E ngā mana, e āku rau rangatira, e ngā tini mata, e te mano, e te iwi whānau, tēnei te tuku i ngā mihi ki a koutou katoa i raro i ngā āhuatanga o te wā tēnā koutou. Ki ngā tini mate o ia marae, o ia maunga, haere, haere whakangaro atu rā. Ko te akaaka o te rangi ki a rātou mā, kei a tātou ngā purapura ora, ko te akaaka o te whenua, Tihei Mauriora Te Piki Oranga Quarterly Newsletter Issue # 7 March 2018 Te Puna Pānui In this issue >>> A win for Koroua and Kuia by Anne Hobby, Tumuaki (General Manager) Got a cough? page 2 What is Accreditation? page 3 Kia whakahaumanu ngā kaumatua, a ka haere whakamua. Any door is the right door page 4 When Te Piki Oranga This takes the form of a part-time Pūkenga Working in partnership to provide established in 2014, Manaaki (navigator) in Motueka, Whakatū health checks a success page 4 kaumatua across the and Wairau to work alongside Fun and laughter for positive rohe expressed Koroua, Kuia and their whānau to ensure mental health page 5 concern about the that they are accessing the health services loss of funding for kaumatua services. The and information that they need. We know Out & About page 5 Nelson Marlborough DHB at that time that many of our kaumātua do not receive He aha te take page 6 made it clear that no funding for the Needs Assessment (NASC) from Tikanga a mate page 6 Kaumatua activities was being passed to Disability Support Services that is key to receiving services like home help, handrails Families package page 7 Te Piki Oranga. Kaumatua took matters into their own hands and established or respite care. There is also some funding Nau mai, haere mai ngā kaimahi groups in Wairau and Motueka to for a day activities programme one day a hou! page 8 - 10 continue the whanaungatanga that is so week. Whakamihi page 11 important to them. They raised their own Te Piki Oranga wants to meet with Koroua money to fund their activities. What a and Kuia to hear what you want and how Healthy homes page 12 wonderful example of leadership these we can support what you are already rōpu have displayed for our communities. doing. We invite you to attend a hui in At the same time they have continued to each area in the near future - so look out lobby Te Piki Oranga and DHB for support for this. services and have been heard. As a result, we are about to embark on a one year contract to provide koroua and kuia early intervention services. Got a cough? by Alice Chisnall-Kalouniviti, Health Promoter & Nurse Educator (Pūkenga Mātauranga Whakapakari) There’s usually a bit of coughing and spluttering at this time of year, but you might have noticed more people than usual getting sick. Over 300 whānau in the Nelson Marlborough region have come down with whooping cough in the last few months. A huge number - many of whom are Māori and Pasifika. What is whooping cough While the risk of getting whooping antibiotics to stop it from spreading to (Pertussis)? cough is usually low, every year there other whānau. Sadly, for some pepe are very small outbreaks here in Te Tau who end up with Whooping Cough, it Whooping cough is a bacterial Ihu and across Aotearoa, with a big will mean a visit to the children’s ward respiratory (breathing) illness that’s outbreak every 3 to 5 years. According at the hospital, because it’s always very spread through saliva (spit) and mucous to Public Health, this current outbreak serious when tamariki catch it. (snot) – for example when people cough of whooping cough is the worst the and sneeze and don’t cover their country has seen in a while. How to stop whānau from mouths. At first there’s usually a sore getting whooping cough throat. Within a day or so a mild, dry, How serious is whooping ordinary cough develops. At this stage cough? Your best protection from whooping you may feel a bit māuiui (unwell), have cough is a vaccination with Boostrix, a high temperature (fever), and a runny For the average healthy Kiwi, whooping which you can get from your Practice nose. The cough may produce some cough usually results in a severe cough Nurse. Tamariki get regular sputum (phlegm) - and over time a that lasts an average of 6 weeks with immunisations during childhood, but it’s severe cough can develop and last for little or no complications, but may important these are up-to-date to weeks or even months. The cough has a result in many sleepless nights for the provide protection. Adults should have distinctive whooping sound in pepe entire whānau. The biggest concern is a “booster” Boostrix shot every 5 years. (babies). It has a 6 day incubation for pepe (babies); more than half of period – this means whānau may not pepe under 1 year of age who contract If you’ve chosen not to vaccinate your have symptoms until 6 days after whooping cough require a hospital stay, children, our TPO Tamariki Ora nurses exposure. usually because they need respiratory can visit you at home and have a korero (breathing) support. Pepe under 3 about immunisation and your options. months who are not breastfed and/or We’d love to tautoko you to reconsider with older siblings in school are the immunisation, and to reassure you that greatest concern; the risk of exposure vaccines are safe and effective. increases, their immune system and lungs are not strong, they do not have Whānau with a cough which does not any antibodies from breast milk, and go away, should avoid contact with the first dose of the DTaP vaccine would babies and young children, and get provide very little coverage. advice from their Tamariki Ora nurse 0800 672 642 or from Healthline 0800 Testing for whooping cough 611 116. Testing is typically only done in patients Rose Rangiwai & daughter 8-week old Trina Lee who are experiencing signs and who had whooping cough in December symptoms of whooping cough. Testing is done through a deep nasal swab What is the chance that our during the first 3 weeks of illness. Not tamariki will get whooping everyone with whooping cough will get cough? tested, so whānau we know who’ve had it, may only be the tip of the iceberg. Sharing bottles and food can help spread it, so tamariki should make sure Treatment of whooping cough to use their own plates and cups if anyone in the whare is sick. Whooping Usually staying at home with a hot drink cough can survive outside of the human and some sugar-free lollies or lozenges body for up to 6 days, so get all whānau is the best treatment. Antibiotics may to keep their hands clean, and throw help if given in the first few weeks of away used tissues. illness. Sometimes the GP will give Page 2 Te Puna Pānui | Issue # 7 March 2018 Q: What is accreditation? by Lindi Rule, Quality Kaiwhakahaere (Quality Manager) Healthcare accreditation is an external review of the quality of care and services. It is A: “an internationally recognised evaluation process used to assess and improve the quality, efficiency, and effectiveness of healthcare organisations; it is also a way to publicly recognise that a healthcare organisation has met national quality standards. EQuIP6 is structured in a hierarchy, as follows: 1. Function: A function is a group of standards. 2. Standard: The standard describes the overall goal; for example, Standard 1.1, Consumers / patients are provided with safe, high quality care throughout the care delivery Tēnā koutou katoa process. 3. Criteria: The criteria describe key components of the goal, which are necessary for Ko Ngāti Kahungunu ki te meeting the goal; for example, Criterion 1.1.1, Assessment ensures current and ongoing Wairarapa toku iwi needs of the consumer / patient are identified. Ko Tumapuhia Arangi toku 4. Elements: For each criterion, there is a series of elements which explains the criterion: hapu Ko Te Ore Ore toku marae • describes some important practices for each level of achievement Ko Takitimu toku waka • should not limit practices; organisations are encouraged to undertake and present Ko Te Maipi toku maunga additional activities that respond to the criterion statement Ko Kawhata toku awa • should be regarded as a framework for total quality rather than a checklist of Ko Okautete toku compliance turangawaewae. • provides direction for improvement activities and for achieving better practice. Each element identifies what should be in place to at least fulfil the requirements of the criterion at a certain rating level. Ko Lindi Rule ahau Ko Te Waiharakeke toku 5. Guidelines: The guidelines give definitions and provide more information and kainga tuturu guidance on demonstrating achievement against the standards at the criterion level. Kei konei tonu au e noho ana Ko Quality Kaiwhakahaere EQuIP6 has 3 functions, 13 standards, and 47 criteria. Each of the 47 EQuIP6 criteria has five taku mahi o Te Piki Oranga. possible levels of achievement: Little Achievement (LA), Some Achievement (SA), Marked Achievement (MA), Extensive Achievement (EA) and Outstanding Achievement (OA). I have been with Te Piki Oranga since before its opening in July 2014. I was seconded from Maataa Waka Ki Te Tau Ihu EQuIP accreditation cycle Trust to help Anne Hobby with establishment of HR records. My Accreditation against the EQuIP standards requires organisations to participate in a four- role was Kaiawhi Tumuaki which year cycle of events, with one activity to be completed during each year of the cycle.