, the team administered Anti-Hypertensive medications like ACE Inhibitors (Lisinopril), ARBs (Losartan with K+ and/or HCTZ), HCTZ alone, and CCB (Norvasc with HCTZ) Antibiotics ranged from Flagyl, Doxycycline, Ciprofloxicin, Diflucan, Ceftriaxione (IM), Mebendazole and Albendazole. Other inhalers, eye and ear drops were also available.

The team made every attempt to provide education, recommend non-pharmacological alternatives and support for Therapeutic Lifestyle Changes, (TLC).

The team was also able to conduct private consultations for talk therapy and deep breathing exercises with patients under extreme stress related to inability to eat daily, money to live and survive, threats for safety (domestic violence, rape and molestation) and security along with distress about living conditions in Haiti and minimal opportunities to work and be educated.

The Psychiatric NP students created small groups of 10 children who used imagery, meditation and techniques used in positive psychology to allow them to think about happy and positive things that bring happiness to their day. This was a great intervention made during out time at the orphanage and school children at HAC.

The Drexel team did an amazing job working together and we look forward to the next team of professionals in Haiti.

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ESF Leadership team presents at the Nursing Leadership in Global Health Symposium http://www.explorerssf.org/esf-leadership-team-presents-nursing-leadership-global-health-symposium/ http://www.explorerssf.org/esf-leadership-team-presents-nursing-leadership-global-health-symposium/#comments Sun, 02 Mar 2014 20:24:36 +0000 http://www.explorerssf.org/?p=5674 photo 1

Vanderbilt University, Nashville, TN. The authors of the abstract are Sharon Byrne, CRNP, DrNP, Shonta D. Collins, MSN, CRNP, Ahaji Schreffler, Crystal Taylor, PsyD, and Melissa Martelly. Abstract accepted: Academic Clinic Partnership Improves Health Outcomes in Haiti and Promotes Advanced Practice Education. Objective: To highlight how an academic partnership can improve health outcomes in one of the […]

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photo 1 photo 2Vanderbilt University, Nashville, TN.

The authors of the abstract are Sharon Byrne, CRNP, DrNP, Shonta D. Collins, MSN, CRNP, Ahaji Schreffler, Crystal Taylor, PsyD, and Melissa Martelly.

Abstract accepted: Academic Clinic Partnership Improves Health Outcomes in Haiti and Promotes Advanced Practice Education.
Objective: To highlight how an academic partnership can improve health outcomes in one of the poorest countries in the Western Hemisphere and provide nurse practitioner (NP) and physician assistant (PA) students a clinical experience with a global focus.
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Newsletter December 2013 / January 2014 http://www.explorerssf.org/newsletter-december-2013-january-2014/ http://www.explorerssf.org/newsletter-december-2013-january-2014/#comments Thu, 02 Jan 2014 23:43:03 +0000 http://www.explorerssf.org/?p=5663 Greetings from ESF! Happy Holiday’s from our ESF family to yours! This December 2013-January 2014 e-News is dedicated to our long-time leadership team member, Charles Williams, RN, BSN and Director of Nursing Education. Charles is being recognized for being the “Man of the Year.” Charles is not only the leader ESF can depend on to […]

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Greetings from ESF!

Happy Holiday’s from our ESF family to yours! This December 2013-January 2014 e-News is dedicated to our long-time leadership team member, Charles Williams, RN, BSN and Director of Nursing Education. Charles is being recognized for being the “Man of the Year.”

Charles is not only the leader ESF can depend on to lead a pre-departure orientation or travel across the world to help save lives, he is a committed and devoted husband and father. He travels close to hours just to be part of the ESF leadership team meetings or help recruit new members, he makes it part of his daily life to give thanks to GOD even when the times become tough and it does not appear that life has thrown him a curve ball, and he lends an ear to listen to the stories of his friends daily life, both good and bad but offer sound advice also known as wisdom. Charles Williams is the Man of the Year for 2014 and is more deserving than anyone I know. Our hats are off to you and congratulations for being a great man!

Utilizing the skills, knowledge and courage that Charles has bestowed upon us, no one has any excuses to take life by the horns and to keep on moving forward. Its ESF’s goals and mission to help persons of all social status and need not just locally but around the world. We are able to accomplish these goals with great volunteers and commitments from our community partners. It would be only be possible without the volunteers and financial donations too. Please take a moment to help ESF reflect how much impact our hard working team of volunteers like, Charles Williams has made on the community. ESF will be 6 years old in January 2014 so Happy Birthday to everyone and thank you for everything you have done to change the world, one person and one community at a time.

ESF salutes all of those who are no longer with us as we end 2013 and approach the New Year with a stronger faith and hope that we remain physically and mentally healthy, financially stable and spiritually solid.

Thank you again for taking this journey along with me and ESF. If you would like to reach out to me or the team please do not hesitate to email or call us at info@explorersSF.org or 215-219-9588.

Sincerely yours,

Shonta D. Collins, MPA, RN, MSN, CRNP, FNP-C
Founder and President

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Newsletter November 2013 http://www.explorerssf.org/newsletter-november-2013/ http://www.explorerssf.org/newsletter-november-2013/#comments Sat, 09 Nov 2013 23:39:22 +0000 http://www.explorerssf.org/?p=5661 Greetings from ESF! I would like to thank everyone for the continued support and prayers over the nearly 6 years since ESF’s inception. We have been blessed to host and train over 150 volunteers and extend out health and wellness training to care for over 175, 000 people in the United States, Haiti, Senegal, and […]

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Greetings from ESF!

I would like to thank everyone for the continued support and prayers over the nearly 6 years since ESF’s inception. We have been blessed to host and train over 150 volunteers and extend out health and wellness training to care for over 175, 000 people in the United States, Haiti, Senegal, and Jamaica. The partnerships and ongoing sponsorships with the local and global community is growing. ESF has only just begun and that we are looking into the 2014 with stars glaring back at us.

ESF would like to extend our condolences to all of those who are suffering and the disaster that impacted the Philippines. Our family of ESF leadership and community volunteer send our deepest condolences and prayers.

Moving forward into 2014, I can personally reflect on the amount of work that our volunteers has placed into the community along with partnering organizations. We have all continued to support local efforts with the Heart Healthy and spring into Community Day in West Philadelphia, the annual 40th street Jazz festival, every 3 month medical/wellness mission trips to Haiti with Drexel University and ongoing efforts to bridge the gap with also sending 7 young and bright orphaned children to school in Port-Au-Prince. The leadership members have presented at conferences across the, published their outcome data and have submitted abstracts to well renowned global health symposiums. The team did receive final acceptance to the Nursing Leadership Global Health Conference by Vanderbilt University in February 2014. Congratulations and good luck to all of those involved with these efforts.

To that end, we salute all of those who are no longer with us as we end 2013 and approach the New Year with a stronger faith and hope that we remain physically and mentally healthy, financially stable and spiritually solid.

Thank you again for taking this journey along with me and ESF. If you would like to reach out to me or the team please do not hesitate to email or call us at info@explorersSF.org or 215-219-9588.

Sincerely yours,

Shonta D. Collins, MPA, RN, MSN, CRNP, FNP-C
Founder and President

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