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Southern Cross University Secures $1.3M NHMRC Grant for Pioneering Delirium Research

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Southern Cross University Secures $1.3M NHMRC Grant for Pioneering Delirium Research

 

By Robert Heyward

Southern Cross University’s cutting-edge delirium research has received significant recognition from the federal government, with a $1.3 million grant awarded through the National Health and Medical Research Council’s (NHMRC) latest Partnership Projects round.

Delirium, a common, distressing, and costly hospital complication, particularly affects older Australian adults and their family carers, leading to confusion and severe negative outcomes. The three-year research project, titled A Novel Approach to Partnering with Family Carers in the Prevention of Delirium, aims to reduce the incidence of delirium, lower associated hospital costs, and drive systemic changes in how delirium is managed in healthcare settings.

The project, led by Associate Professor Christina Aggar from the Faculty of Health, builds on the success of a pilot program at The Tweed Hospital on the NSW North Coast. The pilot introduced the PREDICT (Prevention & Early Delirium Identification Carer Toolkit), an evidence-based, multifaceted delirium intervention tailored specifically for the Australian healthcare environment.

“Delirium is the most common hospital-acquired complication in older adults, with an estimated annual cost to healthcare services and society of $8.8 billion,” said Associate Professor Aggar. “With Australia’s ageing population, the impact of delirium is expected to increase, leading to higher rates of hospital-acquired injuries, delayed discharges, re-admissions, dementia, admissions to residential aged care, deaths, and increased caring responsibilities for families.”

The project will see Southern Cross University collaborate with other Australian universities, healthcare services in Queensland, New South Wales, and the Australian Capital Territory, as well as peak carer and consumer organizations. Importantly, the research will engage directly with those who have lived experience of delirium—both patients and their families.

“I am thrilled by the $1.3 million NHMRC grant awarded to Associate Professor Christina Aggar,” said Senior Deputy Vice-Chancellor Professor Mary Spongberg. “This vital research, focused on the nurse-family carer partnership supported by the PREDICT toolkit, promises to significantly reduce the incidence of delirium and related hospital costs. The project has the potential to drive systemic change in delirium management, enhancing patient outcomes and alleviating pressures on our healthcare system. We take great pride in this initiative and look forward to its far-reaching impact.”

Despite delirium being preventable, its assessment and recognition in clinical practice remain poor, according to Associate Professor Aggar. The research project will test the performance of PREDICT under real-world conditions, with a particular focus on its impact on carers, including those from culturally and linguistically diverse (CALD) backgrounds and LGBTQ+ communities.

Southern Cross University and its partner organizations will implement the project with patients at risk of delirium and their families at several healthcare sites, including:

  • Northern NSW Local Health District (NSW)
  • Hunter New England Local Health District (NSW)
  • Far West Local Health District (NSW)
  • Canberra Health Services (ACT)
  • Royal Brisbane and Women’s Hospital (QLD)
  • Caboolture Hospital (QLD)

The NHMRC’s Partnership Project scheme supports the translation of research into health policy and service delivery through the effective integration of research findings.

In announcing the NHMRC grants, Ged Kearney, the federal Assistant Minister for Health and Aged Care, stated: “As a former nurse, I know just how important research can be for medical breakthroughs to support patients and families.”

NHMRC CEO Professor Steve Wesselingh added: “Projects that take an interdisciplinary and collaborative approach help us address the many intricacies associated with some of Australia’s greatest health challenges.”

 

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Alarming Data Reveals Widespread Fears of Discrimination Among Australians Facing Cancer Treatment

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Alarming Data Reveals Widespread Fears of Discrimination Among Australians Facing Cancer Treatment

 

A significant number of Australians are deeply concerned that factors such as their location, age, gender, sexual orientation, income, or the language they speak at home could adversely affect their cancer treatment and survival chances. This is according to new research commissioned by the Leukaemia Foundation, which highlights the pervasive fear of discrimination in the healthcare system.

The YouGov survey revealed that seven in ten Australians worry that these personal characteristics may impact their ability to receive effective cancer treatment. Millennials emerged as the most concerned, with 71% expressing fears, followed by Baby Boomers at 63% and Generation X at 62%.

With one in twelve Australians expected to be diagnosed with blood cancer—such as leukaemia, myeloma, or lymphoma—in their lifetime, the Leukaemia Foundation’s CEO, Chris Tanti, described the findings as deeply troubling. He emphasised that these fears are rooted in the broader issue of health inequity, which disproportionately affects marginalised communities.

“These latest results underscore the urgent need for greater awareness and action to create a healthcare environment that is safe, welcoming, and inclusive for everyone,” Tanti said. “We know there is a persistent and troubling cancer health divide across Australia, particularly impacting those living in regional areas, First Nations peoples, culturally and linguistically diverse (CALD) communities, and LGBTQIA+ individuals. These groups face significant barriers in accessing timely diagnoses and the best available treatments.”

The survey comes at a time when blood cancer remains one of Australia’s most deadly and prevalent diseases. Every day, 53 Australians are diagnosed with blood cancer—equating to one person every 27 minutes—and 17 people lose their lives to the disease.

Tanti further noted the geographical disparities in cancer outcomes, with 41% of Australians diagnosed with blood cancer living in regional, rural, or remote areas. These patients are statistically less likely to survive five years beyond their diagnosis compared to those in major cities, due in part to the challenges of accessing specialized care.

CALD communities face additional hurdles, particularly when English is not the primary language spoken at home. This can significantly hinder their ability to understand health information and navigate the healthcare system. Meanwhile, LGBTQIA+ individuals often experience social isolation and may delay seeking medical care due to fear of discrimination or distrust in the healthcare system.

“These issues are substantial, and it’s no surprise that many Australians are fearful about being diagnosed with cancer and their chances of survival,” Tanti said.

In response to these findings, the Leukaemia Foundation has launched a new campaign, A Fair Go, aimed at addressing the fear and uncertainty surrounding blood cancer. The initiative seeks to ensure that every Australian, regardless of their background, has the knowledge, resources, and support needed to confront blood cancer.

The campaign will also focus on supporting healthcare professionals by developing new resources and information tailored to priority population groups. Additionally, the Foundation will spearhead new initiatives and research programs to tackle the specific challenges these groups face.

“Where someone lives, their age, gender, sexual orientation, income, cultural background, or language spoken at home should not determine their chances of surviving cancer,” Tanti asserted. “It is unacceptable that seven in ten Australians live with this fear. We are committed to addressing the issue of inequity head-on, ensuring that every Australian with blood cancer has a fair go when it comes to treatment and care.”

As Blood Cancer Month approaches this September, the Leukaemia Foundation encourages all Australians affected by blood cancer, as well as those interested in learning more, to visit the Blood Cancer page on their website

 

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Aged Care Providers Urged to Address Unique Needs of Stolen Generations Survivors with Dementia

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Aged Care Providers Urged to Address Unique Needs of Stolen Generations Survivors with Dementia

 

As the first generation of Stolen Generations Survivors reaches old age, many now grappling with dementia, leading experts are calling on aged care providers to better understand and accommodate their unique needs. Dr. Tiffany McComsey and Harpreet Kalsi-Smith, both from the Kinchela Boys Home Aboriginal Corporation, will highlight these concerns at the upcoming International Dementia Conference in Sydney, emphasising the importance of trauma-informed care.

With approximately 17,000 Stolen Generations Survivors aged 50 and over, many are now frail and particularly vulnerable to dementia—Aboriginal and Torres Strait Islander people are three to five times more likely to develop the condition than non-Indigenous Australians. Dr. McComsey expressed concern that many aged care facilities lack an understanding of the deep trauma these individuals have experienced, which profoundly impacts their dementia journey.

One innovative approach proposed by Dr. McComsey and Ms. Kalsi-Smith is the use of life story posters. These posters, which would be created with the input of the survivors and their trusted companions, would provide a visual and narrative overview of the person’s life, including their likes, dislikes, and strategies to de-escalate potential tensions. The posters serve as a constant reminder to care staff of the individual’s background and the trauma they have endured, helping to create a more supportive and understanding environment.

Ms. Kalsi-Smith underscored the importance of these life story posters, especially for individuals with dementia who often struggle with communication and memory. “Creating a life story is a useful way to record important information about Stolen Generations Survivors and help others understand and relate to them in a supportive way,” she said.

The Kinchela Boys Home, where many of these survivors spent their childhoods, was a site of intense cultural and psychological abuse. The boys, now referred to as “uncles,” were stripped of their identities, forced to conform to an alien culture, and suffered significant trauma. Of the 600 boys who passed through Kinchela, only 50 are alive today, with seven currently living with dementia.

Aged care providers are encouraged not only to adopt the life story poster concept but also to engage in comprehensive training about the legacy of the Stolen Generations. This includes participating in truth-telling processes and ensuring all staff are equipped with trauma-informed care practices.

Ms. Kalsi-Smith highlighted the deep fear many Stolen Generations Survivors feel about entering aged care facilities, which they often associate with the restrictive environments of their childhood. This fear is illustrated by Uncle Colin Davis, a 76-year-old Kinchela Survivor recently diagnosed with dementia, who has expressed a strong desire to avoid aged care homes altogether.

Uncle Colin’s wife, Aunty Rita Davis, voiced concerns that the available aged care options near their home on the NSW South Coast would not meet her husband’s needs. “For him, it would be like the restrictions he had growing up all over again. Once you put restrictions on him, you never know what he’ll do,” she said.

Dementia Support Australia (DSA), which has provided tailored support to 50,000 people since 2016, emphasises the importance of cultural awareness and trauma-informed care training for aged care staff. DSA Head of Professional Services Marie Alford stressed that all aged care services should understand the triggers of Behavioural and Psychological Symptoms of Dementia (BPSD) in Stolen Generations Survivors and know how to safely de-escalate them.

The upcoming International Dementia Conference, hosted by The Dementia Centre, will bring these critical issues to the forefront, as aged care providers and policymakers gather to discuss the future of dementia care in Australia. As the needs of Stolen Generations Survivors become more urgent, it is clear that a tailored, culturally sensitive approach is essential for their care and well-being.

 

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Lismore Confirmed as One of Two Regional Drug Summit Forum Locations

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Lismore Confirmed as One of Two Regional Drug Summit Forum Locations

 

Robert Heyward

Regional Health Minister Ryan Park has confirmed that Lismore will host one of the NSW Government’s two Drug Summit regional forums on Monday, 4 November. These regional forums are designed to ensure that the unique experiences of communities in regional NSW are reflected in the larger discussions at the Drug Summit.

The summit will bring together a diverse range of participants, including medical experts, police, individuals with lived experience, drug user organizations, families, and service providers. These forums aim to build consensus on how NSW should address drug use and the associated harms.

Minister Park also announced that former NSW Deputy Premier Carmel Tebbutt and former NSW Leader of the Opposition John Brogden will co-chair the NSW Drug Summit. The Co-Chairs will collaborate with attendees to develop and prioritize solutions focused on improving community health, safety, justice, and integrated social support systems.

Minister for Health Ryan Park said:

  • “Bringing the summit to regional areas like Lismore is essential because drug use impacts communities in different ways.”
  • “It’s important that Lismore’s experiences with illicit drug use are reflected in the summit’s deliberations.”
  • “Janelle [Saffin] has been a strong advocate for her community, and it’s fitting that we can return to hear from Lismore in 2024.”

Member for Lismore Janelle Saffin added:

  • “I’m thrilled that Lismore will be hosting one of the two regional forums of the Drug Summit.”
  • “We have unique challenges here, and I am determined that Lismore’s voice will be heard in this statewide conversation.”
  • “In 1999, I participated in a successful Drug Summit, and I am excited to bring forward local perspectives once again in 2024.”

The Lismore forum will be an opportunity for local voices to contribute to a broader statewide effort aimed at addressing drug use and improving public health outcomes across NSW.

 

For more local Lismore news, click here.

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