8:30am - Registration and Refreshments
9:00am - Chronic Disease Self Management Models
This introductory session reflects on the comparative usefulness of self management programs, e.g. the Flinders Model of Self Management, for the older person with a chronic illness(es). It includes:
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Interpreting the meaning of “self management” and of “patients as partners”.
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Are selection protocols in place for deciding which individuals are suitable / unsuitable to be coached in self care?
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Reasons why those selected may be uncooperative.
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Other challenges in achieving best-practice nursing care when educating and advising individuals about managing aspects of their illness for themselves.
9:45am - Preventing Harm from Falls
Falls are a big problem, particularly for older people and the health services that care for them. Much can be done to prevent falls, and their adverse impacts. This session will look at:
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Common falls risk factors
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Best-practice falls prevention interventions
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How to minimise injuries from falls at night
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Post falls assessment and management
10:30am - Morning Tea & Coffee
11:00am - The Challenge of Chronic and Complex Care
Chronic diseases are incurable, sometimes preventable, and manageable. There is a shifting policy perspective towards chronic illness. Changing lifestyle behaviours in the face of debilitating chronic disease will enhance prospects for self management of these conditions. Topics include:
The continuity of care conundrum:
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Why is a team approach important?
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How to diminish dependency through shared care responsibilities.
12:30pm - Lunch Break & Time to Network
1:30pm - Diabetes Case Study Activity
Diabetes is one of the main chronic conditions in older people and it is prone to severe complications.
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This presentation of a hypothetical, complex case scenario, which illustrates the use of collaborative planning and care for the best possible health outcomes for those with diabetes.
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Time for questions and comments.
2:15pm - Venous Thrombo-Embolism (VTE)
Each year over 5,000 people in Australia die from VTE, causing more deaths than all transport accidents and falls combined. Source: Access Economics (2008). “The Burden of Venous Thrombo-embolism in Australia”, Report for The Australia & New Zealand Working Party on the Management and Prevention of Venous Thrombo-embolism.
This session will guide nurses in how to:
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Recognise the need for primary prevention in all at-risk elderly patients/residents.
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Review evidence-based standards for the prophylactic management of this avoidable condition.
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Deliver appropriate nursing care and management guidelines for VTE.
3:00pm - Afternoon Tea & Coffee
3:30pm - A Stroke of Bad Luck
Stroke (also known as a CVA or brain attack) is the leading cause of adult disability and the third leading cause of death in Australia.
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What do research findings reveal about strategies for early detection and immediate treatment?
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Essentials of immediate nursing assessment and management.
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Clinical features and early investigations:
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What are the key signs and symptoms which present in the major types of stroke, e.g. dysphasia, dysphagia, ataxia, sensory and motor impairments?
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Summary of a range of tests and observations, which contribute to the formulation of an accurate diagnosis of chronic impairments.
4:15pm - End of Day One of Program
9:00am - Start of Day 2
9:00am - Documenting Complex Aged Care
This interesting session reviews a range of considerations that you need to be aware of in regard to care planning and documentation. It includes:
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Who legally should write progress notes and how often?
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What about documentation by untrained carers, in direct care roles?
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Compliance reporting for older people – what does this mean?
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For those with one or more chronic conditions, which type of information will ensure that physical, social and emotional issues are addressed.
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When residents in aged care facilities are transferred to and discharged from acute care, what sort of documentation is needed?
10:00am - Incident Reports and Legal Jeopardy
When adverse incidents occur, if you witnessed or were involved in an incident, writing accurate, concise and intelligent reports is crucial. Review of the legal requirements for the preparation of incident reports?
10:30am - Morning Tea & Coffee
11:00am - Chronic Illness and Elder Abuse
“Elder abuse is any act occurring within a relationship where there is an implication of trust, which results in harm to an older person. Abuse can include physical, sexual, financial, psychological, social and/or neglect. ”Alliance for Prevention of Elder Abuse (APEA)”
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What would make you suspect that someone in your care is being abused?
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Is it mandatory for aged care nurses/carers to report the neglect/abuse of an elderly person?
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What assistance is available for those who suspect that abuse is occurring and those who are the target of abuse?
12:30pm - Lunch Break & Time to Network
1:30pm - Living with Chronic Conditions: Counselling Tips
Essential aspects of the use of counselling skills when caring for those who are chronically ill.
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What is the difference between interviewing and counselling?
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Valuing communication that is more than just a social conversation.
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Summary of a practical model of counselling.
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Nursing time constraints and mini-counselling opportunities.
3:00pm - Afternoon Tea & Coffee
3:30pm - Chronic Physical Illnesses - Is Depression Inevitable?
Having a chronic illness can be a disturbing and even isolating experience which impacts adversely on the person’s quality of life, e.g. forced dependence on others. It is common in those with chronic illness.
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What are normal responses to perceived losses?
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Is depression Inevitable and can it be prevented?
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Recognising the difference between early signs of depression and a “fit of the blues”.
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Key features of best practice care and management guidelines.
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How nurses should respond if they detect the presence of suicidal thoughts / Intentions?
4:15pm - Close of Program and Evaluations
Patricia Davidson RN Ph.D.Director of the Cardiovascular and Chronic Care Centre at the University of Technology Sydney, Faculty of Nursing, Midwifery and Health. The main aim of this Centre is to undertake research, scholarship and clinical care to improve the health and well being of those diagnosed with cardiovascular and chronic conditions.
Lorraine LovittNSW Leader of the NSW Falls Prevention Program, Clinical Excellence Commission.
Jane MartinCurrently, she is a Nurse Educator at The College of Nursing in the Graduate Certificate in Stomal Therapy course, along with the stand-alone subjects of Chronic and Complex Care, Symptom Management in Advanced Disease States as well as communication skills. Previously Jane was employed as a Health Programs Manager and Tutor at the Central Coast Community College.
Carol PalmisanoConsultant in the Diabetes Education Centre, Royal North Shore Hospital. Carol has substantial experience in the care and management of those diagnosed with diabetes
and, is a member of the Australian Diabetes Educators Association.
Ross ProctorRoss is currently employed as the Cardiac Nurse Educator at the Prince of Wales Hospital, Sydney. Ross has more than twenty years experience in cardiac nursing. This includes six years co-ordinating a post graduate cardiac nursing course. Ross is an accredited Advanced Life Support instructor with the Australian Resuscitation Council. Ross’ current professional representations include being a founding member and the President of the Australasian Cardiovascular Nursing College and NSW representative on the Cardiovascular Nursing Council of the Cardiac Society of Australia and New Zealand (CSANZ). Prior to this Ross was a past President of the Cardiac Nurses Network of Australia and New Zealand.
Barbara ClarkeClinical Nurse Educator, Sydney Adventist Hospital, a role which includes teaching/assessment of bedside nursing skills. Her post graduate qualifications include a Bachelor of Science in Health Care Practice (Hons.) and she has a special interest in neurological assessment and stroke rehabilitation.
Kate HurrellAged Care Consultant with advanced qualifications in nursing, and gerontology. Her special area of expertise is providing aged care policy development, service delivery, quality frameworks and workforce planning and development advice. Kate’s extensive experience in clinical, management and educational positions has given her a deep understanding of complex issues.
Beaver HudsonCo-ordinator, Psychiatric Emergency Care Centre at St Vincent’s Hospital, Sydney. Beaver has a substantial background in clinical, research and education aspects of mental health services.
Lesley ShanksClinical Facilitator (part-time) for the The University of Newcastle, School of Nursing and Midwifery. Her clinical and teaching background includes extensive experience in aged care nursing and her post-graduate qualifications include a Diploma in Health Counselling.