Mother and child
I chose to write a two-person perspective poem based on an encounter I had in my first HCA shift. I was based in a ward where most children were aged between 6 weeks and four years on that particular shift. One patient was a four-year-old girl who had been living in hospital since the age of two. She had a severe metabolic disorder that meant she could not live at home. I was inspired by this patient as she was a very bright, happy child despite her situation however I noticed that her mother appeared reserved, tired, and stressed. This was reflected throughout the ward as most of the children were too young to understand their situations but instead their parents were the ones feeling the emotions for their child. This is why I chose this clinical encounter because it is really important for staff working in paediatric settings to understand how the family are feeling and what can be done to ensure they receive the best care.
I felt a two-person perspective poem including a mother and a child who have been living in hospital for around two years would work best for this encounter. I wanted to highlight the contrast between the feelings of the mother and child for example, the mother feels upset by the thought of all the childhood experiences that her child is missing out from due to being in hospital such as making friends at school, having big birthday parties and enjoying holidays like Christmas and Halloween at home. Whereas the child does not necessarily feel this way as they do not know any different to the experiences they have had in hospital. Throughout the poem I wanted to illustrate the progression of the child from not knowing where they were staying (referring to hospital as a children’s hotel) to understanding that they are not very well and that is why they cannot leave (not understanding why they are still in hospital at the end of the poem). I decided to split the poem onto two sides of the page to show the contrast in experience between mother and child and chose different fonts. I chose a more professional font for the mother as she must maintain a professional, strong persona to protect her child and chose a more childish font for the child to illustrate that they can be themselves with less responsibility.
From this clinical encounter I learnt that, in paediatrics the doctor, along with the rest of the staff, are not only concerned with the patient but also the parents. This is vital as the parents are the primary care givers to the child, so they need to be in a stable place themselves to look after their child. When creating the piece, I learnt how much of an impact illness has on families as I had to put myself in each individual’s situation and imagine how I would feel. This really highlighted the emotional and physical impact the illness of a child can have on a family and how much difference the staff can make in their experience in care.
Bobbi Pengelly, Year One 2023-4,
Effective Consulting Creative Piece Prize-winner

The different fonts and sides help clearly picture a conversation between a mother and child which was ironic as a lot of the feelings, emotions and thoughts they go through probably wouldn’t be said aloud in a conversation but would remain in their heads. The 2 lines sometimes have contrasting emotions, e.g. “my new teacher lets me play with toys and draw. But im not allowed outside to go on the seesaw” which can make you think how the child or parent is trying to be positive but there’s an uderlying dread, worry or sadness that with one positive news there will at least one negative news to accompnay it. I thought it was relateable, not in the sense that I have gone through this, but the dynamic the mother has with her child as many relationships are similar to this. It reminds me of my own relationship with my parents and how many people may feel a similar way, where your parents tend to worry and you show a brave face, or vice versa. I admire the child for how brave she can be as sometimes the child may feel scared whereas the parents put on a brave face. However, I sympathise with the child for having to endure this pain. The sense of familiarity helps you empathise with the dynamic but also sympathise with the child, as I haven’t had a metabolic disorder that meant I would miss out on so many important events in life. I haven’t had to worry about whether I will survive today and make it to tomorrow whereas this child has. The emotive language and way the poem ends in an uneasy tone makes you feel the unease of the child and mother but also the similar emotions of happiness of getting to play, lonliness of playing alone, guilt and regret of seeing your child like this, etc.
A great encounter of emotions is shown between mother and child. The clinical experience showed a deeper understanding of primary care provided by parents as well as the healthcare staff.