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Issue 33 - 12 October 2016

Ministry of Health
Changes to the Immunisation Schedule from 2017

From 1 January, HPV immunisation will be free for everyone, male or female, aged 9 to 26. From 1 July 2017, chickenpox immunisation will be free for all children at 15 months of age.

Articles – Vital signs

1. Rate of respiration: The forgotten vital sign
Parkes, Racheal.
Emergency Nurse. May 2011, Vol. 19 Issue 2, p12-18. 7p
: Respiratory rate is an early indicator of physiological deterioration and should be recorded with other vital signs in patients who present to emergency departments. This article highlights the importance of recording patients' respiratory rates and describes their place in initial patient assessments.

2. Nurses' role in detecting deterioration in ward patients: Systematic literature review 
By Odell, Mandy; Victor, Christina; Oliver, David.
Journal of Advanced Nursing. Oct 2009, Vol. 65 Issue 10, p1992-2006. 15p
: This paper is a report of a review conducted to identify and critically evaluate research investigating nursing practice in detecting and managing deteriorating general ward patients. Background. Failure to recognize or act on deterioration of general ward patients has resulted in the implementation of early warning scoring systems and critical care outreach teams.

3. What is normal? Evaluating Vital Signs
By Van Kuiken, Debra.
Nephrology Nursing Journal. Jan/Feb 2016, Vol. 43 Issue 1, p49-59. 11p
: Vital sign (VS) assessment and monitoring are often routinely scheduled whether they are needed or not. This practice led pediatric nurse leaders to voice concerns about the frequency of VS at a National Summit for Pediatric and Adolescent Evidence-Based Practice. Among pediatric patients 1 to 5 years of age, 1) what are "normal" VS parameters, and 2) what is a significant change in VS?.

4. Nursing surveillance and physiological signs of deterioration
By Fasolino, Tracy; Verdin, Terry.
MEDSURG Nursing. Nov/Dec 2015, Vol. 24 Issue 6, p397-402. 6p
: The article presents findings of a retrospective study which links the level of nursing surveillance to failure-to-rescue incidents in acute care settings. It notes that nursing surveillance was introduced in 1992 for the purpose of collecting, analyzing, and interpreting information. The study suggests that failure to rescue odds decreased when nursing surveillance was performed 12 times or more per day.

Articles - Hypotension

5. Lightheaded? Top 5 reasons you might feel woozy
Harvard Health Letter. Apr 2016, Vol. 41 Issue 6, p3-3. 1p
: The article discusses the five causes of lightheadedness and how they can be treated as well as the difference between dizziness and lightheadedness. These top causes of lightheadedness are dehydration, medication side effects, sudden drop in blood pressure level, low blood sugar level, and heart attack and stroke.

6. Acute and chronic effects of hydration status on health
By El-Sharkawy, Ahmed M.; Sahota, Opinder; Lobo, Dileep N.
Nutrition Reviews. 2015 Supplement 2, Vol. 73, p97-109. 13p
: Maintenance of fluid and electrolyte balance is essential to healthy living as dehydration and fluid overload are associated with morbidity and mortality. This review presents the current evidence for the impact of hydration status on health.

7. When should you worry about fainting?
Harvard Health Letter. Aug 2015, Vol. 40 Issue 10, p6-6. 1p
: The article presents a medical research by Dr. Shamai Grossman, a Harvard Medical School associate professor regarding the potential health risk of fainting among older adults. The research examines the health risk of fainting due to temporary decline in blood pressure which may due to bleeding in stomach, intestine or the heart's aorta.

8. Current Pharmacological Management of Hypotensive Syndromes in the Elderly.
By Alagiakrishnan, Kannayiram.
Drugs & Aging. May 2015, Vol. 32 Issue 5, p337-348. 12p
: Hypotensive syndromes are common among older adults. Symptomatic drop in blood pressure with standing, eating and head turning is very common in older adults. These conditions cause significant morbidity like dizziness, syncope and falls as well as a resultant decrease in function. Blood pressure dysregulation due to autonomic function abnormalities plays a role in causing these conditions.

Articles - Headache: The Journal of Head & Face Pain, October 2015

9. Alice in Wonderland Syndrome, Burning Mouth Syndrome, Cold Stimulus Headache, and HaNDL: Narrative Review
By Valença, Marcelo M.; de Oliveira, Daniella A.;
Martins, Hugo André de L.
Headache: The Journal of Head & Face Pain. Oct 2015, Vol. 55 Issue 9, p1233-1248. 16p
: The aim of this narrative review was to perform a literature review of the pathophysiology, clinical presentation, diagnostic criteria, and treatment of the following unusual headache disorders: Alice in Wonderland syndrome, burning mouth syndrome, cold stimulus headache, and the syndrome of transient headache and neurologic deficits with cerebrospinal fluid lymphocytosis.

10. The journey to establish CGRP as a migraine target: A retrospective view 
By Edvinsson, Lars.
Headache: The Journal of Head & Face Pain. Oct 2015, Vol. 55 Issue 9, p1249-1255. 7p
: In this retrospective, Dr. Lars Edvinsson recounts early steps and milestones in our understanding of the neuropeptide calcitonin gene-related peptide (CGRP) in the trigeminovascular system and its role in migraine. The discovery of the presence and function of CGRP and other neuropeptides in the cerebral vasculature and its sensory innervation is described

11. A headache you don't want to miss 
By Sherpa, Lakpa Diku; Barreiro, Timothy J.
Headache: The Journal of Head & Face Pain. Oct 2015, Vol. 55 Issue 9, p1256-1258. 3p
: The article presents a case study of 43-year-old woman who was taken to the emergency department due to frontal headache and diplopia associated with right eye ptosis. She was diagnosed with subarachnoid hemorrhage (SAH) resulting from posterior communicating (PCom) aneurysms and was recommended to undergo surgical treatments

12. External nasal neuralgia: A neuropathic pain within the territory of the external nasal nerve 
By García-Moreno, Héctor; Aledo-Serrano, Ángel; Gimeno-Hernández, Jesús; Cuadrado, María-Luz.
Headache: The Journal of Head & Face Pain. Oct 2015, Vol. 55 Issue 9, p1259-1262. 4p
: Nasal pain is a challenging diagnosis and very little has been reported in the neurological literature. The nose is a sophisticated structure regarding its innervation, which is supplied by the first and second divisions of the trigeminal nerve. Painful cranial neuropathies are an important group in the differential diagnosis, although they have been described only scarcely.

Journal Table of Contents

International Journal Nursing Practice, October 2016,
Vol. 22, Issue 5

13A.  Editorial: A fair go [Nursing has a long and proud tradition of delivering care without fear or favour]
13B. Home-based walking during pregnancy affects mood and birth outcomes among sedentary women: A randomized controlled trial
13C. Postpartum education and lifestyle changes for preventing type 2 diabetes in Turkish women with previous gestational diabetes: A retrospective study
13D. Bishop scoring: Perceived benefits of using in labour induction by Turkish midwives
13E. Educational attainment moderates the associations of diabetes education with health outcomes
13F. Individual, social and environmental predictors of regular exercise among adults with type 2 diabetes and peripheral neuropathy in China
13G. Patient participation in patient safety still missing: Patient safety experts' views
13H. How do levels of nursing home adjustment differ by length of stay?
13I. Depression, caregiver burden and social support among caregivers of retinoblastoma patients in China
13J. Predictors of health-promoting behaviors in patients with coronary artery disease in the Iranian population
13K. Biopsychosocial predictors of coping strategies of patients postmyocardial infarction
13L. Effects of combination oral care on oral health, dry mouth and salivary pH of intubated patients: A randomized controlled trial
13M. Sleep problems, anxıety, depressıon and fatıgue on famıly members of adult intensıve care unıt patıents
13N. Outreach and early warning systems for the prevention of intensive care admission and death of critically ill adult patients on general hospital wards


14. The 6th World Congress of Clinical Safety
6 (Wed) - 8 (Fri) September 2017
Venue: Ambasciatori Palace Hotel, Rome, Italy
Abstract submission:   From 1 February 2017 to 31 March 2017

15. HealthyWork Conference 2016
HealthyWork – The heart of good business
Date: 18 November 2016
Venue: SKYCITY Convention Centre, Auckland
More information:

News – National

16. Surgery, clinics cancelled during doctors' strike
Wednesday Oct 12, 2016
Rotorua Hospital is cancelling elective surgery and most outpatient clinics during next week's junior doctors' strike - with planning meetings being held daily by the health board. The meetings at Rotorua Hospital began when the NZ Resident Doctors' Union gave notice of the strike last week. The union says the current rostering system - where resident doctors work rosters including seven nights in a row and 12 days in a row - is unsafe for patients and for doctors.

17. Food blogger campaigns for health star system overhaul
Newshub - Wednesday 12 Oct 2016
An Auckland lawyer and food writer has launched a petition advocating for the removal of the Health Star Rating System in Australia and New Zealand. Claire Deeks is campaigning to have the system removed, saying it is giving a 'health halo' to processed foods and absolving people of responsibility to read the labels themselves.

News – International

18. Walking is medicine? It helped high-risk seniors stay mobile
Calgary Herald – 27 September 2016
Simple physical activity — mostly walking — helped high-risk seniors stay mobile after disability-inducing ailments even if, at 70 and beyond, they’d long been couch potatoes


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