Vol 2, no 71, 30 September 2009
 


Gisborne GP helps at Refugee Camp, Burmese boy saved


10-year-old orphan Jaiboi lies in a coma while Dr Stu Hockey does what he can to offer comfort.In a secret Burmese Refugee Camp, Gisborne General Practitioner Stu Hockey helped educate locals in first aid and medical care, as well as working as a doctor. He enjoyed being able to help but it was the recovery of a 10-year-old orphan boy that lingers in his memory. (Hover over pictures with your mouse to read the picture captions). 

By Helen Peterson

There is nothing standard about a Hockey family holiday. Their time away is like something from television’s Intrepid Journey. But Stu Hockey says, the more weird and wonderful a place, the better!

For their last holiday the City Medical general practitioner took his wife and three boys to a refugee camp on the border of Thailand and Burma. He recently returned from a second trip to the camp where he helped train 60 Burmese community health workers.
 
Due to political unrest within the wider area the camp’s name cannot be published, except to say it is a six hour trip from Changmai, Thailand, via car, four-wheel drive, motorcycle and walking.
 
The camp is in Shan territory, an area the size of the South Island, and home to 10 million people. Presently they have a cease-fire with the Burmese Army.

Camp doubles as refuge for orphans and steep learning curve for Kiwi kids

The view over Burma from the refugee camp where Stu and his family were based.Stu, Coralie and their sons, Carl, Layton and Brett, visited the camp earlier in the year where they spent three days catching up with friends who work for aid agency Partners New Zealand.

“Here they are building a small hospital as well as dormitories for orphans from the wider area who make their way to the safety of the camp,” says Stu.

“These orphans get the chance to attend school, have three meals a day and have a roof over their head.”
Taking his three children was a rewarding experience. It was a powerful learning tool.

“Our children could see that simple things we take for granted at home were, in fact, absent from the camp - including a decent toilet block.” Touched by the people’s plight Layton, aged 10, recently raised funds through his local church group to help build a new toilet block for the camp.

A little knowledge goes a long way

Students learned basic first aid, CPR and other medical skills as part of the six month programme. During the family’s visit Stu was asked if he was interested in helping to teach 60 people from Burma to become community health workers.  The opportunity to pass on some simple knowledge to help improve the people’s daily lives was too good to pass up, so he ventured back to the camp in late August.

For six months 60 community health worker trainees live at the camp and undertake basic training in a variety of areas including first aid, CPR, wound care, basic medical examination and the importance of personal hygiene.

Stu spent five days teaching these trainees through an interpreter. He took two resuscitation dolls donated by the local St John Ambulance and the Mountain Safety Council branches.

Stu teaches a student using a resucitation dummy donated by St Johns Ambulance and Mountain Safety Council. Although relatively “basic” the camp has a clinic, run by one nurse. It has an extensive range of pharmaceutical products including contraception pills, antibiotics and immunisation vaccines.

However, many of the outer-lying villages, particularly in Burma, do not have access to such medications. They are also in dire need of community health workers to pass on basic health care knowledge, including how to assess who needs hospitalization.

Stu found the work rewarding and was amazed at how eager the people were to learn and how easily they picked up what was being taught. 

“I would like to have stayed for longer and am now thinking about how I can further assist them.”

Plucky Burmese lad saved

It was an enormous privilige for Stu to meet a healthy Jaiboi when he returned to the camp last month.There were many highlights from the trips but the most poignant was the recovery of a 10-year-old orphan boy called Jaiboi, who was at death’s door during Stu’s first visit.

Jaiboi had been suffering from infected scabies that caused major complications including kidney failure. He had been sick for the three weeks before Stu’s first visit and was unconscious and having trouble breathing.

“He was in a terrible state and I thought he was dying. The only option was to administer antibiotics and ensure he was made as comfortable as possible.”

Remarkably, when Stu went back the second time Jaiboi had made an almost full recovery. Whether it was Jaiboi’s determination to live, Stu’s intervention , or a combination of both, the child is living testament to the good work being done to save refugee lives. No price can be put on that.
 

PHO withdraws AWHI funding, finds alternative


By Helen Peterson

Turanganui Primary Health Organisation no longer funds Sport Gisborne’s Active Whanau Health Initiative (AWHI), but has channeled the money elsewhere within the sports organization. 

Reprioritisation of money to promote healthy living messages was the catalyst for the decision, but it was still a difficult resolution, says Turanganui PHO Chief Executive Keriana Brooking.

The money has now been channeled into another Sport Gisborne programme called Active Mokopuna which focuses on the same core issues as AWHI - healthy eating and active movement.

AWHI was developed in 2008 to help children, aged between 5 and 12 years, with a higher than recommended weight to get more active, make better food choices and overall improve their lives.

Turanganui PHO initially put $130,000 towards the AWHI Programme. Support included workshops on building self-esteem, parenting strategies, positive role modeling, making healthy food choices, and activity options. Each school term four or five families were selected to take part in the weekly workshops and family activity sessions.

“Over time it has become harder to get families to take part in the AWHI programme due to other commitments they have,” says Keriana.

“It got to the stage where there were no referrals for AWHI so sadly we have been unable to justify continued funding for the programme.”

Active Mokopuna, which promotes healthy eating and active movement through kindergartens and other early childhood centres, now has financial assistance from Turanganui PHO.  It is also supported by the Heart Foundation.

The programme assists teachers and parents to make sure children have healthy foods in their lunch boxes. Parents and wider whanau are also provided with information focusing on healthier food choices and active movement.

It is hoped Active Mokopuna will reach a wider population base than AWHI and instill the values of healthy eating and exercise during children’s formative years. 

The AWHI programme finished today. [30 sept]

Social work referral changes lives

HealthRight Lifetime Lifestyle Social Worker Tina Holmes. Clare Webber Photography.By Helen Peterson
It’s the small things that count. A pair of shoes (see at right), a set of dentures…
HealthRight Lifetime Lifestyle Social Worker Tina Holmes is reminding health staff that a social work referral can assist a person, and sometimes a whole whanau to make positive life choices.
A passionate social worker with more than 15 years experience, Tina says a holistic approach focusing on a person’s medical and social issues is the most effective way to achieve life-long benefits.
“Medical issues are often just part of a person’s wider problems,” says Tina.
“A lack of home heating, problems with mounting bills and even loneliness can also exacerbate problems so they all need to be addressed to achieve the best outcome for the client.”
Tina has supported many people to access much needed help. More recently this has included getting one man a set of dentures and another to get some quality sports shoes needed for a regular walking regime. Both these men received Work and Income financial assistance and paid back the money, interest free, at manageable weekly installments.
“Watching people gain self-esteem and seeing the positive impact it has in families is, in my opinion, social work at its best.”
Tina views her job in simple terms - connecting people who need support with agencies who offer that support.
“People need to realise that it is better to make informed decisions when they are not in crisis. Part of my job is putting them in touch with agencies who can outline their services and the person can then go away and think about their options.”
Tina wants general practitioners and their staff to know that a social work assessment can be done even if a patient does not present with a specific problem. Often a comprehensive “check-list” completed by Tina during a home visit highlights areas of concern that can be later addressed.
The check-list covers topics like home heating, benefit management and medication management. Tina is able to offer constructive advice about how to handle a situation and support the person to get the help required.
Referrals for Tina’s assistance often came from Turanga Health nurses and other health professionals who visit people in their homes.
“These people are in the best position to see the areas where a person needs help. Often a person will see their doctor about a specific health problem but not mention other underlying issues.”
Tina says practice staff and other health professionals need only send a short referral through Medtech outlining a person’s specific problem or a request for an assessment. A referral can bring huge dividends and whole families can lead longer and healthier lives, she says.
If the shoe fits


By Helen Peterson


A  pair of quality walking shoes has moved Ed forward on his way to losing weight and leading a healthier life.

Although he was already part of Turanga Health’s Men’s Health Programme Ed needed further assistance to get a pair of walking shoes so he could walk long distances as part of a weight-loss regime.

Social worker Tina Holmes helped Ed to access Work and Income financial entitlements to help pay for the shoes. He paid the money back, interest free, in weekly instalments.

Her constructive advice and support spurred Ed on to get a professional shoe fitting and quote from a local sportswear store. The quote was then used as part of Ed’s case for seeking financial assistance.

“Ed’s self-esteem improved with a little guidance and this is the ultimate of my job - seeing a person’s confidence grow.”

Ed, who is now a regular walker, recently asked Tina how he could thank her for her help.

“That’s easy - I told him to pay it forward,” said Tina.

She wants Ed to motivate others to access quality sports shoes which are necessary for walking regimes to improve long-term health.

 

 

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Tairawhiti District Health Radiography Workshop: Speakers will cover: Maori Culture, Mortuary Radiography, Isolated Radiography, Sports Orthopaedic, Helicopter Pilot Perspective, A & E Trauma – Rural Setting, 45 years Radiography Experience, Radiology Nursing, Ultrasound, Health & Safety, surf life saving (Cory Hutchings).

10 October 2009. Registration 9am–10am, Speakers 10am-4:30pm, Get more information from berniecew@tdh.org.nz, Wananga O Aoteaora Tairawhiti, Childers Road, Gisborne. Six CPD credits. Click here for the registration form.
 
On-line Treaty of Waitangi Training Tool: Mauri Ora Associates have developed an ‘On-line Treaty of Waitangi’ training tool which is able to be completed and is a pathway towards accreditation. 
 
The aim of the course explains current health disparities from an historical perspective. Such an understanding clears the way for addressing issues, and facilitates improvement to health outcomes.
 
Training is completed through a media-rich, interactive and entertaining on-line course.
 
To enrol in this course please either e-mail your course enquiry and your contact details to enquiry@mauriora.co.nz or phone us on 09 486 7148.
 
Child Protection Studies Programme: Gisborne; 12th-16 October, This highly respected, NZQA accredited programme provides people working with children with the skills to:

Understand what abuse is and why it appears, Recognise children at risk of abuse, Know how to respond appropriately and what to do immediately, Act with confidence recording and reporting abuse.

Click here for full information about the programme, or an enrollment form. 
 
We still have sponsored places available for eligible applicants. Call on (07) 838 3370 or email mark@cps.org.nz

HPV Presentation: an invitation to all practice nurses, public health and rural nurses to hear from CSL Gardasil Representative Tracee Daw, Wednesday 21 October, 12.30pm-1.30pm, in the Board Room, second floor of Morris Adair Building at Gisborne Hospital. Lunch will be provided by CSL. David Henton Workshops: 22 October - "Practical Time Management" - practical tools to take control of your work time, plan effectively, and set the right priorities. 

23 October - "Professional Presentations" -
overcoming the fear of public speaking, and planning and delivering business presentations.
Both workshops will be presented by David Henton, and the price is $395 + GST per person for each one-day workshop......in-house versions of each of these programmes are always available. 
For any enquires please contact: David Gollings, Managing Director, Management Learning Associates Ltd, (07) 863 9345, 027 441 6016,david@mgmtlearning.co.nz

(For those who had staff attend the Confident Communication workshop, you will be pleased to note that this is the same presenter).

Response Ability Pathways or RAP: Te Ora Hau presents a three-day professional development opportunity for people working with young people. Tuesday 27 October to Thursday 29 October, Whirikoka Campus, Te Wananga o Aotearoa, Childers Road, Gisborne. $120 wages, $90 for volunteers and students. Facilitator is Lloyd Martin, director of Praxis Training Network. Register by emailing tairawhiti@teorahau.org.nz or phoning 027 420 2957, 

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