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Taking nursing outside the consultation room
NZNO Wellington 2016 Tim Ryan
Korowai Aroha Health Centre
Rotorua
the consultation room NZNO Wellington 2016 Tim Ryan Korowai Aroha - - PowerPoint PPT Presentation
the consultation room NZNO Wellington 2016 Tim Ryan Korowai Aroha - - PowerPoint PPT Presentation
Taking nursing outside the consultation room NZNO Wellington 2016 Tim Ryan Korowai Aroha Health Centre Rotorua Demographics Tane Takitu Ake (men standing together) Tane Takitu Ake As a nurse what can I do about the revolving door syndrome
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Demographics
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Tane Takitu Ake
(men standing together)
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Tane Takitu Ake
As a nurse what can I do about the revolving door syndrome for men?
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The Team
Aaron Randel Tracy Ormsby Dean James Tim Ryan
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Determinants of Health
Long term conditions Low self esteem Job loss Social disfunction Poor Whanau engagement
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The he Pilo lot
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- Whan
anau aung ngat atan anga
- Man
anaa aaki kitan anga
The e four r conce cepts pts: physic ysical, l, psy sychol hology,
- gy, family
ly and sp spiri ritual
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What people are saying
“I am really struggling with Sam’s management of his diabetes….”
His practice nurse
“Can you please see Mr Smith as I have tried everything but I feel he is disengaging…”
His GP
“ this program will be the last straw ...if nothing changes i am leaving…”
Wife of one of the Tane
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Te Whare Tapa Wha Model
Taha Hinengaro Taha Whanau Taha Wairua Taha Tinana
Wairua
¨Taha Tinana
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Patuw tuwataw atawata ta
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Tane Takitu Ake Program
Outline
- 10 weeks
- 10 Tane
- 3 stages
- Many outcomes
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Goals
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Tak aking ing it outside side the he four r wal alls ls
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Us Usin ing ana nalo logi gies es
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Ma Maor
- ri my
mythol
- logy
- gy
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Cance cer r session ion
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Gym m wor
- rk
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Nutr triti ition
- n
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Gra radu duati ation
- n
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Meet Charles
Recently diagnosed with testicular cancer. Wife at her wits end. LAST HOPE...
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Group Work
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Improved Holistic Health
- Coaching
- Plays with his kids
- Happy wife - Happy life
- Cancer society has used him
for promotional purposes
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Meet Lester
He was referred to us from the Asthma service. Retracted into his own world, was in a room of 13 freaked him out. Reached for his inhalers..Had to leave the Whanaungatanga on the first day!
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Low self esteem left him not engaging...
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Then, Lester discovered Tane Takitu Ake...
Maori and Pacific Island Symposium 2016 Room full of 160 delegates Working towards a degree
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Nurses a Force for change
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Surprising what comes out in conversation...
Tane Takitu Ake
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Clinical advisor
- Safety
- Patients, Facilitators
- Contribute
- Specific plans
- Biomarkers
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Goal Win Emotions = change
The Formula is
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HbA1c results
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Self measures
Surveyed on: Relationships-Whanau Cultural awareness Physical activity Health management
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Giving Back
BP Pulse Weigh t Waist C BMI Cholesterol HDL Diabetes control Walk Test Beginning
160/99 89 129 120 37 7 0.80 67 450
End
140/88 85 127 110 36 5 1.0 58 500
Comment Excellent Good Good Excellen t Good Excellent Good Excellent Excellent
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Take home messages
❖ The right Team ❖ Groups work ❖ Patients need a measure ❖ Goal + Win + Emotions = Behaviour Change ❖ Clinical Oversight ❖ Face to Face ❖ Communicate with the Team ❖ Change the environment ❖ Nurses as an agent of change
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