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| Coquitlam Connection |
| Would You be Willing to Help a Nursing Student Learn About What it Means to be Living With a Long Term Health Challenge? |
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| Date ___________ Name: (please print) ___________________________________________ Family Contact Person:__________________________________________ (if different from above) Name of Person with Health Challenge: _____________________Age :_____ Type of Health Challenge:_________________________________________ Address Street :_________________________________________________________ City: __________________________________ Postal Code:______________ Phone Number:__________________________________________________ Print this page and fax, mail to: Judy Lee, Faculty call or Program Resource, Collaborative Nursing Program Kwantlen University College 12666 � 72nd Avenue Surrey, British Columbia V3W 2M8 Fax: (604) 599-2360 |
| or call or email: [email protected] Phone: (604) 599-2070 |
In the second semester of the nursing program at Kwantlen University College, we want students to learn about the experiences of members of the community and their families who are living with long term physical or mental health challenge. These challenges can include any condition that is long term and results in having to make adjustments in the life of the family. Examples of conditions include the following and many others: Arthritis, chronic pain, diabetes, epilepsy, MS, renal failure, strokes, ostomies... The student would want to learn about how you and your family have adapted to this health challenge and about supports that are available to help you manage day-to-day activities. We welcome families with children, adults, or older adults. Hearing about experiences of others provides students with opportunities to compare with their classroom learning what it means to live with and manage a chronic health challenge. The experience helps the student develop their understanding of the experience of patients and the role a nurse may play in our society. We would like the student to visit you and your family four to five times, for approximately one hour each visits, between May and August 2002. During this time students will dialogue with you and your family and not be performing any physical assessments or provide care. If you are unable to continue at any time, you may decide to stop having the student visit. Being a resource for a nursing student involves a willingness to share your time and your experiences with the student. We assure you that all information shared will be kept confidential. If you would be willing to have a nursing student visit, please fill in the form below and email, fax or phone to give your name, address and phone number. |
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| The members of our family are interest in having a Kwantlen University College Nursing student visit us in our home. The visits would be arranged a mutually convenient time and are for the purpose of sharing our experiences related to health and health challenges. |