Columbia St. Mary's employs two nurses to work in collaboration with churches and community organizations to improve the health of individuals and the community in general. Brenda Buchanan and Julia Means provide health education, health screening, care management and health crisis support to members of sponsoring churches and through a variety of outreach programs affiliated with the churches.
Brenda Buchanan serves Three Holy Women parish, consisting of sites at Our Lady of the Holy Rosary, St. Hedwig’s and St. Rita’s churches. Brenda is assisted by a Health Ministry Cabinet of parishioners who advise her regarding the interests and needs of the parish members. An important part of the work is support to Three Holy Women’s outreach to older adults and to impoverished people in their community. Milwaukee Catholic Home has provided funding support for this parish nursing position, as have numerous local foundations.
Julia Means serves Ebenezer Church of God in Christ, Solomon Community Methodist Church and New Life Presbyterian Church in Milwaukee’s central city. She also provides support to Clinton Rose Senior Center, the Adult Literacy Center and Martin Luther King Elementary School. Julia runs a health education and screening clinic based at the New Life Food Pantry. She developed the Kids of Nia character development program at Martin Luther King School as well as the Blanket of Love prenatal care and parenting education program at Ebenezer Church.
At each of their churches, the Community Health Ministry nurses serve as a health care safety net for members in health crisis, helping them to navigate health systems and service providers.
Patient Stories
Parish Nursing
Chuck is a 64-year-old Italian male that was born and
continues to reside in the Brady street neighborhood of Milwaukee. Even
though he has lived here is whole life, he no longer has any family
around.For the past year and a half I have gotten to know Chuck through
my work at Three Holy Women as a parish nurse. Chuck has a history of
high blood pressure and Type 2 diabetes but has not always followed the
plan that doctors prescribe for him. He currently does not have any
insurance so often does not fill all of his prescriptions because of the
cost. He lives in senior housing where he is able to get subsidized
rent, as his only income is his social security check. Chuck called me
one early afternoon to complain that he had been in the hospital for a
stroke but had been just released and was experiencing numbness in his
left arm, leg and face. I encouraged him to call 911 but he would not
until I came over. I arrived and he was complaining of being dizzy and
was unable to stand without assistance because of his dizziness. He was
very anxious and wanted to go back to the hospital. We returned to the
ER where they readmitted him for continuation of the stroke.
During his hospitalization it became clear that he was not going to be able to take his medication because of his decrease in vision because of the stroke. He was now also on Insulin which he hadn’t been on before. I was able to work with the social worker and diabetes nurse to get his insulin down to once per day. With education he did learn to administer his insulin once a day at bedtime. Once he discharged he was sent home with all of his medication but again was not able to read the bottles to see what he was taking. I have been able to set up his medications once per week so that he is able to take them appropriately. He is knowledgeable regarding the types of meds he takes but just not able to read the labels.
He continues to seek out other medical professionals because is not satisfied with his current progress and although he is physically very strong his vision is really the biggest obstacle he has. He is not willing to accept that the brain injury from the stroke is the cause of his vision problems and that glasses will not totally fix the problem.
I continue to work with Chuck several times per week to assist with his medication set up and doctors’ appointments. There is a social worker in the apartment building in which he lives that is able to help with bill payment and follow up. At this point I will continue my work with Chuck to offer emotional and spiritual support as well in hopes that soon he will be able to accept his current health situation.
-As told by a parish nurse from Columbia St. Mary’s Hospital, Milwaukee
When Is a Group Home Not a Group Home?
By Julia Means
Josephine is a fifty-five year old woman who comes to see me regularly
for blood pressure checks at the Clinton Rose Senior Center. She told me
that she lived in a group home since she had not fully recovered from a
previous stroke.
One Monday, she came to see me at Clinton Rose because she felt dizzy
and faint. When I took her blood pressure, I found it was extremely
elevated at 180/120. I called her “group home” for further information.
The staff there said, “Oh, she gets that all the time, just send her
home on the van and she will be all right.” I wasn’t comfortable with
that and took her to a hospital emergency room. There, she received
immediate help and her blood pressure came down significantly. When I
explored things further with the group home, I found that she had run
out of medication five days ago. I also found that, in fact, the “group
home” was not a licensed group home but an arrangement where she would
be “looked in on” periodically. They did not supervise her medications,
but left the medication management to Josephine alone.
When I informed Josephine’s daughter about all of these things, she was very concerned. She made arrangements to meet with Josephine and her physician and also started looking into other living arrangements. By Wednesday, Josephine was moved into an assisted living arrangement where the staff would actually supervise her medications and help to control her blood pressure and hopefully avoid future strokes. I was happy that Josephine had enough trust in me to have approached me and to have allowed me to serve as her advocate in this time of crisis.
Partnerships
Brenda Buchanan
c/o Three Holy Women Catholic Church
1716 N. Humboldt
Milwaukee, WI 53202
T: (414) 416-1201
E: bbuchanan@threeholywomen.org
Julia Means
c/o Ebenezer C.O.G.I.C.
3132 N. Martin Luther King Dr.
Milwaukee, WI 53212
T: (414) 793-0328
E: meansju@ad.com
Referrals
The Community Health Ministry nurses can be reached to discuss
their programs, care of their church members and referrals to their
programs through the phone numbers listed above. Bill Solberg, Director
of Community Services, can also be reached to discuss their programs and
services through (414) 326-2660.