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Issue 22 - 4 December 2020

Articles: New Zealand Medical Journal, Vol 133

  1. Editorial: Adequacy of publicly funded colonoscopy services in New Zealand
  2. Thyroid eye disease in New Zealand: interaction between ethnicity and smoking status
  3. New Zealand hospital stroke service provision
  4. Left ventricular thrombus after ST segment elevation myocardial infarction: a single-centre observational study
  5. An evaluation of the contents of advance care plans and their use in patients admitted to a pubolc hospital

Articles: Collegian, October 2020

  1. Appolcation of social ecological model to Taiwanese end-of-olfe communication and healthcare planning
  2. Enhancing nurses' future role in antimicrobial stewardship
  3. Perceptions of nurses towards oral health in palolative care: A quaoltative study
  4. Nurses' perceptions of open disclosure processes in cancer care: a cross-sectional study

Articles: Nursing Older People [RCN Journal]

  1. How can identifying and grading frailty support older people in acute and community settings?
  2. Meaningful activity in advanced dementia
  3. Dementia care: the nurse-led service that can meet carers’ needs
  4. Sexually speaking: person-centred conversations with people olving with a dementia

Table of contents

  1. The Dissector Journal, September 2020

Events

  1. 2021 Pubilc Health Summer School
  2. 2021 ONTRACK Network Trial development workshop

Local news

  1. Departing surgeon says West Coasters not getting hospital they deserve
  2. Demand surges for kids' mind health programme
  3. New Zealand Blood Service (NZBS) welcomes Organ Donation New Zealand (ODNZ) to the Service

International news

  1. New model more effective in predicting Alzheimer's
  2. Gut bacteria can help rebuild the immune system

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Articles – New Zealand Medical Journal, Vol 133 No 1526: 4 December 2020

1. Editorial: Adequacy of publicly funded colonoscopy services in New Zealand

Philip Bagshaw & Brian Cox

New Zealand Medical Journal, Vol 133 No 1526: 4 December 2020

Colonoscopy for the investigation of patients with colorectal disease has had a chequered history in New Zealand. In the 1980s, as endoscopic technology became more advanced and equipment more widely available, it was increasingly accepted as the investigation of choice for symptomatic patients, often through open access clinics. Colonoscopy rates and quality of clinical practice varied widely around the country.

2. Thyroid eye disease in New Zealand: interaction between ethnicity and smoking status

Lize Angelo, Rachael Niederer, Richard Hart

New Zealand Medical Journal, Vol 133 No 1526: 4 December 2020

The aim for this study was to assess the epidemiology of TED in New Zealand, compare global risk factor rates to our own and to assess whether our population is indeed reflective of previous studies, focusing on Maori ethnicity.

3. New Zealand hospital stroke service provision

Stephanie Thompson, P Alan Barber, John Fink, John Gommans, Alan Davis, Matire Harwood, Jeroen Douwes, Dominique A Cadilhac, Harry McNaughton, Jackie Girvan, Ginny Abernethy, Valery Feigin, Andrew Wilson, Hayley Denison, Marine Corbin, William Levack & Annemarei Ranta

New Zealand Medical Journal, Vol 133 No 1526: 4 December 2020

REGIONS Care is a Health Research Council funded (HRC 17/037), prospective, observational study assessing the effect of ethnicity and geography on service access and patient outcomes following stroke. As part of the REGIONS Care project we undertook an organisational survey of all New Zealand hospitals managing acute stroke patients with the aim to provide a current description of stroke services offered and to assess the availability of resources for managing stroke. In particular, we aimed to report differences by urban and non-urban locations.

4. Left ventricular thrombus after ST segment elevation myocardial infarction: a single-centre observational study

Chathura BB Ratnayake, Benjamin Liu, Jocelyne Benatar, Ralph AH Stewart & Jithendra B Somaratne

New Zealand Medical Journal, Vol 133 No 1526: 4 December 2020

The aim of this retrospective single-centre observational cohort study is to describe the incidence, characteristics, management and outcomes in patients with LV thrombus post-STEMI.

5. An evaluation of the contents of advance care plans and their use in patients admitted to a public hospital

Henricus Berend Speelberg, Brett Shand, Jane Goodwin, Rachel Wiseman, Laura Belluscio & Kate Grundy

New Zealand Medical Journal, Vol 133 No 1526: 4 December 2020

One objective of the review described in this paper was to examine the influence of age and comorbidities on the content of ACPlans and ADs. The second objective of the review was to evaluate the concordance between the wishes and directives in the plans and the care received when admitted to a public hospital.

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Articles – Collegian, October 2020

6. Application of social ecological model to Taiwanese end-of-life communication and healthcare planning

Ya-Ling Huang, Patsy Yates, Fred Arne Thorberg & Chiung-Jung (Jo) Wu

Collegian, 2020-10-01, 27(5), 477-486

Cultural and social backgrounds shape how people regard health, illness and death, and also play a significant role in end-of-life (EOL) decision-making in the face of uncertainty and distress. EOL communication and planning can be complex in a society where families play an important role in decision-making for EOL care in Taiwan.

7. Enhancing nurses’ future role in antimicrobial stewardship

Junel Padigos, Stephen Ritchie, & Anecita Gigi Lim

Collegian, 2020-10-01, 27(5), 487-498

Antimicrobial stewardship (AMS) requires a multidisciplinary approach to address the global emergence of antimicrobial resistance (AMR). Nurses have potential roles to influence appropriate antibiotic use.

8. Perceptions of nurses towards oral health in palliative care: A qualitative study

Kong, Ariana C., George, Ajesh, Villarosa, Amy R., Agar, Meera, Harlum, Janeane, Wiltshire, Jennifer, Srinivas, Ravi, and Parker, Deborah.

Collegian, 2020-10-01, 27(5), 499-505

Oral health problems among people receiving palliative care are common and can significantly affect quality of life. Nurses are at the frontline of palliative care in Australia. However, how optimal oral health care is addressed in clinical practice by palliative nurses is not known.

9. Nurses’ perceptions of open disclosure processes in cancer care: a cross-sectional study

Amy Waller, Bree Hobden, Jamie Bryant, Jan Shepherd, Heidi Turon & Rob Sanson-Fisher

Collegian, 2020-10-01, 27(5), 506-511

Despite their central role in patient care, few studies have explored cancer nurses’ perspectives about errors within the health care system.

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Articles – Nursing Older People [RCN Journal]

10. How can identifying and grading frailty support older people in acute and community settings?

Lucy Lewis

Published online: 20 August 2020

Nursing Older People. doi: 10.7748/nop.2020.e1271

Identifying frailty is essential to support older people living with complex health and social care needs. This article discusses how a Florence Nightingale Foundation travel scholar used her scholarship to explore best practice in identifying frailty in acute and community settings in Scotland with the aim of developing services for people living with frailty locally and regionally in England.

11. Meaningful activity in advanced dementia

Margaret Brown, Bryan Mitchell, Andrea Boyd, Debbie Tolson

Published online: 02 September 2020

Nursing Older People. doi: 10.7748/nop.2020.e1171

This article is part of a series in Nursing Older People exploring the nursing care of people living with advanced dementia. When someone with advanced dementia can no longer communicate verbally and has limited movement, activities they once enjoyed may no longer be possible. This limits opportunities for self-realisation and can lead to a preoccupation in advanced dementia care about the routines associated with the maintenance of comfort and nourishment, at the expense of contentment and moments of fulfilment.

12. Dementia care: the nurse-led service that can meet carers’ needs

Elaine Cole

Published: 24 November 2020

Nursing Older People. 32(6), 10-12. doi: 10.7748/nop.32.6.10.s8

Admiral Nurse Kerry Lyons’ dementia support service is reducing inpatient stays and empowering carers. An Admiral Nurse service that supports hundreds of people with dementia and their carers is reducing inpatient stays and empowering families across Bolton. The service takes a holistic approach to health and well-being – including advice on benefits and social prescribing – and focuses on crisis reduction and avoiding hospital admissions.

13. Sexually speaking: person-centred conversations with people living with a dementia

Danuta Lipinska, Hazel Heath

Published online: 04 November 2020

Nursing Older People. doi: 10.7748/nop.2020.e1207

This article aims to support nurses in their work with individuals and couples living with a dementia. After briefly defining the term ‘sexuality’ and acknowledging the effects of the most common types of dementia, the article discusses the importance of person-centred conversations. It details a new person-centred paradigm that can assist nurses to learn about people’s sexuality and sexual wishes

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Table of Contents

The Dissector: Journal of the Perioperative Nurses College of the New Zealand Nurses Organisation, September 2020, Volume 48, Number 2

  • 14A. Editorial: Grateful our health services remain virus-free
  • 14B. Table Talk: Engaging with members more proactively
  • 14C. News: SARS-CoV-2 update: Community Outbreak
  • 14D. Regional reports: Female hormones and a virtual laboratory tour feature at Canterbury-West Coast Region’s meeting
  • 14E. Education: Textured breast implants a social media crisis?
  • 14F. Medical Imaging: First class intravenous access
  • 14G. Professional: Coming to terms with the enrolled nurse scope of practice
  • 14H. Pain management: Hypnosis-Mainstream not alternative
  • 14I. Clinical: Personalised external aortic root support

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Events

15. 2021 Public Health Summer School

Date and time: 9:00am on Monday 1 February - 5:00pm on Friday 19 February 2021

Venue: University of Otago – Wellington

The 24 courses on offer include a range of 12 new topics on important areas, from COVID-19 to zero carbon building to countering disinformation.

16. 2021 ONTRACK Network Trial development workshop

Date and time: 9am on Thursday 25 February to 5:00pm on Friday 26 February 2021

Venue: Auckland City Hospital, 2 Park Road, Grafton, Auckland 1023

The workshop will help to develop promising clinical trial concepts in maternal, perinatal and neonatal health to a level suitable for competitive grant funding.

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National News

17. Departing surgeon says West Coasters not getting hospital they deserve

Otago Daily Times, 3 December 2020

An American surgeon working in Greymouth has resigned, saying the people of the West Coast deserve better than a hospital essentially run by GPs. The West Coast and Canterbury district health boards are reorganising the medical workforce at the Coast's main hospital Te Nikau, basing some specialists in Christchurch and using rural generalists (RGs) to share more of the workload.

18. Demand surges for kids’ mind health programme

Healthcentral, 2 December 2020: Demand for a programme aimed at equipping school children with tools to navigate life’s ups and downs has more than doubled in the past three months.

19. New Zealand Blood Service (NZBS) welcomes Organ Donation New Zealand (ODNZ) to the Service

From Monday, November 30 the two organisations are working together more closely, in a move to support and further develop the work of ODNZ and New Zealand hospital staff which has seen a substantial increase in organ and tissue donation in recent years. This follows legislation, the Organ Donors and Related Matters Act, passed in November 2019, providing for the transfer of the statutory functions of the organ donation service to NZBS.

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International news

20. New model more effective in predicting Alzheimer's

Written by Timothy Huzar on December 3, 2020 — Fact checked by Hilary Guite, FFPH, MRCGP: Scientists report a new, relatively cheap, and noninvasive model for predicting Alzheimer’s disease in people with mild cognitive impairment.

21. Gut bacteria can help rebuild the immune system

Written by James Kingsland on December 2, 2020 — Fact checked by Alexandra Sanfins, Ph.D.: For the first time, researchers have demonstrated how the gut microbiome — the community of microorganisms living in the gut — can influence the immune system in humans. Their work could lead to new treatments for immune-related conditions

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