Health Times May Edition

H

May 2016

Aged Care Feature + Dementia care latest treatments + Emotional intelligence training boosts aged care workers + Physiotherapists disappointed with aged care reforms + Budget 2016: Health groups react

HealthTimes - May 2016 | Page 31

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May 2016 We hope you enjoy perusing the range of opportunities included in this Issue.

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The HealthTimes magazine is the most widely distributed national nursing and allied health publication in Australia.

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ABN 29 071 328 053. Š 2015 Seabreeze Communications Pty Ltd. All right reserved. No part of this publication may be copied or reproduced by any means without the prior written permission of the publisher. Compliance with the Trade Practices Act 1974 of advertisements contained in this publication is the responsibility of those who submit the advertisement for publication.

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How technology will advance nursing practice

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t the Royal District Nursing Service (RDNS), nurses are using video calls to check on patients equipped with wireless tablet devices in their homes.

Through the Telstra Health-developed MyCareManager telehealth platform, nurses are able to watch older patients take their medicine or check their blood pressure.

In Queensland, Redcliffe Hospital has championed a dynamic mobile solution to boost staff efficiency and outpatient flow, eradicating paperbased processes while increasing data accuracy and putting an end to lengthy patient queues.

The hospital has introduced the MK4000 kiosk and Patient Automated Arrival System (PAAS) where patients scan a barcoded appointment letter to self-check in, swiping their Medicare or Department of Veterans’ Affairs (DVA) cards. A map on the kiosk screen then points the patient to their clinic’s waiting room as the system informs staff of the patient’s arrival.

And at the Royal Melbourne Hospital, handheld computers and an hTrk application are being used in the operating theatre, cardiology and radiology departments, allowing medical equipment such as a stent or pacemaker to be tracked, traced and billed.

Nurses no longer manually record each item in a book. Instead, they scan a barcode on the item or its packaging before uploading the information to a central data store, which

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improves efficiency and accuracy as well as patient safety.

These are just a few examples of how technology is working to advance nursing practice in Australia.

Australian College of Nursing (ACN) CEO Adjunct Professor Kylie Ward says nurses are embracing the uptake of a broad range of health care technology, from point of care solutions like mobile devices and tablets with barcoding for recording patient notes and accessing patient data through to advanced information systems.

“Years ago you would remember a nurse writing notes and on admission you had paper-based notes, which would mean that if you were in hospital for a couple of weeks and we had to write an allergy - you might have to re-write that allergy 10, 20, 30, 50 to 100 times on all sorts of paper,” she says.

“Now with technology and integrated communications systems you put it in the care plan on the entry to hospital, and it populates all of the way through to the discharge plan.

There’s less room for error.”

With 25 years’ experience in nursing, health management, academia and nurse leadership, Adjunct Professor Ward says recent advancements in technology have catapulted the possibilities for health care providers.

Adjunct Professor Ward says the rollout of technology has a range of benefits for nurses, from improving the accuracy of data to boosting

efficiency, which releases more time for nurses to care for their patients, and ultimately improves patient care and safety.

One device leading the charge in bolstering nurse efficiency is the Vocera communications badge.

The hands-free, wireless communication device is worn on the collar of nursing uniforms, enabling nurses to converse immediately with their colleagues, regardless of their location on the ward.

“It’s exceptional,” Adjunct Professor Ward says.

“Instead of nurses needing to run around and try and find each other or find a phone, nurses and other clinicians in the health team have their hands free and they can basically just lean over to their shoulder, speak, and find out where people are,” she says.

“Nurses can then gain time back and re-direct time to patient care. Patients benefit when the nurse is in the room, having a conversation, connecting, talking about concerns, educating the patient - having all of the connection that is essential and highly regarded for our profession and not sitting at the nurses’ station trying to enter in data.”

A range of apps are also enabling nurses to access the latest evidence-based research or education right at their fingertips. There are also apps that provide information about diseases, tests and drugs through to virtual patient simulators.

Nurses are not only utilising apps. They are also the innovators behind some of the apps that are changing patient care.

One such app is the Pain Squad gaming app. A Canadian nurse practitioner developed the app which enables paediatric cancer patients to keep a detailed record of their pain, which can then be shared with their team of health professionals.

While Australia is making progress in the introduction of health technology, Adjunct

Professor Ward says there are some big ticket items, such as the implementation of a national electronic health records system, where the nation is lagging behind other countries including Denmark.

Adjunct Professor Ward says the revamped My Health Record, previously known as the Personally Controlled Electronic Health Record (PCEHR), will be a major advantage to patients, nurses, other health professionals and health providers.

“I think that it is very important that we advocate for patients to have the right to hold onto all of their health information - it’s enabling, it’s empowering and it’s something that we should really be proactively pursuing as a nursing profession,” she says.

“Patients with chronic and complex conditions and comorbidities particularly, they know their diagnosis, they know their disease, they know their illness, so if there’s ever a need for them to approach a hospital or another health provider or a GP, say they’re on holidays or they’re travelling, they have to start all over again in giving their information.

“It is time consuming, it is a waste of resources, it has no benefit to the patient to be educating professionals that are not familiar with their condition.

“The ability to be able to hand over a My Health Record, where any clinician day or night can tap in and see the history and the management plan, will certainly have significant benefits - for the patients, the community and for health care in general, for better use of the health care dollar.”

With increasing demands on Australia’s health care sector, appropriate technological solutions are expected to play an integral role in advancing nurse practice, improving patient care and delivering better health outcomes.

For the full article visit HealthTimes.com.au HealthTimes - May 2016 | Page 13

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HealthTimes - May 2016 | Page 15

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HealthTimes - May 2016 | Page 17

Dementia care latest treatments

By Karen Keast

I

f you have young children, the good news is that your offspring are likely to live to a ripe old age. Unfortunately, the bad news is that unless there’s a medical breakthrough, it’s estimated that about half of all female children born today will develop dementia, and the males aren’t too far behind.

While governments, organisations and pharmaceutical companies are continuing to pour billions of dollars into dementia research world-wide, there remains no cure for the agerelated condition and no effective dementia treatment that slows or modifies dementia.

Dementia research Australia is now home to a growing area of dementia research.

Researchers are examining causes of dementia, such as genetics as well as the role of the two main brain changes, beta-amyloid plaques and tau tangles, in the most common form of dementia, Alzheimer’s disease.

With no single test that can accurately diagnose dementia, Australian researchers are also working to improve diagnostic measures that lead to earlier diagnosis, with research into biomarker analysis, neuroimaging, and neuropsychological testing.

Dementia research is also focusing on developing dementia treatments, improving risk reduction and prevention, and in boosting dementia care.

The Federal Government has increased its investment in dementia, announcing a $200 million injection for dementia research spanning five years, in its 2014-15 budget.

That funding has established the National Health and Medical Research Council’s (NHMRC) National Institute of Dementia Research (The Dementia Institute), which is working to

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bring together, prioritise and boost the nation’s dementia research.

The Dementia Institute, run by Alzheimer’s Australia in conjunction with the NHMRC, comprises the Dementia Collaborative Research Centres, the Cognitive Decline Partnership Centre, and the Clem Jones Centre for Ageing Dementia Research.

As part of the world-wide effort to expand research into dementia, Alzheimer’s Australia’s Dementia Research Foundation is working to fund early career researchers in the field.

The Australian Imaging, Biomarkers and Lifestyle Flagship Study of Ageing (AIBL) is a research collaboration which is examining biomarkers, cognitive characteristics, health and lifestyle factors of dementia. It aims to improve the diagnosis of Alzheimer’s disease and is working to uncover treatments and lifestyle factors that can prevent or delay dementia.

Another pioneering dementia research organisation is the Wicking Dementia Research and Education Centre at the University of Tasmania. The integrated dementia care centre combines neurosciences and social sciences research and education in the areas of dementia causes, prevention and quality of care.

James Vickers, centre co-director and a Professor of Pathology, says while Australia doesn’t receive as much funding in dementia research as many countries, the nation is playing a lead role when it comes to innovative, major projects in dementia research.

Professor Vickers, whose research has focused on maintaining and improving brain plasticity, says one of the centre’s three main areas of research is examining dementia causes, including the sequence of cellular changes that lead to Alzheimer’s disease.

“We’ve studied the beta-amyloid plaques inside the brain which is one of the key pathological changes in Alzheimer’s disease - they are causing a small amount of damage to the processes of nerve cells, the axons, but over time it’s the reaction of those nerve cells to damage that probably drives the actual disease itself,” he says.

“If you’re able to freeze this disease at the early stage when they’ve just got plaques in their brain, they are not going to get much of a deficit.”

“We’re trying to figure out how to either get rid of the plaques, or how to stop them causing damage to the nerve cells, and also if you can protect the nerve cells in some way from that damage.”

The centre is also working in the field of dementia prevention in a bid to improve people’s resistance to brain disease. A worldfirst, long term cohort study of 500 people, titled the Tasmanian Healthy Brain Project, is investigating whether tertiary education later in life can reduce cognitive decline and either delay the onset or decrease the risk of developing dementia.

Professor Vickers says while the study is another four or five years away from completion, the early results are positive.

“What we’ve found so far is that people coming back into higher education are getting a boost in cognitive reserve - this is a construct that relates to your resistance to developing dementia,” he says.

“In particular, getting a boost in their linguistic ability, like comprehension, grammar, sentence construction, which we also know from retrospective studies, that’s also potentially going to protect the brain as you get older.

“Already we’re seeing improvements in some cognitive measures, not all cognitive measures, but in a number of them that are probably linked to relative resistance to dementia.

“We also think that there’s possibly an interaction with gene variations that make you more susceptible to pathology and also other genes that might help with brain plasticity, so combinations of those particular genetic variations may well play out in that equation as well.”

While the population is rapidly ageing and the challenges to support people in the health system is mounting, Australian researchers are achieving some advancements in dementia research.

Professor Vickers says the AIBL study is making vital headway into neuroimaging.

“Now you’ve got new imaging markers that you can use with PET scans to basically try and determine when the early pathology starts inside the brain,” he says.

“This is very much at the forefront because we think that a condition like Alzheimer’s disease may start as early as 10, 15 or even 20 years before you have overt functional deterioration and so maybe some of these diagnostic tools will help us determine those who are on the trajectory towards dementia.

“The AIBL study is trying to identify people who are at greatest risk of developing dementia before they get dementia. It’s the idea that these are probably the people for new drug interventions.

For the full article visit HealthTimes.com.au HealthTimes - May 2016 | Page 19

Nurses a force for change on International Nurses Day

N

urses have sent a warning to political parties on International Nurses Day, in the lead up to the federal election.

With this year’s theme ‘Nurses: a force for change - improving health systems’ resilience’, several key nursing groups have called for the nation’s 366,000 nurses to be celebrated, listened to, and to be included at the heart of the nation’s health care reforms.

The call on International Nurses Day, which celebrates the birthday anniversary of Florence Nightingale, comes as the 2016 Roy Morgan Image of Professions Survey rated nurses as the most ethical and honest profession, out of 30 professions, for the 22nd year in a row.

Australian Nursing and Midwifery Federation (ANMF) acting federal secretary Annie Butler said the theme was particularly relevant amid the ANMF’s fight to restore billions of dollars axed from health funding while creating an equitable and sustainable public health care system for all Australians.

“Nurses now represent the largest proportion of the nation’s health workforce and continue to be voted by the community as Australia’s most trusted professionals,” she said.

“As Australia’s largest union, with a growing membership, the ANMF and our members are a force to be reckoned with and all political parties should be listening to us.”

Australian College of Mental Health Nurses (ACMHN) chief executive officer Adjunct Associate Professor Kim Ryan said all political parties

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will be making promises in health, and change will not be achieved without nurses, including the nation’s 20,000 mental health nurses, leading the way.

“Nurses make up the largest workforce in health and also in mental health,” she said.

“Quite simply, all of the promises made by politicians won’t mean anything if they don’t think about the role of nurses in these changes and reforms, and include them in the stakeholder groups that advise them.”

Ms Ryan said the community values nurses and so should governments and policy-makers.

“Too often we are left out of committees and decision-making processes and our opinions are sought through consultation, not valuing the role and scope of the nursing profession.

“With over 300,000 nurses in Australia, we are a force for change.”

New South Wales Nurses and Midwives’ Association (NSWNMA) general secretary Brett Holmes said nurses remain under pressure with the state losing $1.2 billion in federal funds for nursing home residents with complex needs in the budget.

Mr Holmes said the cut comes as the State Government recently revealed its intention to remove the requirement to have at least one registered nurse on duty around-the-clock in the state’s aged care facilities.

For the full article visit HealthTimes.com.au

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HealthTimes - May 2016 | Page 21

Emotional intelligence training boosts aged care workers

By Karen Keast

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unique training project for aged care nurses and assistants-in-nursing (AINs) has improved their wellbeing and psychological empowerment while reducing their stress.

A group of La Trobe University researchers are hoping to roll out their Feeling Good, Working Well training program to aged care organisations after achieving positive results for workers’ emotional health and resilience in a recent trial.

The emotional intelligence training program was designed after the university’s previous research showed many nurses are overworked due to under-staffing and often feel under-appreciated while caring for sick and frail patients.

Dr Leila Karimi, a senior lecturer in health services management at La Trobe University and former Royal District Nursing Service (RDNS) Institute research fellow who led the trial, says the study showed emotional intelligence is trainable to some extent.

Dr Karimi says the training equipped workers with new tools and skills in emotional intelligence that boosted their sense of empowerment, performance and effective practice for delivering person-centred care.

“Many participants reported that they became calmer, happier and more relaxed at

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work. They also felt more empowered,” she says.

“Coming together as a group from different areas of the facility….catering, lifestyles, nursing, as well as people from other cultures produced immediate benefits.”

Fifty-seven workers at a Victorian aged care organisation, including clinical support nurses, enrolled nurses, AINs (personal care workers) and other lifestyle, food and service workers, participated in the small training study that included monthly training days and data collection spanning a sixmonth period.

One group received emotional intelligence training from experienced emotional intelligence trainer Taruni Falconer while the comparison group did not receive any training.

Researchers found the training group received benefits associated with emotional intelligence that extended beyond the workplace - into their personal lives.

While there were no significant changes in job satisfaction, the training group reported better wellbeing, empowerment and less stress. The training also led to improved care, with patients and their families reporting a higher quality of care.

No major differences were observed for the control group.

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ENHANCING TREATMENT AdHERENCE: THE kEy To PREvENTING dISABIl& ACHIEvING BETTER HEAlTH oUTCoMES (JUly 2016)

ITy

This one-day specialist symposium brings together international experts to discuss and present the latest evidence on obstacles to, & ways of improving, treatment adherence.

W: sydney.edu.au/medicine/pmri/education E: paineducation@sydney.edu.au

Emotional intelligence While intelligence refers to a person’s capacity to acquire and apply knowledge and skills, Dr Karimi describes emotional intelligence as the capacity to understand emotions and then to purposefully manage them.

Emotional intelligence is the ability to discriminate between various feelings, to label those feelings and to then use emotional information to guide thinking and behaviour, she says.

“Emotional intelligence also affects how we manage behaviour, deal with social complexities, and make personal decisions to achieve positive results.

“It manifests itself in better self-awareness, motivation, empathy and good social skills.”

There is little international experimental research into emotional intelligence and its impact on the nursing profession.

T: +61 2 9463 1516

Training program The Feeling Good, Working Well training program was specifically designed for the aged care setting, based on workers’ needs, their expectations, educational background and the project’s timeframe.

Dr Karimi says the emotional intelligence segment was based on the globally validated Personal Leadership Seminars framework, which involves six practices and two principles. It was designed to help workers access higher levels of learning and insight, mutual cooperation and collaboration, and creativity in situations with significant cultural differences.

The program emphasises three key points. It encourages participants to first know themselves in order to be effective in their interactions with others, and to intentionally cultivate emotional intelligence to ensure clarity during stress, uncertainty and in environments of change.

For the full article visit HealthTimes.com.au HealthTimes - May 2016 | Page 23

Physiotherapists disappointed with aged care reforms

By Karen Keast

A

ged care residents are missing out on exercise as a vital, evidence-based treatment for pain management under the Aged Care Funding Instrument (ACFI).

Australia’s peak physiotherapy body says residents are limited to choosing from a physiotherapist using massage or Transcutaneous Electrical Nerve Stimulation (TENS) regardless of their condition, despite evidence showing the overwhelming benefits of using exercise to manage pain.

Australian Physiotherapy Association Gerontology Chair Rik Dawson said while the ACFI has put a positive focus on pain management, the tool has failed to support the use of exercise and other evidence-based allied health treatment modalities, such at Cognitive Behaviour Therapy (CBT), for pain relief since it was introduced in 2008.

Mr Dawson said the ACFI reforms, outlined in this month’s 2016-17 federal budget, were a missed opportunity by government to expand pain management to incorporate evidencebased practice.

“There’s strong evidence that exercise reduces the pain for an older person with arthritis compared with weak evidence for massage and TENS,” he said.

The APA has reiterated its pre-budget calls for the government to change its funding to enable aged care residents to

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access physiotherapy-managed exercise, which works to control pain while improving residents’ independence and their quality of life.

“Opening up pain management to current evidence-based practice will allow residents to have the best health outcomes regarding pain management,” Mr Dawson said.

“It also gives residents choice because at the moment they are not allowed to choose exercise and a lot of them want it.”

The federal budget revealed $1.2 billion in cuts over four years through changes to the ACFI. The government said the redesigned matrix is a response to “the higher than expected increase in residential aged care funding”.

Indexation of funding in the Complex Health Care (CHC) domain of the ACFI will be halved in 2016-17 alongside changes to certain scores in the matrix, with the new redesigned CHC scoring matrix taking effect from January 1, 2017.

Under the changes to scores, complex pain management (ACFI item 12.4b) by allied heath professionals at least four times a week will receive a reduced score from six to four points. A timing requirement will also be added, requiring 120 minutes of treatment delivery over a week.

For the full article visit HealthTimes.com.au

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HealthTimes.com.au HealthTimes - May 2016 | Page 25

Budget 2016: Health groups react

By Karen Keast

T

he Federal Government’s fiscally conservative 2016-17 Federal Budget has received a cautious thumbs up from some organisations and peak bodies of the health sector while other key stakeholders have criticised its lack of health spending.

Here’s what they had to say: The Australian College of Nursing (ACN) has applauded the trial of up to 200 Health Care Homes which will offer services to up to 65,000 patients with chronic and complex conditions at seven locations. The trial will cost $21.3 million from 2015-16 to 2018-19.

While the government has outlined the preferred clinician as the GP, the ACN said nurses and nurse practitioners are well positioned to take on the role as a coordinator of care.

The ACN said while the budget includes some promising new initiatives it fails to deliver ongoing health system reform with new approaches to funding, innovative models of care and a greater utilisation of the health workforce to boost service reach and impact.

ACN CEO Adjunct Professor Kylie Ward welcomed the continuation of the Rural Health General Practice Grants Program and ongoing funding of Home and Community Care Services in Western Australia.

The Australian Nursing and Midwifery Federation (ANMF) said health and aged care has now been neglected in the budget for three consecutive years.

ANMF acting federal secretary Annie Butler said nurses and midwives don’t have the resources they need to deliver quality care to patients.

“Our message to Prime Minister Turnbull is clear - if you don’t care about giving nurses and midwives the resources to run our hospitals and health services properly or to care for our elderly properly, we can’t care properly.”

Page 26| www.HealthTimes.com.au

The Australian Physiotherapy Association (APA) welcomed the move to review private health insurance.

APA president Marcus Dripps said the system is rigidly focused on in-hospital care and needs to improve cover to support patients with pre-operative care or after-hospital rehabilitation.

“This represents a significant waste of resources and a lack of knowledge of correct care pathways,” he said. “We need private health insurance products that overcome this artificial divide and reduce longer hospital stays.”

The Pharmaceutical Society of Australia (PSA) said the budget provided greater opportunities for pharmacists but it questioned whether about $100 per patient, or $35,000 per Health Care Home, would be enough for patients with major chronic needs to access integrated care, including having a pharmacist on the team.

PSA vice president Michelle Lynch also applauded the proposed redesign of the Practice Incentives Program for general practice.

“We look forward to contributing to the design of these reforms based on best practice examples before the implementation of new arrangements in May 2017, as part of our ongoing advocacy, supporting a model for pharmacists in general practice,” she said.

The Australian Medical Association criticised the extension of the freeze on the Medicare patient rebate until 2020.

AMA president Professor Brian Owler said the freeze will take $1 billion out of the pockets of patients and householders while the pause in the indexation of the Medicare Levy Surcharge and the Private Health Insurance Rebate will also disadvantage many Australians.

“The poorest, the sickest and the most vulnerable will be the hardest hit,” he said.

For the full article visit HealthTimes.com.au

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HealthTimes - May 2016 | Page 27

The role of exercise in rehabilitation Exercise rehabilitation is an evidencebased, pivotal strategy to improving patient recovery, which often begins on the first day of admission.

Some hospitals across Australia are fasttracking exercise rehabilitation with the early mobilisation and physical therapy of patients in the intensive care unit (ICU), including patients connected to ventilators.

With a background in rehabilitation spanning almost 20 years, Dr Nicole Freene, a Clinical Assistant Professor of Physiotherapy at the University of Canberra, says many patients begin exercise rehabilitation almost immediately.

“For a cardiac patient, we see them straight away. If someone has had cardiac surgery, if they are stable, there are no medical complications and everything is going okay, we routinely go in on that first day and get them up and out of bed and try to get them moving.

“Then we progress. Every day we are getting them to walk further and further, we add in some upper limb exercises for them to do, because they tend to be quite protective of their sternal wounds and they’re usually discharged home between six to seven days after cardiac surgery, if everything goes smoothly.

“We know that people lose their strength quite quickly and the longer that they sit in bed, the harder it is for them to get back on track.”

Dr Freene, who teaches cardiorespiratory physiotherapy and is a member of the Australian Physiotherapy Association (APA), says one of the main goals of a physiotherapist is to advance patients to a state where they can return to living in the community.

“To do that, they need to reach a certain physical function,” she says.

“Our main focus are those physical goals.

We work on their range and their movement and we also need to work on their fitness to get them home.”

Page 28| www.HealthTimes.com.au

Physiotherapists prescribe exercise for a range of patients, spanning patients with cardiac and pulmonary conditions, post-surgical, neurological and orthopaedic patients.

First, a physiotherapist will conduct an initial assessment, which comprises a subjective examination, information the patient reports and then an objective assessment.

“For our objective assessment, if someone’s had cardiac surgery and are now in a rehabilitation service, we will need to go through and check their sternum to see how that’s going and that they’re right to go ahead and exercise,” Dr Freene says.

“We need to go and do a basic exercise test, so we know what their level of fitness is currently, and then we can go and prescribe their exercise from there.

“Then we come up with an individual treatment plan that takes into consideration the patients’ goals - what they want to achieve when they get back to a certain level.”

For cardiac patients, Dr Freene says hospital-based exercise rehabilitation programs target aerobic exercise, including walking on a treadmill, cycling on a stationary bike, using a stair machine, and some upper and lower limb strengthening and stretching exercises.

Exercise rehabilitation is known to improve patients’ survival rates, accelerate recovery and reduce the chance of re-injury.

It also provides a range of other benefits such as boosting strength, endurance, stability, mobilisation, stretching, pain relief, and improving the proprioception system and cardiorespiratory fitness.

The list of benefits from exercise in rehabilitation is endless, Dr Freene says.

For the full article visit HealthTimes.com.au

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Aeromedical Flight Nurses

Flight Nurses

CareFlight ispositions an Australian Australian not-for-profit CareFlight is an not-for-profit Two casual and one full time fixed term (12 months) position available organisation dedicated to providing the organisation dedicated to providing the • Competitive remuneration + salary packaging • Darwin • On-site parking community with rapid response critical community with rapid response CareFlight is an the Australian charitable • have current certification in ALS/ACLS or TNP/ care. Over pastthe 25 past yearsorganisation critical care. Over 25we have with 30 years’ experience in aeromedicine. With TNCC. cared for and transported over 20,000 years we and have cared for ourand bases in NSW the NT’s Top End, crews are • demonstrate the ability to function effectively as patients. dedicated to providing highest standard of rapid a team member in a critical environment. transported over the 20,000 patients. response critical care to the ill and injured. Our spe• be physically comfortable with meeting the CareFlight isisgovernment CareFlight government contracted and • challenges cially trained doctors and nursescontracted use helicopters, practice, including minimumof 5aeromedical years experience as a nurse and provides the Topambulances provides the Top End ofEnd the ofNorthern aeroplanes, medi-jets and road to the bring rescue and 2retrieval with minimum yearswork. in as emergency/ • helicopter minimum 5 years experience a nurse a Northern hospital levelTerritory of care ato with and transport highly developed interpersonal, written a fixed localaround fixed wing Territory with local wing5,000 and • possess critical care and post graduate certification with minimum 4 years in emergency/ patients each year. aeromedical service. and verbal communication skills. and helicopter helicopter aeromedical service. in a critical specialty critical care care and post graduate • possess effective consultation, negotiation and Our diverse workforce is comprised of committed conflict resolution skills certification in a critical care specialty current certification ALS/ACLS professionals with a drive to help save lives, speed • • have a demonstrated abilityinto operate in ‘outand/or of • hospital current certificationandinpossess ALS/ACLS and/or TNP/TNCC recovery and serve the community. environments; a current TNP/TNCC Driver’s Licence.

• physical capability to meet the challenges The role • physical capability to meet the challenges of aeromedical practice We currently have an excellent opportunity for three of aeromedical practice, including Flight Nurses to join our Northern Operation including • helicopter ability to operate an ‘out of hospital’ retrieval in work two casual positions and one fixed term (12 month) environment assignment from August 2016 to August 2017.

•Theability to operate in an ‘out of hospital’ following will also be highly regarded: For more information visit www.careflight.

Key responsibilities include: environment • midwifery qualifications and registration; org • clinical workingvisit in paediatrics; and • delivering individualised high quality clinical care.

For moreexperience information www.careflight.

• delivering in patient assessment, clinical man agement and emergency procedures.from nurses Applications are sought sought Applications are • maintaining CareFlight’s Standard Operating interestedin working in working as aeromedical interested as aeromedical Procedures and clinical treatment protocols. nursing nursing crew members. crew members.

• coordinating the transition of patients from one modeisofatransport to the next.

This fantastic opportunity for registered is athe fantastic • This assisting Medical Officer with medical man nurses to work as part of an integrated crew nurses as part agementto aswork appropriate. in local fixed wing and helicopter • model managing physiological issues related to model in local fixed wing retrievals. The aeromedical transport; maintaining retrievals. roleand willKatherine involve aand variety of role will beThe based at involve situational awareness throughoutbases the retrieval tasks across operational located at aprocess variety of tasks across to identify safety hazardsoperational for the patientbases Darwin, Katherine Nhulunbuy/Gove. located at Darwin, Katherine and Nhulunbuy/ and aeromedical crew.and

Gove.

Candidates About you should have a level of fitness and will be required to undertake a physical Candidates should haveNurse a level of fitness Tofitness be successful as a Flight you will: assessment.

Candidates must be able and will be required to undertake a physical • tobedemonstrate: a Registered Nurse eligible for registration in fitness assessment.

Candidates must be the Northern Territory. eligibility for 5Registered and with to demonstrate: • •able have a minimum years nursingNurse experience Midwife with APHRA. evidence of 4registration years Emergency/Critical Care •experience. eligibility for Registered Nurse with APHRA. • possess critical care qualifications.

• experience working with Australian org Forward your EOI addressing all criteria, Indigenous cultures. plus CV and to recruitment@ Forward yourtwo EOIreferees addressing all criteria, How to apply careflight.org Applicants should also indicate plus CV and two referees to recruitment@ To download the full position description or learn availability to start.

Closing date also 27th January careflight.org Applicants should indicate more about us, visit our website at www.careflight. th 2014.

– February Clinical availability to start.

Closing date org.

If youContact would likeDarren to be partChilton of our15 team, forward Manager NT Operations on 0488131431 for your resume with aDarren covering Chilton letter addressing the 2013.

Contact – Clinical role’s essential criteria to recruitment@careflight. further information.

Manager NT Operations on 0488131431 for org. Alternatively, use the ‘apply’ button below. further information.

All employees comply7with Applications closemust on Tuesday, JuneCareFlight’s 2016.

All employees mustManagement comply withPlan CareFlight’s Drug and Alcohol (DAMP) All must comply Drug and Alcohol Management Plan (DAMP) as employees required by CASA andwith mayCareFlight’s be subject to Drug and Alcohol Management Planbe(DAMP) as to as required by CASA and may subject random workplace testing. required by CASA andtesting. may be subject to random random workplace Criminal Record and Working with workplace testing.

Criminal Recordwith and Children Working Criminal Record and Working Children With Children Checks also apply.

Checks apply.

Checks apply.

Aeromedical Flightwe Nurses CareFlight: ‘The next life save could be yours’ CareFlight is an Australian not-for-profit organisation dedicated to providing the community with rapid response critical care. Over the past 25 years we have cared for and transported over 20,000 patients.

CareFlight is government contracted and provides the Top End of the Northern Territory with a local fixed wing and helicopter aeromedical service.

HealthTimes - May 2016 | Page 29

Applications are sought from nurses interested in working as aeromedical nursing crew members This is a fantastic opportunity for registered nurses to work as part of an integrated crew model in local fixed wing and helicopter retrievals. The role will involve a variety of tasks across operational bases located at Darwin, Katherine and Nhulunbuy/Gove.

Candidates should have a level of fitness and will be required to undertake a physical

New Zealand steps up dementia research

N

ew Zealand is working to halve its prevalence of dementia, with the launch of the first of three pioneering Dementia Prevention Research Clinics (DPRCs).

Alzheimer’s New Zealand figures estimate more than 50,000 New Zealanders had dementia in 2014.

That figure is expected to more than triple to almost 150,000 people living with the age-related condition by 2050.

Brain Research New Zealand (BRNZ), a governmentfunded centre of research excellence, opened the first of the national network of clinics at the University of Auckland’s Centre for Brain Research at Grafton in April. Two further clinics are set to open in Christchurch and Dunedin later this year.

The clinics will bring together world-class scientific research with health professionals as well as community research and trial participants in a bid to provide hope for halting the nation’s escalating rates of dementia.

The first clinic will develop testing and scientific research of novel treatments and lifestyle interventions with the aim of slowing the disease onset and progression by five years - which, if successful, will work to reduce the prevalence of Alzheimer’s and dementia by 50 per cent.

“People would live a healthy life longer, and remain intellectually, physically and socially active into old age,” BRNZ co-director Professor Richard Faull said.

“This would have a huge benefit on the quality of life in our increasing ageing population and markedly reduce the costs of health care.”

Page 30| www.HealthTimes.com.au

The Grafton clinic, which was established last year and is now operational, is recruiting people with mild cognitive impairment (MCI) into a longitudinal study to identify biomarkers, which indicate who will go on to develop Alzheimer’s disease.

“This national clinic network will provide patients and their families with an unprecedented opportunity to become a part of a dynamic research process which will contribute to a significant improvement in our understanding of the underlying causes, treatment, management and prevention of Alzheimer’s disease and related dementias,” Professor Faull said.

Patients in the earliest stages of dementia who participate in the study will undergo a detailed characterisation of their brain health and lifestyle.

Blood tests and MRI scans will be conducted for the biomarkers research. The clinic will also collect holistic information about the experiences of the patient and the needs of family members and care-givers.

Participants will also be invited to take part in a broad range of BRNZ’s preliminary clinical trials, which could include testing novel drugs, nutritional supplements, and cognitive, social and physical interventions designed to prevent, delay or improve MCI and other related dementias.

The national research collaboration comprises neuroscientists from the Universities of Auckland, Otago, Canterbury and AUT, as well as clinicians from the District Health Boards and the community.

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Cleveland Clinic Abu Dhabi is now hiring!

Cleveland Clinic Abu Dhabi (CCAD), part of Mubadala’s network of world-class healthcare facilities, is a multispecialty hospital on Al Maryah Island in Abu Dhabi, UAE. Cleveland Clinic Abu Dhabi is a unique and unparalleled extension of US-based Cleveland Clinic’s model of care, specifically designed to address a range of complex and critical care requirements unique to the Abu Dhabi population.

VACANCIES: Ophthalmic Techs, Wound/Stoma Nurses, Critical Care, Ambulatory Care Critical Care

This is an exciting challenging environment at CCAD offering world class innovative experiences and opportunities for nurses. You will be challenged with high acuity critical patients, work with a world class team and receive support to provide patient centered care. While patients are complex, CCAD will support your professional growth and offer mentorship. The team is growing and as they expand over this year they would like you to join them in Abu Dhabi.

Ambulatory Care

This is a unique realm of specialized practice. You will be working in multidisciplinary teams, using critical care thinking skills to help care for patients across the continuum of care. CCAD offers multiple ambulatory clinic settings including:

• Medical Sub-specialties including rheumatology, dermatology, nephrology, endocrinology, infusion

center, infectious disease, hematology, and general medicine • Surgical sub-specialties including ENT, plastics and urology • Digestive disease including gastroenterology, colon-rectal, and general surgery • Neurology, neurosurgery and pain management • Ophthalmology • Heart and vascular including cardiothoracic surgery • Pulmonology including allergy and immunology

Benefits: In addition to being part of an international clinical team, successful applicants will receive accommodation, a transportation allowance, health insurance, annual travel allowance to home country and generous annual leave package.

To apply, please email: Dawn at dawn@ccmrecruitment.com.au or Raquel at raquel@ccmrecruitment.com.au or by phone at Free Phone AUS: 1800 818 844, Free Phone NZ: 0800 700 839

www.ccmrecruitment.com

HealthTimes - May 2016 | Page 31

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Seabreeze Communications Pty Ltd (ABN 29 071 328 053) PO Box 6744, Melbourne, VIC 3004

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The Grass is Always Greener...

Medacs Healthcare are currently seeking experienced nurses & midwives for the following opportunities: Casual Sydney Shifts available in Theatre, Midwifery & ICU (Base RN $35-$55 p/h) Contract opportunities across Australia - NSW (4-12 weeks) ED, Med/Surg Theatre & Midwifery - WA/NT (13 weeks) ED, Midwifery, Renal & Theatre Permanent Job Highlights Melbourne (PT) - Theatre Nurse Educator ($37-$40 p/h) Cairns (FT) Asst DON Mental Health (up to $110k p.a.)

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