H
June 2017
Regional and Remote Feature + Safety and security guidelines for remote health workers + Novel midwifery program supports private patients + Nursing tele-chemotherapy service bridges gap + Paramedics inch closer to 2018 national registration
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June 2017 We hope you enjoy perusing the range of opportunities included in this Issue. 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 would like to receive our publication, please email us at contact@healthtimes.com.au DISTRIBUTION 46,300
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HT-705-CTR-00625 1/2PG FULL COLOUR CMYK PDF HT-706-00937 1/2PG FULL COLOUR CMYK PDF HT-701-CTR-00625 1/2PG FULL COLOUR CMYK PDF Are you interested in a career in healthcare but not on the clinical frontline? A career in clinical coding may be what you are looking for. Clinical Coders are one of two occupations that make up most of the health information management profession. Clinical Coders convert clinical information from patients’ medical records into alphanumeric codes according to a health classification system. These codes form part of a data collection which is used for research, funding and healthcare planning. The 22274VIC Certificate IV in Clinical Classification will prepare you for entry into a career in clinical coding. Coursework and Assessments: Online, distance education Duration: 850 hours over a 2 year enrolment period Fee: $5,600 payable in 4 instalments of $1,400 over the 2 years Intakes: March and July
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Pushing for cultural safety in legislation
C
ultural safety should be embedded into Australia’s health practitioners’ legislation to drive culturally safe health services that achieve better health outcomes for Aboriginal and Torres Strait Islander people. The Congress of Aboriginal and Torres Strait Islander Nurses and Midwives (CATSINaM) is lobbying for changes to national legislation that prioritises cultural safety, and requires key health regulatory bodies to embed cultural safety in health professional education, training and practice. CATSINaM CEO Janine Mohamed said evidence shows the health and wellbeing of Aboriginal and Torres Strait Islander people is being harmed because too many health services and health professionals are providing culturally unsafe care. “Cultural safety needs to be embedded at all levels of health care – from policy development and implementation, to health service management and delivery, research, and education and training,” she said. “Embedding cultural safety into the health practitioners’ legislation, as is done in New Zealand, is one important way of working towards health care that helps rather than harms Aboriginal and Torres Strait Islander people. “Aboriginal and Torres Strait Islander people are more likely to access health services that are respectful and culturally safe. “Likewise, if we can improve the cultural safety of health care services, we will improve
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the recruitment, retention and wellbeing of Aboriginal and Torres Strait Islander students, nurses, midwives and other health professionals.” Ms Mohamed said embedding cultural safety into legislation will ensure the successful implementation of relevant health service standards to support cultural safety. She said the second edition of the National Quality and Safety Health Service Standards will work to tackle the lack of safety and quality health service standards applying to mainstream health services, that specifically address the needs of Aboriginal and Torres Strait Islander people. CATSINaM has called for the Health Practitioner Regulation National Law Act 2009 to be amended to clearly identify cultural safety, respect and Aboriginal health as a priority. The representative body for Aboriginal and Torres Strait Islander nurses and midwives, which has a position statement on Embedding Cultural Safety across Australian Nursing and Midwifery, has written to health ministers seeking the legislative change. Ms Mohamed said the amendments to the Act should also include the Australian Health Practitioner Regulation Agency (AHPRA) and the National Boards responsible for regulation of specific health professions, including the Nursing and Midwifery Board of Australia (NMBA), to ensure cultural safety is included in health professionals’ education, training and practice.
policies for Aboriginal and Torres Strait Islander patients, communities, employees and health professionals,” she said. “It would provide a powerful tool for identifying areas that need further work and for improving the quality and safety of health care services.” Ms Mohamed said Aboriginal and Torres Strait Islander people account for just three per cent of the Australian population, yet Indigenous Australians “punch well above our numbers” in a range of sectors, including health. “But we can’t achieve the degree of change that is needed to ensure health care is culturally safe for our people without the support and engagement of ‘the 97 per cent’,” she said. “We want to see all nurses, midwives and allied health professionals engaging with the movement towards cultural safety, and supporting our work at CATSINaM.”
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“Our NMBA has begun this journey, and we have seen great support from AHPRA with their first workshop on developing an Aboriginal and Torres Strait Islander Health Strategy for the National Registration and Accreditation Scheme, taking place in September 2016,” she said. “At this meeting we discussed how to best work together to support better health outcomes for Aboriginal and Torres Strait Islander people - identifying the role of the National Registration Accreditation Scheme’s (National Scheme) strategy in ensuring patient safety for Aboriginal and Torres Strait Islander peoples in Australia’s health system.” Ms Mohamed said a health barometer, similar to the Reconciliation Australia Barometer, could be developed to measure the success of embedding cultural safety into legislation. “Our vision for a health barometer is that a regular research study would map the cultural safety of health services, programs and
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Care | Education | Research
HealthTimes - June 2017 | Page 09
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Nursing tele-chemotherapy service bridges gap
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ural generalist nurses are administering chemotherapy under the supervision of specialist nurses as part of an innovative telehealth initiative in Queensland. Since it was launched last year, the telehealth model has delivered chemotherapy to three patients at Hughenden Hospital, reducing the cost and inconvenience of transportation for patients regularly being forced to travel more than 370 kilometres for treatment at The Townsville Hospital. Under the tele-chemotherapy model, rural generalist nurses who received training to administer chemotherapy are overseen by chemotherapytrained nurses via video link from the Townsville Cancer Centre. The initiative has been such a success, it has been endorsed as a national model that is set to transform access to cancer clinical trials across the nation. The Clinical Oncology Society of Australia (COSA) has endorsed the Australasian TeleTrial Model which outlines a national framework to deliver clinical trials to patients living in remote and regional areas. The framework was built on the model of care operating between Hughenden and Townsville Hospitals. Speaking when the service was first launched, Professor Sabe Sabesan, Medical
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Oncology Director at Townsville Hospital and Health Service, said tele-chemotherapy could be delivered simply, safely and sustainably. “We don’t take any shortcuts with telehealth. What we are now offering in Hughenden is a safe model of care that benefits both staff and patients,” he said. “Modern technology has made it feasible for us to deliver this fairly significant service to a remote western community with a population of a tick over 1000 people, which is a significant achievement.” Dr Sabesan said the tele-chemotherapy model will be adopted to deliver clinical trials in smaller satellite sites, increasing services for rural and remote patients while also tackling rare tumours - trials which have traditionally been difficult to undertake. “Clinical trials, particularly for rare cancers, often struggle to attract suitable numbers of patients whose tumour fits the eligibility criteria to run a suitable trial,” he said. “This model has the potential to make these potentially life-saving trials more readily available to people who previously had to overcome huge barriers to be involved.” Since its launch, the service has received overwhelming community support with a range of local groups raising $20,000 for equipment, including a chemotherapy treatment chair, a nursing trolley for equipment as well as a blanket warmer. The Prairie State School, which has a total of eight students, also raised $600 from a 14 kilometre bike ride to purchase a television, cushions, rugs, framed posters and plants to make the chemotherapy room more comfortable for patients. The Hughenden Hospital is now planning a morning tea to officially open the service and thank the local community for its support.
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The Latrobe Regional Hospital (LRH) Mental Health Service is the regional provider of mental health services in Gippsland. LRH Mental Health Service operates an integrated specialist mental health program across ten sites and provides inpatient and community mental health care for adults, children and young people, and older persons. LRH Mental Health Service also operates a Community Residential Care Unit, Prevention and Recovery Care Unit and a Parent and Infant Unit. LRH Mental Health Service is a recovery oriented and trauma informed service and we are seeking dynamic and passionate staff to join our team. The following positions are available now: • Team Manager Grade 5 – Bairnsdale Community Mental Health Service • Acute Community Intervention Service Grade 3/4 – Mental Health Clinicians and Consultation Liaison Mental Health Nurses • Associate Nurse Unit Manager Grade 3 – Inpatient Unit - Adult • Registered and Enrolled Nurses Grade 2 – Inpatient Units – Aged, Adult – Full-time/Part-time/Casual • Community Mental Health Clinicians Grade 3/4– Adult Mental Health Service Senior Project Manager RN 5 - Eating Disorders Clinical Pathway Grade 2 Trainee positions – if you have recently completed a Graduate Year in Nursing or are a newly qualified Allied Health professional seeking a career in mental health – please contact us to discuss trainee positions within our service. LRH Mental Health Service offers a supportive environment with clinical educators, preceptors, clinical supervision, a nurse practitioner mentoring program and professional development opportunities. Please visit www.lrh.com.au and go to our employment sections to view current vacancies and register your interest. For enquiries please contact Cayte Hoppner, Director of Mental Health on (03) 5173 8549 or email choppner@lrh.com.au.
HealthTimes - June 2017 | Page 11
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If you’re a healthcare professional or a student about to decide on your career, join the Army and challenge your experience with variety and travel that is well beyond the scope of usual healthcare. Find out more Defencejobs.gov.au/ArmyHealth Challenge your experience
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HealthTimes - June 2017 | Page 15
Safety and security guidelines for remote health workers
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emote and isolated health practitioners should always be accompanied after hours or when possibly at risk, prepared for remote practice through orientation, and equipped with effective communication, prevention and de-escalation skills. These recommendations form some of the key priority areas highlighted in the recently released Safety and Security Guidelines for Remote and Isolated Health. The guidelines are an integral part of the Remote Area Workforce Safety and Security Project - a CRANAplus initiative, funded by the Commonwealth Government, to improve the safety and security of the remote health workforce after assaults on Remote Area Nurses (RANs) and the murder of RAN Gayle Woodford in 2016. CRANAplus CEO Christopher Cliffe says the remote health workforce has reflected on longheld practices since the tragic murder, and will no longer accept the risks once considered part of working remote. “What we tolerate now and what we see as risk is different - we’ve had our eyes opened,” he says. “I think because it’s been such a fast and fundamental change on what sort of risk we’re prepared to take as a workforce, employers are
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struggling to catch up. “That’s just change - it’s a significant change and I think it’s much better that we are working positively with everybody, so that we are never going back. “We now want a much safer workplace and that’s a good thing. It’s just a matter of giving everybody the tools that they need to be able to get there.” The guidelines were released after an extensive conversation with industry, a review of literature, and the input of a national expert advisory group. The document covers seven safety and security priority areas and outlines actions that clinicians, employers, service providers, communities and other stakeholders can implement to establish and maintain safe and effective operating systems in remote and isolated health services. The guidelines’ priority areas include: * Always work accompanied when attending call-outs after hours or during business hours if attending an unknown event or when clinicians have concerns for their safety * Education to professionally and personally prepare clinicians for remote and isolated practice * Ensure staff resilience and manage fatigue. Fatigue can be minimised through workload management, supportive supervision, timely use of leave, and prioritising self-care * Create a stable workforce. Maintain a regular and reliable workforce while also working to reduce and manage staff turnover to promote safe, quality and reliable remote service provision * Communication and connectivity through reliable and effective communication
“If they feel unsafe, I think they immediately should be letting their employer know and if they’re not getting a good hearing from their line manager, then they should escalate and keep escalating. “It’s an industrial issue and if they’re not safe at work then their employer is not compliant with their obligations under the Workplace Health and Safety legislations of the state and territory or of the federal government, so this is the time when you can go to a union. “Ultimately, I think as a workforce, we vote with our feet. And if an employer isn’t coming up to speed, then seek another employer - there’s plenty of work out there for good, highly-skilled remote health professionals.” Mr Cliffe encouraged all remote and isolated clinicians, service providers and stakeholders to read the guidelines. “But remember that they are not the panacea - they are not going to fix everything, and that safety comes down to you as an individual as well,” he says. “If you don’t feel safe and you don’t feel comfortable, then trust your gut, and do something about it.” The guidelines follow the release of the National Remote Health Workforce Safety and Security Report in January 2017. As part of the Remote Area Workforce Safety and Security Project, CRANAplus will also develop a range of practical resources, including an app, an industry resource book, and online training for working safe in remote practice.
HealthTimes - June 2017 | Page 17
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and transport to mitigate risks for remote clinicians * Prevention and de-escalation skills. Equipping clinicians with the skills to manage bullying and harassment, and to reduce the incidence of events escalating to violence, and * Identifying hazards and managing risks through a proactive schedule of monitoring, evaluation and workplace audits to highlight and respond to hazards and risks. Mr Cliffe says the guideline for clinicians to always work accompanied was “a no-brainer”. “When we looked around at all of our contemporaries, so the fire brigade or the ambulance service or the police service or even home-visiting type services, all sort of had a buddy system,” he says. “It also seemed to be something that could be implemented very quickly to address a lot of the risks that we knew were going to take a much longer period of time to fix - some of the structural reforms that were required, some of the environmental changes that were needed, some of the educational requirements that were going to be required - but a real quick fix to just make sure that people tomorrow are safe.” Mr Cliffe says while a number of services are working to improve safety and security measures for employees, some clinicians feel their safety and security is still being compromised. “There are still examples happening almost on a daily basis where people don’t feel that their employer necessarily, or the system around them, is protecting them adequately,” he says.
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HealthTimes - June 2017 | Page 19
Novel midwifery program supports private patients
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pioneering midwifery-led program is supporting pregnant women’s emotional wellbeing in private sector maternity services. Sydney’s The Mater Hospital Pre-admission Midwife Appointment Program provides women in the third trimester of their pregnancies with a free 45-minute appointment, with a specially trained midwife, to discuss pregnancy, birth and early parenting. The initiative focuses on women’s emotional wellbeing - screening for depression, anxiety and associated risk factors as well as domestic violence screening. It also promotes selfawareness of emotional wellbeing, along with validation and assistance for any concerns or social stresses in the women’s lives. Statistics show perinatal depression affects up to one in 10 women during pregnancy, and almost one in seven women in the first year after birth. While most public hospital maternity units provide psychosocial assessment and depression screening as part of routine antenatal care across Australia, implementation in the private sector has lagged behind. The Mater is one of the few private hospitals in the nation to provide this type of self-funded service, which offers access to all
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women scheduled to give birth at the hospital. The initiative enables the program’s team of 10 midwives to provide holistic multidisciplinary care to patients, providing support from the pregnancy to the birth of the baby and into the postnatal period.
The program, which began in October, has been such a success, it recently won a $10,000 national Team Excellence Award at the 11th HESTA Australian Nursing and Midwifery Awards. Antenatal midwife coordinator Sarah Tooke, a registered nurse and midwife, says it’s imperative private patients have the same opportunity as public patients - to access a midwife. “In the private system, patients don’t necessarily see a midwife until after they have their baby, unless they are lucky enough to have an obstetrician who has a midwife in the rooms,” she says. “We sort of went…our patients shouldn’t be paying and missing out on a service that public patients are getting.” The hospital partnered with The Gidget Foundation, a not-for-profit organisation that promotes emotional wellbeing for expectant and new parents. It tapped into the results of the foundation’s pilot study, which found clinically significant antenatal depressive symptoms in a sample of women accessing private obstetric care - highlighting the importance of antenatal depression screening for all women. The hospital, a facility of St Vincent’s Health Australia (SVHA), worked with the foundation, particularly chairman and obstetrician Dr Vijay Roach, board member Catherine Knox, psychiatrist Professor Bryanne Barnett and CEO
year is doing some formal research so we can make sure we are giving the women what they want and continuing to improve what we’re offering.” Ms Tooke says prize-money from the HESTA Award will go towards funding the qualitative research, as well as ongoing education in perinatal mental health for midwives, training for more midwives to join the team, and a postnatal follow-up appointment for patients identified with key risk factors. The prize-money will also fund an interpreter to help meet the needs of the hospital’s high proportion of Chinese patients. Ms Tooke, who also runs a private childbirth and parenting education business, says while feedback from women participating in the program has been overwhelmingly positive, midwives are also reaping the rewards of the service. “I just love being able to talk to the women and actually having time to talk to them, and just developing that relationship and that trust,” she says. “I suppose being off the ward, you just get away from that crazy, busy stuff, and you actually feel like a real midwife. “Even though you’re not there delivering babies, you feel like you’re doing your job properly because you have the time to actually sit back and be with a woman and validate experiences and just listen. “I think that just by getting that support in place, it can really make this time in women’s lives much more positive.”
For more articles visit HealthTimes.com.au
HealthTimes - June 2017 | Page 21
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Arabella Gibson, to develop and implement the initiative. Midwives involved in the program completed workplace training on domestic violence screening, with the program utilising SVHA’s own screening tool for family and domestic violence, while midwives also attended two training days with Professor Barnett. In addition, a summary and referral system was developed to ensure the right support for at-risk women, with referrals to a range of pathways including obstetric social worker and midwife Deb De Wilde, the Gidget Foundation, a lactation team, discharge planning team, and the patients’ own psychological services. “We made the program a little bit more holistic so that it has a big focus on emotional wellbeing screening - looking at those risk factors for anxiety and depression but also screening for domestic violence,” Ms Tooke says. “Also, it just gives women the opportunity to have a chat with the midwife and ask questions, and talk about previous experiences if they had a traumatic time with feeding or a bad birth experience - just validating that.” While the program is still in its infancy, Ms Tooke says participation has increased from an average of 35 per cent of patients to between 50 and 75 per cent of patients. “We hope to get that up a little bit higher but the biggest focus so far has just been on successful implementation,” she says. “What we’re really going to look at this
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New physiotherapy platform for knee replacement surgery
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physiotherapy program as expected, there esearchers are trialling an innovative knee replacement surgery app and portal could be a reason so they can look at the data, designed to assist patients with their pre-surgery look at the steps and look at the sleep quality preparation and rehabilitation. and the pain score. The activateTKR digital platform, which “They can get a sense of a reason - why features a smartphone app, wearable activity that may be the case, but they can also call the tracker and portal, aims to boost patients’ access patient to say - it seems like you’re not complying and adherence to rehabilitation, improving their well with your physiotherapy program, is there recovery and health outcomes. something that is going wrong? The app provides patients with physiotherapy “This is important because often not doing demonstration videos, pre-surgery checklists, the exercises correctly or properly may lead to reminders and supportive information in text, other complications, for example it can lead to video and audio. some infection.” The wearable activity tracker The Dr Hussain said the initiative is encourages and monitors now being trialled with up to 300 technology patient exercise, tracks sleep, patients across six hospitals platform is designed and enables patients to selfin Australia, comparing the to assist patients to premonitor their progress. recovery of patients who pare for their surgery and Patient data links to a portal receive the normal standard of encourages patients to where clinicians can create care against those who receive complete their rehabilitailored, individual physiotherapy the normal standard of care plus tation program. programs and monitor patient the digital platform. progress in real-time. “Then we will see, comparing with CSIRO activateTKR project leader Dr the controlled patients different measures Sazzad Hussain said the technology platform is such as the clinical measures, behavioural designed to assist patients to prepare for their outcome, we are also looking at economic surgery and encourages patients to complete outcome, service delivery satisfaction, and all of their rehabilitation program. those measures will tell us how the technology Dr Hussain said physiotherapists will be able platform has improved patient outcome and to monitor patients’ functional improvement aspects such as costs and service delivery.” and also their compliance with the program. Dr Hussain said the app will be an evidence“The patients start the program four based tool for clinicians and their patients. weeks before surgery and they get themselves “We want to say that this app has a certain prepared, and they go off and have the surgery level of clinical efficacy or has a certain level and then do the 12 week program,” he said. of patient outcome that it can achieve and it’s “With the clinical portal, the physiotherapist scientifically proven.” is looking at the compliance - so are they The activateTKR platform is being developed actually doing the physiotherapy program that in collaboration with Johnson & Johnson they’ve configured? Medical Devices. “And they may not be doing the
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HealthTimes - June 2017 | Page 23
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Paramedics inch closer to 2018 national registration
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aramedic registration could come into force for Australia’s 13,000 paramedics on September 1, 2018. As Australian paramedics prepare to become the 15th health profession to be regulated under the Australian Health Practitioner Regulation Agency (AHPRA), New Zealand’s paramedic workforce is also taking steps towards paramedic registration. Peter Jurkovsky, a Paramedics Australasia director and chair of the National Registration Working Group, said paramedic registration will work to safeguard the public, protecting the title of ‘paramedic’. “You won’t be able to use the title ‘paramedic’ unless you are qualified and accredited and registered to practice as a paramedic, and it will create certainly increased safety measures for the public in terms of making sure that people have got qualifications and skills to practice as a paramedic in the field,” he said. “There are many examples of people practising and calling themselves paramedics, which you can do - anyone can go and call themselves a paramedic and offer their services today and it’s not illegal. “Whereas, as of the first of September next year, that will certainly be illegal and people can be prosecuted for that.” The first appointments for the inaugural Paramedicine Board of Australia closed in May. Once the National Board is appointed, it will de-
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velop registration, education and accreditation standards, as well as a code of conduct. As part of the move towards national registration, paramedics will be required to pay an annual registration fee and an initial fee for background checks, and provide proof of their qualifications and recent work history. Once national registration is implemented, paramedics in all states except New South Wales will be required to have completed a degree qualification in paramedicine. Mr Jurkovsky said ‘grandparenting’ provisions, outlined in the legislation, have been designed to enable the existing paramedic workforce to gain registration under the National Scheme. To gain registration, paramedics must have practised paramedicine for at least five of the past 10 years, while they must also be able to satisfy the Board of their competency to practise paramedicine. “The ‘grandparenting’ provisions are a really important area of the legislation because there’s many paramedics in Australia who operate quite successfully - they are intensive care paramedics, critical care, advanced life support paramedics, who have not got a degree qualification but work as accredited and credentialled paramedics within ambulance services.”
For the full article visit HealthTimes.com.au
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Project work to improve burns for Indigenous children
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niversity of Queensland researchers are working to improve the care of Aboriginal and Torres Strait Islander children with burns injuries. The project to investigate barriers and enablers to burns care is led by Professor Rebecca Ivers from the George Institute for Global Health and involves a team at UQ’s Centre for Children’s Burns and Trauma Research and an Aboriginal and Torres Strait Islander advisory committee. UQ PhD Candidate Hayley Williams said the work would help develop national bestpractice guidelines for culturally appropriate and safe care. “Aboriginal and Torres Strait Islander patients often have longer travel times to access burns services, so they generally have to stay in hospital for an extended period of time,” Ms Williams said. “The impacts of being so far away from extended family and land is profound.
“Australian health services are very westernised and Aboriginal and Torres Strait Islander patients are expected to slot into a system that doesn’t align well with their family values and perspectives of health and wellbeing. “Understanding the health system and even navigating a new city or a big hospital can be
difficult, and we need to realise that it’s not just the family’s responsibility to handle this alone, but that of health professionals too.” Families of burns patients aged 0-16 years old at five tertiary hospitals across Australia are being recruited into a National Health and Medical Research Council (NHMRC) funded project to investigate all stages of the care and after care process. The data will inform future campaigns and guidelines to improve the delivery of care to Aboriginal and Torres Strait Islander families. Ms Williams is supervised by a team including Professor Roy Kimble and Dr Bronwyn Griffin of UQ’s Child Health Research Centre, who recently co-authored an editorial in the Medical Journal of Australia on the topic of Indigenous burn rates. Professor Kimble said burns were a specific health burden, and understanding the detail was vital to finding solutions. “Prevention must be part of any intervention to reduce the burden of burn injuries in Indigenous children, alongside optimal first aid,” he said. “Campaigns to prevent burn injuries will only succeed if targeted at specific populations, and collaboration between injury prevention advocates, health workers and Indigenous leaders is essential.”
For more articles visit HealthTimes.com.au HealthTimes - June 2017 | Page 27
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Horse riding highly beneficial for stroke survivors The multi-sensory and stimulating nature of horse riding and rhythm-andmusic therapies has been shown to be very beneficial for stroke survivors.
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cientists are challenging long-held beliefs about stroke recovery and have used horse riding to prove that a survivor can achieve both physical and mental improvements long after the initial medical emergency. A Swedish study, led by Australian-based Professor Michael Nilsson at the Hunter Medical Research Institute, found horse riding and rhythm-and-music therapies improved a patients perception of recovery as well as their gait, balance, grip strength and cognition five years after their stroke. Prof Nilsson says “frustratingly” there is a general view that stroke patients can’t achieve significant improvements after 12 months. What this study does, he says, is add to a growing body of evidence that the brain is like “plastic” and has the capacity to change itself over long periods of time, even in stroke survivors. “That’s why I’m so excited because we have proven now over and over that the brain has the capacity to change itself, develop new skills and find ways after damage that’s not utilised in the current system,” Prof Nilsson told AAP. Researchers studied 123 Swedish men and women aged 50-75 who had suffered strokes
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between 10 months and 5 years earlier. Trial participants were randomly assigned to rhythm-and-music therapy, horse-riding therapy or ordinary care, with the therapies given twice a week for 12 weeks. Of those who experienced an increased perception of recovery, 56 per cent were in the horse-riding group, 38 per cent in the rhythm and music group, and 17 per cent in the control group. Prof Nilsson says he was surprised by the sustained effects after only 12 weeks of these non-pharmaceutical interventions. It’s thought the multi-sensory nature of the activities stimulates the brain which then translates into physical recovery. “The combination of social, physical, cognitive challenges and stimulation adds together in a form of synergy to stimulate the brain,” said Prof Nilsson. The horse’s back creates a sensory experience that closely resembles normal human gait and is beneficial for stroke survivors, he says. In rhythm-and-music therapy, patients perform cognitively demanding hand and feet movements to visual and audio cues. The researchers found that this activity, particularly, helped survivors with balance, grip-strength and working memory. While further studies are needed, Prof Nilsson says the findings - published in the American Heart Association’s journal Stroke - should offer some hope to the thousands of Australians who have survived a stroke. In Australia, there are up to 60,000 new cases of stroke every year and there are somewhere between 350,000-500,000 survivors.
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When it rained, I shone. It was one of those fierce summer storms that comes after a week of hot weather. Worst of all, the storm hit the clinic during the night, so nobody realised the roof was damaged.The next day, we found the reception counter drenched. But I was all over it. I got hold of our Officeworks Business Specialist, who helped me organise what we needed to replace. She recommended plastic filing cases instead of cardboard folders, and a wireless keyboard that could be put away each night. And because everything was ordered online before 11.30am, it was delivered the same day.
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