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Health News

Psychologist’s Top Tips to Managing Your Mental Health After Cancer Diagnosis

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Dr Charlotte Tottman, clinical psychologist, is Australia’s go-to specialist in cancer-related distress and popular podcaster. Mental Health After Cancer Diagnosis

Psychologist’s Top Tips to Managing Your Mental Health After Cancer Diagnosis

 

Breast Cancer Network Australia

October is both Breast Cancer Awareness Month and Mental Health Month. Australia’s leading consumer breast cancer organisation Breast Cancer Network Australia (BCNA) and Australia’s go-to specialist in cancer-related distress, popular podcaster, and Clinical Psychologist Dr Charlotte Tottman, have collaborated on 5 top tips for managing your mental health alongside a breast cancer diagnosis, assisting those affected by breast cancer to live well, their way.

Dr Tottman’s podcast Upfront About Breast Cancer – What You Don’t Know Until You Do has been downloaded over 100,000 times and offers a valuable resource for those with breast cancer, especially amidst the current wait times for mental health and healthcare services. It has had a profound impact on its listeners. “I have to thank you for perhaps saving me and my marriage,” said listener Nikki. “Not only has it been the most validating and informative tool for me, I have asked my husband and daughter to listen so that they can better understand my struggle and theirs. This has really changed everything.”

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1. Give yourself time to adjust

“After a cancer diagnosis, it’s normal to struggle through a period of adjustment as you come to terms with change,” said and Clinical Psychologist Dr Charlotte Tottman. “How you navigate these changes can depend on who you are as a person, your previous experience of adversity, and your resilience.”

Anxiety is worrying about the future and fearing things that haven’t happened. It is a normal response to a diagnosis and comes in many forms. “There are at least 12 different types of anxiety when it comes to a cancer diagnosis,” says Tottman. “An appropriate level of anxiety can be a good thing because it helps you to develop strategies to deal with the physical, practical, or emotional challenges you’re facing.”

2. Understand your anxiety to manage it 

According to Tottman, learning to sit in the discomfort that comes with anxiety is a powerful skill to develop, along with an understanding that it is temporary and will pass. “Anxiety will peak and then start to dissipate, so once you recognise this and learn how to sit with it, you are back in the driver’s seat,” she said. “The anxiety may still happen, which is normal, but it will no longer destabilise you.”

Understanding what triggers your anxiety and anticipating what symptoms you might encounter can also help you manage it, because you know what to expect. “You might experience physiological symptoms, such as a racing heart, a sick feeling in your stomach, light-headedness, or tightness in your chest,” said Tottman.

Dr Charlotte Tottman, clinical psychologist, is Australia’s go-to specialist in cancer-related distress and popular podcaster.

Dr Charlotte Tottman, clinical psychologist, is Australia’s go-to specialist in cancer-related distress and popular podcaster.

3. Seek professional support 

Cancer treatment itself can affect your normal functioning, so ask yourself whether you are struggling because of your mental health or physical health. According to Tottman, it is common for those with cancer to experience emotional isolation, where you feel like no one else understands what you’re going through. “Generally, I recommend seeking help if your anxiety or struggle to adjust is getting in the way of your functioning, impacting your sleep or relationships, or causing you a high level of distress,” she said.  “Your GP – or therapist if you see one – can help assess where you are in terms of your struggle.”

An ongoing relationship with a therapist, a psycho-oncologist, or clinical psychologist can offer a safe environment. “Speaking in an unfiltered way can help you feel heard, seen and validated,” said Tottman. “Talking to others who have a similar experience can also be valuable in helping you feel understood.”

4. Check in on ALL those affected

While someone may look outwardly well, they may still be struggling emotionally, so regularly checking in is important. “People tend to flock in the early stages of a diagnosis and then vanish down the track,” said Tottman. “That’s when the person who’s been diagnosed may feel the most isolated, so check in and ask how things are really going for them.”

It’s also important for carers to look after themselves. Tottman said carers often feel invisible or put their own needs last. “Remember, if you are exhausted or unable to continue caring, it affects you and the person you’re caring for,” she said.

5. Stay active and engaged

Moving helps your physical and mental health. “The silver bullet in all of this is exercise, so I recommend you stay mobile and active,” Tottman said.

 

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Health News

New research partnership to tackle hearing loss

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Hearing loss

New research partnership to tackle hearing loss

 

An exciting new collaboration has been established between the Ear Science Institute Australia and the National Acoustic Laboratories (NAL), uniting Australia’s leading hearing researchers in a concerted effort to enhance treatments for the millions affected by hearing impairments.

National Acoustics Laboratories Director, Brent Edwards, emphasised the significance of the collaboration, stating, “This partnership harnesses the collective expertise of some of Australia’s most dedicated and forward-thinking hearing researchers, all committed to profoundly improving hearing healthcare globally.”

Hearing loss is among the world’s most prevalent health issues, with projections suggesting that by 2050 nearly 2.5 billion individuals will experience some form of hearing impairment. This partnership aims to foster substantial advancements in the quality of life for those affected by hearing loss, both in Australia and worldwide.

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By pooling their vast resources and data, both institutions are poised to transform hearing health care. The Ear Science Institute Australia, recognised globally as a for-purpose center of excellence, combines scientific research, medical innovation, and clinical practice to pioneer new treatments for ear and hearing conditions, ultimately striving to discover a cure for hearing loss.

Ear Science Institute’s CEO, Sandra Bellekom, commented on the future implications of the partnership, “Looking forward, this alliance with National Acoustic Laboratories opens new pathways for sharing knowledge, which will enhance the delivery of cutting-edge, personalised hearing solutions and expand access to superior hearing care for people around the world.”

 

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Health News

Introduction of New Clinical Care Standard by ACSQHC to Address Psychotropic Medicine Use in Cognitive Disability and Impairment

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New Clinical Care Standard

Introduction of New Clinical Care Standard by ACSQHC to Address Psychotropic Medicine Use in Cognitive Disability and Impairment

 

By Jeff Gibbs

The Australian Commission on Safety and Quality in Health Care (the Commission) has today announced the launch of a pivotal new national standard aimed at enhancing the care for individuals with cognitive disabilities or impairments. The introduction of the Psychotropic Medicines in Cognitive Disability or Impairment Clinical Care Standard is a critical advancement in promoting safer and more effective treatment protocols across the healthcare spectrum.

Background and Rationale for the New Standard

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Recent decades have witnessed a 60% surge in the prescription of psychotropic medications across Australia. Despite a modest reduction in antipsychotic use among the elderly—prompted by heightened awareness of associated risks—the prescribing rates remain alarmingly high, particularly among vulnerable populations. Notably, older individuals and those residing in aged care facilities are disproportionately affected by the adverse effects of these medications, including cognitive decline, heightened risk of falls, strokes, and mortality. Additionally, approximately one-third of individuals with intellectual disabilities are prescribed psychotropic drugs, exposing them to potentially severe short and long-term side effects.

Scope and Impact of the Standard

The new Standard seeks to mitigate the inappropriate utilisation of psychotropic medications and emphasises patient safety. It priorities non-pharmacological interventions as the foremost approach for managing challenging behaviours such as aggression and agitation. Psychotropic medications are advised as a last-resort measure, following the ineffectiveness of alternative strategies or in situations posing significant risk to the individual or others.

The Standard advocates for tailored non-medication strategies that respect the individual’s needs and preferences, developed in consultation with their family and other authorised caregivers. This approach underscores the commitment to upholding the dignity and autonomy of individuals with cognitive impairments.

Expert Insights and Support

Key health experts have endorsed the significance of this new Standard. Conjoint Associate Professor Carolyn Hullick, Chief Medical Officer at the Commission, stresses the necessity for mindful prescribing practices given the limited benefits and substantial risks associated with psychotropic medications in this demographic. Professor Julian Trollor from the University of New South Wales and Juanita Breen from the University of Tasmania also highlight the importance of objective-driven prescribing, continuous monitoring, and the potential to reduce medication dosages in favour of non-pharmacological alternatives.

Implementation Across Settings

The Standard is applicable universally across various healthcare settings, including hospitals, aged care facilities, and community services, ensuring that individuals with cognitive disabilities receive consistent and coordinated care irrespective of the setting.

Professor Eddy Strivens emphasises the need for coordinated efforts and effective communication, particularly during care transitions, to maintain continuity and efficacy of treatment plans and to support decision-making processes that honour patient autonomy.

Collaborative Efforts for Enhanced Care

In a collective endeavour to address these issues, the Commission has collaborated with the Aged Care Quality and Safety Commission and the NDIS Quality and Safeguards Commission to issue a Joint Statement against the misuse of psychotropics in managing behaviours in disabled and elderly populations.

Conclusion

The introduction of the Psychotropic Medicines in Cognitive Disability or Impairment Clinical Care Standard marks a significant step forward in improving the quality of care and safety for Australians with cognitive disabilities or impairments. It aligns with ongoing efforts to reform health care, aged care, and disability support systems across the nation.

The complete Standard and accompanying resources are available on the Commission’s website here.

 

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Education

National Walk Safely to School Day Turns 25

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NSW-Northern-Rivers-Breaking-News

National Walk Safely to School Day Turns 25

 

As National Walk Safely to School Day approaches on Friday, 10 May 2024, primary school-aged children across Australia are encouraged to lace up their shoes for a walk towards a healthier future. Celebrating its 25th anniversary, this initiative, championed by the Pedestrian Council of Australia, highlights the myriad benefits of walking and other forms of active transportation, particularly to and from school.

This annual event not only emphasises physical health but also aims to improve road safety, reduce environmental impact, and promote the use of public transport to lessen car dependency near schools. Harold Scruby, Chairman and CEO of the Pedestrian Council of Australia, emphasises the importance of adult supervision for children under 10 when crossing the street, reinforcing the safety aspect of the campaign.

“Walk Safely to School Day is a great opportunity to teach our kids about the benefits of physical activity,” said Scruby. He also pointed to the worrying statistics of childhood obesity, which affects one in four children at critical levels across the nation, according to the latest ABS National Health Survey results from 2017-18. “The best form of physical activity for all Australians is walking regularly. Children need at least 60 minutes of physical activity a day,” he added.

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The day is not just about walking; it also encourages schools and parent groups to host healthy breakfast events to start the day nutritiously. This initiative supports the dual goals of fostering healthful eating habits and providing social interaction within the school community.

As the event marks a significant milestone, schools across Australia are gearing up to participate more actively than ever. Parents, teachers, and caregivers are encouraged to get involved, not only to support their children but also to take part in making walking a regular part of their daily routine.

This initiative plays a crucial role in mitigating traffic congestion around school areas, promoting environmental stewardship, and fostering a sense of community. Everyone in the community is invited to support the initiative, helping to instil healthy habits in children that can lead to lifelong benefits.

For more information on how to participate in National Walk Safely to School Day, visit the Pedestrian Council of Australia’s website or contact your local school to see what activities are planned for the day. Join the movement on 10 May and help make a difference in the lives of young Australians.

 

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