theNursingPost The Career and Education Magazine for Nurses and Health Professionals
INSIDE THIS ISSUE: Paediatrics / Child Health Nursing
25 June 2012
- ISSUE 12
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Welcome to Issue 12 From the Editor... Hello readers and welcome to the 12th Issue of The Nursing Post. Our feature inside looks at Paediatrics / Child Health Nursing. Turn to page 8 to read more. On page 9 we talk about a professor in New Zealand leading a catalyst project to improve the health of Waikato children. On Page 16 we discuss whether a nationwide program to screen the social and emotional health of three year olds was ‘reckless’ Please take the time to look at our website and facebook page for all of our latest stories and jobs. We also encourage our readers to send in pictures of their wards or staff along with any stories you
Inside this Issue
Paediatrics / Child Health Nursing
think will be of interest. All editorial content will be considered as we want to get the stories from our readers point of view. Our next edition is out on Monday July 9th where we take a look at Nursing in Western Austrlalia. Untill then take care readers! ABN: 28 105 044 282 | PO BOX 6213, East Perth, WA, 6892 Ph: +(618) 9325 3917 | Fax: +(618) 9325 4037 E: admin@nursingpost.com.au | W: www.nursingpost.com.au Next Publication Details: Issue 13: 9 July 2012 Material Deadline: 2 July 2012 Editor: Michael Kuhnert For media-kits, deadlines or advertising queries, please contact our Sales and Marketing Manager Michael Kuhnert Printed by Westcare Pty Ltd
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Nursing in WA
CONTENTS NAHRLS (Inside Cover).............................................00
RAHC.......................................................................17
Quick N Easy Finance..............................................01
Health Staff Recruitment..........................................19
News: Preschoolers consuming too much fat...........03
Article: St John of God Media Release......................20,21
Medacs Healthcare .................................................04
Miwatj Health..........................................................23
CQ Nurse.................................................................05
Educational Courses,Conferences & Events..............26, 27
Hays Recruitment....................................................06
Ausmed Article: Water Birth debate..........................28, 29
Smart Salary............................................................07
Conference: Chronic Mental Illness..........................30
FEATURE: Paediatrics / Child Health Nursing............08
WA Department of Health.........................................31
Article: Professor aims to improve kids health..........09
Crossword...............................................................32, 33
CCN - Council of Children’s Nurses Inc.....................10,11
Book Review: Practical Paediactrics, 7th Edition.......34
Article: Ground Breaking Research...........................12,13
Conference: Clinical Nursing....................................35
RNS Nursing............................................................13
Winter Recipes: Chicken Schnitzel with vegiesz.......36
Continental Travel Nurse..........................................14
Crossword Answers.................................................36
Mediserve Nursing Agency .....................................15, 31, 37
St John Ambulance..................................................BC
Article: Child health check deemed ‘reckless’...........16
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Preschoolers consuming too much fat Australian preschoolers are consuming too much saturated fat from dairy products, a study has found.
parents kept for the children surveyed over three days may not have been a true reflection of their normal energy intake.
About 95 per cent of kids aged two to five exceeded the daily maximum recommended intake of saturated fat, according to a survey by the Women’s and Children’s Health Research Institute in Adelaide.
The study led by Dr Shao, a PhD student, surveyed 300 children aged one to five in Adelaide, with a range of socio-economic backgrounds to ensure it was representative of the national population.
Milk and dairy products accounted for half of toddlers’ saturated fat intake but breakfast cereals, rice, pasta, bread, biscuits, cakes and processed meat contributed to a lesser extent.
The results showed children were getting enough energy, protein and carbohydrates.
More than 30 per cent of children surveyed were overweight or obese. However, study author Dr Shao Zhou emphasised dairy products were still an important source of calcium for growing children. She said despite the high levels of saturated fats, the overall results indicated children were consuming the recommended intake of energy from food. A lack of physical activity could therefore explain the levels of overweight or obese children, she said. Another explanation could be that food diaries
The diets also contained adequate levels of iron, zinc and calcium, but not enough fibre and omega-3 fatty acids. Dr Shao said the results were concerning because children’s diet patterns could continue later in life and lead to heart problems and chronic disease. “The high saturated fat and low intake of fibre is a pattern that is associated with adverse long term health effects in adults,” “These observations suggest that there is a need for increased attention on establishing healthy eating patterns in early childhood, as dietary patterns established early in life often carry through to adulthood,” Dr Shao said 3
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Paediatrics / Child Health Nursing // INSIDE THIS FEATURE Professor aims to improve kids health.................................................... 9 CCN - Council of Children’s Nurses Inc.................................................. 10, 11 Child health check deemed ‘reckless’..................................................... 16, 17 St John of God Hospital......................................................................... 20
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TUCKER: Onepoto Primary School students from left Falealupo Soa, 9, Siu Pasa, 10, and Kane Aickin, 9, tuck into a healthy morning tea.
Professor aims to improve kids’ health An AUT professor is leading a catalyst project to improve the health of Waikato children. Based at the AUT North Shore campus, professor of nutrition Elaine Rush is the academic leader for Project Energize, one of the largest child health evaluations undertaken in New Zealand. Now in its seventh year, the programme is about to join an international network of community obesity prevention.
“We have found primary teachers are not being taught to deliver messages around healthy eating and activity. “They are so busy with reading, writing and arithmetic, they’ve got too much on their plate,” Ms Rush says. “The energizers give them support and guidance and show them how to implement changes and educate the young ones.”
Ms Rush will attend the Global Obesity Forum in New York on behalf of Project Energize on June 27.
Key findings from the project include child obesity rates that are under the national average and huge improvements in physical fitness. The project costs $40 a year per child, around 20 cents a day.
Funded by the Waikato DHB, Project Energize involves 244 schools and 44,000 children.
Ms Rush says they would love it to be rolled out nationally, but it is a matter of funding.
“As you can imagine in some schools there are some pretty horrific problems, some kids have never eaten a sandwhich before,” Ms Rush says.
“The biggest thing is changing behaviours by making it easier to eat healthy and exercise. I would like to see a sugar tax on drinks with added sugar and the Mr Whippy truck swapped for a fruit and vege truck.”
“So this is a wonderful chance to teach children lessons they will have for the rest of their lives, not waiting for them at the bottom of the cliff,” she says. Around 30 project staff or “energizers” work with schools to facilitate activities that are aligned with the curriculum.
She says early health education is important to stem the global rise in chronic disease. “We are hoping this will influence the health habits of the next generation,” she says.
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The Council of Children’s Nurses is the professional organization in New South Wales for nurses who provide care for children and young people. Membership of the Council is open to nurses working with children, young people and their families in all practice settings including child health, general practice, hospitals, community organisations and schools. CCN was formerly known as the Australian Confederation of Paediatric and Child Health Nurses NSW Branch (Inc), and prior to that, the Paediatric Nurses Association. The main objectives of CCN are to: • To promote nursing practice in the care of children and their families. • To participate in the development and revision of standards of practice in paediatric and child health nursing. • To act in an advisory capacity on matters relating to nursing practice in relation to caring for children, education and the health of children. • To improve the standard of paediatric and child health care by promoting the exchange of ideas and continuing education of members. The work that we undertake reflects these objectives.
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CCN has contributed to the development of position statements, curriculum development, guidelines and standards for nursing practice and the care of children in hospitals at state and national level. Membership of CCN has many benefits. As a nonprofit organization, CCN is committed to providing professional development opportunities that are affordable to our members. The Council provides support for education and professional development of CCN members through provision of study days, website, a quarterly newsletter and biannual conferences. In addition through grants, CCN can provide support to members to meet the costs of conference attendance, postgraduate study and research. Members of CCN receive a subscription to the Journal of Child Health Care. The Journal of Child Health Care is a multidisciplinary, peer-reviewed journal, attracting international submissions from researchers and practitioners working in a wide range of neonatal, child and adolescent health care. The journal provides a professionally focused, peer reviewed journal which addresses child health issues from a multi-disciplinary perspective.
JOIN TODAY! MeMbership has its advantages! Membership of the Council demonstrates your commitment to achieving the highest possible personal standards in the care of infants and children.
Find OUt MOre tOdaY
www.ccnnsw.org.au 11
Ground-Breaking Research Reveals Government Must Focus On Healthy Children’s Diets To Prevent Diabetes June 15th 2012 represents a ground-breaking date in the history of diabetes research. After twelve years the EarlyBird project has made significant advances in understanding what triggers diabetes and cardio-vascular disease and the means to determine how advanced these conditions are. The Earlybird research has worryingly shown just how early in life the underlying symptoms of diabetes start, and how focus must move to early prevention through diet not simply physical activity, despite the current focus of government policy. The EarlyBirds, a randomly selected group of 300 healthy children, have undergone an intensive series of measurements and tests from the age of five to seventeen. Since 2000, the Professor of Endocrinology and Metabolism at the Peninsula Medical School in Plymouth, Terence Wilkin has been leading the ‘EarlyBird study’ to find which factors in childhood cause diabetes in later life. The project aim is to help parents, teachers and decision makers in government to understand the preventable factors in childhood that are responsible for the current epidemics of diabetes and heart disease. This radical medical research will provide evidence to help academics identify the causes of diabetes. 12
The EarlyBird study has been distinctive in combining objective measures of physical activity and body composition, with annual fasting blood samples. These measures reach beyond simple body composition (BMI and body fat) to metabolic health (glucose control, insulin sensitivity, blood fats, cholesterol, blood pressure). Critical to the success of the programme has been the funding of Dr Chai Patel, his Bright Future Trust and the Patel family who will have donated over GBP1million by the time the study is completed September 2013. Dr Chai Patel, said: “EarlyBird has developed and harnessed critical new advances in medical science in order to challenge some of the misconceptions surrounding diabetes, and its causes, and will undoubtedly lead to better medical practices being implemented to tackle the root cause of diabetes-onset. “We are all incredibly grateful to the volunteers who have shown commitment, motivation and maturity which has been truly remarkable and would daunt most adults. “I am proud to have been associated with a project that has massive potential to change lives across the world.”
Professor of Endocrinology and Metabolism at the Peninsula Medical School in Plymouth, Terence Wilkin, said: “When I was a medical student 40 years ago, type 2 diabetes was a disease of middle age and beyond. Indeed, it was referred to as ‘late onset’, ‘maturity onset’ or ‘adult onset’, and most died with it, rather than of it. “In just one generation, a disease which afflicted only the elderly has become the fast growing chronic disorder of childhood. “We can confidently anticipate that, with these new data, we shall improve our understanding of diabetes in childhood, become better able to detect the earliest changes and thereby improve our chances of effective prevention - something that eludes us at present. “Importantly, the implications for public health policy are profound because the physical activity of children, crucial to their fitness and well-being, may not improve until their levels of obesity are first checked.” “Importantly, the implications for public health policy are profound because the physical activity of children, crucial to their fitness and well-being, may not improve until their levels of obesity are first checked.”
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Child health check deemed ‘reckless’ THE nationwide program to screen the social and emotional health of three-year-olds was “reckless”, not evidence-based and could lead to an explosion of false diagnoses that would see youngsters overmedicated and labelled with a mental illness for life, one of the world’s leading psychiatry experts has claimed. American psychiatrist Allen Frances, who authored the DSM IV, the diagnostic bible for the psychiatry profession, said three-year-olds were developmentally fluid - making it very difficult to be certain whether they genuinely had a mental condition. Before the federal government program is rolled out from January 1, 2013 it must be tested and the risks of false positive diagnoses weighed, said Professor Frances, speaking at a mental health conference in Perth. “There is a tendency to use labels loosely and kids 16
who are going to outgrow them are going to be harmed by the label and some of them medicated, which may cause difficulty, stigma, change a parents expectations of a child and affect their life chances,” he said. Parents have to prove their preschool age children have undergone a medical assessment to claim the Family Tax Benefit Part A annual supplement worth $736 and the Healthy Kids Check is one of three health checks that can be used to fulfill the requirement. Frank Oberklaid, who chairs the government committee devising the criteria for the new check, said it was wrong to see the Healthy Kids Check as a mental health check on children. The public and academic outcry about the check had been misinformed and there was “zero” danger of it resulting in overmedication or psychiatric labelling of children, he said
“It’s not about psychiatric diagnosis, it’s not about putting kids on drugs, it’s nothing of the kind,” Professor Oberklaid said. Instead the procedure would check the child’s immunisation status, allergies, height and weight and ask parents if they had any concerns about their child’s behaviour. It would also involve checking the child’s progress against a validated instrument of child development, Professor Oberklaid said. Each of the criteria to be used was based on peerreviewed evidence that has been “solidly tested” and used in the US, Britain, and sometimes in Australia, he said.
The Early Childhood Australia yesterday backed the check, with chief executive Pam Cahir claiming all the evidence showed the earlier a child’s developmental problems were identified and treated the better the outcome. “Early intervention matters, every bit of research shows the outcomes are better in the long term the earlier you intervene,” she said. But leading child psychiatrist Jon Jureidini said he had serious concerns about whether the program could lead to a situation where a child had an “unhelpful label” placed on them.
Be part of the effort to improve Indigenous health
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THIS IS YOUR CHANCE TO SEE EUROPE! Chelsea and Westminster Hospital in London.... Openings for Neonatal Nurses HealthStaff Recruitment in partnership with Professional Connections is recruiting NICU Nurses on behalf of Chelsea and Westminster Hospital, a leading London University Teaching Hospital. The Neonatal unit is currently 10 Intensive care cots, 14 High dependency care, 14 Special care, 4 Mother and baby transitional care and PICNIC nursery 3 bed capacity - elective post-operative intensive care service for 0 - 6 month infants. Due to expansion there are newly created posts for experienced Neonatal Nurses. OPN - Australian and New Zealand trained nurses are required to do the 20 days Overseas Nurse Programme in the UK and you will be paid during this time. Once completed you will be granted your full NMC registration. IELTS - it is a requirement that all non UK candidates pass the English exam. Commencement January and February 2013. However, if you already have NMC registration, you can commence any time earlier. The following benefits are offered: • Accommodation. Available close to the hospital, first month free or allowance of £550 • Flight reimbursement £800, paid once worked for 12 months at the hospital • Contract: Permanent 37.5 hours per week • Work permit available • 27 days annual leave and 8 days public holidays • Salaries between $41,000-$65,000 plus penalty rates HealthStaff Recruitment will assist you with your application and NMC registration.
Please contact us today for more information on 1800 33 05 33 (AUS) or 0800 22 33 81 (NZ) or email your CV to info@hsr.comau
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Photo caption: (L to R) Brookfield Multiplex Regional MD Chris Palandri, Premier Colin Barnett, Health Minister Kim Hames, St John of God Health Care Directors Kerry Sanderson and Tony Baker, and Brookfield Multiplex CEO John Flecker
GREEN LIGHT FOR MIDLAND HOSPITALS The Western Australian State Government today confirmed they had completed contract negotiations with St John of God Health Care to build and operate hospitals on the new Midland Health Campus.
construction of the 307-bed public hospital and not-for-profit health care provider St John of God Health Care is fully funding the $70 million 60-bed private hospital.
Known as the St John of God Midland Public Hospital and the St John of God Midland Private Hospital, construction will start on both facilities in July 2012, which will be conveniently located within one complex on the Midland Health Campus.
Executive Director Perth Northern and Eastern Hospitals, Dr Shane Kelly, said St John of God Health Care’s significant experience over 117 years in delivering a range of health services makes it extremely well placed to build and operate hospitals for the people of Midland and surrounding communities.
The State and Commonwealth Governments are investing $360 million into the
“We have used our experience in running 13 hospitals across Australia to create a modern,
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patient-centred design, in conjunction with our design and construction partners Hassell and Brookfield Multiplex,” he said.
theNursingPost
The Midland Public Hospital will offer many new and expanded services, free of charge to public patients, from those provided at Swan District Hospital and have 50% more beds.
The Career and Eduation Magazine
Dr Kelly said the hospitals will provide compassionate, high quality care in first class, contemporary facilities and contribute to a healthy future for the local community. About 1,000 jobs will be created at the new hospitals.
“We are very excited to be operating the hospitals in Midland, which will allow even more people to benefit from our distinctive and first class health care services. It will also give us the opportunity to expand on our community-based Social Outreach services in the area, which reach out to people experiencing disadvantage to improve health and wellbeing,” he said. Media contact: Fiona Clark 0423 843 229 fiona. clark@sjog.org.au
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POSITIONS VACANT Miwatj Health is an Aboriginal community controlled primary health care service based in Nhulunbuy, Northern Territory. Due to expansion, we are currently looking at filling this newly created position to complement much need services aimed at improving the health of local people in Aboriginal communities within the Eastern Arnhem Region. COORDINATOR, RENAL CARE PROGRAM RN4 / RN5
Salary offered will be commensurate with skills, qualifications and experience
In this position you will be working collaboratively with patients and clinical teams to provide appropriate multidisciplinary care and services to Aboriginal clients in the Nhulunbuy region. This position will be responsible for the coordination of End Stage Renal Disease (ESRD) Program for renal dialysis patients.  
Plan and manage a program of care for clients of Miwatj Health residing on the Gove Peninsula with End Stage Renal Disease (ESRD). Ensure all ESRD clients have a current care plan, including referrals and follow up
In addition to relevant qualifications, experience working with Aboriginal communities and the ability to provide culturally appropriate support are required. Commitment to working in a team situation with Aboriginal people and the ability to communicate effectively with team members and clients are also essential requirements. ALL position descriptions and selection criteria can be obtained by contacting the HR Manager on 08 8939 1900, fax 08 8987 1670, or email hr@miwatj.com.au. Applications must address the selection criteria in the position description to be considered for the role. Positions closing date: COB Friday 7 July 2012. Aboriginal and Torres Strait Island people are encouraged to apply
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next Cover!
Just send us some happy snaps of you and your colleagues from your ward! HERE is your chance to show off your photography skills (or modelling skills) by entering the Nursing Post photo competition. If selected you will be notified by email in which issue your photo will appear in. We would love a variety of work settings and ultimately there is no limitation on what your photo can be. You can submit as many times as you like! Please note : Send us photo of: • When taking photos, the higher the quality (mega pixels, • Individual or group shots image size) the better. • your colleagues or yourself working • Please ensure that you have consent for photos in which you have photographed people where consent is • special or social events required • someone you think deserves to be credited •
Submit your photos to:
By submitting photos to the competition you agree to allow the Nursing Post to use them in future publications
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EMAIL: editor@nursingpost.com.au POST: The Nursing Post, PO BOX 6213, East Perth, WA, 6892 24
Educational Courses, Conferences & Events // CONTENTS Ausmed Education: Water Birth debate........................................ 28, 29 Conference: Caring For People With Chronic Mental Illness........ 30 Crossword Puzzle........................................................................ 32, 33 Book Review : Practical Paediatrics, 7th Edition............................ 34 Conference: Clinical Nursing......................................................... 35 Winter Recipe: Chicken schnitzel with roasted winter vegetables............... 36
Crossword Answers...................................................................... 36 26
// Events + Conferences 2012 JBI National Australian Conference
ACNN 2012
Evidence-based Clinical Leadership
7th Annual Conference Gravens Seminar on the Physical and Developmental Environment of the High Risk Infant
13, 14 August 2012, Adelaide www.joannabriggs.edu.au
7th International Nurse Practitioner Advanced Practice Nursing Network Conference 20-22 August 2012, London, UK www.rcn.org.uk/newsevents
Australian and New Zealand Childrens Haematology/Oncology Group (ANZCHOG) Annual Scientific Meeting 2012 24-26 August 2012, Surfer’s Paradise www.anzchog2012.org
4th Congress of the Wound Union of Wound Healing Societies Better care - Better life Wound Union of Wound Healing Societies 2-6 September 2012, Yokohama, Japan www.wuwhs2012.com
7 - 8 September 2012 CROWNE PLAZA HOTEL, LOVEDALE, HUNTER VALLEY, NEW SOUTH WALES, AUSTRALIA www.acnn.org.au
Ausmed Trauma Nursing Seminar For Nurses 13-14 September 2012, Sydney, NSW www.Ausmed.com.au
National Association of Childbirth Educators’ Biennial Conference Generation Now - the fears, the fantasy and finding the balance National Association of Childbirth Educators 16-18 October 2012, Luna Park, Sydney www.nace.org.au
Australian College of Nurse Practitioners Conference
16th South Pacific Nurses Forum 2012
Closing the gaps and clearing the barriers
19-22 November 2012, Melbourne, Leonda by the Yarra. www.spnf.org.au
5-8 September 2012, Outrigger Hotel, Surfers Paradise, Qld. www.dcconferences.com.au/acnp2012/
South Pacific Nurses Forum
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A newborn baby cries as a midwife prepares to cut the cord following a
water birth
Water Birth: wave of the future or dangerous pseudo-science? Water birthing has been around for a long time, having been offered in Australia and the UK for decades. The problem is that many hospitals and birthing centres don’t have the facilities to offer it. If you are a nurse midwife or a nurse who works in labour and delivery, you may have encountered women who are opting for this new birthing experience. It may seem like a bizarre, unnecessary birthing procedure. Some even think that birthing a child in water can be dangerous to the mother and the baby. However, more research studies are showing that water birth is safe and can have some definite benefits for all involved. Water Birth Defined:
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Water birth is so much more than simply sitting in a tub of water. In fact, many pregnant women are cautioned against hot tubs and whirlpools because they can have an adverse effect on blood pressure. When you help a patient through a water birth, the water temperature must be warm, not hot. The mother can squat or sit in the tub of water to facilitate birth. Some women choose only to labour in the tub, and then deliver in a traditional bed. However, some women choose to labour and deliver in the tub of water. The theory behind this is that the amniotic sac is water, so birthing into water is easier on mother and baby. Studies have shown some benefits to this method.
Benefits of Water Birth: Just the position of the mother during a water birth is beneficial to her. The squatting posture helps to open up the birth canal and allows gravity to assist in birthing the baby. The mother’s body weight is also not a factor in positioning and moving about. A mother is free to find a position that is most comfortable for her to birth the baby without the hindrance of a bed, stirrups, or equipment.
not inhale until they are exposed to the air. In some cases, such as a hard delivery, the baby could Ad-Single-Page.pdf 1 30/01/12 11:41 AM gasp underwater, but this is a rare occurrence. The umbilical cord continues to provide blood and oxygen to the baby, and it does not take its first breaths until it is taken out of the water.
Nurses,
Water birth is contraindicated in some situations. For instance, if there is a great deal of meconium associated with the labour, then water birthing would lead to an increased risk of infection from the material.
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If the mother has herpes or if the baby is breech, The water also helps to increase the elasticity the practice of water birthing will only stand to of the perineum, and this decreases the need complicate the situation and should be directed to for episiotomies. The water relaxes the mother, a bed birth. lowers her blood pressure, and helps with pain relief. Her mobility and the soothing environment If the mother has bleeding or an infection, water of the water help ensure a natural, lower stress birthing is generally not aAustralian good idea. In addition, birth. Access 100s of CPD Hours women with preeclampsiaEducation must get approval from their provider for a water birth. The buoyancy of the water also helps to make contractions more efficient and promotes the Finally, if the woman is having multiples or if the circulation of blood and oxygen to the baby. baby is expected to be more than two weeks preterm, water birthing is not recommended. The baby comes into a world that is very similar to the amniotic sac, and the water allows the mother to catch her own baby without the risk of falling. The baby floats in the water, and it is less stressful for him or her, in general. C
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Possible Problems with Water Birth: With water birth, some are concerned with an increased risk of infection, but studies have shown that the infection rates for water and bed births are about the same. The most obvious side effect of water birth is that the baby will breathe in water.
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This is not a likely occurrence because babies do
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2
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6
7
11
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14
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21
22
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ACROSS 1.
Not amenable to a cure.
5.
Loss of the sensation of feeling in an area of the body.
8.
An infectious disease caused by protozoan parasites.
9.
A condition that tends to occur more often in family members than is expected by chance alone.
11.
Having to do with the kidney.
12.
A natural hormone made by the pancreas that controls the level of the sugar glucose in the blood.
15.
Insomnia.
18.
The gallbladder.
19.
The largest bone in the human body.
20.
A place for doing tests and research procedures.
21.
Pertaining to the largest artery in the body.
22.
An antibiotic of the penicillin type.
DOWN 1.
Protected against infection, usually by the presence of antibodies.
2.
A metal or plastic tool similar to a compass used to measure the diameter of an object.
3.
Too much acid in the body.
4.
Thinning of the cervix.
6.
The large teeth at the back of the mouth.
7.
Sodium chloride.
10.
The major bone of the upper jaw.
13.
The external opening of the nose.
14.
Hidden.
16.
Roundworm.
17.
A substance often used in preservatives, antiseptics, and medications. Answers on page 36 33
BOOK REVIEW Title:
Practical Paediatrics, 7th Edition Published:
10.06.2012 Author:
By Michael South and David Isaacs, MB, BChir, MD, MRCP, FRACP
Overview This is the seventh edition of a highly regarded, major textbook of paediatrics. Key features: Empahasis on differential diagnosis from a presenting-problem point of view. Covers the social and preventative aspects of child health. Covers the common diseases of childhood and their treatment with a presenting-problem approach. Contextualises the disease in description of social, genetic and epidemiological factors. Clinical example boxes throughout. Key learning points in Practical Points boxes throughout. Clearly sign-posted text. Author Information: By Michael South, Specialist in Intensive Care; 34
Director, Department of General Medicine, Royal Children’s Hospital; Professor and Deputy Head of Paediatrics, University of Melbourne, Melbourne, Australia and David Isaacs, MB, BChir, MD, MRCP, FRACP, Department of Immunology and Infectious Diseases, The New Children’s Hospital, Royal Alexandria Hospital for Children, Australia. Published Reviews: From student reviews of the previous edition: ‘This is a very comprehensive paediatrics textbook. It serves well as a general paeds book for your rotation and will sit on your shelf as a reference book past graduation.’ ‘This is a really comprehensive book. It has everything you could want to know. It is well written, easy to understand and has lovely illustrations. There are highlighted tables which I liked and the Practical Points boxes are really informative.’
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A Diverse Choice of Education for All Australian Nurses Ausmed www.Ausmed.com.au Education 35
Online Learning | Conferences | Publications
Winter Recipes Chicken schnitzel with roasted winter vegetables Preparation time: 20-50 minutes Cooking time: 60 minutes
Method: 1. Preheat oven to 200째C. Place the pumpkin, potato, carrots and onion, in a single layer, in a large roasting pan. Lightly spray with olive oil spray. Season with salt and pepper. Bake in oven for 1 hour or until tender. 2. Meanwhile, combine the breadcrumbs and parsley on a large plate. Place the flour on a separate plate and season with salt and pepper. Place the egg in a bowl. 3. Dip the chicken pieces in flour and shake off excess. Dip in egg, then in the breadcrumb mixture, pressing firmly to coat. Place on a large plate. Cover and place in the fridge for 30 minutes to chill.
Ingredients (serves 4) 800g Kent pumpkin, deseeded, cut into 3cm wedges, halved crossways 12 (about 550g) baby coliban (chat) potatoes, halved 1 bunch baby (Dutch) carrots, ends trimmed, peeled 1 red onion, cut into thick wedges Olive oil spray 210g (3 cups) fresh breadcrumbs (made from day-old bread) 1/2 cup chopped fresh continental parsley 75g (1/2 cup) plain flour 2 eggs, lightly whisked 4 single chicken breast fillets, halved horizontally Canola oil, to shallow-fry Steamed broccolini, to serve
Nutritional facts Energy (kJ) Protein (g) Total fat (g) Saturated fat (g) Carbohydrate-total (g) Carbohydrate sugars (g) Dietary fibre (g) Cholesterol (mg) Sodium 36
Average quantity per Serving
2850kJ 48.0g 21.0g 3.0g 76.0g 10.0g -
4. Add enough oil to a large frying pan to come 1cm up the side of the pan. Heat over medium-high heat. Add half the chicken and cook for 2-3 minutes each side or until golden. Transfer to a large baking tray. Repeat with remaining chicken, reheating the oil between batches. 5. Bake the chicken in oven for 10 minutes or until cooked through. Divide the chicken and roasted vegetables among serving plates.
Crossword Answers: ACROSS 1. 5. 8. 9. 11. 12. 15. 18. 19. 20. 21. 22.
DOWN Incurable Numb Malaria Familial Nephro Insulin Sleeplessness Cholecyst Femar Laboratory Aortal Amoxicillin
2. 3. 4. 6. 7. 10. 13. 14. 16. 17.
Calipers Acidosis Effacement Molars Salt Maxilla Nostril Occult Nematode Alcohol
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