DOCSLIB.ORG

Experience from Green Lane Hospital

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Experience from Green Lane Hospital THE NEW ZEALAND MEDICAL JOURNAL Journal of the New Zealand Medical Association CONTENTS This Issue in the Journal 3 A summary of the original articles featured in this issue Editorials 6 Will brief interventions in primary care change the heavy drinking culture in New Zealand? J Douglas Sellman, Jennie L Connor, Geoffrey M Robinson 10 Are two internal thoracic artery grafts as safe as one? David Taggart 12 Avoidable complications following chest tube insertion David Shaw, Frank A Frizelle 15 Submitting articles to the New Zealand Medical Journal via Manuscript Manager Frank A Frizelle Original Articles 17 Is routine alcohol screening and brief intervention feasible in a New Zealand primary care environment? Heather Gifford, Sue Paton, Lynley Cvitanovic, John McMenamin, Chloe Newton 26 Chest tube drainage of pleural effusions—an audit of current practice and complications at Hutt Hospital Erica Epstein, Sisira Jayathissa, Stephen Dee 36 Are two internal thoracic artery grafts as safe as one? Experience from Green Lane Hospital Arul Baradi, Paget F Milsom, Alan F Merry 42 An evaluation of a pictorial asthma medication plan for Pacific children John Kristiansen, Edlyn Hetutu, Moana Manukia, Timothy Jelleyman 51 Unusually virulent coagulase-negative Staphylococcus lugdunensis is frequently associated with infective endocarditis: a Waikato series of patients Michael Liang, Chris Mansell, Clyde Wade, Raewyn Fisher, Gerard Devlin NZMJ 11 May 2012, Vol 125 No 1354; ISSN 1175 8716 Page 1 of 123 http://journal.nzma.org.nz/journal/125-1354/5167/ ©NZMA 60 Did an acute medical assessment unit improve the initial assessment and treatment of community acquired pneumonia: a retrospective audit David G Tripp 68 Old Man’s Friend? Resuscitation decisions in patients hospitalised with pneumonia David G Tripp 75 Implementing and sustaining a hand hygiene culture change programme at Auckland District Health Board Sally A Roberts, Christine Sieczkowski, Taima Campbell, Greg Balla, Andrew Keenan; on behalf of the Auckland District Health Board Hand Hygiene Steering and Working Groups Viewpoint 86 The further and future evolution of the New Zealand Immunisation Schedule Stewart Reid Clinical Correspondence 100 Mondor’s disease in a patient previously treated for breast carcinoma in situ: a case report Brenda Leal, Sabas Vieira, Bárbara Carvalho, Airthon Correia, Benedito Almeida 103 Medical image. Half-and-half nail Anirban Das, Sabyasachi Choudhury, Sudipta Pandit, Sibes K Das Letters 105 Breast thermography review—and author response Michael E Godfrey 110 Survey of hot water temperatures in campgrounds: elevated scalding risk and energy wastage Nick Wilson, Jonathan Jarman, Bill Brander, Michael Keall 100 Years Ago in the NZMJ 114 A case of X-ray dermatitis Methuselah 115 Selected excerpts from Methuselah Obituaries 117 Hon Sir Peter Wilfred Tapsell 120 Jeremiah Alfred Chunn 122 Andrew Richmond (Tangi) Martin NZMJ 11 May 2012, Vol 125 No 1354; ISSN 1175 8716 Page 2 of 123 http://journal.nzma.org.nz/journal/125-1354/5167/ ©NZMA THE NEW ZEALAND MEDICAL JOURNAL Journal of the New Zealand Medical Association This Issue in the Journal Is routine alcohol screening and brief intervention feasible in a New Zealand primary care environment? Heather Gifford, Sue Paton, Lynley Cvitanovic, John McMenamin, Chloe Newton This paper reports on a demonstration project that tested the feasibility of alcohol screening and a brief intervention approach, consisting of advice and referrals, in general practice in a New Zealand region. The results suggest that good uptake of the intervention is possible and the paper concludes with a number of reasons why the intervention was successful in one primary care setting. The authors conclude that if the approach was more widely adopted, there is considerable scope for general practice nationally to address potentially harmful patient alcohol use. Chest tube drainage of pleural effusions—an audit of current practice and complications at Hutt Hospital Erica Epstein, Sisira Jayathissa, Stephen Dee Chest drains are inserted for removal of fluid and air accumulated within chest cavity outside the lung and it is commonly performed by junior medical staff. We looked at our practice of chest drain insertions for fluid and found our complication rate to be similar to described elsewhere. Good training for junior staff, inserting chest drains with bed side ultrasound will improve safety from this procedure. Are two internal thoracic artery grafts as safe as one? Experience from Green Lane Hospital Arul Baradi, Paget F Milsom, Alan F Merry In coronary artery surgery, it is thought that using bilateral internal thoracic artery grafts confer a long-term survival advantage for patients when compared to unilateral internal thoracic artery grafts. However, due to concern regarding perceived short- term risks associated with bilateral internal thoracic artery grafting, the majority of patients do not receive bilateral grafts. We conducted a retrospective study of 6592 patients undergoing coronary artery surgery at Green Lane / Auckland Hospitals between 1990 and 2004. After correcting for patient risk factors, we found no difference in the rate of perioperative complications between patients receiving surgery with either bilateral or unilateral internal thoracic artery grafts. This suggests that more patients can safely be offered bilateral internal thoracic artery grafting. An evaluation of a pictorial asthma medication plan for Pacific children John Kristiansen, Edlyn Hetutu, Moana Manukia, Timothy Jelleyman NZMJ 11 May 2012, Vol 125 No 1354; ISSN 1175 8716 Page 3 of 123 http://journal.nzma.org.nz/journal/125-1354/5183/ ©NZMA Pacific children are over-represented in hospital admissions for asthma; education may improve outcomes. We developed www.pamp.co.nz for health professionals to use with Pacific families; it produces personalised asthma education materials in three Pacific languages with a pictorial format. A study of 48 families showed they were well used, and improved medicines knowledge and symptom recognition. Our approach may help other ethnicities. This is the first study about asthma education resources in Pacific children. Unusually virulent coagulase-negative Staphylococcus lugdunensis is frequently associated with infective endocarditis: a Waikato series of patients Michael Liang, Chris Mansell, Clyde Wade, Raewyn Fisher, Gerard Devlin Staphylococcus lugdunensis is frequently associated with infective endocarditis and it is as aggressive as Staphylococcus aureus endocarditis. Stayphylococcus lugdunensis can be mistaken as less virulent coagulase-negative Staphylococcus . Assessment for endocarditis should be considered if S . lugdunensis bacteraemia is present, i.e. echocardiography is recommended. Investigation for suspected endocarditis should include at least three sets of blood cultures, to distinguish contamination or transient bacteraemia from the continuous bacteraemia of endocarditis. Did an acute medical assessment unit improve the initial assessment and treatment of community acquired pneumonia: a retrospective audit David G Tripp The Medical Assessment and Planning Unit at Wellington Hospital was opened in November 2009. It aimed to be a “one-stop-shop” for people needing acute medical assessment referred from GPs, and also people presenting to the Wellington Emergency Department (ED) who needed further review. This study reviewed patients presenting with pneumonia before and after this change to see how the new system was working in this group of patients. The new system seems to be working well, in that weller patients are going to the MAPU, and avoiding time in the ED first. Some opportunities to improve the timeliness of the new processes, and to be more comprehensive in our assessment, were identified, and are now the subject of ongoing development work. Old Man’s Friend? Resuscitation decisions in patients hospitalised with pneumonia David G Tripp When someone is admitted to hospital that is at risk of dying, it is worthwhile to discuss with the patient and their family how they would like to be cared for should their condition deteriorate. These discussions often include whether they would like cardiopulmonary resuscitation (CPR) in hospital should their heart stop. Increasingly, however, there is a move to make these discussions broader—talking with elderly people about what they do and do not want done for them in their last years. This study reviewed 155 patients admitted to hospital with pneumonia. This was once NZMJ 11 May 2012, Vol 125 No 1354; ISSN 1175 8716 Page 4 of 123 http://journal.nzma.org.nz/journal/125-1354/5183/ ©NZMA called “the old man’s friend”—pneumonia was a common cause of death in the frail or elderly, and a relatively quick and painless way to die. However, many other people with pneumonia are well and make a full recovery. This study aimed to see if it was possible to differentiate between those at high and low risk of dying, and then see if those at high risk of dying were included in discussions about end-of-life care. The study found that simple criteria could highlight those at greatest risk. In particular, half of those over 80 had died within one year—some while in hospital, but most in the months after they returned home. Despite this, few had documented discussions about the care they would like at the end of their lives. This represents a missed opportunity. Such admissions have the potential to be a good opportunity to have difficult but important conversations about
Load more

Recommended publications
  • Number Title Cost to Send Cost to Receive Phone Contact Web Address
    Number Title Cost to send Cost to receive Phone contact Web address 18 Directory Assistance 100 2degrees 200 (from mobile) or www.2degreesmobile.co.nz 0800 022 022 105 NZ Police Single Non-emergency Number N/A www.police.govt.nz 200 2degrees 200 (from mobile) or www.2degreesmobile.co.nz 0800 022 022 201 2degrees 200 (from mobile) or www.2degreesmobile.co.nz 0800 022 022 202 2degrees internal use 0800 022 022 www.2degreesmobile.co.nz 203 BP Txt Competition 0.09 www.bp.co.nz 204 Esendex SMS Gateway 0.09 0800 999 767 www.esendex.com 205 2degrees - Xmas promo 200 (from mobile) or www.2degreesmobile.co.nz 0800 022 022 Last updated on 9 April 2021 Number Title Cost to send Cost to receive Phone contact Web address 206 Jack Goodhue Summer of the Mullet 3.00 0800 686 964 http://www.baldangels.org.nz/ 208 TalkingTech – Payment Reminder Service 0.09 0800 999 767 http://www.talkingtech.com/ 209 2degrees 200 (from mobile) or www.2degreesmobile.co.nz 0800 022 022 210 Play the Quiz 200 (from mobile) or www.2degreesmobile.co.nz 0800 022 022 212 Sky TV 0.09 0800 777 021 www.skytv.co.nz 213 2degrees 200 (from mobile) or www.2degreesmobile.co.nz 0800 022 022 214 Raydar - DB Export 0.09 0800 77 66 22 https://www.facebook.com/dbexport/ 215 GenevaStaff Alert 0.09 0800 436 382 https://www.genevahealth.com/contact/ 218 Yellow Mobile – SMS 0.30 219 Kiwibank Retail Alerts 0.09 0800 11 33 55 www.kiwibank.co.nz Last updated on 9 April 2021 Number Title Cost to send Cost to receive Phone contact Web address 221 Gold Max txt2win Promotion 0.09 0800 99 22 44 222 2degrees
    [Show full text]
  • NGĀ WAI O TE MĀORI Ngā Tikanga Me Ngā Ture Roia the Waters of the Māori: Māori Law and State Law
    NGĀ WAI O TE MĀORI Ngā Tikanga me Ngā Ture Roia The Waters of the Māori: Māori Law and State Law. A paper prepared for the New Zealand Māori Council 23 January 2017 HE WHAKAMĀRAMA Purpose 1. This paper is for filing in the Waitangi Tribunal in relation to a claim that existing laws do not adequately accommodate the Māori proprietary interest in natural, water resources. The claim was initiated by the New Zealand Māori Council in association with ten tribal groups. It was later accompanied by 166 other Māori groups, whom the Tribunal joined as interested parties. 2. The inquiry has progressed through stage one, where the Tribunal found that a Māori proprietary interest in natural water resources had been proven. The Supreme Court endorsed that finding. A long recess followed while the Crown developed its proposals to reform water laws. 3. In the current stage 2, the Tribunal is considering the adequacy of the Crown’s present and proposed laws. It is anticipated that in the middle of the current year, geothermal water will be addressed as stage 3 and in stage 4, the inquiry may focus on how the Māori interest may be provided for in law. 4. The Māori Council considered that technical evidence on custom law would be filed in the final stage after the tribal groups had given their customary evidence. However, on 16 November, an interested party sought leave to file expert and technical evidence on custom law by 20 January 2017. The Tribunal accepted that custom law evidence should be filed by that date.
    [Show full text]
  • Ngā Hau Āwhio O Kaihautū the Swirling Winds of Māori Leadership Kuao Matangi Wawatai
    Ngā Hau Āwhio o Kaihautū The Swirling Winds of Māori Leadership Kuao Matangi Wawatai Ngā Hau Āwhio o Kaihautū The Swirling Winds of Māori Leadership Kuao Matangi Wawatai Presented in fulfilment of the requirements of the Master of Arts Degree at the University of Otago, Dunedin, New Zealand December 2019 Contents Foreword. ...................................................................................................................... 4 Abstract. ................................................................................................................ 8 Prologue. ............................................................................................................... 9 Research Method. ....................................................................................... 10 Chapter 1: Leadership Experiences. ............................................................12 Chapter 2: Tracking the Transformation of Māori Leadership. ..................... 27 Chapter 3: Analysis of Western Critical Theorists. ....................................... 42 Chapter 4: Conclusion. ................................................................................ 79 Bibliography ............................................................................................... 83 Ngā Hau Āwhio o Kaihautū Kuao Matangi Wawatai Ngā Hau Āwhio o Kaihautū: The Swirling Winds of Māori Leadership HE PUNA WAI E UTUHIA, HE WAI KEI ĀKU KAMO TE PUA KŌRAU E RUIA, E TIPU I TE WARU (Ngā Mōteatea 134)(Ngata & Ngata, 1993) E whai take ana ki te mihi atu
    [Show full text]
  • New Zealand's Fresh Waters: Values, State, Trends and Human Impacts
    OFFICE OF THE PRIME MINISTER’S CHIEF SCIENCE ADVISOR Professor Sir Peter Gluckman, KNZM FRSNZ FMedSci FRS Chief Science Advisor New Zealand’s fresh waters: Values, state, trends and human impacts 12 April 2017 Office of the Prime Minister’s Chief Science Advisor PO Box 108-117, Symonds Street, Auckland 1150, New Zealand Telephone: +64 9 923 6318 Website: www.pmcsa.org.nz Email: [email protected] ACKNOWLEDGMENTS This set of reports is the result of a lengthy collaborative effort initiated and guided by Sir Peter Gluckman, the Prime Minister’s Chief Science Advisor (PMCSA). Development of the technical report was led by Dr Bryce Cooper, working with Drs Clive Howard-Williams, Scott Larned and John Quinn of the freshwater team at the National Institute of Water and Atmospheric Research (NIWA), and the Office of the PMCSA. Coordination of the project and preparation of the summary report was led by Dr Anne Bardsley of the Office of the PMCSA, in close collaboration with Dr Ken Hughey, Chief Science Advisor for the Department of Conservation, and Dr David Wratt, Departmental Science Advisor for the Ministry for the Environment. We gratefully acknowledge the input of the following reviewers: David Hamilton, University of Waikato Ken Taylor, AgResearch; Our Land and Water National Science Challenge Roger Young, Cawthron Institute Brett Eaton, University of British Columbia Neil Deans, Ministry for the Environment Wes Patrick, Ministry for the Environment Joanne Perry, Department of Conservation Adam Tipper, Stats NZ We also thank Kristiann Allen
    [Show full text]
  • The Waikato-Tainui Settlement Act: a New High-Water Mark for Natural Resources Co-Management
    Notes & Comments The Waikato-Tainui Settlement Act: A New High-Water Mark for Natural Resources Co-management Jeremy Baker “[I]f we care for the River, the River will continue to sustain the people.” —The Waikato-Tainui Raupatu Claims (Waikato River) Settlement Act 2010 TABLE OF CONTENTS I. INTRODUCTION .................................................................................. 165 II. THE EMERGENCE OF ADAPTIVE CO-MANAGEMENT ......................... 166 A. Co-management .................................................................... 166 B. Adaptive Management .......................................................... 168 C. Fusion: Adaptive Co-management ....................................... 169 D. Some Criticisms and Challenges Associated with Adaptive Co-management .................................................... 170 III. NEW ZEALAND’S WAIKATO-TAINUI SETTLEMENT ACT 2010—HISTORY AND BACKGROUND ...................................... 174 A. Maori Worldview and Environmental Ethics ....................... 175 B. British Colonization of Aotearoa New Zealand and Maori Interests in Natural Resources ............................ 176 C. The Waikato River and Its People ........................................ 182 D. The Waikato River Settlement Act 2010 .............................. 185 Jeremy Baker is a 2013 J.D. candidate at the University of Colorado Law School. 164 Colo. J. Int’l Envtl. L. & Pol’y [Vol. 24:1 IV. THE WAIKATO-TAINUI SETTLEMENT ACT AS ADAPTIVE CO-MANAGEMENT ..........................................................................
    [Show full text]
  • Chris Liddell
    CHRIS LIDDELL “We tend to overestimate the short term impact of trends and underestimate the long term impact. In the long term it is clear that environmental issues will be a significant threat to both global growth and human wellbeing. They will also however be an opportunity for some countries to take, and benefit from, a leadership position. New Zealand could be, and should be, one of those countries.” Chris was recently Vice Chairman and CFO of General Motors. Previously he was CFO of Microsoft, CFO of International Paper and CEO of Carter Holt Harvey. He was also the former Chairman of Project Crimson, a Director of the New Zealand Rugby Union and a trustee of the New Zealand Sports Foundation. He is currently involved in a number of philanthropic projects in New Zealand, is a Trustee of the New Zealand Institute, a Patron of the University of Auckland fundraising campaign and a Director of IMG, the leading sports management company in the world. GEOFF ROSS “I am involved in Pure Advantage, because I believe it is what will give this country a competitive advantage. As the world looks for greener - food, beverage, tourism, energy, technology, fashion, etc, business opportunities will emerge. With a Pure Advantage and some haste, we can grab these opportunities. Creating wealth for all New Zealanders.” Geoff was the founder and CEO of 42 Below Limited which was a listed company for three years prior to its sale to Bacardi in late 2006. Prior to 42 Below, he was a Managing Partner and Board Member of DDB Advertising for two years and was a Client Service Director and Management Team Member for Saatchi & Saatchi in Wellington for eight years.
    [Show full text]
  • Drinking-Water Standards for New Zealand 2005 (Revised 2008)
    Drin k i ng – - w a t er S t an d a rd s f or New Z e a l and 2005 ( R e v i sed 2008) Drinking-water Standards for New Zealand 2005 (Revised 2008) – 2008 Drinking-water Standards for New Zealand 2005 (Revised 2008) 1 Drinking-water Standards for New Zealand 2005 (Revised 2008) 2 Drinking-water Standards for New Zealand 2005 (Revised 2008) Drinking-water Standards for New Zealand 2005 (Revised 2008) i Citation: Ministry of Health. 2008. Drinking-water Standards for New Zealand 2005 (Revised 2008). Wellington: Ministry of Health. Published in October 2008 by the Ministry of Health PO Box 5013, Wellington, New Zealand ISBN 978-0-478-31809-8 (print) ISBN 978-0-478-31810-4 (online) HP 4660 In December 2013, legislation changed the term ‘public health risk management plan’ to ‘water safety plan’. Any reference within the text to ‘public health risk management plan’ has been changed to reflect the new legislation. No other changes have been made to this document. This document is available on the Ministry of Health’s website: http://www.health.govt.nz/water/ Drinking-water Standards for New Zealand 2005 (Revised 2008) iii ii Drinking-water Standards for New Zealand 2005 (Revised 2008) Foreword I am pleased to release Drinking-water Standards for New Zealand 2005 (Revised 2008). The availability of safe drinking-water for all New Zealanders, irrespective of where they live, is a fundamental requirement for public health. The revised Drinking-water Standards are a significant achievement in New Zealand’s endeavours to maintain and improve the quality of drinking-water.
    [Show full text]
  • Chief Allied Health, Scientific & Technical Officer Southern District Health Board
    CANDIDATE INFORMATION PACK CHIEF ALLIED HEALTH, SCIENTIFIC & TECHNICAL OFFICER SOUTHERN DISTRICT HEALTH BOARD CANDIDATE INFORMATION PACK Chief Allied Health, Scientific & Technical Officer TABLE OF CONTENTS Executive Summary 3 Southern District Health Board 4 Chief Allied Health, Scientific & Technical Officer 9 Employment Terms & Conditions 14 Living in Southern Districts New Zealand 15 How to Apply 17 HardyGroup | IN CONFIDENCE 2 CANDIDATE INFORMATION PACK Chief Allied Health, Scientific & Technical Officer EXECUTIVE SUMMARY • Pivotal leadership role reporting to the CEO • Based ideally in Dunedin, or for the right candidate Invercargill, New Zealand • Drive significant transformation across the region The Southern District Health Board (DHB) has the largest regional coverage of all the New Zealand health boards, providing services to over 315,000 people in diverse communities. Southern DHB takes great pride in the services provided and aim is to improve, promote and protect the health of our population. Southern DHB’s customers, patients, staff and communities are at the heart of everything they do. Southern DHB is undergoing significant transformation, and with a focus on clinical and quality excellence, and on further enhancing organisational culture, the aim to make Southern DHB an employer of choice. In order to achieve this, Southern DHB are committed to putting the right people, with the right skills, into the right roles. Southern District Health Board are now seeking a Chief Allied Health, Scientific & Technical Officer. Reporting directly to the Chief Executive Officer you will have professional leadership responsibility for all our allied health, scientific and technical staff. Working in partnership with the other Executive Directors to ensure both operational and professional direction of the Southern DHB are aligned.
    [Show full text]
  • Community & Public Health Advisory Committee
    ‘Aakina to ora, hei oranga mauroa’ – Mahaki Albert, Tumu Tikanga CM Health Look after yourself to preserve health and wellbeing COUNTIES MANUKAU DISTRICT HEALTH BOARD COMMUNITY AND PUBLIC HEALTH ADVISORY COMMITTEE (CPHAC) Wednesday, 27 January 2021 Venue: Room 103, Ko Awatea, Middlemore Hospital; 100 Hospital Road, Otahuhu; Auckland Time: 9.00am Committee Members CMDHB Management Colleen Brown – Committee Co-Chair Fepulea’i Margie Apa – Chief Executive Pierre Tohe – Committee Co-Chair Aroha Haggie – Director, Funding & Health Equity Barry Bublitz – Mana Whenua Dr Gary Jackson – Director, Population Health Dianne Glenn – CMDHB Board Member Dr Campbell Brebner – Chief Medical Advisor, Primary & Katrina Bungard – CMDHB Board Member Integrated Care) Lana Perese – CMDHB Board Member Jessica Ibrahim –Executive Advisor to the CE Paul Young – CMDHB Board Member Vicky Tafau – Secretariat Apulu Reece Autagavaia – CMDHB Board Member Robert Clark – Mana Whenua Board Observers Tipa Mahuta – CMDHB Board Member Brittany Stanley-Wishart Tori Ngataki AGENDA: PART I – Items to be considered in this public meeting 1. AGENDA ORDER AND TIMING Page No. 2. GOVERNANCE 9.00am 2.1 Apologies 002 2.2 Register of Interests 2.2.1 Does any member have an interest they have not previously disclosed? 003 2.2.2 Does any member have an interest that may give rise to a conflict of interest with 005 a matter on the agenda? 2.3 Confirmation of Public Minutes of the Community & Public Health Advisory Committee 006 Meeting – 16 December 2020 2.4 Action Items Register 016 2.5
    [Show full text]
  • Indigenous Restitution in Settling Water Claims: the Developing Cultural and Commercial Redress Opportunities in Aotearoa, New Zealand
    Washington International Law Journal Volume 22 Number 2 Special Issue: Indigenous Rights in the Pacific Rim 3-1-2013 Indigenous Restitution in Settling Water Claims: The Developing Cultural and Commercial Redress Opportunities in Aotearoa, New Zealand Jacinta Ruru Follow this and additional works at: https://digitalcommons.law.uw.edu/wilj Part of the Comparative and Foreign Law Commons, Indian and Aboriginal Law Commons, and the Water Law Commons Recommended Citation Jacinta Ruru, Indigenous Restitution in Settling Water Claims: The Developing Cultural and Commercial Redress Opportunities in Aotearoa, New Zealand, 22 Pac. Rim L & Pol'y J. 311 (2013). Available at: https://digitalcommons.law.uw.edu/wilj/vol22/iss2/5 This Article is brought to you for free and open access by the Law Reviews and Journals at UW Law Digital Commons. It has been accepted for inclusion in Washington International Law Journal by an authorized editor of UW Law Digital Commons. For more information, please contact [email protected]. 311 INDIGENOUS RESTITUTION IN SETTLING WATER CLAIMS: THE DEVELOPING CULTURAL AND COMMERCIAL REDRESS OPPORTUNITIES IN AOTEAROA, NEW ZEALAND Jacinta Ruru† Abstract: Water is important to all peoples, including indigenous peoples. In recent years, the government in Aotearoa, New Zealand has utilized various cultural redress-type legal mechanisms to recognize and revive the importance of water to the Maori people’s identity, health, and wellbeing. These mechanisms create revolutionary modern opportunities for Maori to participate in the decision-making of how specific waters are used and protected. In particular, the negotiated agreements for the Te Arawa Lakes, and the Waikato, Waipa, and Whanganui rivers are studied in this article as prominent examples of how the government has agreed to, for example, co-management regimes.
    [Show full text]
  • Community Services
    Community Services Page number Name of business Description Phone number 2 Breast Screen Aotearoa Mobile Breast Screening 0800 270 200 and Mammograms 3 Budget Advisory Services – Rangitaiki Inc Support, Budget Advice and 07 307 1390 Debt Management Advice 4 Citizens Advice Bureau Legal Clinic, Your Rights, 07 308 5609 Where to go, Referrals, 0800 367 222 Guidance and J.P services 5 Community Mental Health & Addiction Services Psychiatrists, Psychologists, 07 306 0154 Social Workers 6 CYF – Child, Youth and Family Support and Information 07 323 8521 7 District Nurses Home Visiting Services 07 306 0999 8 Eastern Bay Primary Health Alliance General Medical and 07 306 2300 Nursing Services 9 Heartlands - Kawerau Health, Community and 07 323 8608 Social Services 10 Incontinence Nurse Support and Information 07 306 0729 11 Kawerau Community Patrol Group Nightly Town Patrols 07 323 6063 12 Kawerau Library Bok Loans, Information and 07 306 9041 Services 13 Manna Support Services Counselling, Mentoring, 07 323 8835 Youth Community Centre 14 Neighbourhood Support Community Watch and 07 323 6603 Support groups 15 Plunket Support for Development 07 323 8203 and well-being of new babies and new parents 16 REAP – Rural Education Activities Programme Learning and Literacy 07 323 8605 Support and Services 17 Relationship Services Counselling and Advice 07 307 2655 18 St. Johns Kawerau Ambulance Services and 07 323 8800 In First Aid Training Emergency: 111 19 Tarawera Medical Services General Practitioners 07 323 8499 20 Te Huinga Social Services Disabilities Activities and 07 323 6194 Senior Citizen Programmes 1 | P a g e 21 Tuwharetoa Ki Kawerau Health, Education and Counselling, Disabilities, Social Services (Hauora) mental Health, Family 07 323 8025 Support, General Practice and Older People Support BREASTSCREEN AOTEAROA Description: Mobile Screening Unit.
    [Show full text]
  • Wednesday 30 September, 2020 Rt Hon Jacinda Ardern Prime Minister Parliament Buildings Wellington 6160 by Email: J.Ardern@Minist
    Wednesday 30 September, 2020 Rt Hon Jacinda Ardern Prime Minister Parliament Buildings Wellington 6160 By email: [email protected] Cc: Hon Chris Hipkins Minister of Health By email: [email protected] Dear Prime Minister, I am writing to inform you of deeply flawed decision-making and gross obfuscation on the part of your drug- buying agency, Pharmac. I understand that the Government prefers not to intervene in Pharmac’s processes and decisions on grounds of maintaining its ‘independence’, but you need to be aware that this taxpayer-funded government agency is failing in its core functions, and urgently needs to be independently investigated and held to account. I am writing to you because there is no other avenue to achieve justice for our patients on this matter, and all of our attempts over several weeks to engage with your Minister of Health have been declined. To ensure this issue is properly drawn to the attention of the public, we are sharing this letter with the media. Recently Pharmac arrived at a decision not to fund any further drugs for the treatment of severe inflammatory bowel disease (IBD) in patients who have failed every other funded treatment. They regard it as not cost effective. The drugs we urgently need are mainstream treatments funded throughout the Western world – in 37 countries – but not in NZ. There are currently five additional drugs funded to treat IBD in other countries. There have been no new drugs funded for IBD in NZ since 2011. The options for NZ patients in this situation are multiple hospitalisations, usually through the emergency department, and irreversible surgeries to remove sections of the bowel, often culminating in permanent stoma bags.
    [Show full text]