ncah issue 10 2014

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Education Feature

Paramedics devastated at helicopter rescue death

ACT nurses reach pay deal

Australian physiotherapists want prescribing rights

Tasmanian graduate nursing positions disappointing: ANMF

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0 | www.ncah.com.au Nursing Careers Allied Health - Issue 10 | Page 3

Page 6 | www.ncah.com.auNursing Careers Allied Health - Issue 10 | Page 27

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A nurse who championed an innovative system that enables mental health nurses to attend police and ambulance call-outs to people with mental illness is the Nurse of the Year.

NorthWestern Mental Health’s Steve Brown received the top accolade in the 2014 HESTA Australian Nursing Awards.

A mental health nurse, Mr Brown was recognised for his work to develop the Police Ambulance Clinical Emergency Response (PACER) system to improve the crisis management of people living with mental health.

The system has been credited with a decrease in mental health presentations to one of Melbourne’s busiest emergency departments - Northern Hospital.

“People living with mental illness, who are in a crisis, can now be attended by trained police and clinicians, in their home,” Mr Brown said.

“This eases the impact on hospital emergency departments and significantly reduces the individual’s distress and anxiety.”

The annual awards, now in their eighth year, shine the spotlight on the exceptional contribution of nurses, midwives, personal care attendants and assistants in nursing to improve patient care, in service provision and also advocacy.

The awards honoured Royal District Nursing Service’s Zoe Sabri with the Outstanding Graduate accolade for her work in assisting elderly clients to live safely in their own homes.

Ms Sabri, 24, is based at RDNS Springvale, and was recognised for providing high levels of patient engagement and outstanding primary care to one of Melbourne’s most culturally diverse communities.

“It’s challenging to get some families working together with us because of their culture and traditions,” Ms Sabri, speaking at the awards, said.

“Our work involves more than just nursing – we have to consider and incorporate the clients’ and their families’ wishes, whilst advocating for the client and ensuring they receive the best possible care.”

The award for Team Innovation went to the Apunipima Pepi-pod Program, based at Cape York Health Council, for its work to reduce the rates of Sudden Unexpected Death in Infancy (SUDI) among Aboriginal and Torres Strait Islander communities.

Mr Brown and Ms Sabri were each presented with a $5000 ME Bank account and a $5000 education grant while the Apunipima Pepi-pod Program received a $10,000 grant.

HESTA Chair Angela Emslie said the winners showcased the difference high quality nursing can make to improving people’s lives.

“Our award recipients have not only demonstrated extraordinary care and compassion in the course of their work - they have gone above and beyond what is expected of them,” she said.

Outstanding nurses recognisedby Karen Keast

Our work involves more than just nursing – we have to consider and incorporate the clients’ and their families’ wishes, whilst advocating for the client and ensuring they receive the best possible care.

“

” – Ms Sabriat RDNS Springvale



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| www.ncah.com.au Nursing Careers Allied Health - Issue 10 | Page 29

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We hope you enjoy perusing the range of opportunities included in Issue 17, 2013.

If you are interested in pursuing any of these opportunities, please contact the advertiser directly via the contact details provided. If you have any queries about our publication or if you would like to receive our publication, please email us at [email protected]

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those who submit the advertisement for publication.

Issue 17 – 26 August 2013

www.ncah.com.au

Next Publication: Education featurePublication Date: Monday 9th September 2013

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Issue 1 – 20 January 2014

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Wednesday 4th June 2014

Next Publication:Publication Date: Tuesday 10th June 2014

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Issue 10 – 26 May 2014


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Front cover image provided by the University of New England

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People with an intellectual disability experience mental health problems at a rate up to three times’ higher than the general population yet the system is failing them. A unique guide now provides a national framework for action for frontline mental health service professionals and providers, writes Karen Keast.

“One of our worst times was when my daughter was admitted to hospital with prolonged delirium,” Michele states.

“We explained that she was usually a bright, sociable young woman with lots of friends and an excellent quality of life.

“The medical team disbelieved us and assumed she was always like she was on admission.

“We were told to put her in a nursing home.

“After discharge from hospital we accessed a specialist, and further treatment led to a complete recovery for our much-loved family member.”

These words from a mum and carer of a child with an intellectual disability (ID), who also has a mental health problem, are featured in a new resource for frontline mental health service professionals, including mental health nurses, psychiatrists and psychologists.

University of New South Wales (UNSW) researchers recently launched a quick reference document - the first of its kind in Australia - in a bid to improve access to mental health services for people with an ID.

The Accessible Mental Health Services for People with an Intellectual Disability: A Guide for Providers, also known as The Guide, is available online.

Associate Professor Julian Trollor, UNSW Intellectual Disability Mental Health chair, says about 400,000 Australians live with an

“We are trying to say to everybody really, there’s a strong policy and human rights basis to make sure services are accessible and this is how you can do it.”

The Guide outlines an overview of mental health needs and highlights barriers to accessing the appropriate mental health services for people with an ID.

It also details the principles underpinning the provision of mental health care to people with an ID, a range of reasonable steps mental health services can implement and the implications for each major component of the mental health system.

Assoc. Professor Trollor says it also features quotes from health care professionals, parents and carers of people with an ID, and colourful illustrations that work to enrich the document.

“You will see the art work, which is all art work from people with an ID, that vary in severity - some of them quite severe - but the art work has been collected to complement each chapter and we’re excited we have been able to illustrate the inclusive approach by including that art work.”

The Guide provides a selection of tools and diagnostic resources, examples of models of best practice, and tools and resources for consumers, family and carers.

It also outlines lists of advocacy services and guardianship, professional associations and interest groups, research and academic organisations, training and education, and other resources.

Assoc. Professor Trollor says for those wanting to up-skill, there are also free e-learning modules that the university launched last year focused on ID mental health at IDMH eLearning - www.idhealtheducation.edu.au.

intellectual disability and they are up to three times’ more likely than the general population to experience mental health problems, such as depression and schizophrenia.

Assoc. Professor Trollor says access to health services and the capacity of health services to meet the need is inadequate.

“In fact, access is very poor - there are very limited specific services and generic providers, general practitioners, mental health specialists in terms of psychiatrists, psychologists and mental health nurses.

“They feel ill-equipped to deal with this area and they don’t have the skills and the training.

“They struggle to be able to adapt their approach or the approach of their service to cater to the complex needs of the group.

“There’s a vulnerability, there’s a lack of workforce and capacity and then there’s the lack of appreciation of specific issues for people with intellectual disability.”

Assoc. Professor Trollor, one of the document’s authors who also heads the Department of Developmental Disability Neuropsychiatry (3DN) at UNSW Medicine, says the guide was developed after 15 months’ comprehensive consultation, research and collaboration with funding from the Department of Health.

The guide provides practical steps to improve accessibility within four different groups of service providers - from primary care to generic public health and private health through to specialist ID health providers.

“The guide is basically saying…the way to address this issue is by understanding what should be the underlying principles of service delivery, what should be the key components and how do you do that in real time,” he says.

“What’s on there currently are a range of modules that introduce ID, its impact on people’s lives, the intersection of mental health and ID, that outline of taking people through the skills and assessment of a person with ID and possible mental health problems, taking the person through management - what are the principles of things they should consider in managing that person, and it takes you through how you communicate with a person with an ID,” he explains.

“We are about to complete an emergency presentations module for people who work in the emergency department.”

With eight free modules available, Assoc. Professor Trollor says the website will continue to expand to offer more free modules and resources.

“We are really pleased with the feedback from that site,” he says.

“We have got a couple of thousand users and they are very active and have been very complimentary about the material.”

As Australia embraces the National Disability Insurance Scheme (NDIS), Assoc. Professor Trollor says the time is right to improve capacities within the nation’s health service.

“The idea is that we try and build capacity and awareness more generally so that everybody is doing a better job, right from the generalist in primary care right through to more highly specialised services,” he says.

“The benefit in doing that is that you then have a vision for this vulnerable group who need early intervention.

Providing mental health care for people with an intellectual disabilityby Karen Keast

For the full article visit NCAH.com.au

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Page 28 | www.ncah.com.au Nursing Careers Allied Health - Issue 10 |


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Issue 10 – 26 May 2014


Advertiser List



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• Solid nursing background for health check services (min 2yrs post grad) • Solid venepuncture experience for blood screening services (min 2yrs exp)• Excellent general medical knowledge and terminology• Professional presentation and communication, along with impressive time management skills• Current CPR Certification• National Police Check• ABN• Nurse Immunisation certificate for all nurse immunisers

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“

”– Ms Sabri

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by Karen Keast

Malnourished renal and geriatric hospital patients are missing out on vital nutrition due to environmental factors such as nurses being interrupted, according to a dietitian’s award-winning research.

Kelly Lambert, a renal clinical lead dietitian at Wollongong Hospital’s Department of Clinical Nutrition, studied 18 patients admitted to acute renal or geriatric wards assessed as malnourished or at risk of malnourishment in July and August 2009.

In the study, recently published in the Dietitians Association of Australia’s (DAA) journal Nutrition and Dietetics, an audit found patients received the Nutrition as Medication (NAM) 66.4 per cent of the time while the refusal rate was low at 8.9 per cent.

Under 48 incident observations, the study found patients received NAM 58.3 per cent of the time, with a refusal rate of just 3.6 per cent.

Ms Lambert said one of the main reasons that contributed to patients failing to receive NAM was due to nurses being interrupted on the ward.

“It was things like visitors coming to the ward and asking ‘where’s my mum?’, by other nurses asking them to check stuff and by other patients asking stuff, so those factors are really important ones that we have to try and eliminate,” she said.

“Some of the other reasons were just systemic ones like the supplement not even being delivered to the ward, so it actually can’t start the process.”

In recognition of the research, the DAA recently presented Ms Lambert with its 2014 Emerging Researcher Award at its national conference in Brisbane.

Ms Lambert said her study showed nurses would sign off NAM as being given to patients without guaranteeing that patients had consumed the drink.

“What we observed was that nurses would often sign off that it was given but they would

leave it at the bedside and say - you can drink it in your own time,” she said.

“That doesn’t guarantee that a patient has actually consumed it.

“The way it’s supposed to be delivered is that you watch the patient drink it. Signing off means that you’ve observed that they’ve swallowed it - like any other medication.”

She said waiting for doctors to write the NAM directly on to medication charts also caused delays.

“The first thing that’s happened locally is we have now eliminated one of those steps in the process,” she said.

“We can write directly onto the medication chart so we have eliminated that problem of having the delay in the doctors needing to chart it for us.”

Ms Lambert advised dietitians to regularly visit wards to ensure patients are actually drinking NAM.

“Don’t assume that it will work as you think it should - it’s always good to check at the local level that things are working correctly,” she said.

She said nurses also have an integral role to play when it comes to screening and managing malnutrition.

“Their role is really valuable because they’re the frontline people that deal with people who are malnourished,” she said.

“We need them to have their radar on at all times about patients who are not eating well, who report some rapid weight loss; even if they are overweight initially.

“That process of screening for malnutrition is really critical - that’s one of the critical roles of nurses.

“Nurses are a really valuable link in the chain in administering this Nutrition as Medication and dietitians need to work with them to help the process work well.”

Ms Lambert’s next piece of research will focus on memory loss in renal patients.

Dietitian’s malnutrition research highlights nursing factors


Western Australia’s at-fault insurance scheme for people injured in motor vehicle accidents is leaving a trail of road casualties in its wake, according to physiotherapists.

The Australian Physiotherapy Association (APA) is calling for the state government to follow in the footsteps of New South Wales, Victoria, Tasmania and the Northern Territory which have no-fault accident insurance.

The lobbying comes as South Australia and the ACT also appear to be gravitating towards no-fault accident insurance in line with the implementation of the National Disability Insurance Scheme (NDIS).

APA spokesperson and physiotherapist Tim Barnwell labelled the state government’s failure to introduce a no-fault insurance scheme in last week’s budget “disappointing”.

The Murdoch-based physiotherapist said the current system penalises people injured in road accidents, including many of his clients - one a pedestrian.

“We received a letter today saying that they (the Insurance Commission of WA) wouldn’t pay any invoices yet until they determined liability in the case,” he said.

“Now, that can be fairly standard and that’s what happens in an at-fault scheme.

“The thing that makes her case interesting is that she was a pedestrian in a road traffic accident, and yet they still have to investigate to prove that she’s the one not at-fault.

“To me that just defines why we need the system to change.”

Mr Barnwell, a physiotherapist of more than 13 years, said the at-fault system leads to litigation, poor outcomes, and increases stress and heartache for those recovering from injuries.

“Society needs to look after people who are less fortunate in my view,” he said.

“That’s probably why I got into physiotherapy because I want to look after people, and that idea of looking after those less fortunate is really important.”

Mr Barnwell said the government’s decision to raise car registration fees was a “golden opportunity” for change.

“The government can talk all it likes about wanting to implement the National Disability Insurance Scheme and then also the no-fault insurance scheme but at the end of the day you have to make some actual legislative changes to make it occur,” he said.

“It’s all very well talking but there’s no action at the moment.

“In essence what they’ve done is raise registration so they can raise more money and we all know that when they want to, if and when they want to implement no-fault insurance they are going to want to raise registration again.

“All that does is cause more of an issue for them trying to sell that second raise to the public for what is a very justifiable program that needs to be implemented.

“The fact that it can get implemented in other major states and WA is still seen as a robust, positive economy - we’re the very state that should be able to implement it.”

Physiotherapists drive insurance changeby Karen Keast

The government can talk all it likes about wanting to implement the National Disability Insurance Scheme and then also the no-fault insurance scheme but at the end of the day you have to make some actual legislative changes to make it occur

“

”– Mr Barnwell


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by Karen Keast

Eighty-five per cent of people with the debilitating illness Chronic Fatigue Syndrome (CFS) have difficulties reading and following directions even when it comes to a new medication, according to a New Zealand study.

Dr Don Baken, a clinical psychologist at Massey University’s School of Psychology, surveyed 221 people with CFS, also known as Myalgic Encephalopathy (ME), in a bid to gain new insights into the impact of the condition which affects about 20,000 New Zealanders and around 250,000 Australians.

Dr Baken said survey respondents reported a very low quality of life with more than three quarters struggling with basic everyday tasks and meeting family responsibilities while two thirds had difficulties counting money for purchases.

“They also rated their executive functioning to be extremely low for abilities such as planning, organising, strategising, paying attention to and remembering details, and managing time and space,” he said.

Classified as a neurological disorder by the World Health Organisation, people with CFS experience extreme fatigue, muscle and joint pain, cerebral symptoms of impaired memory and concentration alongside impaired cardiovascular function, gut disorder and sensory dysfunction.

Dr Baken said most respondents felt misunderstood and stigmatised by the condition.

“Because of the nature of the condition and the stigma that many feel because of it, it’s difficult for this group to advocate for themselves,” he said.

“More needs to be done to understand the impact of this condition and how society can support the people who suffer from it.”

The survey, which was conducted for Associated New Zealand ME Society (ANZMES), comes as

researchers at Queensland’s Griffith University hope to develop a quick diagnostic test, for earlier and better treatment.

Griffith Health Centre is home to the National Centre for Neuroimmunology and Emerging Diseases (NCNED) which is dedicated to research on the interaction between the nervous system and the immune system.

Facilities at the centre will be extended in June 2014 with the opening of a specialised CFS clinic.

The new integrated facility will provide treatment to patients and build on the research being conducted with participants, which has shown a strong association between the condition and a dysfunctional immune system.

Leading CFS researcher Professor Sonya Marshall-Gradisnik said Griffith’s research was pioneering the way internationally.

Professor Marshall-Gradisnik said she hopes the centre will not only discover the cause of the illness but also effective treatments.

“We now have the capacity, not only for advanced research but also the potential to provide a clinical service to people who have been unable to find appropriate care in the past,” she said.

Psychologist studies chronic fatigue impact

They also rated their executive functioning to be extremely low for abilities such as planning, organising, strategising, paying attention to and remembering details, and managing time and space

“

”– Dr. Baken


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by Karen Keast

Who hearts nurses and midwives?

The Queensland Nurses’ Union (QNU) is asking the public to show their love for the state’s nurses and midwives.

The union has launched a social media campaign calling for the public to take a photo of themselves, showing their hands forging the shape of a heart, to let the state’s caring profession know that they are valued.

QNU secretary Beth Mohle said nurses and midwives desperately need a morale boost in the wake of the largest job cuts in the state’s history.

“It is about the fact that our members are feeling very undervalued right now and they are feeling quite distressed, across all sectors, that they are not able to deliver the quality of care that they would want to,” she said.

“That’s because, across all sectors, there’s an increasing pressure for dollar-driven health care…and not enough focus is on the quality of care and the outcomes for patients.

“When the community is at their most vulnerable, when they are sick and injured, when they are having babies…nurses and midwives are there for them.

“We are calling for a bit of reciprocal support if you like.”

Ms Mohle said the campaign, launched in the lead to International Nurses’ Day, has already proven a hit with people taking ‘selfies’ and posting them on social media sites, including the union’s Facebook page, through Twitter and on Instagram.

QNU figures, accessed through Right to Information (RTI) requests, show more than 1350 nursing and midwifery jobs have been

culled - the majority at Metro North where 496 positions have been axed.

The figures also show Townsville has lost 156, 143 have gone at Metro South, 120 at Wide Bay, 66 at Darling Downs, 64 on the Sunshine Coast, 53 on the Gold Coast and 48 at Cairns and Hinterland.

Another 44 have been axed at West Moreton, 40 have gone across Central Queensland, 32 at South West, 27 at Children’s Health Queensland, 22 at Cape York, 13 across Torres Strait and Northern Peninsula and 11 at Mackay.

According to the union, more than 3700 full-time equivalent hospital and health services jobs have gone since September 2012.

The campaign comes as Mater Public Hospital’s 2300 nurses and midwives prepare to vote on a draft enterprise bargaining agreement.

After two years of negotiations, Mater public staff have been offered a 2.5 per cent pay rise back dated to May 1, 2012, short of the three per cent pay rise the QNU had hoped to achieve.

“Unfortunately we were not able to obtain improvement on other significant issues, but the QNU Mater Public Branch recognises that negotiations and conciliation in the Fair Work Commission have been exhausted,” Ms Mohle said.

“Continued legal wrangling would not yield results and could jeopardise some members’ entitlements.

“The QNU acknowledges that Mater will put the final draft agreement to ballot so that Mater nurses and midwives can decide if it is acceptable.’’

Campaign hearts nurses and midwives



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“

” – Dr. Baken








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“

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Healthcare Accreditation

Therese Cooke Manager Customer Services Team,

by Phone: 02 9281 9955 or via email: [email protected]

by 13 June 2014.

Please note that applications without addressing the selection criteria will not be considered.

The Australian Council on Healthcare Standards (ACHS), the leading independent authority on the measurement and implementation of quality improvement systems for Australian healthcare organisations, is seeking a customer focused person with a commitment to improving the quality and safety of health care to join the Customer Services Managers’ Team.

The Customer Services Manager is a pivotal position within the ACHS; assisting and supporting healthcare organisations with the implementation of their accreditation program. The successful candidate will be expected to bring excellent interpersonal and relationship skills as well as an understanding of quality programs.

Please refer to www.achs.org.au for selection criteria and a detailed job description.

Enquires or written applications addressing the selection criteria should be directed to:

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How to Apply: To lodge your Expression of Interest, please visit www.acu.edu.au/careers and attach a current CV and brief covering letter outlining your teaching preferences.

For more information: please contact Gloria Williams, on (07) 3623 7197.

Applications close: Sunday 22 June 2014

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ACU is a recognized nationwide leader in nursing education. The School of Nursing, Midwifery and Paramedicine (Qld) consists of a team of highly motivated academics who have built a strong teaching and learning environment. The School relies on experienced and committed casual teaching staff and is currently calling for expressions of interest from suitably qualified applicants to join the casual teaching pool for undergraduate and postgraduate tutors. Applicants who are experienced in either nursing, midwifery or paramedicine will be considered. Applicants need to display current registration and appropriate postgraduate qualifications with a minimum qualification of a postgraduate certificate from a tertiary institution.

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NURSE UNIT MANAGERWOMEN’S AND CHILDREN’S UNITSale, Victoria

Applicants must hold current AHPRA registration with an eligible work permit for Australia

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Central Gippsland Health Service (CGHS) is a subregional health service and the major provider of health and aged care services in the Wellington Shire. We serve an immediate population of approximately 42,000 in Central Gippsland, and reach a wider community in East Gippsland and parts of South Gippsland in terms of more specialized services such as perinatal services, critical care and surgery. The Women’s & Children’s Unit is located at the Sale campus of CGHS. The Unit provides perinatal and obstetric services, Level 2 neonatal care as well as paediatrics and is supported by a full range of services. Reporting to the Director of Nursing, the Nurse Unit Manager, Women’s and Children’s Unit operates in a complex environment characterised by a need:

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• To provide leadership and management support for unit staff;

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• To support the management team in appropriately prioritising patient need and to operate efficiently and effectively with a view to meeting community needs and providing a financially sustainable service;

• To understand and operate in a work environment driven by the need to meet clinical quality and safety guidelines; and

• To work closely and in collaboration with internal and external stakeholders.

To be considered for the position you will:

• Be a Registered Nurse and Midwife holding current registration with the Nursing and Midwifery Board of Australia;

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by Karen Keast

Nurses have the power to be a force for change in tackling the major health care challenges facing the nation, according to the Australian College of Nurses (ACN).

To mark International Nurses’ Day, an initiative of the International Council of Nurses (ICN), ACN is highlighting the vital role of nurses in Australia’s health care system, their impact on health outcomes and how nurses can be a part of the solution to the rising tide of health care issues.

As part of this year’s IND theme, ‘Nurses - A Force for Change’, ICN has released a raft of measures in a bid to ‘change the picture’ of the nursing profession internationally and in Australia.

The blueprint shines the spotlight on workforce planning, the measurement of care outcomes, nursing workloads and the importance of positive practice environments.

ACN Fellow Cheyne Chalmers said the nursing profession faces a wide range of challenges such as the “silver tsunami”.

“With the ageing population that we have now as well as our ageing workforce, making sure that we have got enough nurses to actually care for the people who are going to need care in the next 20 to 30 years is, I believe, going to be a significant challenge for us,” she said.

“To make sure that our workforce is able to be contemporary, with the way that technology is moving so quickly, and the changing nature of health care, it’s really important that nursing steps up to that challenge as well.

“The key issues for us are making sure that we continue to build our workforce, retain really good nurses and that we are responsive and flexible to the needs of our population.”

Adjunct Professor Chalmers, an executive director of Nursing, Midwifery and Support Services at Melbourne’s Monash Health, said there are increasing opportunities for nurses to take on leadership roles in the provision of primary care.

“We need to be having discussion and debate around this as nurses,” she said.

“So looking at how we can have advanced nurse roles - whether they’re nurse practitioner roles or whether they’re senior nursing roles, working with different communities, and for us it’s about supporting our workforce to do that.

“One of the big issues at the moment is around nurse prescribing, and so what are the challenges for nurses to prescribe in and what environments could we be prescribing in?”

Adjunct Professor Chalmers said work around developing a nurse endoscopy role at a local level was a good example of how nurses can step up to the nation’s health care challenges.

“Bowel cancer is a significant issue for the population,” she said.

“There are certain areas in the population that don’t necessarily have timely access to bowel screening because they might live in a rural centre or be isolated.

“We have trained a nurse endoscopist - I think around the country the opportunity for nurses to step up and take on these different roles, if you like, that are still nursing roles can add immense value to the population.

“We have got some significant challenges ahead of us and I think this is the perfect opportunity for nursing to stand up and say, actually as a workforce - we are able to support efficient and sustainable health care models and we want to be engaged in that conversation and we actually want to be part of the solution.”





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by Karen Keast

The Federal Government’s 2014-15 budget has delivered mostly painful cuts to health and missed opportunities, according to some of the peak bodies representing nurses, midwives and allied health professionals.

The much-maligned $7 Medicare co-payment for GP visits, out-of-hospital pathology and diagnostic imaging services and the rise in the price of prescriptions have come under attack, while the budget also revealed plans to dismantle Health Workforce Australia, the Australian National Preventive Health Agency and the Australian Institute of Health and Welfare (AIHW).

On the flip side, the budget’s blueprint to provide $200 million over five years for research to improve treatment for dementia and an extra $13.4 million in funding for 500 rural nursing and allied health scholarships has been applauded.

The Australian Nursing and Midwifery Federation (ANMF) said the savage cuts to the nation’s health care system will dangerously compromise safe patient care.

ANMF acting federal secretary Annie Butler said the co-payment will increase costs and worsen health outcomes.

“Co-payments will shift the cost burden onto individual consumers and the Australian public hospital system overall by driving more and more people into busy emergency departments,” she said.

“But as frontline health care professionals, nurses know that people must seek treatment sooner rather than later, otherwise those so-called minor ailments develop into serious, often chronic illnesses which go on to require expensive chronic care in hospitals.”

The Australian College of Nursing (ACN) fears people with chronic conditions will be among those hardest hit under the changes.

“The introduction of co-payments will undoubtably undermine the very real principles of universal access and equity in health care that the introduction of Medicare enshrined,” executive manager Kathleen McLaughlin said.

Ms McLaughlin welcomed the three-year funding for rural nursing and allied health scholarships.

“The scholarships announced by the government will have a positive impact in attracting nurses to work in rural health services, and will support the professional development of those nurses already practising in rural settings.”

The Australian Physiotherapy Association (APA) applauded the medical research fund and infrastructure, the commitment to fully roll out the National Disability Insurance Scheme (NDIS) by July 2019, and $140.6 million in funding to continue the operation of the Primary Care Electronic Health Records (PCEHR).

The APA expressed disappointment at the $160 million cut to Indigenous health programs and also a missed opportunity - with the government failing to take on board its proposal

Nursing and allied health stakeholders react to budget of granting physiotherapists the power to refer their patients to relevant medical specialists.

The APA believes this initiative could save the Medicare Benefits Scheme (MBS) $13.6 million annually.

The peak physiotherapy body also called for the new Primary Health Networks (PHNs), which are set to replace the 61 Medicare Locals, to maintain connections with communities and work with local hospital networks.

“Given that existing Medicare Locals run a number of different health care programs, including mental health services, speech pathology and physiotherapy programs, the APA maintains it is vital that allied health community connections be retained,” it said in a statement.

The Pharmaceutical Society of Australia (PSA) and The Guild expressed concerns at the impact the budget will have on pharmacists and pharmacies.

PSA national president Grant Kardachi fears pharmacists could be put in a position where they may need to advise patients on managing their medicines based on financial pressures.

“The increase in the co-payment may mean that some patients feel they need to make a decision about the medicines they are taking and this raises some very serious issues regarding patients’ safe and effective use of medicines,” he said.

Mr Kardachi said despite the nation’s large and highly-trained pharmacist workforce, the budget had failed to better utilise the skills and expertise of pharmacists to tackle areas of unmet need.

“This significant increase in co-payments means that the role of the community pharmacy network, and pharmacists as medication managers, will be even more critically important and needs to be properly remunerated in the next pharmacy agreement,” The Guild stated.

Co-payments will shift the cost burden onto individual consumers and the Australian public hospital system overall by driving more and more people into busy emergency departments

“

”– Annie ButlerANMF acting federal secretary

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Nursing and allied health stakeholders react to budgetof granting physiotherapists the power to refer their patients to relevant medical specialists.










“

” – Annie ButlerANMF acting federal secretary

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An app designed to help speech therapists working with autistic children develop kids’ capabilities in speech and widen their grammar and vocabulary is set to develop new features, following a fresh funding injection.

As reported by technology title TechCrunch, the app, called Avaz AAC, has already achieved widespread uptake in Australia as well as the US, Denmark, India and Italy.

Avaz AAC is an image-based communication tool that enables autistic children to use their picture identification skills to create “picture messages”, which are then spoken by a speech engine. The app’s picture vocabulary is described as “exhaustive” and is colour-coded linguistically, to assist language development. Used under the supervision of a speech therapist, the app can help children develop communication skills and learn new words and grammar.

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To view the position description or to apply for this role, please visit our career’s page http://www.wdhs.net/careers/careers to submit your application.

If you enjoy the rewards of working in a strong, dedicated team providing health support and services to the expanding communities of the Western District, then consider a career at WDHS. We have the following position currently available:

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by 13 June 2014.






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W: www.ahnr.com.auE: [email protected] T: 1300 981 509













by Karen Keast























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An innovative Flinders University project trialling telehealth in palliative care, aged care and rehabilitation is delivering positive results for patients, health care professionals and providers.

The Telehealth in the Home pilot, which was launched in February 2013, investigates the use of iPads and Fitbit activity monitors in the provision of online, at-home support for 145 patients and their carers in the region south of Adelaide.

The Flinders University-led project, run in partnership with SA Health through the Repatriation General Hospital and several specialist clinical networks, uses a team approach that integrates GPs, aged care and clinical services, and includes nurses and allied health professionals.

Flinders University School of Medicine Professor Colin Carati, who is also an executive member of the Australasian Telehealth Society, said it’s time for lessons learnt in the Flinders project and other telehealth pilots to be rolled out into mainstream practice.

“The time for pilots is over. There’s a saying around - we are all sick of ‘pilotitis’,” he said.

“As one of my colleagues, Tori Wade, quipped - telehealth has more pilots than Qantas.

“I think it will come to pass and it will be a very powerful and useful form of health care.”

Under the trial, which is set to conclude in late June, patients and their carers use telehealth applications on iPads to self-report health data while rehabilitation patients access online tools for exercises.

Fitbit devices report patient activity, videoconferencing connects patients and their carers with their health professionals, while palliative care patients and their carers complete questionnaires on their progress, including pain levels.

“If a combination of signals reach a certain critical point that will flag indication of intervention where somebody will make contact with that person and just see how they are going, a little more personally,” Professor Carati added.

Professor Carati said the pilot’s focus on using telehealth in palliative care and rehabilitation is unique and the early results are positive.

“The palliative care group we have is thinking very hard about this being now the new model of care and I’m confident that in both of those respects, the rehab and the palliative care, some way will be found to continue providing care in this way,” he said.

Lessons learnt in Flinders University telehealth pilot

continued on overleaf

continued from previous page

“I think the aged care sector is one that’s going through very rapid change and I have absolutely no doubt that over the next little while the aged care service providers will be all over this.”

Professor Carati said initial results of the pilot support previous findings in telehealth research which show patients are able to interact with health care professionals more easily and frequently.

“We get a sense that there’s a very positive response to this - people feel as though they are being better looked after, and they are more able to make contact with health care providers.”

One of the key findings of the pilot is the need for “good interaction” between a technical team and health care teams, Professor Carati said.

“The other findings are that, by and large, the populations that we thought would not embrace technology have done so,” he said.

“In most respects, we have been pleasantly surprised about how readily people have picked up on the technology and how positively they have embraced having their health care delivered in this way.

“The other side of it is the clinicians themselves see the positive benefits in this.

“We now have a bunch of new champions within the health care system who have seen how it works, see what it can do and are very positively engaged with integrating the use of these technologies into new models of health care.”

If a combination of signals reach a certain critical point that will flag indication of intervention where somebody will make contact with that person and just see how they are going, a little more personally.

“

” – Professor Carati

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