Cheryl Merrill
December 2015
Cheryl
Merrill
,
RN
Transplant Clinic
Maine Medical Center
Portland
,
ME
United States

 

 

 

Cheryl is an excellent example of why nursing is such a critical piece of patient care not only in the inpatient setting, but also post discharge. Cheryl is a Post-Transplant RN Coordinator in the Maine Transplant Program. She is responsible for the well-being of over 400 patients who have had kidney transplants, many who have multiple medical and psychosocial challenges. On any given day, she straddles the roles of nurse, social worker, pharmacist, psychologist, and chaplain.
Recently, we were referred a young transplant patient whose family who was struggling with the transition from the pediatric care system to the adult system. They had seen a plethora of providers, both pediatric and adult. They were clearly overwhelmed by the complex care needs of their child, and in their fear and uncertainty, found it difficult to trust our team and the transplant care plan. Multiple family dynamics complicated the situation even more, leading to a fractured support system for the young patient, and insecurity about the future. We were faced with a difficult situation where trust in the care system had been broken, and a potentially adversarial relationship was in front of us. Through her skill and compassion, Cheryl transformed the care relationship to one of confidence and empowerment. She gently and very competently explained how she would not only provide care, but advocate for their needs and help them problem solve any issues with the care plan or providers. A critical bridge was crossed, and fear became acceptance and courage.
Many of our patients suffer from not only chronic illness, but mental health and depression issues as well. As such, they are often unable or unwilling to follow care plans to the point of either losing their transplanted kidney, or putting the kidney at risk. Cheryl approaches these patients with compassion and persistence, using their setbacks as opportunities to strengthen their skills and self-assurance. One of her patients has struggled with a mental health problem for many years, to the point that the transplant team questioned whether or not he would be able to maintain his immunosuppression regimen and protect his new kidney. Through many bouts of non-adherence, Cheryl has stood by him with constant reassurance and support, understanding and appreciating his struggles as part of his illness. Today, although he continues to battle depression, he is living well with his new kidney, has married, and just welcomed a baby to the world!
As a career nurse for nearly 40 years, Cheryl exemplifies the core values of nursing: professionalism, compassion, courage, integrity, respect, and humility. She is adaptable, flexible, and makes multitasking seem simple. She has made a difference in countless lives, and given hundreds of patients the tools, strength, confidence, and knowledge to heal and live full lives following transplant. She is extraordinary in her work, skill, dedication, and approach to patients and their families.