Growing up strong Buraay -- Indigenous parenting resources

"Growing up strong Buraay" is a book full of games and ideas for Wiradjuri parents on ways to interact with their toddlers (Buraay). Available in PDF from : http://www.community.nsw.gov.au/__data/assets/pdf_file/0010/319807/par_buraay.pdf

This is one of a number of Indigenous parenting resources sponsored by the Department of Family and Community services. See: http://www.community.nsw.gov.au/parents,-carers-and-families/parenting/for-aboriginal-parents-and-carers

Two further versions of interest are:

Growing Up Strong Birrali and Gundanoo – resource for Aboriginal and Family Workers in the Far West region of NSW: Goodooga and surrounding districts.

Kiilalaana marta-marri – Growing up really big in Barkindji – resource for Aboriginal and Family Workers in the Far West region of NSW: Broken Hill and surrounding region.

Cancer in adolescents and young adults in Australia [AIHW]

Cancer in adolescents and young adults in Australia is the second national report to present key data specific to cancer in adolescents and young adults. While cancer in young Australians is rare, it has a substantial social and economic impact on individuals, families and the community. Surveillance of this population is also important as adolescent and young adult cancer survivors are at an increased risk of developing a second cancer.

1. In 2010-2014, 4,843 new cases of cancer were diagnosed in adolescents and young adults.

2. In 2011-2015, 499 adolescents and young adults died from cancer.

3. In 2010-2014, 5-year relative survival from all cancers combined for adolescents and young adults was 89%.

4. Adolescent and young adult cancer survivors had a 1.9 times increased risk of developing a second cancer

Cancer in adolescents and young adults in Australia

Media release: More cases of cancer diagnosed in young Australians, but survival has improved.

ELDAC: Better care at end of life gets a boost with new website

The new End of Life Directions for Aged Care (ELDAC) website provides many paths to practical and useful information for palliative care and advance care planning', says Australian Healthcare and Hospitals Association (AHHA) Chief Executive Alison Verhoeven.

The site is part of a 3-year project funded by the Australian Government Department of Health which aims to improve the care of older Australians through advance care planning activities and palliative care connections.

AHHA is a member of the ELDAC consortium led by the Queensland University of Technology, Flinders University and the University of Technology Sydney, and including Palliative Care Australia, Aged and Community Services Australia, Leading Age Services Australia, and Catholic Health Australia.

'As an ELDAC project partner we are proud to have been involved in the development of this website, where health professionals and aged care workers can access information, guidance, and resources to support palliative care and advance care planning for older people and their families', Ms Verhoeven said.
 
'One of the features of the site is a set of 5 online toolkits developed by palliative care, aged care, primary care and legal experts covering Residential Aged Care, Home Care, Primary Care, Working Together, and Legal matters.

'For example, the Primary Care toolkit, which was developed by AHHA, leads healthcare workers and primary care teams through the various steps involved in supporting advance care planning with patients and their families, including considerations for people of various religious and cultural backgrounds. There are links to fact sheets, guides, discussion starters, patient resources and podcasts.

'Users can also access materials on assessing palliative care needs, providing palliative care, managing dying, and bereavement', Ms Verhoeven said.

ELDAC website.

Cognitive ageing and decline: Insights from recent research

Cognitive decline is feared by many as they approach old age. Yet the severe cognitive decline associated with dementia is not a normal part of ageing. In Australasia, the prevalence of dementia in those aged 60 and over is less than 7% (Alzheimer's Disease International, 2015). Nevertheless, the personal and economic costs associated with dementia are considerable, and due to Australia's ageing population, an increasing number of Australians require treatment and exit the workforce due to cognitive impairments. 

So, how do we combat this? How do we lower the risks or delay the development of dementia, and design care and treatment interventions that reduce the personal and economic costs of the disease?

This research brief explores the impacts of cognitive ageing and decline on individuals, as well as on the wider Australian economy. The brief emphasises how cognitive impairment is a significant barrier to those over sixty staying in the workforce and managing their finances properly. The brief also discusses the current and proposed future ways to diagnose and prevent cognitive impairment before it becomes severe.

Cognitive ageing and decline: Insights from recent research

Survey of Health Care: selected findings for rural and remote Australians [AIHW]

Survey of Health Care: selected findings for rural and remote Australians

Among Australians 45 and over who visited a GP in the past year, those living in rural and remote areas were less likely than others to have a usual GP or place of care. Not having facilities nearby was a barrier to seeing a specialist and having a medical test.

Key findings:

* 3 in 5 people in Remote/Very remote areas said not having a specialist nearby stopped them from seeing one.
* People in Remote/Very remote areas were the most likely to report going to an ED because no GP was available.
* People reported decreasing information sharing between health providers as remoteness increased.
* People in Outer regional and Remote/Very remote areas were the least likely to have a usual GP.

Survey of Health Care: selected findings for rural and remote Australians

Cardiovascular health in remote and rural communities

This report provides analysis of RFDS aeromedical transport data for the period July 2013 to December 2016. This analysis revealed:

- An average of 112 patients per week or 16 patients per day were transported for CVD;

- On average, per day, 10.1 (63%) were male and 5.9 (37%) were female, a ratio of 1.7 males for every female;

- All age groups were represented; the mean age group was 55–59 years, more than one-third (35.3%) were aged 60–74 years, and 1% were children under the age of 5 years.

More than half (52.5%) of all CVD transports were for CHD. The two main CHDs that lead to a patient requiring an aeromedical transport were 'acute myocardial infarction' (heart attack) (38.9%) and 'angina pectoris' (angina) (9.4%). Almost one-quarter (22.2%) of CVD transports were for patients experiencing other forms of heart disease; the two main other forms of heart disease were 'heart failure' (4.6%) and 'atrial fibrillation and flutter' (4.0%).

This report's purpose is to detail the CVD burden on remote and rural Australia, and to propose action to ameliorate CVD impacts. Many CVD events are preventable. Increased investment in, and access to, evidence-based, culturally appropriate prevention and early intervention for people at increased risk of CVD, and those who have experienced a CVD event, is required.

Similarly, better treatment options for remote and rural Australians are also required. For example, between 2001 and 2008 the South Australian integrated Cardiovascular Clinical Network (iCCNet) established a support program for remote and rural primary care services to manage heart attacks by providing expert risk stratification, point-of-care troponin testing and cardiologist-supported decision making. The program's evaluation demonstrated a 22% improvement in 30-day survival rates for remote and rural patients, which closed the mortality disparity that had previously existed between city and country hospitals.

Cardiovascular health in remote and rural communities.

Indigenous NSW: Findings from the 2016 census

Aboriginal and Torres Strait Islander(ATSI)peoples continue to experience worse outcomes across a range of indicators compared to their non-Indigenous counterparts. According to the Australian National University's Centre for Aboriginal Economic Policy Research, this divergence in areas such as income are an ongoing consequence of historic violence, dispossession and other forms of colonial domination faced by ATSI people.

This paper uses the latest 2016 Census figures to provide a snapshot of how the ATSI peoples of NSW compare with non-Indigenous residents across a range of key indicators, including population, age, education, income and employment. The paper also provides a comparative analysis of these indicators over three Censuses (2006, 2011 and 2016) for both NSW as a whole and for three custom NSW regions that incorporate different State Electorates based on their location. These geographies were selected to not only to provide an indication as to how location affects the wellbeing of the State's Indigenous peoples, but to also help Members of the NSW Parliament gain greater insight into the Indigenous peoples residing in or around their electorates.

Indigenous NSW: Findings from the 2016 census.

Impact of alcohol and illicit drug use on the burden of disease and injury in Australia: Australian Burden of Disease Study 2011 [AIHW]

Impact of alcohol and illicit drug use on the burden of disease and injury in Australia: Australian Burden of Disease Study 2011 quantifies the health impact that alcohol and illicit drug use place on Australia, including as risk factors for other diseases and injuries. It estimates that alcohol and illicit drugs were collectively responsible for 6.7% of Australia's disease burden in 2011.

The report highlights that health inequalities exist, with lower socioeconomic groups and more remote areas generally experiencing higher rates of disease burden due to alcohol and illicit drug use.

* Nearly 1 in every 20 deaths in 2011 were from alcohol and illicit drug use, equating to 6,660 deaths.
* 6.7% of all disease burden in Australia was from alcohol and illicit drug use in 2011 (9% for males and 4% for females).
* 4.6% of all disease burden in Australia was from alcohol use alone, of which one-third was due to alcohol dependence.
* On its own, illicit drug use was responsible for 2.3% of Australia's disease burden.
* 41% of the illicit drug use burden was from opioids, followed by amphetamines (18%), cocaine (8%) and cannabis (7%).
* Alcohol use was responsible for around one-third of the burden of road traffic injuries.
* The rate of burden from alcohol use fell slightly between 2003 and 2011 and further reductions are expected by 2020.
* The rate of burden due to amphetamine use is projected to rise by 14% between 2011 and 2020.

Download report: Impact of alcohol and illicit drug use on the burden of disease and injury in Australia: Australian Burden of Disease Study 2011

Media release:1 in 20 Australian deaths caused by alcohol and illicit drugs.