Friday, 28 September 2012
Clinical Practice Points on managing Attention Deficit Hyperactivity Disorder (ADHD) symptoms in children and adolescents (NHMRC)
The CPPs will be most useful for GPs, paediatricians (including paediatric neurologists), child/adolescent psychiatrists, clinical and neuro-psychologists, allied health professionals and special educators who are working with children and adolescents with ADHD.
The CPPs stress the importance of looking for alternative explanations for the child's behaviour, and encourage clinicians to involve parents, carers and teachers in the assessment, management and review of each child/adolescent.
In 2011-12: - there were more than 6.5 million presentations to public hospital emergency departments - 72% of patients received treatment within an appropriate time for their urgency (triage) category - almost two-thirds of patients stayed in the emergency department for 4 hours or less, and 90% had left within 8 hours and 30 minutes.
The National Emergency Access Target aim is that, by 31 December 2015, 90% of emergency department visits will be completed in 4 hours or less-from arrival, to when they went home or were admitted to the hospital.
Thursday, 27 September 2012
In 2011, there were an estimated 298,000 people with dementia. This number is expected to increase markedly over time, with projections suggesting it will reach around 400,000 by 2020 and 900,000 by 2050. Dementia is a leading cause of death, accounting for 6% of all deaths in 2010. Total direct health and aged care services expenditure on people with dementia was at least $4.9 billion in 2009-10.
Expenditure on health in Australia was estimated to be $130.3 billion in 2010-11, up from $77.5 billion in 2000-01. This expenditure was 9.3% of gross domestic product in 2010-11, down from 9.4% in 2009-10 but up from 8.2% in 2000-01. The estimated recurrent expenditure on health was $5,796 per person, and 69.1% was funded by governments, up from 67.7% in 2000-01. The two largest components of the increase in health expenditure were public hospital services, which grew by $2.2 billion in real terms, followed by medications ($2.1 billion).
Tuesday, 25 September 2012
Gynaecological cancers in Australia: an overview, provides a comprehensive picture of gynaecological cancer in Australia including how gynaecological cancer rates differ by geographical area, socioeconomic status, Indigenous status and country of birth.
Uterine cancer was the most commonly diagnosed gynaecological cancer in 2008 (2,016 cases), followed by ovarian cancer (1,272) and cervical cancer (778).
"A total of 4,534 new gynaecological cancers were diagnosed in Australia in 2008, accounting for over 9% of all new cancers in females," said AIHW spokesperson Anne Bech. "While the number of new cases of all gynaecological cancers increased between 1982 and 2008, the overall incidence rate fell by 12%," Ms Bech said.
The report shows that the five-year relative survival for ovarian, uterine and cervical cancers has improved over time and that Australian women diagnosed with these cancers have better survival prospects than women in many other countries. The five year relative survival varied for the individual cancer types-82% for uterine cancer, 72% for cervical cancer and 43% for ovarian cancer.
Monday, 24 September 2012
Key elements of the improvement initiative are:
*Recognition of risk factors, signs and symptoms of sepsis
*Resuscitation with rapid intravenous fluids and administration of antibiotics within the first hour of diagnosis of sepsis
*Referral to appropriate senior clinicians and teams and retrieval if appropriate
Practice recommendations contained in this Wiki reflect Australian intensive care practice and are not mandated NSW policy statements. All readers need to have significant clinical background to allow them to critically review the information in relation to the specific clinical circumstances of individual patients.
Focus on Mental Health
Mental health impact for adolescents living with prolonged drought
Mental health and well-being within rural communities: The Australian Rural Mental Health Study
Determinants of mental health and well-being in rural communities: Do we understand enough to influence planning and policy?
Improving the mental health of rural New South Wales communities facing drought and other adversities
Rapid change, climate adversity and the next "big dry" : Older farmers' mental health
Stress and anxiety associated with lack of access to maternity services for rural parturient women
Drought, drying and mental health: Lessons from recent experiences for future risk-lessening policies
Mental health and well-being in resident mine workers: Out of the fly-in fly-out box
Also available as a free online themed issue : Disasters
Friday, 21 September 2012
Community Response to Eliminating Suicide, known as CORES, was developed by members of a small community in Tasmania 12 years ago.
CORES leaders are training hundreds of medical students and community members in the basics of suicide prevention.
Suicide prevention program 'saving rural lives'(ABC News)
New research by the Salvation Army in the lead-up to Alcohol Awareness Week has revealed 4.2 million people say they know families where they think children are not being properly cared for because of someone’s alcohol abuse.
Salvation Army Major Colin Young said in his 20 months living in Dubbo he had seen some of the families affected by alcohol abuse.
Salvos study reveals extent of alcohol abuse (Central Western Daily)
Thursday, 20 September 2012
Wednesday, 19 September 2012
Alzheimer's Australia CEO Glenn Rees said the organisation's new brain health program, Your Brain Matters, is the first dementia risk reduction program in the world to be publicly funded. Your Brain Matters is a guide to keeping the brain healthy by looking after our mind, body and heart and is for people of all ages.
Your brain matters website
Targeting brain, body and heart for cognitive health and dementia prevention (Evidence paper and literature review)
Booklet : your brain matters
Brainy App (for IPhone, IPad and Android)
The report also contains recommendations to address the condition, which include:
*implementing broad ranging social marketing campaigns to raise awareness of fetal alcohol spectrum disorder, and the risks to the fetus or baby if the mother consumes alcohol while pregnant and breastfeeding
*supporting health professionals and services through the development of national policy and clinical practice guidelines, as well asworkforce development and training.
Aged care packages in the community 2010-11: a statistical overview
Aged care packages in the community 2010-11 describes the key characteristics of services and recipients and also looks at the distribution of services relative to the needs of the population. At 30 June 2011, there were 50, 900 recipients of care packages. About 1,200 providers delivered low-care packages, 500 delivered high-care packages and 340 providers delivered high-care specialised dementia packages.
Residential aged care in Australia 2010-11: a statistical overview
Residential aged care in Australia 2010-11 provides comprehensive statistical information on residential aged care facilities, their residents, admissions and separations, and residents' dependency levels. At 30 June 2011, there were nearly 185,500 residential aged care places, an increase of more than 2,600 places compared with 30 June 2010. More than 85,200 permanent residents (52%) had a recorded diagnosis of dementia at 30 June 2011. Other recorded health conditions included circulatory diseases (40,000 residents) and diseases of the musculoskeletal and connective tissue (29,400 residents).
Friday, 14 September 2012
Disability groups say physical and sexual abuse is rampant in the system. Mr Innes says he agrees there is not enough training for carers and there's a culture of cover-up.
He hass told AM it is a problem which could escalate if it is not tackled with the introduction of a National Disability Insurance Scheme.
Two other reports in the series have also been released :
The overall aim of the Shadow Report is to make recommendations to the United Nations Committee on the Rights of Persons with Disabilities. The main focus of the Shadow Report will be reporting the extent to which Australia has implemented its obligations under the CRPD and to provide recommendations for future action by the Australian Government.
The report found most Australians with a disability are isolated, afraid of exploitation or violence or are living below the poverty line. Improving equality and non-discrimination laws, the ability to live independently, community involvement and protection from abuse and exploitation are some of its key recommendations.
Australian Human Rights Centre spokeswoman Rosemary Kayes said people with a disability were left behind and made to feel like second class citizens."The majority of people with a disability are experiencing isolation or loneliness, living in fear of violence or exploitation or are unemployed and living below the poverty line," Ms Kayes said in a statement.
Australia failing people with disabilities (ABC)
Inequality for people with disabilities (The Australian)
This is the latest in a number of (mainly) free resources available from NCETA. See the full publications list at :
Healthy Lifestyle Workers are employed across Australia as part of the Australian Government's Closing the gap - Indigenous chronic disease initiative. Healthy Lifestyle Workers strive to reduce preventable chronic disease in Indigenous communities through activities that target smoking, nutrition, alcohol and physical activity.
The online portal launched this week provides support for the important efforts of Australia's Healthy Lifestyle Workers. The portal compliments the existing resources that have been developed for Healthy Lifestyle Workers by the HealthInfoNet on behalf of the Department of Health and Ageing, including the Healthy deadly and strong toolkit and guide.
Features of the portal that will be of immediate use to Workers include:
*downloadable copies of the toolkit and guide
*a full list of all the items included in the Healthy Lifestyle Workers resources pack
*key facts and resources relating to lifestyle factors; nutrition, physical activity, tobacco use, alcohol use
*key facts and resources relating to preventable chronic diseases; diabetes, heart health, kidney health and other chronic conditions.
Healthy Lifestyle Workers Portal
Thursday, 13 September 2012
Cancer patients, survivors, friends, family members, professional and informal carers and even those who have never been affected by cancer are sought to take part in an online questionnaire. Cancer Council Australia researcher Dr Hayley Whitford and Cancer Council Australia CEO Professor Ian Olver will analyse the information provided to determine which aspects of spiritual wellbeing, including the less acknowledged aspects such as appreciation and connectedness, are the most important in improving cancer patients' resilience and quality of life. Professor Olver says it's an important area of research for anyone coping with, or treating, cancer. Find out more and complete the questionnaire at: http://www.cancer.org.au/research/2020vision.html
While today, Thursday 13 January 2012 is R U OK? Day in Australia, did you know that it is also both National Celiac Disease Awareness Day as well as National Childhood Cancer Awareness Day, in the U.S.?
Later in September, we have such diverse events as :
15th - World Lymphoma Awareness Day
24th - World Retina Day
28th - World Rabies Day
Each date links to the sites responsible for events. You can also click on the PINTEREST button to go to posters and videos related to the weeks and days listed.
Wednesday, 12 September 2012
Drawing on more than 3 years of research, Fixing the hole in Australia's heartland calls for the setting up of an Outback Commission with the mandate and authority to change the ''dynamic of under-development'' that afflicts remote Australia.
''Unless major changes are made to governance, policies and infrastructure and service delivery practices, there will be dire economic, social, cultural, environmental and security consequences for Australia as a whole, '' warns Fred Chaney, the chairman of the body that commissioned the report, Desert Knowledge Australia.
Written by Dr Bruce Walker, Dr Douglas Porter and Professor Ian Marsh, the report highlights a range of the concerns of those who live in remote areas, including:
* A sense of disempowerment at perceived institutional indifference that asserts itself in services that do not meet local needs or reflect local circumstances.
* Frustration that a ''one-size-fits-all'' approach to funding inhibits capacity to shape and deliver policy that meets the diverse needs.
* An inability to effectively engage with governments in identifying and dealing with problems.
* A failure to offer public servants incentives to work in remote Australia that has resulted in high turnover of staff and little retention of accumulated knowledge.
* A lack of transparency and accountability that inhibits the development of realistic and effective programs that address local needs.
* The absence of a strategy, or even a considered development framework, for regional Australia, despite many attempts at developing one.
Push for Commission to solve Outback crisis (Central Western Daily)
ABC News coverage
Read the full article here or go to the Australasian Journal on Ageing and browse all the open access articles. Sample topics available include : the care of older people during & after disasters, Which aged care patients are potentially suitable for community-bases aged care ? ; The KICA (Kimberley Indigenous Cognitive Assessment ) screen; Evidence-based continence assessment tools for residential aged care ; the EDEN Model in aged care ..... several more
The modules cover a very wide range of nursing procedures including arterial lines, ECGs, suture removal, urinary catherisation, pap & cervical smears, vital signs, injections and several more.
ANF federal education officer Jodie Davis said "Each module teaches a different procedure through an interactive simulation, accompanied by a step-by-step text with hyperlinks, a video demonstration, a 3D model of the anatomy encountered during the procedure and a quiz." Ms Davis said the website was 3 years in the making and was ideal for rural and remote nurses and also for any nurse who wanted to add to their training outside the workplace.
The Modules cost $10 each for ANF, NSWNA and QNU members and are $15 for non-members.
The good news is that smoking rates have declined, particularly among younger people. However, overweight/obesity rates have increased for virtually all age groups, especially females aged 12 to 44.
Friday, 7 September 2012
The Broken Hill Aboriginal Family Violence Protection Legal Service is changing its name to Warra Warra Legal Service next week.
The name means 'side by side' in the traditional language, Paakantyi.
The Here and now Aboriginal assessment screening tool (HANAA) has been developed by the UWA Community, Culture and Mental Health unit in close consultation with Aboriginal people.
Project co-ordinator and UWA Psychiatry and Clinical Neurosciences Assistant Professor Zaza Lyons says mental health is a neglected area of Aboriginal health.
The three-year study is looking at the influences on farmer suicide in Queensland and New South Wales.
Wednesday, 5 September 2012
SANE Australia's study found that only (31%) of survey respondents have told their child’s school they have a mental illness and half of these found the disclosure unhelpful, leading to stigmatising by other parents and, in some cases, bullying of their child.
Anthony Waterlow was found not guilty of the murder of his father, a prominent Sydney curator and arts educator, and sister on the grounds of mental illness, after stabbing them both during a psychotic episode in 2009.
Tuesday, 4 September 2012
#1 Should I stay or Should I go? Reviewing the Evidence on Nurses' turnover
Health workforce stability can contribute to better care delivery, and health organisations incur costs every time a nurse leaves their employment. Policy makers need a firm grasp of what makes nurses want to nurse, even in challenging circumstances, and what will retain and motivate them.
This edition highlights the range of evidence that emerges from papers on nurse turnover published in JAN, reports on what makes the profession tick, and gives policy pointers.
This collection of papers shows some of the challenges faced by researchers and the ways in which they have addressed them, in the evolving world of research.
* All articles freely available until 31 December 2012
The kit is designed to encourage regional communities to discuss issues around violence in the home and has been developed with 50-thousand dollars from the Federal Government.
The President of the of the National Rural Women's Coalition of Australia, Darreia Turley, said it has 15 fact sheets about preventing domestic violence.
The kit is available for download here
A wide range of sessions cover such topics as rural health research, building a sustainable rural health workforce, primary health care, clinical improvement in rural health settings and the use of technology in health care
Registration and conference details
1205. Taking stock : the health hazards of farming
Farmers in Australia face significant health and occupational hazards. .Farm children are also at higher risk of accident and injury and all farming families are exposed to farm-specific risks such as pesticides and a range of zoonotic diseases. It has also become clear that many people in farming communities suffer unrecognized mental health conditions, especially depression and anxiety states. In addition to the DVD, A 6-hour Active Learning Module is available through the Rural Health Education Foundation
FC501. Optimising patient fertility
Health professionals play a key role in consumer awareness and initiating discussion around planning to have a child or more children, promoting preconception planning and supporting positive behavioural change.
1201. Eat strong : good food for health
Showcases health promotion and community development programs in rural and remote Australia that aim to improve health and nutrition in Indigenous communities. Itdiscusses the issues with Professor Lisa Jackson Pulver, Director of the Muru Marri Indigenous Health Unit and Anthea Fawcett, Founder and Director of the Remote Indigenous Gardens Network.
1112. The patient's choice : quality at end of life care.
This DVD explores the issues involved in end of life care. It looks at the need for the patient to have accurate information and a specific assessment of their situation; it examines the use of advance care plans; and explores the latest developments in palliative and end of life care.
Either order online, or complete the order form.