H
October 2016
Aged Care Feature + SBRTs tackle causes of severe behaviours in dementia + Pioneering dementia care model has wings + How to talk to people with dementia + Psychological intervention reduces fear of melanoma recurrence
HealthTimes - October 2016 | Page 23
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Lead the way to help others live well, longer. STUDY POSTGRADUATE DEMENTIA CARE OR GERONTOLOGY & REHABILITATION AT UOW IN 2017 A postgraduate degree in Dementia Care or Gerontology & Rehabilitation Studies from UOW will give you the specialised skills and knowledge to advance your career and help those in the last years of their life. UOW offers flexible course delivery with a combination of online and concentrated faceto-face classes with industry experts, so you can easily balance study with full-time work.
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HealthTimes - October 2016 | Page 03
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October 2016 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
Advertiser list Alpine Health Australian Medicines Handbook Barwon Health CCM Recruitment International Geneva Health
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The HealthTimes magazine is the most widely distributed national nursing and allied health publication in Australia. For all advertising and production enquiries please contact us by telephone on 1300 306 582, email contact@healthtimes.com.au or visit www.healthtimes.com.au Published by Seabreeze Communications Pty Ltd trading as HealthTimes. 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.
Helping Hand Aged Care Learn PRN Medacs Healthcare Australia Monash Health Oceania University of Medicine Opal Aged Care Pulse Staffing Quick and Easy Finance Smart Salary Pty Ltd University of Western Sydney University of Wollongong Western District Health Service
Next Publication: Education Publication Date:
Monday 14th of November 2016
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Monday 21st of November 2016
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HealthTimes - October 2016 | Page 05
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OPTIMISE CARE TO THE ELDERLY WITH THE NEW 2016 AMH AGED CARE COMPANION 2016 Aged Care Companion Book Release. This companion is a trusted, practical reference for nursing and allied health professionals who work with older people. It contains the latest evidencebased information and is useful when conducting medication reviews and other activities (eg case conferencing) aimed at improving patient outcomes. There is also information on the management of more than 70 conditions common in older people, including dementia and its behavioural symptoms, delirium, cardiovascular diseases, fall prevention, osteoporosis, COPD, insomnia, depression and wound management. It also contains general principles on the use of medicines in older people.
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The 2016 release contains new content including a topic on actinic keratosis, information on the process of deprescribing, which is important for optimising the use of medicines in older people, along with a simple diagrammatic guide to inhaler devices with links to instructions for use and considerations for choosing a suitable device in older patients. Other topics reviewed include asthma, COPD, gout, hypertension, dyslipidaemia and dyspepsia.
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TAKE YOUR CAREER TO THE NEXT LEVEL. Postgraduate study in Nursing and Midwifery at Western Sydney University enables you to transform your practice or transition to a new specialty. Our flexible approach to learning, including online, makes it easier to manage work, life and study. Courses on offer include Nursing (with specialisations), Child and Family Health (Karitane), Mental Health Nursing, Primary Health Care and Acute and Critical Care Nursing. We believe in a world of boundless learning opportunities where the potential for success is unlimited for those with drive, talent, confidence and ambition. Find out more and apply now. westernsydney.edu.au/pgnursing
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522-008 423-001 419-001 417-002 416-001 418-001 420-002 421-001 424-002 422-002 503-017 509-009 502-023 514-007 501-027 512-009 507-012 1PG 508-006 505-011 506-008 504-009 524-008 516-007 518-008 520-008 601-017 601-035 604-021 00092 1/2PG FULL COLOUR CMYK PDF 603-019 HT-609-00092 1/2PG FULL COLOUR CMYK PDF HT-608-CTR00092 1/2PG FULL COLOUR CMYK PDF 606-017 1/2PG FULL COLOUR CMYK PDF 605-015 HT-610-00092 HPH 1/2PG FULL COLOUR CMYK PDF OUM’s innovative teaching style is fantastic and exciting. Truly foreword thinking, OUM allows the student to benefit from both local and international resources. Brandy Wehinger, RN OUM Class of 2015
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Jobs with Monash Health Kingston Centre’ Monash Health’s Kingston Centre provides a holistic care approach intended to assist people achieve an optimal level of personal recovery prior to transitioning to their home environment or appropriate accommodation. The Kingston Centre plays a vital role in the provision of care within our community with a highly regarded Sub Acute Program (rehabilitation and GEM) catering for adults of all ages and residential care services at our residential facilities. These include: • • • • •
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See your career go places with Geneva Healthcare Opportunities in Australia, New Zealand and the Middle East Step up your career and move to your next job in some of the greatest cities in the world! Geneva Healthcare are the experts in placing Nurses, Midwives and Allied Health professionals like you into great jobs to suit your goals. Want a fixed term contract or permanent work? Or to move elsewhere to be closer to your family? Need to save for a deposit on a house? Or just want a change? We can help you make that move. Call Geneva Healthcare today! Contact: Shane King shanek@genevahealth.com Freephone from Australia: 1800 123 900 Freephone from New Zealand: 0800 900 801 www.genevahealth.com
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HealthTimes - October 2016 | Page 09
HT-610- CTR-00411-HPH 1/2PG FULL COLOUR CMYK The Aged Care Education Solution
e L e a r n in g We offer a suite of programs, with no minimum enrolment amount, and have the facility to write your own programs. O n s it e E d u c a t io n Bring us to your Aged Care facility to run workshops on a number of specialist topics. P r o b l e m S o l v in g We can facilitate an integrated learning approach to directly address a specific and/or reuccuring problem in your workplace.
Visit www.learnprn.com to view our full range of online and onsite education topics. and entertaining! I “LearnPRN’s delivery of information is always freM.shEgan Bendigo Radiology ” www.learnprn.com enquiries@learnprn.com enquiries@learnprn.com www.learnprn.com (03) 5443 3390 recom m end LearnPRN to others w henever I can 6 Frog Hollow, Strathdale, VICTORIA 3550
HT-610-CTR00445 1/2PG FULL COLOUR CMYK PDF Nurse Unit Manager – Operating Suite Services Senior Manager Role • Shepparton based
MANAGER - HEALTH INDEPENDENCE PROGRAM Seymour Health is seeking a Nurse Unit Manager Operating Suite Services to ensure: Reporting to the Divisional Director Allied Health and Ambulatory Care, this position has • the delivery of high quality, safe surgical services to our community and patients responsibility for the leadership and management of effective, high quality and person derived from sub-contracting arrangements with external agencies; focussed Health Independence Program (HIP) services. You will support GV Health's • Development of surgical sub-contracting arrangements with metropolitan and commitment to develop subacute services and assist in raising the profile of the regional hospitals consistent with Seymour Health strategic directions organisation as a regional subacute service provider. You will work across internal GV • the provision of sterile supply services for the organisation, and Health programs and services and with key external agencies to facilitate a planned and • pro-active leadership in achieving and upholding Seymour Health Mission, Vision and integrated approach to service delivery. Values. To be considered you will hold relevant tertiary qualifications in a health discipline, Candidates will haveregistration current AHPRA post registration experience in including current withregistration AHPRA (asand applicable) and eligibility for membership perioperative services in a rural health demonstrates advanced clinical skills across of relevant professional body. This service will be that supported by extensive experience in the a healthcare range of perioperative Post-graduate qualifications in perioperative nursing are alsoarea setting withareas. post-graduate qualifications in health management/relevant required. For full details oftowards the role see ourand website at of specialty or working same demonstrated experience.
For full details of the role see our website at www.hrsa.com.au or contact For full details of the role see our website at www.hrsa.com.au or contact Mr John Cross on: closeFriday 25 November Ms Jo Lowday on:0417 0400332 158 598, 155. Applications Applications close 17 June 2016 2016 PO Box 83 PO Box 83 Ocean Grove 3226 Ocean Grove 3226 hrsa@hrsa.com.au hrsa@hrsa.com.au www.hrsa.com.au www.hras.com.au
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Perth | Dubai | Singapore
HealthTimes - October 2016 | Page 11
We’d love to give your career a helping hand A career at Helping Hand is about connecting people with people. The relationships staff build with their colleagues and clients make it more than just a job. Our 1300 staff members and 400 volunteers in regional South Australia and metropolitan Adelaide play an integral role in the health and wellbeing of clients. Carolyn Sawyer has been working with Helping Hand for 18 years as an Enrolled Nurse at Lealholme Residential Care Home in Port Pirie. “I initially applied to work at Lealholme as I had two small children and trying to organise babysitters around hospital shifts was almost impossible. Lealholme offered me permanent set shifts which made things so much easier for me and my family.” When Carolyn began working for Helping Hand she admits she was surprised by how welcome she was made to feel. “The staff at Lealholme are very caring and committed to the residents and do the small things that make a big difference to their lives.” Carolyn believes that the benefits of working at Helping Hand are working with a committed and supportive workforce, caring for residents holistically, building strong relationships with residents and their families, and the career development opportunities. “It’s a great feeling to walk out at the end of the day and know you have made a difference to the lives of the most vulnerable people in our community”. “Working at Lealholme is never boring and no day is ever the same. The sense of achievement and the honour of being able to care for our elderly makes every day worthwhile.”
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Pioneering dementia care model has wings By Karen Keast Welcome to the aged care residential facility where nurses don’t wear uniforms, medicine trolleys are removed, and where staff eat with residents and chat with residents about their life experiences. Mountain View Aged Care Plus Centre at Narrabundah in the ACT is one of two The Salvation Army Aged Care Plus facilities that has implemented the pioneering Butterfly Household Care Model, developed in the United Kingdom more than 20 years ago. The innovative model, founded by Dementia Care Matters chief executive officer Dr David Sheard, was launched with a pilot program for the first time in Australia in July at three facilities, including The Salvation Army Aged Care Plus at The Cairns Aged Care Plus Centre at Chapel Hill, Queensland, and at Barunga Village in Port Broughton, South Australia. The model, which operates in more than 100 homes spanning the UK, Ireland, the United States and Canada, focuses on the emotional care of residents, using a person-centred rather than a task-orientated approach. Peter Bewert, Aged Care Plus care services executive manager, said the model focuses on understanding residents’ emotions and connecting with residents to create an extension of their home. “The difference with this model is the emphasis on feelings and emotional intelligence,” he said. “At the end of the day, human-beings are emotionally-based, so it’s ensuring that our training is focused on being aware of emotions and making those moments matter for our individual residents every single day.”
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Mr Bewert, a registered nurse, said the model of dementia care has already proven to be a success with residents, their families and staff. “We’re already seeing some really great outcomes - decreased falls, less expressive behaviours, increased wellbeing with our residents, and increased satisfaction with staff and also resident representatives,” he said. “For the first time in many years, we’ve seen residents absolutely come alive and become engaged in every day activities because of the different focus on emotional intelligence. “The interactions are much more personable, the realisation and the understanding of an individual’s life story is so important to the care context, and our staff are knowing our residents on a much deeper and emotional level. “Many of our staff are now reporting that they are learning so much more from our residents who have dementia because of their life experience and life journey, and that is translating to greater satisfaction in the workplace.” Mr Bewert said the model works to address the emotion behind expressive behaviours rather than putting actions into place to manage the behaviour. “It’s understanding the emotion behind it, what that is then causing for the individual, and being able to relate to the person on that emotional level in order to get a change in behaviour - it’s looking at triggers for expressive behaviours from a very different approach.” The Salvation Army Aged Care Plus plans to introduce the model of dementia care in its community care setting.
For more articles visit HealthTimes.com.au
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Senior Health Leadership Opportunities Health Services Manager / Director of Nursing Bright locality Permanent Full Time The Health Services Manager is an integral part of Alpine Health's executive management team, maintaining authority for the quality and efficiency of all health services delivered to the Bright and district community. The role will advance the health of our rural community through the leadership of services, relationships and facilities necessary in the provision of hospital, aged care, urgent care and community health service.
Nurse Unit Manager Mount Beauty Permanent Full Time The Nurse Unit Manager will support a client centered approach to the provision of acute, urgent care, and residential aged care services, providing high level clinical leadership to provide for health need in a complex service environment. Alpine Health is a progressive and significant health service in North East Victoria with a reputation for providing acute health, community and residential aged care, and community health services in an innovative, flexible and responsive way. Join Alpine Health and enjoy contributing to the health of Alpine communities with a professional, dynamic team. To discuss your interest in either role please contact Lyndon Seys, Chief Executive Officer on 0419034 770 or lyndon.seys@alpinehealth.org.au Applications close: Sunday 30 October 2016
HealthTimes - October 2016 | Page 15
Why work in aged care?
I
t’s a question health care professionals might ask when they see an advertisement for a job in aged care. As one of Australia’s largest aged care providers, employing nearly 7,000 staff across 71 homes, Opal Aged Care knows only too well the importance of finding the right people to work in their homes. Opal recruits staff to meet their values of respect, compassion and accountability. “For us, it’s vital staff are connected to our values, and they’re able to translate them into their everyday behaviours, delivering the highest levels of care and compassion to our residents” says Opal’s Recruitment Manager, Katrina Hawkins. Australia has an ageing population making aged care one of Australia’s fastest growing industries. People are living longer, healthier lives with more support available to help them age in their home. This means when the time is right for them to come into residential aged care, they often have more complex health needs. Yolande Nealon, Opal’s General Manager of Human Resources says “There is great opportunity for our staff to have a long term career in aged care. As a provider, Opal can deliver high level specialist aged care, meaning staff are trained in the very best clinical care. They continually develop skills in dementia care, palliative care and areas such as wound management.”
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Judith Lewis, Opal’s National Quality Advisor says “Opal’s commitment to a Registered Nurse led model offers many opportunities for the clinical teams to advance their technical skills and become proficient in delivering high quality specialised nursing care to residents. This model is a blending of both chronic and acute illness, with a primary focus on preventative and rehabilitative person- centred care. The Registered Nurse is central to the quality of life of the resident and is often able to make a real difference to their experience, in collaboration with the other staff in the home and the broader multidisciplinary health care teams in the community.” Ms Nealon also says “Staff are now coming to us from more sub-acute sectors, and when we ask them what they enjoy about the aged care sector, their overwhelming response is the ability for them to establish relationships with the residents and their families, and opportunities for career progression. We have a number of long-term staff who have joined at AIN level, completed their training over the years and are now leading a care team in one of our homes. There’s certainly a lot of opportunity to become a key member of the Opal Aged Care team.” Opal Aged Care is now recruiting for Registered Nurses. For more information, visit: www.opalagedcare.com.au/careers/ current-vacancies
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Looking for a new career? Opportunities available for Registered Nurses
Opal Aged Care is one of the leading aged care providers in Australia, providing specialist residential aged care services. With 71 homes in four states, Opal is growing at an exponential rate and is currently recruiting experienced Registered Nurses looking for a new career in this exciting growth industry. Opal delivers specialist high care services through a RN model of care, offering great career opportunities that utilise both your clinical and leadership skills, as well as regular, flexible shift work on both a full-time and part-time basis. We’re looking for passionate poeople that share our values of respect, compassion and accountability to join our specialist care team. To find out more, or to apply for specific roles visit: opalagedcare.com.au/careers
HealthTimes - October 2016 | Page 17
SBRTs tackle causes of severe behaviours in dementia
S
evere Behaviour Response Teams (SBRTs) are addressing the underlying causes of behavioural and psychological signs of distress in people living with dementia. The Federal Government launched the pioneering initiative in November 2015. Almost a year later, the SBRTs, a mobile multidisciplinary workforce of nurse practitioners, nurses, allied health and specialist staff, have responded to about 400 referrals nation-wide. Under the unique program, SBRTs work to treat the severe and very severe Behavioural and Psychological Symptoms of Dementia (BPSD), such as physical and verbal aggression, agitation, anxiety and wandering through to delusions, hallucinations, apathy and depression. The teams also assist nursing and other care staff to resolve the issues and to develop a care plan to manage the behaviours while providing follow-up support. Dementia Support Australia (DSA), a consortium led by HammondCare, runs the SBRTs and the Dementia Behaviour Management Advisory Service (DBMAS). All referrals to SBRTs are made through DBMAS, which then decides whether DBMAS or the SBRTs will provide the best response. The SBRTs, which have offices in all states and territories across the nation, travel to Commonwealth Residential Aged Care Facilities within 48 hours of the SBRT receiving the referral.
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Associate Professor Colm Cunningham, Director of the Dementia Centre at HammondCare and a nurse registered in the United Kingdom, says despite the teams being labelled as ‘flying squads’, the SBRTs are not an emergency service but instead provide a fast-paced response. “Within four hours of referral from DBMAS, an SBRT consultant is triaged and within 48 hours we’re out there on the ground,” he says. “It’s a national service going anywhere in Australia and there are teams populated right across the country or travelling to anywhere in the country. “The other thing that is slightly different from the DBMAS is that we can work with people for longer. “DBMAS is meant to be a short-term response in these contexts and we recognise there’s a lot of complexity if somebody has got to the point of being classed as needing an SBRT approach, so we could be working with somebody for up to six months.” Understanding the person with dementia Assoc Professor Cunningham says getting to know the person with dementia - their individual situation and story, is often pivotal to understanding a challenging behaviour. Uncovering what causes the person’s behavioural changes and then addressing those factors instead of the actual behaviour, is more likely to alleviate distress and enhance the person’s quality of life, he adds.
In one case, an SBRT helped a woman who became distressed each time she was assisted to shower. “What was picked up by the consultant was that while she was being showered, she was talking about water,” Assoc Professor Cunningham says. “Now the staff were missing this because they were orientated to the task, they were focused on the fact that her personal care was the primary objective and that it was a heated situation.” When speaking to the patient’s family, the consultant discovered the woman was passionate about conserving water, and had once regularly used the water from washing her dishes or showering to water her plants. “You can imagine the distress of standing in a free-flowing shower, so it was about understanding her values and what distressed her,” Assoc Professor Cunningham says. “The changes that were made were simple. Firstly, it’s important staff listen and watch. Staff should be allowed and supported to have the time to do that. “It should be seen as an important use of their time. If they are seen as lazy doing that, then we’ve got a problem. “Then, when they went to this person to have a shower, they talked about water conservation, so they immediately engaged with her values, so she knew these people who were coming to assist her, cared about the things that she cared about. “When she got to the shower, they had adapted it and there were water conservation signs around the shower cubicle, so as she was being showered the message was clear that water mattered to everybody. “Her behaviours didn’t go away completely but they were significantly reduced.” Assoc Professor Cunningham says if staff better understand a person with dementia, they are more likely to change their approach to that person.
“It won’t probably be about one element of that, it won’t necessarily be about the signs in the shower, but it will be about the whole package.” Wandering One of the main behaviours SBRTs have been called to manage is people with dementia regularly experiencing anxiety or wandering in the afternoon and evening. “If you start to look at the practice that’s happening, you may find, unintentionally, staff have been talking about what they’re going to do later in the day - they need to pick up the kids from school or get to Coles to do the shopping,” Assoc Professor Cunningham says. “A person with dementia doesn’t have the filter on their ears that the staff are talking about themselves, and they are getting information in. “Why wouldn’t I, if I have dementia and am dependent on my long-term memory, become agitated about leaving to pick up my kids because that memory and that responsibility has quite readily been stimulated unintentionally? “One of the things we might basically help the team learn is that if they’re talking about their personal life, that might be for the staffroom.” Physical environments and regimented care can also exacerbate symptoms of dementia, including BPSD. Assoc Professor Cunningham says loud, busy environments can prompt many people living with dementia to seek quiet places. “But if you cannot get away, if you cannot find the garden or if the doors are locked then that is going to agitate you,” he says. “That wandering behaviour may well be for reasonable reasons of trying to find a space, or trying to get away from things, and if the doors to the garden are locked, then there’s going to be predictable problems.”
continued overleaf... HealthTimes - October 2016 | Page 19
Pain management Early SBRT data shows ineffective pain management is sparking challenging behaviour in up to 60 per cent of referral cases. In one case, an SBRT was sent to assist with a female patient who was punching people. “When the consultant actually stood back and watched the situation, she noticed that when people passed from the right, the woman didn’t punch them but when they passed her from the left, she punched out straight away,” Assoc Professor Cunningham says. “The reason for that was that she would hear somebody coming and she would turn her head to the left, and there was something wrong with her neck, so as she turned, she got a jabbing pain in her neck. She associated that pain with the person that was coming and she punched out. “When that was picked up, which takes time, she went on pain relief…and that behaviour was completely gone.”
Admission Challenging behaviours in the early stages of admission, particularly in the first 6-12 weeks, are also prompting a large number of referrals to the SBRTs. Assoc Professor Cunningham says it may be an issue of staff not being well prepared or supported for new residents. “It’s a traumatic event for the person and the staff actually need to not just see it as business as usual,” he says. “The staffing model needs to allow staff to have the time to get to know that person and to adjust to their needs. “When you actually look at the amount of time we spend reacting to the behaviour, if we’d re-directed that energy into getting to know the person in transition we might not get some of these behaviours.” To access SBRTs, referrals must be made via
24-hour DBMAS helpline on 1800PDF 699 799. CTR-00452 1/2PG FULLtheCOLOUR CMYK
Hamilton Victoria, Heart of the Western District Combine a challenging career with a peaceful lifestyle!
Located between the mountains and the sea, Hamilton offers an enviable and affordable lifestyle, stress-free commuting and stunning scenery around every corner.
i
Nurse Unit Manager—Aged Care
We are seeking an experienced aged care manager, who is able to lead us to the next level in aged care. You will need to have strong change management and leadership skills to be considered for this role. About you Hold Australian registration, Advanced clinical skills Strong leadership skills Demonstrate effective contemporary nursing practices
We offer A great work / lifestyle balance Dynamic and empowering team environment Salary packaging to maximise your pre-tax income An opportunity to help others, whilst working in a country community
If you want to transform your career please visit our website www.wdhs.net Western District Health Services is an Equal Opportunity Employer and encourages Indigenous and Torres Strait Islander people to apply.
Page 20| www.HealthTimes.com.au
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Step into a new challenge with Pulse
Pulse is a leading provider of nursing staff across Australia. We have been recruiting for over 15 years and have long-standing relationships with various clients, so whether you’re looking for the next step in your career or a new challenge, our specialist nurse-led recruiters will support you.
We have a variety of fantastic permanent, temporary and contract roles available in metro and rural areas across Australia, for midwives and nurses specialising in: • Aged care • Theatres • General medical and surgical
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HealthTimes - October 2016 | Page 21
How to talk to people with dementia
T
ailoring your communication to people with dementia can forge a more robust relationship with patients and improve health outcomes. Working with people with dementia can be challenging. It requires core professional skills ranging from patience and empathy through to sensitivity and a dedication to the provision of quality care. Whether you work on the hospital ward, in the emergency department, in the community setting, in aged care or in general practice, soaring rates of dementia mean more nurses and allied health professionals than ever before are coming into contact with patients living with the debilitating disease. Claire O’Connor, a research occupational therapist with Frontier, the frontotemporal dementia research group at Neuroscience Research Australia (NeuRA), says it’s imperative health professionals improve their skills when it comes to communicating with people with dementia. “Dementia really impacts on a person’s ability to understand and interact with their world. This includes their ability to communicate with people and express themselves with people but also in their ability to understand situations around them as well,” she says. “Essentially we think of dementia as really caused by irreversible changes to the brain, so they can’t change what’s happening to them,
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so it’s really important for us to learn how to interact with the person on their level so they can feel supported and understood in whatever situation they’re in.” Ms O’Connor says not knowing how to best communicate with and manage patients with dementia can lead to increasing confusion and can escalate patients to experiencing agitation. “People can become even more difficult to manage and that can have carry-on effects or rippling effects into other patients and the experience of staff, and is a really important issue. “Really, changing the way we interact with people with dementia doesn’t only improve the experience of the person with dementia but it will have a carry-on effect and improve the experience of staff as well, as they’ll be having better interactions with their patients.” People with dementia respond best to a person-centred rather than a task-orientated approach. Health professionals should speak in a matter of fact way using short and simple sentences while taking time for the person to understand the message you’re conveying or the question you’re asking. “People often over or under-estimate the cognitive abilities of the person with dementia,” Ms O’Connor says.
For the full article visit HealthTimes.com.au
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HealthTimes - October 2016 | Page 23
Psychological intervention reduces fear of melanoma recurrence
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world-first psychological intervention, shown to reduce fear of cancer recurrence in patients at very high risk of developing another melanoma, may be rolled out to melanoma centres Australia-wide. With more than 70 per cent of melanoma survivors found to experience high anxiety that their melanoma will return, researchers at UNSW, the University of Sydney and Melanoma Institute Australia, in partnership with three high-risk melanoma research clinics in New South Wales, developed and trialled a psychological intervention to reduce fear of cancer recurrence. The intervention featured a new comprehensive psychoeducational resource, Melanoma: Questions and Answers, and three telephone-based sessions with trained psychologists, timed around dermatological appointments in a randomised controlled trial of 164 patients with early stage melanoma. The study, published in the Journal of Clinical Oncology, found the intervention halved the number of patients whose fear of cancer recurrence required psychological treatment. Fear of cancer recurrence is linked to an increased risk of depression, anxiety and a poorer quality of life but psychological support is not routinely offered as part of the melanoma care process. UNSW Associate Professor Nadine Kasparian, a medical psychology researcher and senior investigator on the project, said fear can affect
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behaviours that are important to melanoma care, such as skin self-examination, with some people feeling afraid to check their skin and others checking their skin more often than recommended. Assoc Professor Kasparian said melanoma patients can also find it difficult to reach out for support. “People with early stage melanoma sometimes feel they can’t access the same support services as people with other forms of cancer because the treatment is so different,” she said. “But being diagnosed with melanoma is a very frightening and difficult experience for people. Months and years after diagnosis and treatment people can have longstanding fear about their future risk, and often there isn’t a clear pathway to support.” While the framework of the intervention was manualised, the content of each session was tailored to the individual needs of each patient and featured brief psychodynamic psychotherapy techniques coupled with psychoeducation. Assoc Professor Kasparian said general screening measures for anxiety may not be specific enough to capture the fears, concerns and worries that affect people with melanoma. “We used the Fear of Cancer Recurrence Inventory, a widely-used and validated measure to capture the concerns and fears of people in our cohort.”
For the full article visit HealthTimes.com.au
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HealthTimes - October 2016 | Page 25
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HealthTimes - October 2016 | Page 27
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Are you a Mental Health RN with an interest in Forensic Mental Health? “Starting a new job is always nervewracking. When you choose to work in a high secure hospital providing treatment to people with a mental illness and a history of criminal offending or a high risk of violence, this can be especially daunting” says Mary Ellen, RN. “Even with experience working in different mental health settings as a nurse, I was unsure what to expect and what my role would be”. Mary Ellen had recently moved to Sydney from Ireland, and had previously worked in mental health admission wards and a drug and alcohol unit. She currently works on the acute male admission ward at the Forensic Hospital. “I attended a comprehensive orientation program, which made me feel much more prepared for working on the ward. The supernumery days gave me time to settle in and find my feet, rather than having to hit the ground running, which was really helpful”. Justice Health &Forensic Mental Health Network are committed to organisational learning and professional development of their staff. Internal education and training programs are provided that allow staff to develop their skills knowledge and workplace competence. Leave for employees undertaking tertiary studies at accredited educational institutions, attending conferences and seminars, also demonstrates the organisation’s
Page 28| www.HealthTimes.com.au
commitment to learning. Mary Ellen availed of some of the educational opportunities supported by JH&FMHN, participating in the CEC Clinical Leadership Program, and the Masters in Forensic Mental Health. “Part of my role as a nurse in the Forensic Hospital is working closely with the MDT to address risk and support patients in their recovery. Participating in the Clinical Leadership Program and the Masters in Forensic Mental Health gave me a greater understanding of the patients that I care for, and the skills to be a more effective clinical leader. Working with the knowledge that my employer actively supported my professional d e v e l o p m e n t , demonstrated to me their commitment to providing the best care to our patients by investing in their staff. Working in the Forensic Hospital provides nurses with the opportunity to work in a unique environment, often caring for a vulnerable and disadvantaged group of people. “Every day is different which means I am constantly learning and developing new skills. The work can be challenging, but working with highly motivated teams makes it a great place to work”.
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Are you a Mental Health Registered Nurse with an interest in Forensic Mental Health? The Forensic Hospital is a 135 bed mental health facility located at Malabar, Sydney, which provides specialised care to adult & adolescent, male & female, forensic patients, in a high-secure therapeutic environment. We have full-time, part-time & casual positions available for Registered Nurses who have mental health nursing experience.
We offer 8 & 10 hour shifts, additional allowances, salary packaging, free parking & easy access to public transport. A comprehensive orientation is also provided. For more information contact the Forensic Hospital Recruitment Coordinator on (02) 9700 3870 or email erecruit.helpdesk@justicehealth.nsw.gov.au
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A01503_180x125_HR (GC) HealthTimes - October 2016 | Page 29
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HealthTimes - October 2016 | Page 31
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