http://www.ipp-shr.cqu.edu.au/podcasts en-au IPP-SHR, CQU Fri, 03 Dec 2010 09:04:47 +1000 Fri, 03 Dec 2010 09:00:00 +1000 IPP-SHR Content Management System v2.0 ipp-shr@cqu.edu.au (IPP-SHR) troy@alivewebs.com.au (Troy Parker) 1440 Health International Science Conversation and detailed insights with leading psycho-social health researchers in the world. http://www.ipp-shr.cqu.edu.au/podcasts/logo.jpg http://www.ipp-shr.cqu.edu.au/podcasts 144 100 IPP-SHR Podcasts - A detailed look in the world of psycho-social health research IPP-SHR podcasts explore the latest in the world of psycho-social health research with interviews with leading researchers IPP-SHR, CQUniversity no IPP-SHR, CQUhealth,psychosocial,psycho,social,psychological,psychology,sociology,health,system,mental,healthHealthipp-shr@cqu.edu.auIPP-SHR, CQUniversityhealth,psychosocial,psycho,social,psychological,psychology,sociology,health,system,mental,healthhttp://creativecommons.org/licenses/by-nc/2.0/ <div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=ADXf9wsL7R4:jfJni8R2V48:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=ADXf9wsL7R4:jfJni8R2V48:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/ADXf9wsL7R4" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/ADXf9wsL7R4/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=120 Fri, 03 Dec 2010 09:00:00 +1000 IPP-SHR, CQUniversity Australia Intermission IPPSHR podcasts is taking a break from our broadcasting schedule, and will advise our subscribers by email, when podcasts will resume. Thank you from the IPP-SHR team, for your listenership and feedback. The production team has been Hamish Holewa, Stasia Kail-Buckley, Mary Ann Patton, Michael Bouwman and Dr Pam McGrath. For a list of podcasts and information, go to www.ipp-shr.cqu.edu.au no 00:00:00 ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=120 Qualitative bereavement research: incongruity between the perspectives of participants and research ethics boards<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=YLYWSdudpQM:mObKBXCXWrg:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=YLYWSdudpQM:mObKBXCXWrg:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/YLYWSdudpQM" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/YLYWSdudpQM/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=119 Fri, 19 Nov 2010 09:00:00 +1000 IPP-SHR, CQUniversity Australia Qualitative bereavement research It is a widely held belief that people who are grieving for the loss of a loved one are vulnerable and need protection, and that asking them questions about how they are feeling risks causing them additional pain. This puts members of research ethics boards in a difficult position when deciding whether or not to approve bereavement research proposals. Many committee members also have concerns about whether people experiencing bereavement are in a psychologically competent state to give informed consent to research participation. This week, Hamish Holewa, talks with Dr Jennifer Buckle, who has found that if people experiencing bereavement are not asked about their feelings, they feel isolated and experience yet another level of loss because no one is talking to them about their loved one. She says research participants are grateful to have researchers listen to their pain, without silencing them, and they often gain insights through the process and feel an 'emotional release'. Dr Buckle says participants have suggested strategies for minimising potential harm in bereavement research, and she recommends that these be incorporated into research design. She also urges members of ethics boards to consider the full range of benefits for participants which are increasingly being documented in the literature. no 00:08:51 bereavement, psycho-social research, ethics boards ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=119 Living with Genetic Test Results for Hereditary Breast and Ovarian Cancer<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=GcJQcMU4IPc:qde4sj1bY08:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=GcJQcMU4IPc:qde4sj1bY08:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/GcJQcMU4IPc" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/GcJQcMU4IPc/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=118 Fri, 05 Nov 2010 09:00:00 +1000 IPP-SHR, CQUniversity Australia Living with Genetic Test Results for Hereditary Breast and Ovarian Cancer Genetic screening allows women to find out whether or not they carry high risk genes for developing breast or ovarian cancer in their thirties and forties. Most women who find that they do carry the genes, choose either frequent ultrasound, mammography and MRI monitoring, or to undergo surgery for breast or ovary removal, in an attempt to avoid cancer, but what are the psychosocial consequences of these screening and surgical procedures? This week, Michael Bouwman talks with Dr Rebekah Hamilton, who has found that women with high risk genes, continue to experience states of 'high alert', and are easily triggered into feeling vulnerable and worried, for years after their genetic testing. She says young women's treatment decisions are caught up in their decisions about relationships, children and career, with most women experiencing a sense of urgency about relationships and childbearing, and she has found that some women who choose surgery find that it affects their sexuality to a greater extent than they expected it would. Dr Hamilton recommends that clinicians and technicians become more aware of the special position these women are in, and refer them to people who can help them with decision-making. no 00:10:47 genetic test results, cancer ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=118 Kidney Disease and Health Promotion North Carolina<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=5eddxnKkCxQ:MA3n2Y_nNHw:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=5eddxnKkCxQ:MA3n2Y_nNHw:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/5eddxnKkCxQ" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/5eddxnKkCxQ/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=117 Fri, 22 Oct 2010 09:00:00 +1000 IPP-SHR, CQUniversity Australia Kidney Disease and Health Promotion North Carolina Once a patient with kidney disease reaches end-stage, treatment options for their survival are limited to dialysis or a kidney transplant. If the disease is detected earlier, end-stage can be avoided or delayed with appropriate treatment. This week, Hamish Holewa talks with Caroline Jennette, who studied high risk populations of rural North Carolina, US, and found that although people knew about the function of kidneys, and had relatives on dialysis, many were unaware that the main risk factors were high blood pressure and diabetes, and many avoided screening because they felt uncomfortable communicating with specialists, feared dialysis, and believed they would be unable to afford treatment. Ms Jennette recommends outreach activities that focus on the positives of prevention, stressing that screening can actually help catch kidney disease early, and prevent the need for dialysis. Ms. Jennette and her colleagues have developed information cards, which list risk factors, common kidney disease tests, and patient screening results, if available, so that people can approach their doctors armed with medical terminology and the confidence to initiate a conversation about their kidneys. Ms Jennette also describes the finding that surprised her most: the department store chain, Wal-Mart, was felt by study participants to be the ideal kidney screening site. no 00:07:00 kidney disease, health promotion ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=117 How does communication heal? Pathways linking clinician-patient communication to health outcomes<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=fsXzmFPukdY:jRLVCugts88:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=fsXzmFPukdY:jRLVCugts88:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/fsXzmFPukdY" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/fsXzmFPukdY/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=116 Fri, 08 Oct 2010 09:00:00 +1000 IPP-SHR, CQUniversity Australia How does communication heal? Pathways linking clinician-patient communication to health outcomes A clinician discussing treatment options with a non-Hodgkin's lymphoma patient might suggest eight rounds of chemotherapy, explaining that it's been proven to be the most effective treatment for most people, but if the patient's aunt died, shortly after receiving chemotherapy for the same condition, this might affect the patient's willingness to agree to such a treatment plan. What can the clinician do to reach a 'shared understanding' about treatment options with their patient? And what steps can be taken by both the doctor and the patient to ensure that the decision reached is a quality one? This week, Michael Bouwman talks with Dr Richard Street, who describes strategies clinicians can use to bring the patient's perspective, including their fears and values, into consultations. He also shares his findings about patient side of communication, stressing that the the most important thing patients can do is 'speak up': ask questions when they don't understand something; express opinions if they are uncomfortable with something; and share their preferences with their doctor. Dr Street says this type of communication leads to agreements that work best for patients, and it helps patients to stay committed to their health plans, leading to better health outcomes. no 00:10:29 doctor patient communication, health consumer advocacy ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=116 Suicide Victims Last Contact With the Primary Care Physician: Report From Slovenia<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=gfye4y0Tz4I:wUCB6Ofuyo0:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=gfye4y0Tz4I:wUCB6Ofuyo0:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/gfye4y0Tz4I" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/gfye4y0Tz4I/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=115 Fri, 24 Sep 2010 09:00:00 +1000 IPP-SHR, CQUniversity Australia Suicide Victims Last Contact With the Primary Care Physician: Report From Slovenia In the months and weeks leading to a person's suicide, they are much more likely to visit their general practitioner (GP) than people in the general population, and yet GPs often do not detect the suicide risk, or are reluctant to ask about suicidal ideation, because they are concerned that this could trigger suicide. This week, Hamish Holewa speaks with Slovenian researcher, Dr Saska Roskar, who believes GPs need training to help them identify depression and become skilled at asking patients about suicidal ideas or intention. She says education programs should include theoretical information about the signs of depression, and risk groups for depression and suicidal behaviour, as well as practical guidelines for treatment and ensuring patient compliance. She stresses that GPs need to pay special attention to patients who keep returning to them with physical complaints, such as back pain which is not responding to medication, because the physical complaint may be masking depression. Dr Roskar also recommends multi-faceted interventions, such as telephone care management because they enable better patient follow up, improve concordance, and work well in busy primary care settings. no 00:08:26 suicide, primary care intervention, mental health, depression ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=115 Spiritual Care to Patients with Advanced Cancer<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=MowuSBJ2ByA:USYfmZaDbww:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=MowuSBJ2ByA:USYfmZaDbww:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/MowuSBJ2ByA" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/MowuSBJ2ByA/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=114 Fri, 10 Sep 2010 09:00:00 +1000 IPP-SHR, CQUniversity Australia Spiritual Care to Patients with Advanced Cancer Spiritual care is seldom part of end of life care for patients in the United States, despite the fact that it has been incorporated into American palliative care guidelines. This week, Michael Bouwman talks with Dr Tracy Balboni, who says the reason for this is a lack of education and training. She has found that even practitioners who are aware of the spiritual components of illness, and wish to provide spiritual care, find it difficult to sensitively acknowledge the spiritual needs of their patients. Dr Balboni says that as well as understanding the importance of spiritual factors, practitioners need to be trained in taking spiritual histories, assessing for spiritual needs and working as part of a multi-disciplinary team that meets these needs. Dr Balboni stresses that spiritual care has been shown to improve quality of life for dying patients, and can be particularly helpful for patients who are unable to find acceptance and peace at the end of life, or believe that their religion requires them to continue to opt for aggressive treatments. no 00:09:52 Spiritual Care, Advanced Cancer, Quality of LIfe ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=114 Healthcare Professionals and Service User's Perceptions<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=DQ9M7EadCBk:LtwdtoXdj8k:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=DQ9M7EadCBk:LtwdtoXdj8k:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/DQ9M7EadCBk" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/DQ9M7EadCBk/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=113 Fri, 27 Aug 2010 09:00:00 +1000 IPP-SHR, CQUniversity Australia Healthcare Professionals and Service User's Perceptions Mental health support workers are the second largest group of health care workers in New Zealand, after nurses, however their role is not clearly defined. This week, Hamish Holewa speaks with researcher, Barnaby Pace, who says the fact that support workers are moving towards becoming a registered body in New Zealand under the Health Practice Nurse Competency Insurance Act, means they need to become very clear about their role and function. His research shows that mental health service users see their support workers as providing an important advocacy function, while mental health professionals do not identify advocacy as part of the role. He has also found mixed views from health professionals over whether or not support workers need education and training in order to understand treatment plans, medication and diagnoses. Barnaby Pace warns that because they are unclear about their role, support workers are taking on more of a caregiver role. He says this goes against the 'strength' model, which recommends 'doing alongside' rather than 'doing for' mental health service users, so that their own skills are built upon, and they will be better prepared to function in an integrated community. no 00:08:16 ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=113 The challenges involved with a cancer diagnosis<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=hFNF-srjipI:rtzwdtHFxmw:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=hFNF-srjipI:rtzwdtHFxmw:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/hFNF-srjipI" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/hFNF-srjipI/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=112 Fri, 20 Aug 2010 09:00:00 +1000 IPP-SHR, CQUniversity Australia The challenges involved with a cancer diagnosis This week, Michael Bouwman talks with Dr Jan Pascal about her research into the psycho-social issues facing cancer survivors and the implications for health care workers. Jan says it is important for health care practitioners to understand that surviving cancer is a cyclical process involving, both, positive phases and phases of distress, rather than a linear process that ends with a sense of 'closure'. She stresses that while many cancer survivors find their lives are enriched by living more meaningfully and increasing their compassion and generosity to self and others, they are still vulnerable to existential anxiety, or fear of death. Jan believes it is important for health care workers to understand that survivors can experience profound distress in the lead up to routine long-term testing, as each test functions as a reminder that the cancer may come back. She recommends that ongoing psycho-social support be offered to all cancer survivors, regardless of whether a mental health condition has been diagnosed, and cautions health care practitioners to be mindful of survivors' fear of death when forming cancer support groups with people at varying stages of the disease, as these groups can increase anxiety for the survivor. no 00:10:54 cancer survivorship, leukaemia, lymphoma, myeloma ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=112 Declining deaths in hospitals from 1994 to 2004<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=lz-XpQ-KWV4:BLmJzvXBbY8:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=lz-XpQ-KWV4:BLmJzvXBbY8:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/lz-XpQ-KWV4" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/lz-XpQ-KWV4/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=111 Fri, 30 Jul 2010 09:00:00 +1000 IPP-SHR, CQUniversity Australia Declining deaths in hospitals from 1994 to 2004 When Dr Donna Wilson worked as a hospital nurse, she became concerned about the people she saw coming into hospital during the last days of their lives, having treatment that was often futile, painful and offered false hope. She began to study Statistics Canada mortality data, and found that the percentage of people dying in hospital had risen from fifty to eighty per cent from 1950 to 1994. This week, Hamish Holewa, talks with Donna about her most recent study into the changing location of death in Canada, which showed - to the surprise of governments and researchers - that by 2004 the trend had shifted back, so that only sixty per cent of Canadians died in hospital, with the largest shift being out of hospital into the home. Donna believes policy makers must plan policies to support end-of-life care in the home and nursing homes, and incorporate strategies for information provision to family members; supporting workers to take time off work; avoiding abuse; helping nursing home staff to become comfortable with palliative care, and helping family members to recognise the importance of the care they provide, so that they don't have regrets after their loved ones die. no 00:10:23 palliative care, end-of-life care, location of death, place of death, hospital, Canada ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=111 Network-focused nursing for young adult cancer care<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=zYpEOaDyWu0:wv1KD6Jd8QQ:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=zYpEOaDyWu0:wv1KD6Jd8QQ:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/zYpEOaDyWu0" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/zYpEOaDyWu0/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=110 Fri, 16 Jul 2010 09:00:00 +1000 IPP-SHR, CQUniversity Australia Network-focused nursing for young adult cancer care Teenagers and young adults with cancer face a dual crisis. Their health and lives are threatened, and they are thrown back into dependent roles with their parents, just as they have begun to establish their independence. School and career plans are disrupted, and they often lose contact with friends and peers, who are busy 'getting on with life', while they face arduous cancer treatment and uncertainty about their futures. This week, Hamish Holewa, speaks with Dr Pia Olsen, who has found that when it comes to asking for support from family and friends, young people with cancer often don't know what to ask for, can't foresee what their needs will be during and after treatment, and tend to overlook the role their wider social network can play. Pia describes how 'network meetings', which bring people from the patient's private social network together with people from the patient's health professional network can help 'break the ice', keep lines of communication open, and help young patients with cancer mobilise their support networks at a time when they might otherwise be cut off from their normal lives. no 00:09:25 adolescence, cancer care, psychosocial, significant others, social networks, social support, teenagers, young adults ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=110 An MASCC position statement on cancer care<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=g4aaydL-2y8:7e4FOuWw0Dk:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=g4aaydL-2y8:7e4FOuWw0Dk:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/g4aaydL-2y8" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/g4aaydL-2y8/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=109 Fri, 02 Jul 2010 09:00:00 +1000 IPP-SHR, CQUniversity Australia An MASCC position statement on cancer care In 2009, there were 25 million people living with cancer worldwide. The World Health Organisation has established cancer as a world health priority, and the number of cancer survivors continues to rise due to the ageing population and improvements in cure rates. This week, Michael Bouwman talks with Dr Antonella Surbone, leader of the psycho-social study group of the Multinational Association for Supportive Care in Cancer (MASCC), about her findings on the major psycho-social health issues facing cancer patients worldwide. Antonella says that survivorship is now a major challenge for professionals and health care systems, citing research that shows health professionals are often unaware of the psycho-social health care resources available, and health professionals, family, friends and caregivers, tend to find it much easier to understand the medical and physical needs of patients than their psycho-social needs. She says most psycho-social needs involve issues of information, and the seemingly small details of life which impact on the well-being of patients at all stages, such as transportation, financial assistance, managing health and family needs, 'navigating' the system and accessing health care services. Antonella stresses that survivorship also poses a cultural challenge, as stigmatisation and discrimination of cancer survivors is common in some countries. no 00:09:03 Cancer, Supportive care, Patients' psychosocial concerns, unmet psychosocial needs, psychosocial interventions ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=109 Ethical issues encountered by paediatric residents<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=G-FJ21Dqnbk:_pHlF3EbUNk:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=G-FJ21Dqnbk:_pHlF3EbUNk:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/G-FJ21Dqnbk" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/G-FJ21Dqnbk/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=108 Fri, 04 Jun 2010 09:00:00 +1000 IPP-SHR, CQUniversity Australia Ethical issues encountered by paediatric residents When Dr Margaret Moon was given the task of developing a new ethics curriculum for paediatric residents at the John Hopkins Medical School, she found that existing ethics education, with its focus on end of life and beginning of life issues, was not helpful for the residents, who were struggling with 'everyday' moral conflicts over how to provide adequate care for their child patients, without jeopardising the safety and functioning of fragile families living in poverty. Margaret found that residents at John Hopkins Hospital faced challenges in managing the therapeutic alliance with parents and caregivers, sometimes having to 'bend the rules' for angry parents in order not to lose access to a child in need of care. They also faced ethical challenges in protecting patient privacy and confidentiality and using professional authority appropriately. This week, Michael Bouwman talks with Margaret about her findings; about the importance of understanding ethics in clinical practice, and about the need to use research to inform ethics education. no 00:09:49 bioethics, ethics, principlism, morals ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=108 Patients' experience towards cancer diagnosis<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=uPiIr23h0NQ:3Ang1JMWZYs:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=uPiIr23h0NQ:3Ang1JMWZYs:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/uPiIr23h0NQ" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/uPiIr23h0NQ/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=107 Fri, 21 May 2010 09:00:00 +1000 IPP-SHR, CQUniversity Australia Patients' experience towards cancer diagnosis Cancer patients are more likely to survive if their cancer is diagnosed and treated early, however cancer is often diagnosed at a late stage for a variety of reasons. Patients may not recognise symptoms that are pain-free, vague in nature, or similar to symptoms from their chronic illnesses. They may be too embarrassed to seek help for symptoms in gynaecological areas, breasts or testes, or fear that they would be unable to cope with a cancer diagnosis and treatment. This week, Hamish Holewa, talks to Dr Alexander Molassiotis, who says there are system factors, in addition to these patient factors, causing delays in diagnosis, and that these may be part of the reason the UK has the lowest lung cancer survival rates in Europe. He says we need to find better ways of differentiating symptoms of cancer from those of ageing and chronic disease, and that GPs should more actively follow up high-risk patients to see whether symptoms have resolved. Alexander also recommends awareness campaigns that focus on the guilt and stigma felt by smokers, the fact that people living a 'healthy lifestyle' can also develop cancer, the positive results of early medical intervention, and 'red flag' symptoms, such as post-menopausal bleeding, blood in faeces and hoarseness of voice. no 00:12:42 cancer, symptoms, early detection, delayed diagnosis, primary care ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=107 The impact of Tourette's syndrome<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=IcMTPyxqVdw:dfrcze-zmW0:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=IcMTPyxqVdw:dfrcze-zmW0:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/IcMTPyxqVdw" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/IcMTPyxqVdw/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=106 Fri, 18 Jun 2010 09:00:00 +1000 IPP-SHR, CQUniversity Australia The impact of Tourette's syndrome Children with Tourette's Syndrome (TS) experience symptoms such as eye blinking, grimacing, coughing, and throat clearing. They have lower levels of self confidence and greater social anxiety than those in the general population, and are often stigmatised due to the nature of their symptoms, lack of knowledge about TS in the community, the fact that their illness is inherited, and because TS is seen as a psychiatric condition. This week, Michael Bouwman talks with Dr Jesus Rivera Navarro, who studied the impact of a TS diagnosis on patients and their families, and found that rejection and lack of comprehension about the diagnosis by teachers, classmates and relatives, had a particularly negative impact. He also found that families experienced significant anxiety because they could not clearly interpret the language clinicians used when communicating the diagnosis. Jesus believes that TS diagnosis communication should be improved so that patients and their relatives are informed clearly and unambiguously in a suitable setting, using language that is psychologically sensitive, with enough time for discussion, and continuity of attention from beginning to end. He also recommends education programs for teachers and other education professionals, and peer support for caregivers and relatives of people with Tourette's syndrome, in order to avoid conflicts and denial of the diagnosis. no 00:06:15 communication, diagnosis, focus groups, Tourette's Syndrome ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=106 Postnatal mental distress and sociocultural practices of childbirth<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=qoB7TSKN0co:mvj7Szdtsqo:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=qoB7TSKN0co:mvj7Szdtsqo:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/qoB7TSKN0co" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/qoB7TSKN0co/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=105 Fri, 07 May 2010 09:00:00 +1000 IPP-SHR, CQUniversity Australia Postnatal mental distress and sociocultural practices of childbirth In many cultures women are supported by their communities after giving birth, while they have a period of rest, social-seclusion and recognition of their newly acquired status as a mother. Research is divided on the implications of this 'socio-cultural patterning', but indicates that it might protect women from developing post-natal depression, and the lack of this supported rest period in the resource rich countries, where there is a more biomedical approach to childbirth, might contribute to the higher rates of post-natal depression in such countries. This week, Hamish Holewa talks with Dr Charlotte Hanlon, who interviewed women in Ethiopia about their post-natal experiences. She discovered that while the elaborate post birth rituals and support period, which included gift-giving and the celebration of a successful delivery, could be protective, it also raised expectations, and for women who were unable to achieve the ideal experience, these expectations led to significant mental distress. Dr Hanlon says that many women are excluded from the practices due to being at the limits of survival due to poverty, ill health and marital difficulties, including domestic violence. For these women, the period of seclusion prevented them from participating in the cash economy, limited their contact with friends, and meant that domestic violence remained hidden, which actually exacerbated their pre-existing levels of distress. no 00:09:42 Ethiopia, Sub-Saharan Africa, Postnatal depression, Childbirth, Gender, Postnatal period ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=105 Humor, health, masculinities prostate cancer support groups<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=2GPUaa2d5K8:wqVTaCnKkOg:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=2GPUaa2d5K8:wqVTaCnKkOg:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/2GPUaa2d5K8" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/2GPUaa2d5K8/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=104 Fri, 23 Apr 2010 09:00:00 +1000 IPP-SHR, CQUniversity Australia Humor, health, masculinities prostate cancer support groups Men in Canada and Australia tend to monitor their own symptoms and self-medicate, rather than consulting family physicians and GPs, largely due to the belief that to be masculine, they must be stoic, autonomous and self-reliant. How, then, are leaders of prostate cancer support groups able to create an environment where men feel comfortable discussing sensitive topics such as impotence, incontinence and digital rectal examinations? This week, Michael Bouwman talks with Dr John Oliffe, who studied prostate cancer support groups in Canada, and found that group leaders 'disarm stoicism' through humour, which allows participants to engage at a level they are comfortable with, and means that newly diagnosed men experiencing anxiety are able to gain valuable information. He says humourous accounts from group members about their own experiences with treatment side effects, such as incontinence, often lead to discussions about coping strategies and help to normalise the experiences for the entire group. John stresses that although participants tend to be skilled at diverting conversations when needed, and 'marking the boundaries' about what is okay to talk about and what is not, humour can still be used inappropriately. He recommends that prostate cancer support groups develop their own group rules for the use of humour. no 00:10:08 support groups, prostate cancer, men's health ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=104 Using photovoice with breast cancer survivours<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=nllIi4XHDZ4:497MAtHvROs:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=nllIi4XHDZ4:497MAtHvROs:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/nllIi4XHDZ4" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/nllIi4XHDZ4/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=103 Fri, 09 Apr 2010 09:00:00 +1000 IPP-SHR, CQUniversity Australia Using photovoice with breast cancer survivours Aboriginal women in Canada have much lower breast cancer survival rates than non-Aboriginal women, and the rate of breast cancer in Aboriginal communities is rising. This week, Michael Bouwman talks with Canadian researcher, Dr Jennifer Poudrier about her photo-voice study, which has found that Aboriginal women feel uncomfortable in support groups tailored to the needs of middle class white women, and many women avoid seeking services due to cultural taboos against 'inviting the cancer in' by discussing it, or taboos about discussing body parts. While she stresses the importance of realising that all Aboriginal women are not the same, Jennifer says services should be designed to be culturally appropriate and sensitive to indigenous spirituality. Jennifer recommends employment of 'Aboriginal nurse navigators' to guide people through the complex process of diagnosis, treatment and recovery, and believes it is vital to bring women together to share their experiences, stressing that many of the women in her study had never met another Aboriginal breast cancer survivor. no 00:11:01 Aboriginal women, breast cancer, photovoice, visuality ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=103 Wellbeing and resilience of children growing with grandparents<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=CB20tUcWF7E:WS9oA0wAEz8:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=CB20tUcWF7E:WS9oA0wAEz8:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/CB20tUcWF7E" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/CB20tUcWF7E/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=102 Fri, 26 Mar 2010 09:00:00 +1000 IPP-SHR, CQUniversity Australia Wellbeing and resilience of children growing with grandparents The number of grandparents becoming primary carers of their grandchildren is growing in the UK, the USA and Australia, a phenomenon which is both under-recognised and under-resourced. This week, Hamish Holewa talks with Professor Barbara Horner, who has found that while most children's emotional and material wellbeing improves with grandparent care, there are psycho-social risk factors for the children, and financial and environmental stresses for grandparents, that need to be addressed. She says most children cared for primarily by grandparents come from disturbed families where they are at risk. Living with their grandparents gives them a much greater sense of safety and security - feeling that they are needed, loved, and that they belong. However, Barbara also stresses that many children need help with unresolved losses, such as the death of parents and abrupt separations from families through court rulings and crisis situations. She says many children feel confused and anxious about the past because they do not have 'the whole story'. Barbara's research also shows that children have an intuitive understanding of the stresses on their ageing grandparents, who may need to refinance to support the children, and change their own plans for the future. no 00:11:03 grandchildren, grandparents, foster care, relative care, resilience, coping ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=102 Personal views on the attendance of pulmonary rehabilitation<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=73BOINJ_Jto:imTU1AO0Kps:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=73BOINJ_Jto:imTU1AO0Kps:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/73BOINJ_Jto" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/73BOINJ_Jto/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=101 Fri, 12 Mar 2010 09:00:00 +1000 IPP-SHR, CQUniversity Australia Personal views on the attendance of pulmonary rehabilitation Fear of exercise puts many patients with chronic obstructive pulmonary disease (COPD) off participating in pulmonary rehabilitation programs. The concerns are real, given that pulmonary rehabilitation programs always involve exercise, and most patients with COPD have experienced severe difficulty in breathing after exertion. However there are stong therapeutic benefits from participating in programs. People with COPD often become socially isolated and withdrawn, and the programs have been shown to give patients more energy, more control over their symptoms, an increased capacity to exercise and engage in activities they enjoy, as well as reducing mortality and hospital admissions. This week, Hamish Holewa talks to Dr Cathy Bulley, who has found that the referring practitioner's level of enthusiasm and knowledge about pulmonary rehabilitation programs has a significant effect on whether patients participate in them. She believes rehabilitation teams need to actively promote their programs and create leaflets outlining the benefits. Cathy says patients are more likely to continue with programs if they feel socially supported and if their self-confidence continues to grow. She believes we need to do more research into the factors that keep people going to rehabilitation programs and to understand what keeps them motivated long-term. no 00:10:24 adherence, COPD, disease management, pulmonary, rehabilitation ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=101 Interviews conducted during the annual conference for advancing the understanding of psychological, social, spiritual and ethical aspects of Cancer and its treatments.<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=qQ2HMhf3uKY:uX-Si294MPo:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=qQ2HMhf3uKY:uX-Si294MPo:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/qQ2HMhf3uKY" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/qQ2HMhf3uKY/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=100 Fri, 26 Feb 2010 09:00:00 +1000 IPP-SHR, CQUniversityAustralia Interviews conducted during the annual conference for advancing the understanding of psychological, social, spiritual and ethical aspects of Cancer and its treatments. To commemorate the 100th IPP-SHR Podcast, this weeks podcast is a collection of interviews that were conducted by Michael Bouwman and Hamish Holewa, at the 8th Annual Psychosocial Oncology Conference New Zealand, 2009. Michael Bouwman spoke to Associate Professor David Perez about his paper titled "Putting the patient in the centre of cancer care", looking from a clinician's view of important patient care issues. Michael also spoke to Helen Neser and Gay Dungey about their workshop titled, "Integrating the bunker into mind, body and spirit - A radiation therapy and health professional's perspective". PhD Student Andu Iordache talked to Michael about his presentation "Making the case for using dream talk in cancer care". Michael also talked to Amy Munro about her paper about the online forum, LifeBlood LIVE, which is an forum for haematology patients. Sarah Hunter spoke to Michael about her paper, "The impact of premature menopause and fertility damage from cancer treatment". Anna Holmes discussed her paper, "Bearing witness to suffering - letting go of control". Richard Egan talked about his paper titled, "Spirituality: who cares?". And Hamish Holewa spoke to Susan Comber, a social worker at the Head and Neck Cancer Clinic, Auckland City Hospital no 00:37:15 ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=100 Implication for ambulance workers after critical incidences<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=PTDbXXjlep0:4Zfplwdn18A:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=PTDbXXjlep0:4Zfplwdn18A:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/PTDbXXjlep0" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/PTDbXXjlep0/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=99 Fri, 19 Feb 2010 09:00:00 +1000 IPP-SHR, CQUniversity Australia Implication for ambulance workers after critical incidences Ambulance workers witness death and injury on a daily basis, and have a much greater risk of developing post-traumatic stress disorder (PTSD) than people in the general community. But what gives some incidents, and not others, the power to evoke traumatic emotions, and how can we support paramedics? This week Hamish Holewa talks to Dr Janice Halpern, who says the results of her study surprised her, as well as the paramedics in her study, by showing that poignant incidents arousing intense compassion, such as the death of a baby, children being harmed by their parents, or deaths of an innocent victim or a strikingly senseless one, were particularly powerful. She says we think of traumatic incidents as very intense and demanding. However, it's often the very quiet, motionless incidents, where there isn't a lot of action, and where there is often nothing to do, that result in overwhelming feelings. Janice says we need to educate ambulance workers and their supervisors to recognise and tolerate vulnerable feelings, as many dismiss their own emotions and avoid seeking support, believing what they have witnessed is not severe enough to be 'critical'. Others fear the stigma associated with vulnerable emotions, and believe that, as professionals, no incident should distress them. no 00:10:50 critical incident stress, ambulance workers, qualitative methods, secondary trauma, intervention, work-related stress ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=99 Families experiences three years after type 1 diabetes diagnoses in their children<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=2D1kvrh4IBY:fkBXMLr8JCM:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=2D1kvrh4IBY:fkBXMLr8JCM:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/2D1kvrh4IBY" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/2D1kvrh4IBY/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=98 Fri, 12 Feb 2010 09:00:00 +1000 IPP-SHR, CQUniversity Australia Families experiences three years after type 1 diabetes diagnoses in their children Three years after a child's diagnosis of type 1 diabetes, family members are likely to feel skilful and knowledgeable about the disease and how to manage it, but still want medical reassurance that future complications won't arise. Families struggle with the unpredictability of blood sugar levels, and with getting the timing right with 'letting go' and allowing the child to manage the diabetes themselves. This week, Michael Bouwman talks with Dr Anne Wennick, whose third part of a longitudinal study shows that children with diabetes become quickly skilful at managing their diabetes on their own, but confusion arises when the responsibility is either shifted or not shifted, to the parents, when the child gets home from school. Children also must deal with the widespread lack of understanding about their medical condition: Anne describes a school teacher asking a child to put away their cell phone when they were actually administering a dose of insulin through their insulin pump; and a child having to go to the bathroom to treat an insulin reaction with sugar, rather than being allowed to do so in the classroom. Anne believes we need to support families in fostering their child's independence and find ways to bring families with diabetes together. no 00:08:08 child care, diabetes mellitus, type 1, family nursing, home nursing, qualitative research ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=98 A realistic perspective on clinical empathy<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=cROgYhr3no8:JDgLE_G7R1w:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=cROgYhr3no8:JDgLE_G7R1w:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/cROgYhr3no8" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/cROgYhr3no8/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=97 Fri, 05 Feb 2010 09:00:00 +1000 IPP-SHR, CQUniversity Australia A realistic perspective on clinical empathy Whilst medical schools are increasingly recognising the importance of empathy training, the hidden curriculum - the reality of clinic care - often overrides empathy training when medical students begin work in the wards. This week, Hamish Holewa talks with Dr Rebecca Garden, who believes this is a concern, given the strong evidence that patients do better medically and are more likely to collaborate in their treatment programs when they are collaborating with empathic doctors. She says we need to teach health professionals to be as conscious of emotions as possible, and to respond to emotions in themselves and their patients, in order to deliver effective patient centred care. Rebecca stresses that the critical point in building a collaborative relationship with a patient is reached when doctors check back with patients to make sure they've 'got it right', as it gives doctors an opportunity to learn more about the factors influencing their patient's health and allows the patients to be the authority on their own story of illness. She also suggests that clinical empathy can actually be energising for health professionals and need not impose on the efficiency of a busy clinical environment. no 00:10:53 communication skills, doctor-patient relationships, medical education, attitudes and psychosocial, patient-centered care, medical humanities ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=97 Posttraumatic growth and adverse long-term effects<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=BNfEuZoEeEg:em33GkdpI3A:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=BNfEuZoEeEg:em33GkdpI3A:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/BNfEuZoEeEg" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/BNfEuZoEeEg/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=96 Fri, 29 Jan 2010 09:00:00 +1000 IPP-SHR, CQUniversity Australia Posttraumatic growth and adverse long-term effects Most research into the long-term effects of parental cancer on children has focussed on negative impacts, such as, increased rates of anxiety, depression and low self-esteem. However, researchers are discovering increasingly that many children go on to experience positive outcomes, or 'post-traumatic growth'. This week Michael Bouwman talks with Dr Cheryl Koopman, who believes it is the differences in children's responses to their parents' cancer that we need to study, in order to build on children's resilience, rather than assuming that all children will go on to experience a negative trajectory. Participants in Cheryl's research reported four major types of post-traumatic growth: improved character or a feeling that one has become a better person; increased appreciation and gratefulness for life; a strengthening of family relationships, and a desire to pursue a cancer-related career path, such as becoming an oncologist. Cheryl believes we need to carefully assess each child's reaction to having a parent with cancer, and tailor interventions to reflect individual differences. In addition to helping children with their distress, she advocates helping them tap into sources of resilience, such as family relationships and larger extended networks, and thoughtfully prompting them to think about ways they can grow as people. no 00:09:10 cancer, parent, child, posttraumatic growth, qualitative ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=96 Multi-professional specialist perspectives on hospice care<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=sqvThYtqMRI:Y9OQLeyLCVE:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=sqvThYtqMRI:Y9OQLeyLCVE:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/sqvThYtqMRI" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/sqvThYtqMRI/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=95 Fri, 22 Jan 2010 09:00:00 +1000 IPP-SHR, CQUniversity Australia Multi-professional specialist perspectives on hospice care Hospices in South Africa were originally set up to care for cancer patients, and now care increasingly for patients with HIV/AIDS. They are run by non-government organisations, and while many function well, there is inconsistency across the country. Coupled with a lack of knowledge about palliative care by both health professionals and the public, means that referrals can come too late, with patients getting 'lost in the system'. This week, Hamish Holewa talks with Dr Carla Ens, who conducted a study incoporating hospice nurses, social workers and doctors in order to develop a new, standardised framework for hospice referrals. Carla found that patients in the public system were more likely to be referred to hospice care than patients in the private system, and that the highest rate of referrals was from tertiary hospitals where a key individual, such as a social worker, supported hospice work. She said patients were often very fearful of hospice care and the stigma associated with HIV/AIDS. Carla recommends a system that promotes positive public awareness of hospice care, educates practitioners through information days, short courses and grand rounds, utilises standardised referral forms nationally, and provides patients with palliative care information in order to normalise the experience for them. no 00:00:00 referral, community, hospice, multi-disciplinary, qualitative, interpretative descriptive ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=95 Cancer Beliefs in Indigenous People in Australia<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=ajuiSnJwcRI:d5LCQSKUlEA:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=ajuiSnJwcRI:d5LCQSKUlEA:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/ajuiSnJwcRI" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/ajuiSnJwcRI/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=94 Fri, 18 Dec 2009 09:00:00 +1000 IPP-SHR, CQUniversity Australia Cancer Beliefs in Indigenous People in Australia, Canada, New Zealand and the US Indigenous Australians have an increasing rate of cancer incidence, generally present for treatment at a later stage and have lower rates of survival. For this week's podcast Michael Bouwman talked with Shaouli Shahid, who provided an overview of her study of the cancer disease beliefs of Australian, Canadian, New Zealand and American Indigenous peoples. It was stated that participants in the study expressed deep fear and fatalistic expectation of cancer. The belief that cancer ultimately results in death was considered a major factor in why some people ignore early symptoms and do not access treatment. Also discussed were implications regarding beliefs that categorised cancer as a 'white' man's disease, including denial of cancer symptoms, fear of being isolated or shamed among their own people and a fear that cancer is contagious. Strongly held beliefs that the body is sacred, that others should not touch it and that it should be left intact, were also found to contribute to treatment being avoided. Shaouli stated that in order to gain an understanding of Indigenous beliefs towards cancer, health professionals should acknowledge these beliefs and understand their importance in the people\'s decision-making. no 00:10:03 Health services, Indigenous, Neoplasms, culture, holistic health ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=94 Parent perspectives on mental health support for young people<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=rrC_eCGlMJw:Grrr11ptHRc:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=rrC_eCGlMJw:Grrr11ptHRc:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/rrC_eCGlMJw" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/rrC_eCGlMJw/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=93 Fri, 11 Dec 2009 09:00:00 +1000 IPP-SHR, CQUniversity Australia Parent perspectives on mental health support for young people When young people with mental illnesses graduate from high school in the USA, they lose access to perhaps their only source of support and counselling--that which is provided by the school system. Those who do have health insurance through their family's policy, lose it when they turn eighteen. The lack of universal health care in the USA means that at this critical stage of life transition, when young people with mental illnesses are often socially isolated and vulnerable, they can be left with no formal support. This week, Hamish Holewa, talks to Dr Pauline Jivanjee, who says most families continue to provide a huge amount of advocacy and support for their children after they turn eighteen. However, due to legal and confidentiality issues, they can be shut out of the process, and when family relationships break down, young people can become homeless. Pauline says in order to support adolescents during their transition to adulthood service providers should see families as resources. She believes that transition planning needs to start early, families need support to prevent burnout, and that we should create networks of support--mentors, teachers, counsellors, and job coaches--a whole array of people, rather than just relying on families. no 00:09:26 Family perspectives, Parent roles, Transitions, Mental health services, Community integration ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=93 The lived experience of people with schizophrenia<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=JE-nXIirJNw:NkrhlPOWMzk:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=JE-nXIirJNw:NkrhlPOWMzk:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/JE-nXIirJNw" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/JE-nXIirJNw/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=92 Fri, 04 Dec 2009 09:00:00 +1000 IPP-SHR, CQUniversity Australia The lived experience of people with schizophrenia People with schizophrenia are five times more likely to commit suicide than those in the general population, and their suffering, due to delusions, hallucinations, impaired cognition and impaired social functioning, is well documented. However, no studies to date have looked specifically at the lived experience of loss and grief in schizophrenia. This week, Michael Bouwman talks with Maria Mauritz, who says people with schizophrenia have normal grief reactions, but their prolonged experience of loss can lead them to lose self-confidence, autonomy and ambition, and to develop a sense of meaningless. Maria says hallucinations cause people to lose trust in their own senses, for example, wondering, "Am I actually hearing this", and she identifies a sense of not belonging as a common ongoing, painful experience. Maria believes it is crucial to ask people with schizophrenia about their feelings and look at what is motivating their behaviour. She says like all people experiencing grief, they need comfort and consolation, so it is important to find out what it is that comforts them. She says small things like asking people how they are, and offering a cup of tea, are important--just treating them as human beings. no 00:10:48 ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=92 Symptoms and psycho-social issues associated with malignant fungating wounds.<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=OsSFdBcn5K4:sZb5YMq6Qt4:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=OsSFdBcn5K4:sZb5YMq6Qt4:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/OsSFdBcn5K4" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/OsSFdBcn5K4/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=91 Fri, 27 Nov 2009 09:00:00 +1000 IPP-SHR, CQUniversity Australia Symptoms and psycho-social issues associated with malignant fungating wounds. People living with malignant wounds, and those who care for them in their final months of life, are often deeply affected by the overwhelming demands of wound care. Some patients are so embarrassed by their wound's odour and appearance, they avoid contact with friends, and some delay seeking medical help. Carers are often left to cope on their own, their lives dominated by the demands of wound dressing, showering and laundry. This week, Hamish Holewa talks with researcher, Susan Alexander, who believes that many carers experience posttraumatic stress disorder after their loved ones have died. She says the wounds also serve as a constant reminder to patients that they are dying. Her research shows nurses can feel frustrated, inadequate, guilty and angry that they were not able to care for their patients to the standard they felt was required. Susan says that knowing about their patient's social isolation, and experiencing traumatic situations during treatment, can traumatise not only the nurse involved, but whole teams of community nurses. Susan says the psycho-social effects of malignant wounds have been almost totally overlooked in the literature. She believes there is an urgent need for them to be addressed in patient management plans. no 00:10:20 malodour, exudate, malignant wounds, pain, bleeding, psychosocial issues ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=91 Public health practice in Michigan<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=hM2hu29uoOo:lJs49FiB9Fs:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=hM2hu29uoOo:lJs49FiB9Fs:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/hM2hu29uoOo" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/hM2hu29uoOo/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=90 Fri, 06 Nov 2009 09:00:00 +1000 IPP-SHR, CQUniversity Australia Public health practice in Michigan Making decisions about public health spending is ethically challenging both, for policy-makers and practitioners at the coal face. Legislation leads public health dentists to extract teeth they would rather restore. Guidelines on vaccine priority groups do not always help a nurse decide whether the person walking into their clinic should be vaccinated. Regulators must choose between economic viability for the communities they live in and ensuring public health standards, and practitioners struggle to come to grips with policies driven by political pressure. This week Michael Bouwman talks with researcher Nancy Baum, who interviewed public health practitioners in Michigan, USA, about the ethical challenges they face and about what can be done to aid future decision-making. Nancy found practitioners resolved challenges informally, asking bosses and colleagues for advice, thinking about their own values and religious convictions, and basing decisions on their own life experiences. It is a process she believes leads to a wide variation in resolutions. Nancy says decision-making frameworks should be developed, and practitioners should make the values behind their decisions explicit. By talking about ethical challenges and methods of resolution, she believes budgets could be better-focused on priorities that are important for communities and society as a whole. no 00:11:13 ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=90 Experiences of adolescents with implantable cardioverter defibrillators<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=tTgnepPP-TE:Vlhu1ZWd8Fg:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=tTgnepPP-TE:Vlhu1ZWd8Fg:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/tTgnepPP-TE" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/tTgnepPP-TE/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=89 Fri, 30 Oct 2009 09:00:00 +1000 IPP-SHR, CQUniversity Australia Experiences of adolescents with implantable cardioverter defibrillators Implantable cardioverter defibrillators (ICDs) prevent heart attacks by giving jolts of electricity to the heart. Their use in children and adolescents has increased steadily over the past twenty-five years, but there has been little research into the psycho-social factors affecting children and adolescents with ICDs. This week, Hamish Holewa, talks to Dr Vicki Zeigler, who has found that while the devices help adolescents feel secure because they protect them from death, many experience depression and anxiety after devices have been implanted, due to restrictions to activities, fear of future procedures and a feeling of being constantly watched. Vicki says on the positive side, many adolescents with ICDs feel like 'unique gems', because so few other children and adolescents have ICDs. They have an extreme appreciation for life and want to help others because they believe they are 'here for a reason'. They also report that having an ICD gives them an excuse to avoid unappealing activities. Vicki recommends introducing adolescents to others the same age with ICDs, looking out for depression early, so that psycho-social support can be offered, and seeing them first as adolescents, then as adolescents with ICDs. no 00:11:03 ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=89 Patients coming to terms with an acute spinal cord injuries<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=AQBkq-OzeDs:qMYDvEJ-ZRc:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=AQBkq-OzeDs:qMYDvEJ-ZRc:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/AQBkq-OzeDs" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/AQBkq-OzeDs/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=88 Fri, 23 Oct 2009 09:00:00 +1000 IPP-SHR, CQUniversity Australia Patients coming to terms with an acute spinal cord injuries Acute spinal cord injuries are completely unexpected. They often happen during pleasant activities such as parties or sporting events, catapulting people from a state of happiness and good health into shock, panic, despair and total or partial paralysis. This week, Michael Bouwman talks to Norwegian researcher, Dr Vibeke Lohne, about her research into the narratives of patients who have experienced acute and dramatic spinal cord injury. Vibeke says the event is a turning point. She describes participants in her study as 'victims' who behaved as 'brave survivors' or 'heroes', as they tried to save others immediately after their own injury. They also feared becoming a burden to their families. Participants then searched for meaning, some seeing their own survival as a miracle and a signal that gave them a sense of determination or destiny. All participants adjusted to their injury over time and described it as a learning experience, with some believing they had been both lucky and unlucky. Vibeke hopes her findings will be used by nurses to help newly injured spinal patients. no 00:06:25 spinal cord injury, survivors, narratives, phenomenological-hermeneutic approach ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=88 Nurses attitudes of sexuality of colorectal patients<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=hWg87Fid4qU:ThHzW2nSAJU:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=hWg87Fid4qU:ThHzW2nSAJU:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/hWg87Fid4qU" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/hWg87Fid4qU/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=87 Fri, 16 Oct 2009 09:00:00 +1000 IPP-SHR, CQUniversity Australia Nurses attitudes on the sexuality of colorectal patients Colorectal, or bowel cancer, is the second leading cause of cancer-related death in the United Kingdom, and the third most common form of cancer in the western world. Research shows that after surgery for colorectal cancer, patients often experience altered body image, low self-esteem, poor self-concept and psycho-sexual problems. Erectile dysfunction, retro-grade ejaculation, vaginal dryness and painful intercourse are also common. Spouses of men, who have had surgery, report their partners feel less masculine and become emotionally withdrawn, which has a massive impact on relationships. This week Hamish Holewa talks to Marie Beck about her UK study, which found that nurses have very limited discussions with colorectal patients about sexuality and sexual dysfunction. Nurses said hospital wards lacked privacy for discussions, and they felt embarrassed and ill-equipped to discuss sexual issues. Marie says it is critical for nurses to talk to patients, about altered body image and sexual dysfunction, if patients are to be nursed holistically. She has set up teaching sessions for nurses that describe the problems and how to deal with them. Marie says she hopes that if nurses are better informed, they will be more confident discussing psycho-sexual issues, in both, ward and clinic environments. no 00:07:56 Colorectal cancer, holistic care, sexual dysfunction ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=87 An Irish hospital's approach to supporting radition oncology patients<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=TFzwcRJTWaw:9R8IpihG-gM:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=TFzwcRJTWaw:9R8IpihG-gM:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/TFzwcRJTWaw" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/TFzwcRJTWaw/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=86 Fri, 09 Oct 2009 09:00:00 +1000 IPP-SHR, CQUniversity Australia An Irish hospital's approach to supporting radition oncology patients Anxiety is common in patients facing radiation therapy. They fear the unknown, and are often left to deal with side effects on their own, after treatment finishes, unsure of what to expect and if what they are experiencing is normal. This week, Michael Bouwman talks with Caragh Miller, who has been appointed as Ireland's first Information and Support Radiation Therapist, in recognition of the need for holistic oncology services which provide reassurance, information and continuity of care. Caragh describes the importance of services, such as, 'Welcome Evenings', which allow patients and their families to talk to therapists about what to expect during treatment. Patients said demonstrations of radiation machines at these events reduced their anxiety; they enjoyed seeing familiar faces when they came in for treatment, and the relaxed environment helped them build a relationship with their radiation therapist. Telephone contact, after treatment had ended, provided continuity of care at a time when patients usually lost contact with therapists, and helped to reassure patients about side effects such as depression and fatigue. Caragh also describes the impact of 'Look and Feel Better' programs, patient educational DVDs and voluntary drop-in centres, such as, the Cork Cancer Support Centre. no 00:06:58 Cancer, Information and Support Radiation Therapist, Cork Radiation Oncology Department, Recent radiation therapy developments, Psycho-oncology ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=86 International medical graduates recertifying and adapting in Canada<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=QOZrCzHkDc4:emblBmBGzLk:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=QOZrCzHkDc4:emblBmBGzLk:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/QOZrCzHkDc4" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/QOZrCzHkDc4/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=85 Fri, 02 Oct 2009 09:00:00 +1000 IPP-SHR, CQUniversity Australia International medical graduates recertifying and adapting in Canada Many countries rely on international medical graduates (IMGs) as a crucial part of their medical workforce. However there is often little support for IMGs, who can experience loss and disorientation while adapting to their new situations. This week Hamish Holewa talks with Dr Anne Wong, who argues it is essential to build support factors into IMG training and re-certification programs. Anne says IMGs in Canada can find it difficult to access training and have their qualifications recognised. The need to retrain means they can experience a loss of professional identity, loss of status, professional devaluation, financial instability, and loss of time with spouse and family. Anne says the number of training places for IMGs in Canada has risen and a national website to assist IMGs has been set up by federal and provincial governments. She also recommends introducing faculty care mentoring, training for IMGs in the organisational, professional, communicative, cultural, and ethical aspects of medical care, and education for faculty members assessing IMGs about cross-cultural differences and how medicine is taught and practiced elsewhere in the world. no 00:10:47 humans, foreign medical graduates standards, Canada, certification organisation and administration, education, medical, graduate organisation and administration, attitude of health personnel, adaptation, psychological ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=85 Birth choice following primary caesarean section<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=mvJhA-62Pbk:K1UvH5xv7Vw:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=mvJhA-62Pbk:K1UvH5xv7Vw:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/mvJhA-62Pbk" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/mvJhA-62Pbk/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=84 Fri, 25 Sep 2009 09:00:00 +1000 IPP-SHR, CQUniversity Australia Women's birth choices following a primary caesarean section Only fifty percent of women opt to try for a natural birth after having a caesarean. This is despite the fact that seventy percent would be successful. This week, Michael Bouwman talks to Dr Karen Goodall, whose research shows that women do not find current birth choice information, which focuses on risk of uterine rupture, useful, and that for many women the prospect of ending up with an emergency caesarean if labour fails, means a trial of labour is seen as 'just not worth the risk'. Women often relinquish power for the second birth choice to health professionals due to issues of responsibility and guilt. Karen says to reduce the number of unnecessary caesareans; we need to give more support to women considering labour, information about what led to the previous caesarean and more individualised computations of the risks. Health care professionals also need to be aware of the language they use. She recommends using natural frequencies rather than percentages when discussing birth choice with women, and framing these in a positive way. She also says the term trial of labour should be replaced by something more positive. no 00:14:03 decision-making, healthcare professionals, birth choice, caesarean section, VBAC ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=84 The psychological side-effects of steroid use in cancer patients<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=laHth1CFBjc:vcigmpMw6Fc:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=laHth1CFBjc:vcigmpMw6Fc:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/laHth1CFBjc" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/laHth1CFBjc/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=83 Fri, 18 Sep 2009 09:00:00 +1000 IPP-SHR, CQUniversity Australia The psychological side-effects of steroid use in cancer patients Haematology patients experience psychological and psychiatric side effects from steroids which are used as a central part of their treatment. Recent research has found that they are rarely warned about this possibility before they start treatment, and are left to figure out why they are having disturbing side effects on their own. This week Hamish Holewa talks to Dr Pam McGrath about issues relating to steroid use in treatment for haematological malignancies. Pam says that in addition to physical side effects, patients in her study experienced irritability and aggressive states, hyperactivity, anxiety and panic attacks, sleep disturbances, cognitive problems, depression, hallucinations and multiple personalities. They described withdrawal from steroids as particularly difficult, often involving extreme emotional turmoil. Pam says many health professionals believe patients experiencing extreme psychological side effects must have pre-existing mental health problems. However none of the patients in the study had a history of psychological disturbance. There is an urgent need for further research in order to develop patient education literature which will help patients prepare for, and cope with, steroid side effects. It is important that the experience is normalised and that patients and health professionals alike realise extreme psychological side effects from steroids can happen to anyone. no 00:14:03 Corticosteroids, Haematology, Side effects, Mental health, Psychological ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=83 Chinese fathers in Hong Kong coping with a child with acute lymphocytic leukemia<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=hFW4ISFJnko:SGB4ntc9cbs:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=hFW4ISFJnko:SGB4ntc9cbs:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/hFW4ISFJnko" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/hFW4ISFJnko/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=82 Fri, 11 Sep 2009 09:00:00 +1000 IPP-SHR, CQUniversity Australia Chinese fathers in Hong Kong coping with a child with acute lymphocytic leukaemia Chinese fathers often choose not to tell their children they have cancer, instead they wish to protect the child through not discussing or disclosing the issue. This 'protective wall' uses a lot of energy, means that emotions are not dealt with, and causes problems for health professionals who have been instructed not to disclose the diagnosis to the child or extended family. This week Michael Bouwman talks to Dr Betty Shuc Han Wills about her research into the way Chinese fathers in Hong Kong cope with their child's cancer diagnosis. Betty says health professionals need to help fathers to talk about the diagnosis, where fathers feel cultural pressure not to show emotions in front of strangers and loved ones. However, rapport can be built if nurses and allied health professionals take the time to speak with the fathers; once established, fathers are relieved to be able to share emotions. Betty also discusses the effect of Confucianism on disclosure and the need for health professionals to involve older children and siblings in discussions about treatment. no 00:10:04 Acute lymphocytic leukemia, children coping strategies, Hong Kong Chinese fathers Qualitative research ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=82 Community attitudes towards tuberculosis in Ghana<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=c4174QDT_5Y:wIc5FG3V5Cc:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=c4174QDT_5Y:wIc5FG3V5Cc:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/c4174QDT_5Y" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/c4174QDT_5Y/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=81 Fri, 04 Sep 2009 09:00:00 +1000 IPP-SHR, CQUniversity Australia Community attitudes towards tuberculosis in Ghana Tuberculosis (TB) control programs in Ghana are failing because stigma and fear associated with the disease are preventing people from seeking early treatment. This week Hamish Holewa talks to Dr Emmanuel Atsu Dodor about his research into the stigmatisation of TB, and how psycho-social influences can have a direct influence on health seeking behaviour. Emmanuel says in Ghana, TB is seen as extremely dangerous and linked with HIV/ AIDS. People believe it is easily spread, and avoid all contact with people who have the disease. There is a push from the community to have patients unnecessarily hospitalised for the entire six to eight months of treatment, and family members are restricted from marrying those with TB. This stigma creates a vicious cycle: people hide symptoms and do not go to hospital until the disease is in an advanced stage, resulting in avoidable deaths and creating even more fear and stigma in the community. Emmanuel says that the latest TB control programs from the World Health Organisation are at risk of failing if stigma is not addressed, and that special attention must be given to women, who are at greater risk of social exclusion and far less likely than men to receive treatment. no 00:09:33 tuberculosis, TB stigma, fear of infection, qualitative research, Ghana ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=81 optimistic communication in UK outpatient oncology<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=mO7-EOWXpsA:lwuD8dccwNI:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=mO7-EOWXpsA:lwuD8dccwNI:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/mO7-EOWXpsA" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/mO7-EOWXpsA/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=80 Fri, 14 Aug 2009 09:00:00 +1000 IPP-SHR, CQUniversity Australia Positive communication between UK doctors and oncology patients Research shows that cancer patients want honesty, as well as, optimism from their doctors, when discussing their illness prognosis. They do not want to hear bad news delivered bluntly. Doctors struggle to strike a balance between uncertainty and certainty, realism versus optimism, and hope versus fear. This week Michael Bouwman talks with Dr Geraldine Leydon about her UK-based research into the communication patterns of oncologists and their patients during consultations. Geraldine found that oncologists use communication patterns, known as the 'power of proximateness' and give the 'bad' news first, followed by 'better' news, known as the 'pairing phenomenon'. Communication studies show that people respond to the last thing said in a conversation; so in cancer consultations patients are more likely to pick up and comment on the 'good' information and move on from the 'bad'. Doctors invoked optimism in pre-treatment meetings, which meant patients were more likely to participate in treatments such as chemotherapy and radiotherapy. Geraldine says that while the practice of proximate pairing may be a useful and time-saving resource for practitioners, it also poses a serious ethical dilemma: it can limit the length of a conversation, resulting in doctors failing to further discuss the serious aspects of the news just delivered. no 00:08:33 Good, bad and uncertain news, communication, optimism, qualitative ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=80 Women's fear of childbirth and the need for support<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=v--TlkzmOeM:qTEZv-3_gV0:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=v--TlkzmOeM:qTEZv-3_gV0:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/v--TlkzmOeM" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/v--TlkzmOeM/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=79 Fri, 07 Aug 2009 09:00:00 +1000 IPP-SHR, CQUniversity Australia Women's fear of childbirth and the need for support Five to ten percent of women experience extreme fear of childbirth during pregnancy. This causes mood swings, sleep problems, difficulty concentrating and anxiety, and is beyond the fear seen as a normal part of approaching childbirth. It is one reason women opt for caesareans and can lead to women choosing abortions or avoiding pregnancy altogether. This week, Hamish Holewa talks with Christina Nilsson about her research into the lived experience of fear of childbirth. Nilsson stated that some women in her study lacked confidence in their ability to give birth. They felt judged, believed they were weaker and inferior to other women, and experienced feelings of failure, guilt and shame because of the fear. The most common reason for fear of childbirth was previous negative childbirth experience. Women described previous births as traumatic, involving negative experiences with staff. They experienced existential loneliness due to lack of support and understanding from those around including midwives and doctors. However they also had a strong desire to experience a good birth. Nilsson says we need to take these women very seriously and provide expert support. Understanding and support can help break down the feeling of loneliness and restore women's trust in themselves as childbearing women. no 00:08:36 women, childbirth, fear, anxiety ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=79 Enhancing mental health and self-development of classical dancers<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=eEriHubHxRw:vA8A4g1oUtQ:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=eEriHubHxRw:vA8A4g1oUtQ:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/eEriHubHxRw" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/eEriHubHxRw/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=78 Fri, 31 Jul 2009 09:00:00 +1000 IPP-SHR, CQUniversity Australia Enhancing mental health and self-development of classical dancers Perfectionism, low self esteem and eating disorders are common in classical ballet dancers due to the culture of professional ballet, which promotes flawless performance, unrealistic body composition and conformity. This week Michael Bouwman talks with Antoinette van Staden about her study of professional dancers in South Africa and about what could be done to improve their mental health. Van Staden says the dance profession strongly influences dancers' relationship with the self and others and their future-directedness. Dancers come to identify with their personas and objectify their bodies. Their attitudes are so regimented that minor mistakes are seen as constant failure and they are judgmental and critical of others. The dancers in the study said they constantly observed themselves and were aware of being observed by people in authority. They often continued working when injured and used multiple defenses to deal with their anxieties, including excessive smoking and substance abuse. When dancers stopped performing their identities were at risk. Van Staden recommends self-development training and a psycho-educational model to help young dancers form a holistic perspective of their identity. She also says it is important to make leading dance figures aware of the causes of emotional difficulties in dancers. no 00:07:53 mental health, classical dancers, perfectionism, self-development ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=78 Adolescents with cancer participating in a teen group<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=l1zgPwmyuYI:53eXk1QyIZ4:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=l1zgPwmyuYI:53eXk1QyIZ4:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/l1zgPwmyuYI" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/l1zgPwmyuYI/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=77 Fri, 24 Jul 2009 09:00:00 +1000 IPP-SHR, CQUniversity Australia Adolescents with cancer participating in a teen group Health practitioners often find providing support to teenagers with cancer challenging. A diagnosis of cancer for a teenager can interrupt normal activities and cause feelings of isolation, particularly as this period is generally concerned with gaining greater independence and spending increased time with peers. This week Hamish Holewa speaks with Jane Cassano about her research into the success of a teengroup for cancer patients in Canada. Cassano found teenagers enjoyed talking to others who 'understood'. They said it was good not to have to explain the cancer experience but just to chat, feeling like a normal teenager, veering from music and sports to serious cancer topics. Researchers were surprised that patients who had been through therapy kept coming to the group to let those still on therapy know that they could live a normal life after cancer, inspiring others that were still in therapy. A major challenge was deciding whether the death of a group member should be discussed. Technologies such as Facebook were seen as helpful in spreading the news of a group member's death and in keeping long term connections to the group. Cassano says practitioners need to 'think outside the box' and continue to find ways of helping teenagers with cancer to connect. no 00:09:41 adolescents, cancer, support group, teen group, coping ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=77 Bosnian refuge women resettled in the Southern U.S.A<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=VZLn5GzDx6U:mB6TjuF5UOk:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=VZLn5GzDx6U:mB6TjuF5UOk:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/VZLn5GzDx6U" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/VZLn5GzDx6U/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=76 Fri, 17 Jul 2009 09:00:00 +1000 IPP-SHR, CQUniversity Australia Bosnian refuge women resettled in the Southern U.S.A 'Ethnic cleansing' in Bosnia, Croatia, Serbia and Kosovo from 1992 to 1995, caused nearly three million people to flee for their lives. Over 125 000 of them, mostly middle and upper class, were resettled into the United States as refugees. This week, for IPP-SHR podcasts, Michael Bouwman talks with Dr Marie Sossou about her study into the resilience of Bosnian women living in the southern states of America. Many refugees have had to face cultural shock, language barriers, disconnection from family and community, and the need to work at low paid jobs to survive, leaving no time to retrain or get counselling to help them deal with their traumatic experiences. The research showed that family was the most important thing in the Bosnian women's lives. They described the need to be strong for their children and their husbands and to do everything they could to keep the family together and survive. Counter to the literature, spirituality, not religion, was deemed as resilience factor in which they felt that a higher power kept them going. They also felt that community support and social services organised by refugee agencies contributed to their resilience. Dr Sossou hopes her work will highlight the importance of family and communal belonging to refugees and will educate practitioners to become more culturally sensitive. no 00:10:36 Bosnian refugee women, community social support services, family, resettlement, resilience factors, spirituality ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=76 The social distancing of people with menatal disorders<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=ME2DkJWt2hI:YIQVCkQGS2I:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=ME2DkJWt2hI:YIQVCkQGS2I:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/ME2DkJWt2hI" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/ME2DkJWt2hI/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=75 Fri, 10 Jul 2009 09:00:00 +1000 IPP-SHR, CQUniversity Australia The social distancing of people with menatal disorders We are much more likely to avoid social contact with someone who has a mental illness than a physical illness, especially if we have never had a close relationship with a person who has experienced mental illness. This week Hamish Holewa talks to Dr Anthony Jorm about his research into the personal characteristics and experiences that influence our desire for social contact with the mentally ill. Research shows we are more likely to avoid contact if we are older, have a lower level of education, have seen negative media reports, believe that mental illness is genetic and caused by a personal weakness that could be overcome with willpower, or if the person is male or has a long-term condition. However the greatest determinant is whether or not we have known someone with a mental illness closely. The exception is mental health professionals, whose desire for social distance is similar to that of the general public. The research recommends challenging attitudes about the causes of mental illness through public awareness campaigns and the need for further research that goes beyond questionnaires and that study people's behaviour in real life. no 00:09:19 attitudes, discrimination, social distance, stigma ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=75 The importance of Indigenous nations connection with Country for health and wellbeing<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=HhHtrSf0ftE:kV1PLS4dRPU:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=HhHtrSf0ftE:kV1PLS4dRPU:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/HhHtrSf0ftE" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/HhHtrSf0ftE/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=74 Fri, 03 Jul 2009 09:00:00 +1000 IPP-SHR, CQUniversity Australia The importance of Indigenous nations connection with Country for health and wellbeing For IPP-SHR podcasts, Michael Bouwman talks with Johnathan Yotti Kingsley about his research into the health and well-being effects Indigenous people experience when they are involved in 'Caring for Country' projects in Victoria, Australia, and how it is helping them to heal from the effects of colonization. The deep connection Indigenous Australians have with nature and their land or 'country' is described as a type of life support system. Connection with the land provided a feeling of being needed, a sense of pride, responsibility, self worth, and ownership. Participants described caring for their country as an inherent obligation intrinsic to Aboriginal identity, requiring knowledge passed down for generations. They also described the medicinal and spiritual effects of being in nature, where they felt calm and centered. Kingsley believes it would be beneficial for non-indigenous Australians to become involved with 'Caring for Country' projects as a tool for increasing overall population health. no 00:08:38 health, wellbeing, spirituality, Indigenous people, land management ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=74 perceptions and responses on the stigma of poverty<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=mgEpL2t7lQE:jZxlPsXzA-w:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=mgEpL2t7lQE:jZxlPsXzA-w:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/mgEpL2t7lQE" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/mgEpL2t7lQE/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=73 Fri, 26 Jun 2009 09:00:00 +1000 IPP-SHR, CQUniversity Australia perceptions and responses on the stigma of poverty Stigmatisation faced by people living in poverty contributes to social exclusion and poor health outcomes. This week Hamish Holewa of IPP-SHR podcasts talks with Dr Linda Reutter about her research into the stigma attached to poverty in Canada. Through interactions with others, including, staff of welfare agencies, people in poverty believe they are seen as free loaders whose poverty is due to laziness, irresponsible spending, and choosing an easy life. These beliefs are legitimised by media and government policies but are in conflict with peoples' personal identities. Participants described their resourcefulness, budgeting and survival skills in the face of chronic stress and anxiety, being unable to afford food, medication, and health services. Strategies people used to reconcile differences between their personal and social identities included: hiding their poverty, confronting discrimination, and making a difference by helping others. While some participants were able to ignore comments by others, many internalised the stereotype, becoming depressed and further withdrawn. It is recommended that welfare agencies become more supportive, policy changes be made so that income inadequacy is not perpetuated, and evidence of the structural causes of poverty be disseminated to counteract the belief that this is an individual responsibility. no 00:12:11 descriptive methods; health, determinants of; poverty, psychosocial issues; poverty stigma; qualitative methods, general; social inequality; vulnerable populations ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=73 Evaluation of peer-based needle programme in Vietnam<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=LMKxeS2DjCk:DjTHeF4vB18:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=LMKxeS2DjCk:DjTHeF4vB18:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/LMKxeS2DjCk" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/LMKxeS2DjCk/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=72 Fri, 19 Jun 2009 09:00:00 +1000 IPP-SHR, CQUniversity Australia Evaluation of peer-based needle programme in Vietnam For this week's podcast, Michael Bouwman spoke to Dr Anh Ngo about the challenges faced and lessons learned when a peer-based needle syringe program was introduced in Vietnam to reduce the spread of HIV. Whilst needle exchange programs have generally been successful, implementation in Vietnam was slow due to the government's reluctance to adopt a harm reduction strategy which was seen as a 'social evil'. The program was often unsupported by local governments and law enforcement personnel due to a difficult legal conflict that its existence created: police being legally obliged to arrest drug users at the same time as the program legally entitled drug users to obtain new sterile needles. According to Anh, increased education, training and community engagement regarding the programs benefits is required for wider implementation. The success of the program depends on reducing the stigma associated with intravenous drug use and changing social attitudes to enable drug users to be seen as patients who need medication and access to health services rather than 'social evils'. no 00:06:57 Injecting drug users, Needle syringe, Evaluation, Qualitative, Vietnam ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=72 Overseas Trained Doctors professional relationships in Indigenous rural areas<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=wxYFNDtMwLY:1G5Bt-cckB0:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=wxYFNDtMwLY:1G5Bt-cckB0:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/wxYFNDtMwLY" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/wxYFNDtMwLY/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=71 Fri, 12 Jun 2009 09:00:00 +1000 IPP-SHR, CQUniversity Australia Overseas Trained Doctors professional relationships in Indigenous rural areas To talk about the role of overseas trained doctors in rural and Indigenous areas, Dr Angela Durey spoke to Hamish Holewa for this week's IPP-SHR podcast. Between mid-1990s to 2004, there has been an eighty per cent increase in overseas trained doctors working in rural areas, compared with an eight percent increase for Australian trained doctors. Despite this increase, overseas trained doctors often find themselves in a different culture, with different healthcare models and often feel ill prepared, unsupported and have no control over how the service operates. Other challenges noted include: a change in biomedical and familiar disease treatment schedules; bureaucratic and communication challenges; and transitioning from paper- based to computer- based systems. A higher recruitment and retention rate for overseas trained doctors in Indigenous communities can be achieved through increased cultural and communication training, fostering equality within the rural healthcare, avoiding top-down organisational models and approaching issues in an open and flexible manner. no 00:07:56 Overseas trained doctors (OTDs), Indigenous health services, rural, remote ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=71 Exploratory study of spiritual care at end-of-life<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=rccYqvcCgtg:UBIoIaYWc4Y:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=rccYqvcCgtg:UBIoIaYWc4Y:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/rccYqvcCgtg" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/rccYqvcCgtg/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=70 Fri, 22 May 2009 09:00:00 +1000 IPP-SHR, CQUniversity Australia Exploratory study of spiritual care at end-of-life The concepts of religion are better understood than those belonging to spirituality. The understanding of spirituality is usually viewed from a philosophical angle regarding who one is and why one exists. To talk about the important role that spirituality plays at the end of life, Dr Tim Daaleman talked to Michael Bouwman, for IPP-SHR Podcasts. How spirituality is delivered at the end of life - although being a core component of palliative care - still remains unclear. The study involved 12 clinicians and health workers who were selected as spiritual caregivers by terminally ill patients and their family members. Predominant themes that emerged were that of 'being present' a purposeful action that went beyond medical care, and that of 'opening eyes', which involved a carer's recognition and awareness of their patient's humanity: they knew and could see what was happening to their patient, and the patient could see that their health provider cared about what was going on. These processes lead to the mutual activity of co-creating, where a care plan could be generated between the caregiver and the patient. A major inhibitor to spiritual care was the lack of time. Other barriers could also occur through cultural or social unease between the caregiver and patient. Coupled with appropriately matched caregivers and ample time, effective communication and the concise gathering, interpretation and relaying of information was found to be the main factors to providing spiritual care. no 00:08:26 spirituality, religion, psycho-social care, support cancer ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=70 Grandmothers support for mother's who breastfeed<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=D2NBfGqG168:vvgW6R4zOWM:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=D2NBfGqG168:vvgW6R4zOWM:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/D2NBfGqG168" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/D2NBfGqG168/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=69 Fri, 15 May 2009 09:00:00 +1000 IPP-SHR, CQUniversity Australia Grandmothers support for mother's who breastfeed To talk about her study on grandmothers' breastfeeding support for mothers, Dr Jane Grassley talked to Hamish Holewa for IPP-SHR Podcasts. It was found that a grandmother's own infant feeding practices influenced mothers' decisions to initiate and continue breastfeeding. Open encouragement and support from grandmothers assisted a mother's decision to breastfeed and helped protect the mother from ongoing justification of breastfeeding. This was particularly important in cultures that have sanctions against public breastfeeding and unfriendly breastfeeding workplaces. It was also noted that some grandmothers felt that breastfeeding was a barrier to bonding with the grandbaby, including, being able to feed the baby, allowing the baby to stay overnight and concern for the mothers well being. It was also shown that there were numerous myths that persisted in relation to breastfeeding; including: concern that a mother is not making enough milk, that exclusive breastfeeding did not deliver all dietary requirements and that breastfeeding "just did not work anymore". Practical implications suggests including grandmothers in breastfeeding conversations with health professionals, encouraging grandmother's to tell stories about their experiences, and providing additional information to grandmothers. no 00:13:20 breastfeeding, grandmother, mother, advocacy ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=69 Concept analysis of holistic nursing care in paediatric nursing<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=Rt6s9Q16Km8:yy-sbZDO_iQ:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=Rt6s9Q16Km8:yy-sbZDO_iQ:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/Rt6s9Q16Km8" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/Rt6s9Q16Km8/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=68 Fri, 08 May 2009 09:00:00 +1000 IPP-SHR, CQUniversity Australia Concept analysis of holistic nursing care in paediatric nursing Issues associated with the successful integration and delivery of a holistic framework for nursing in South Africa is discussed for IPP-SHR podcasts. Speaking with Michael Bouwman, Dr Adele Tjale explains the compounding factors that inhibit uptake of a holistic paradigm within a dual health care system that has two viewpoints: a biomedical and indigenous focus. Integration of a holistic framework into the clinical environment requires a discourse shift accompanied with additional education, analysis and understanding. no 00:09:35 concept analysis, paediatric child health, holistic nursing care, spirituality ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=68 The stigmatising of older people with delirium<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=NoZ5hW1ah8k:uS-NtUVFcQo:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=NoZ5hW1ah8k:uS-NtUVFcQo:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/NoZ5hW1ah8k" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/NoZ5hW1ah8k/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=67 Fri, 01 May 2009 09:00:00 +1000 IPP-SHR, CQUniversity Australia The stigmatising of older people with delirium To discuss the concerns of older people with delirium and stigma that is attached to being an older adult, Hamish Holewa, for IPP-SHR podcasts, talked to Dr Neville Stephen. Ageism is prevalent in every society with evidence that some institutional practices in health care unintentionally support the use of ageism, reflecting the ageist notion of 'being old doesn't matter'. It was found that what wasn't said was just as important as what was said. In the aged care environment this was highlighted by professionals not always advocating for the needs and desires of older people under their care. Ageist practice was also found to be exacerbated by the practice of infantalisation of the individual, in which elderly people are characterised as having a second childhood, denying their independent and adult status. It was found that individuals employed strategies that resisted ageist discuss and practice, including: masking their chronological age; challenging views that elderly people are 'useless' and a 'burden on society'; and medicalising symptoms such delirium by providing clear reasons for why an individual may be delirious and exhibiting certain behaviours. no 00:09:23 ageism, critical gerontology, delirium, gerontological nursing, older people ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=67 Changes to parents experiences with their newborn from increases in birth screening<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=4MvamlRQ7_A:k86l6PCzc94:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=4MvamlRQ7_A:k86l6PCzc94:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/4MvamlRQ7_A" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/4MvamlRQ7_A/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=66 Fri, 24 Apr 2009 09:00:00 +1000 IPP-SHR, CQUniversity Australia Changes to parents experiences with their newborn from increases in birth screening Mandatory newborn screening has resulted in increased numbers of newborns getting diagnoses for conditions that don't always manifest at the start of life. Such diagnoses can leave parents apprehending a disease, in their child, who may be asymptomatic and in the absence of illness. To discuss the impact on how the rapid growth of newborn screening, in the US for cystic fibrosis, is altering affected families newborn experiences with their child, Dr Rachel Grob spoke to Michael Bouwman for IPP-SHR podcasts. Implications for parents receiving a genetic diagnosis varied, however parents did state that a diagnosis can result in an initial knowledge shift in regards to how to care for their newborn. A further issue noted was that sometimes results don't show a clear process for the disease, leaving some families feeling that the medical staff have trouble in admitting that they don't know, and subsequently providing helpful practical information. Practical suggestions from the study include: providing increased assistance in obtaining further information after diagnosis; the availability of trained genetic counsellors to help answer specific questions; how much information and when that information is given; and the conducting of tests in a paediatric setting, rather than through a mandatory newborn screening. As a result of previous genetic diagnoses, some families indicated that they would not choose a screening option, preferring to watch their infant for any symptoms before running any tests. no 00:10:42 Newborn screening, Genetics, Disease, Illness, Parenting, USA, Cystic fibrosis ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=66 African american, hispanic and caucasian burdens on end-of-life decision-making<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=uhZoIB_5J90:hTN8Uc4crWA:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=uhZoIB_5J90:hTN8Uc4crWA:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/uhZoIB_5J90" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/uhZoIB_5J90/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=65 Fri, 17 Apr 2009 09:00:00 +1000 IPP-SHR, CQUniversity Australia African american, hispanic and caucasian burdens on end-of-life decision-making Whilst there are certain variations between how different cultural groups respond to the burden of surrogate decision making, it was noted that the burden of decision making transcends all cultures. To talk about her study on the burdens faced by African-American, Hispanic and Caucasian surrogates, Dr Ursula Braun spoke to Hamish Holewa for IPP-SHR podcasts. It was found that in general the surrogates' role was incredibly weighted, compounded by the strain of making the right decision, and fear of being accused by other family members for making incorrect decisions whilst needing to make decisions quickly with often uncertainty about the treatment and outcome. Practical strategies to assist surrogates making decision included, physicians acknowledging the burden, continuing support through good communication about treatment and outcomes and encouraging discussion among the family on the best treatment preferences. no 00:08:06 ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=65 Using electronic communication tools to combat loneliness<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=kEfWOXYOedc:veWul659rLo:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=kEfWOXYOedc:veWul659rLo:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/kEfWOXYOedc" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/kEfWOXYOedc/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=64 Fri, 10 Apr 2009 09:00:00 +1000 IPP-SHR, CQUniversity Australia Using electronic communication tools to combat loneliness There are two types of loneliness: social and emotional. Loneliness is not so much about the quantity of relationships, but rather there quality and meaningfulness of such relationships to the individual. Protective factors from loneliness include good health, unrestricted mobility and having a partner. For IPP-SHR podcasts, Dr Tineke Fokkema discussed her involvement in the Esc@pe project, which evaluated the effect that electronic communication tools such as the internet could have on loneliness amongst participants that lived at alone at home and had restrictive mobility. A significant drop in loneliness was observed throughout the program, although, such reduction may be attributed to visits the participants were experiencing from the volunteers in the project, rather than their internet activities. However, the intervention did result in participants reporting higher self-confidence, as they felt proud of their increase in computer literacy. no 00:09:30 ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=64 Stroke survivors decisions on help seeking<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=xAOAuak37II:Hzv-4xJmVwc:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=xAOAuak37II:Hzv-4xJmVwc:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/xAOAuak37II" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/xAOAuak37II/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=63 Fri, 03 Apr 2009 09:00:00 +1000 IPP-SHR, CQUniversity Australia Stroke survivors decisions on help seeking Evidence suggests that only 30-60 percent of stroke survivors seek help within the recommended time frame. Due to current medical advances people are more likely to survive a stroke, but will still experience disabilities. However, current guidelines state that early specialist stroke treatment can reduce disablement and increase the chances of recovery. For IPP-SHR podcasts, Natasha Moloczij talked to Hamish Holewa about stroke survivors perspectives on their decisions when to seek help. Four themes were identified that influenced seeking help: recognition, interpretation, negotiation, and action or inaction; it was found that the more times people went through each state, the longer they took to get help. During this time it was noted that people monitored their symptoms to see if they were getting better or worse: putting off seeking help if there was no pain and they could function; eventually seeking help if the symptoms continued and got worse. Other influential factors were a person's need to continue on with responsibilities and commitments and the influence of another person, family or friends. A helping strategy was to involve families or friends in interventions for those at risk and also to involve GPs, as it was common that GPs were contacted first. no 00:09:21 decision-making, delay, help-seeking, qualitative, stroke ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=63 Complexities preventing physicians from discussing the removal of ICDs at the end of life<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=k7wPPpI_ZXg:FIjAzn3Iyhg:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=k7wPPpI_ZXg:FIjAzn3Iyhg:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/k7wPPpI_ZXg" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/k7wPPpI_ZXg/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=62 Fri, 27 Mar 2009 09:00:00 +1000 IPP-SHR, CQUniversity Australia Complexities preventing physicians from discussing the removal of ICDs at the end of life An Implantable Cardioverter Defibrillator or ICD can save a person's life by correcting a potentially lethal heart-beat. But what if a patient, who is nearing the end of life, just wants to die peacefully? It is rare that a patient is asked if they would rather the shocks stop, and they were allowed to pass away. To discuss his study on the barriers that prevent physicians from having this discussion with their patients, Dr Nathan Goldstein, talked to Michael Bouwman for IPP-SHR podcasts. Nathan discussed how physicians found it difficult to place these devices in the same context as other vital decisions that had to be made at the end of a patient's life. Physicians also noted the magnitude and sense of finality of turning a defibrillator off, versus the easy of taking a patient on and off their medication. In addition to this was the size of the device itself: a small nearly unseen bump under the collar bone was often not thought about, according to some physicians, as there was no physical reminder. However, it was stated the most significant aspect of this issue was the difficulty in predicting a patient's cardiac rhythm at the end of life, and when a defibrillator was going to shock. Due to this unknown entity, some patient's might not die soon after a defibrillator is removed, rather death would occur weeks or months later. no 00:08:43 palliative care, advanced technology, communication, patient physician relationship, implantable cardioverter defibrillator ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=62 The use of public spaces for socialising and observing<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=dV79P5fxm4o:4-vACpJJt8M:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=dV79P5fxm4o:4-vACpJJt8M:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/dV79P5fxm4o" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/dV79P5fxm4o/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=61 Fri, 20 Mar 2009 09:00:00 +1000 IPP-SHR, CQUniversity Australia The use of public spaces for socialising and observing For IPP-SHR podcasts, Dr Vicky Cattell talked to Hamish Holewa about her study on improved understanding of the use of public spaces. This study looked into people's interactions within their everyday public spaces, and how these spaces promoted well-being - the main focus being on what promoted/protected health, rather than what caused illness. It was noted that quiet, green and peaceful places were chosen by people as places of privacy and solitude. However, it was noted that the active, community spaces of urban life was also what people sought - to use these public spaces to interact with others. Some also felt it enough to be able to sit back and observe interactions going on around them. It was also noted that public spaces, such as, local markets and shopping streets, had a higher potential for encouraging inter-ethnic understanding. This study showed that busy spaces had therapeutic qualities, people felt comfortable, could mix and observe with others in their own urban environment. no 00:07:36 Public spaces, Well-being, Social interaction, Social relations, Therapeutic landscapes, Community cohesion ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=61 Potential suicide risk factors for combat veterans<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=JuTVjRyMN_c:hQA8e0LjqKM:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=JuTVjRyMN_c:hQA8e0LjqKM:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/JuTVjRyMN_c" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/JuTVjRyMN_c/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=60 Fri, 06 Mar 2009 09:00:00 +1000 IPP-SHR, CQUniversity Australia Potential suicide risk factors for combat veterans Recent theories state that a person's tendency to suicide is dependent on three factors: acquired ability, burdensomeness and failed belongingness. This, added with a repeated exposure to painful stimuli, can lead to a habituation to pain. To discuss her study on how this theory applies to combat veterans, Dr Lisa Brenner spoke to Michael Bouwman for IPP-SHR podcasts. Lisa talked about how soldiers use military values and skills when in combat situations, and how this highly violent environment can lead to a numbing of feelings and a high tolerance of pain, which was found to be a major issue behind suicidal attempts. On return home veterans reported feelings of dissociation, disconnectedness and of not belonging, which in turn can lead to feeling like a burden on others and a loss of self sense and purpose. It was found that veterans felt that family and friends were the reason why they were still alive, however, this was coupled with a feeling of distress if they were not able to provide financially for their family. The goal from this study is to increase more work with veterans and revise traditional rehabilitation systems, which in turn, would help with returning to work that is meaningful, and help to adapt military values to positive experiences in civilian life. no 00:09:40 ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=60 Intimate partner violence survivors experiences on depression and pain<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=BIcBcyI0sBQ:D9q0eaoOCd4:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=BIcBcyI0sBQ:D9q0eaoOCd4:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/BIcBcyI0sBQ" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/BIcBcyI0sBQ/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=59 Fri, 27 Feb 2009 09:00:00 +1000 IPP-SHR, CQUniversity Australia Intimate partner violence survivors experiences on depression and pain Although statistics vary, over a life time, over twenty percent of women may suffer an Intimate partner violence (IPV) episode. IPV survivors can view their abuse as a breach of trust, isolating them from society and leaving them with an incredibly sense of loneliness. IPV survivors also have a higher rate of physical and mental health problems with an increase in depression, PTSD, drug abuse and poor health. Dr Christina Nicolaidis talked about her study, to Hamish Holewa, for IPP-SHR podcasts. Christina's study focused on how IPV survivors want their health providers to talk about the rest of their health, and on what IPV survivors thought about the connection between abuse and mental/physical health symptoms. It was found that women who are IPV survivors are very aware that the abuse is related to mental and physical symptoms, but they wanted the providers to holistically understand their symptoms and not dismiss symptoms purely because they are IPV survivors. Trusting health professionals to view their symptom holistically was a large concern, women felt unsure of disclosing information: the more the providers knew, the more chance they could use it against them, making the women feel their symptoms were all in their head. Respect from a health provider towards the women was seen as very important: women wanted respect towards their whole selves. Health providers need to be very sensitive about these issues: an appropriate preface is required before the discussion of violence can begin. no 00:07:56 intimate partner violence, depression, pain, physical symptoms, qualitative research, physician, patient relationship ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=59 Non-Service Users' Perspectives of Chronic Pain<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=jpYC3aQyudk:2fQ1UDgTd1o:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=jpYC3aQyudk:2fQ1UDgTd1o:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/jpYC3aQyudk" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/jpYC3aQyudk/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=58 Fri, 20 Feb 2009 09:00:00 +1000 IPP-SHR, CQUniversity Australia Non-Service Users' Perspectives of Chronic Pain Chronic pain can have a debilitating affect on one's life, stipulated by: interference with daily activities; decreased independence and withdrawal from interactions with family and friends. Back pain sufferers reported feels of isolation and desperation. To discuss this issue, Dr Carol Campbell, talked for IPP-SHR podcasts, about how participants, through observing the reactions of others, learnt to withdraw from talking about their pain so as not to be judged as complaining and to be seen as a 'back bore'. It was found that participants who talked freely and openly about their pain frustrated and alienated family, friends and health professionals. Limiting discussion about persistent helped in maintain relationships with family and friends. Self-management of pain relied on use of medications; however participants noted a discontentment with medicine use. To improve the situation the study found that medical practitioners need to open the lines of communication with sufferers: enabling the exploration of alternative medications; explain about medication side-effects, and enable the sufferer to confidently make their own informed choice. no 00:09:25 chronic pain, lay perspectives, qualitative research, pain self-management ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=58 Patients' perspectives of diabetes management assisted by telemedicine<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=GL41wxR4Qqg:335qgykmMqE:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=GL41wxR4Qqg:335qgykmMqE:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/GL41wxR4Qqg" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/GL41wxR4Qqg/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=57 Fri, 13 Feb 2009 09:00:00 +1000 IPP-SHR, CQUniversity Australia Patients' perspectives of diabetes management assisted by telemedicine Effectively managing diabetes requires discipline in ones diet, self-monitoring and lifestyle patterns. For IPP-SHR podcasts, Dr Paula Trief talked about experiences of elderly diabetic patients' from low socio-economic backgrounds who were partaking in a telemedicine diabetes case management intervention, called IDEAtel. Using a specifically designed computer, patients had the ability to upload their blood pressure and sugar readings, and video conference with a nurse or dietician. Compared to usual treatment modalities, involvement with the intervention lead to improved blood sugar control, blood pressure and lipids. Enthusiasm and involvement of the physician which originally lead to the patients deciding to take part in the intervention was found as an important factor in the success of the intervention. Patients noted the main obstacle was learning a new pattern of behaviour: changing their diet, self-monitoring and adopting more physical activity. Patients indicated positive feelings associated with in their health and changes in their habits. Additionally, regular quantification of blood levels, diet and physical activity empowered patients in self monitoring of their health. The study stressed the importance of communication skills and the establishment of a positive relationship between the health care provider and client as methods of enduring success. no 00:09:36 diabetes, elderly, telemedicine, case management ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=57 Personal expectations influencing the use of medications<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=Q5idKr-RLMs:JbkIbvA0hzY:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=Q5idKr-RLMs:JbkIbvA0hzY:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/Q5idKr-RLMs" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/Q5idKr-RLMs/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=56 Fri, 06 Feb 2009 09:00:00 +1000 IPP-SHR, CQUniversity Australia Personal expectations influencing the use of medications Regardless of advice and influence from health care providers, a patient's decision to whether they adhere to a medication treatment plan is hers or his. Dr Lisa Dolovich spoke to Michael Bouwman about her study which looked at patient expectations when it came to the use of medications. It was found that patients didn't have a high expectation that their medications would cure their illness, but rather they thought it would allow them a better quality of life: a realistic expectation rather than an idealistic one. Lisa noted that a number of patients found ways of testing their medications: lowering, increasing and skipping doses, which as patients indicated, allowing individual dosage control gave a sense of control over their condition. Further causes for non-adherence included patients stating that they felt some medicines weren't natural and were stigmatising. A positive relationship with the health care provider had an impact on adherence rates, allowing patients and practitioners to openly discuss issues associated with the medicine regime including expectations and side-effects and also have to open a channel for dialogue involving health related questions. no 00:10:10 Medicantion Adherence, ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=56 palliative care professionals'' and carers'' perceptions of end-of-life hyrdation and nutrition<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=cmx08T-i9DQ:KKKCYZ-wakI:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=cmx08T-i9DQ:KKKCYZ-wakI:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/cmx08T-i9DQ" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/cmx08T-i9DQ/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=55 Fri, 30 Jan 2009 09:00:00 +1000 IPP-SHR, CQUniversity Australia palliative care professionals'' and carers'' perceptions of end-of-life hyrdation and nutrition Most palliative care patients, at the end-of-life, will have a significantly decreased food or drink intake, if any at all. Such cessation can be due to lack of energy, anorexia, dysphasia or nausea and this absence of nutrition leads to isotonic dehydration: the loss of salt and water from the body. Whilst potentially distressing for the families and health professionals, isotonic dehydration can be beneficial for the patient. To discuss the reactions and perceptions of families and health professionals to medically administered nutrition and hydration, Dr Pamela van der Riet talked with Hamish Holewa for IPP-SHR podcasts. Noted were benefits associated with reduced issues with fluids, less incontinence and vomiting and some documentation relating to decreased pain. Despite such benefits, decreasing of medically administered hydration and nutrition to a palliative patient can be distressing to the family. Education, open discussion and a team approach for staff in acute care and families, as well as basic care for the patient, was seen as very important in easing the experience and burden on all in palliative care. no 00:08:58 ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=55 The balancing act of psychiatrists'' experiences with moral distress<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=6tXwMS7WGC0:fGYabMbGAzc:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=6tXwMS7WGC0:fGYabMbGAzc:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/6tXwMS7WGC0" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/6tXwMS7WGC0/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=54 Fri, 23 Jan 2009 09:00:00 +1000 IPP-SHR, CQUniversity Australia The balancing act of psychiatrists'' experiences with moral distress Moral distress: the state experienced when a person's moral choice is unattainable due to their professional constraints. For IPP-SHR podcasts, Dr Wendy Austin with Michael Bouwman explores the issue of moral distress within the psychiatric profession. Three separate issues are highlighted when exploring moral distress including: the balancing act; the double agent; and the natural and artificial self. Such issues relate to the tension created by the public's expectation regarding the trustworthy provision of specific expertise where answers may be less clear and morally compromising. Although, a health care system will always have scenarios in which morally distressful situations arise, such occasions can be reduced through further exploration of the limitations inherent with the psychiatric discipline and societies understanding of such a role. no 00:08:42 autonomy, ethics, moral distress, psychiatry, realational responsibility ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=54 Health Programs for tobacco use amongst Indigenous americans<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=tuyf9oKyQ1A:CToPq-NkdRQ:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=tuyf9oKyQ1A:CToPq-NkdRQ:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/tuyf9oKyQ1A" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/tuyf9oKyQ1A/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=53 Fri, 16 Jan 2009 09:00:00 +1000 IPP-SHR, CQUniversity Australia Health Programs for tobacco use amongst Indigenous americans American Indian/ Alaskan Natives (AI/AN) have the highest smoking rates of all ethnic groups within the United States of America. Risk factors associated with such prevalence include peer and parental influences, access to tobacco, underestimation of negative effects of tobacco usage and low socio-economic status, whilst protective factors include academic success and role models. In discussing the cultural influences of tobacco use in relation to tobacco prevalence within AI/ AN populations, Claradina Soto spoke to Hamish Holewa for IPP-SHR podcasts. Depending upon situational context, exposure and understanding of the traditional role of tobacco may have protective factors against further tobacco use. In translation of cultural appropriate health programs for AI/ AN populations, practitioners and researchers need to be respectful of complexities and differences of the cultures. Program implementation should be mindful of community participation including, consultation with elders, face-to-face meeting with community members, consultation with the tribal council and ongoing feedback and communication once implementation has been completed. Communities should participate as equal partners in program development, implementation, evaluation and dissemination. no 00:09:55 American Indian; tobacco; adolescents; prevention ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=53 Psychosocial factors aggravating symptoms of sick house syndrome<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=SrmNbqkfy-c:AgSp6Si4E84:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=SrmNbqkfy-c:AgSp6Si4E84:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/SrmNbqkfy-c" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/SrmNbqkfy-c/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=52 Fri, 19 Dec 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia Psychosocial factors aggravating symptoms of sick house syndrome Chemicals infused into building materials have the potential to cause significant symptoms, such as, headaches, eczema and even loss of consciousness for those living in such establishments. Exploring such symptoms, Dr Nami Imai conducted a study in Japan on "Sick House Syndrome" or SHS, an illness caused by the chemicals and toxins used in new or remodelled homes. Due to energy efficiency measures, homes may not be thoroughly ventilated, causing serious reactions in those that move into the houses. It is a difficult situation for those suffering from SHS: the illness can cause job losses, significant economic hardship in purchasing a new or different home, coupled with the psychological pressure of moving home. Additional research needs to be undertaken in understanding the causalities of Sick House Syndrome and to understand the people affected by this syndrome. Although the Japanese government legislated new building requirements for 2003, people are still reporting health problems related to the new building code. no 00:09:25 ethnography, Japan, multiple chemical sensitivity, qualitative research, sick house syndrome ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=52 Mothers' experiences of having a preterm infant in neonatal care<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=1dDDb8c7jjw:0JYvf3r6V78:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=1dDDb8c7jjw:0JYvf3r6V78:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/1dDDb8c7jjw" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/1dDDb8c7jjw/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=51 Fri, 12 Dec 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia Mothers' experiences of having a preterm infant in neonatal care Mothers to preterm infants are often unprepared, feel alone and find the neo-natal environment a difficult place to become accustomed to their new role. Exploring these difficulties, Dr Hanne Aagaard spoke with Hamish Holewa about her study on how mothers, with preterm infants in neo-natal units, can best be supported and guided to confidently take control of their baby's care. Psycho-social factors related to the neo-natal unit including, the lack of privacy , unfamiliarity with surroundings, feelings of incompetence in caring for the infant, and guilt and distress in relation to the infants health impinged on the mothers' ability to care for their child. Health professionals in neo-natal units need to minimise separation between mother and child, provide support and guidance in caring for the infant, and provide information in a non-authoritarian, supportive manner. no 00:10:01 Mothers' experiences: Preterm infants; NICU environment; Mother-nurse relationship; Meta-synthesis ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=51 Mental health from a consumer perspective against routine outcome measurements<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=HHUW0-NpT0Y:ceALJVUdXj0:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=HHUW0-NpT0Y:ceALJVUdXj0:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/HHUW0-NpT0Y" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/HHUW0-NpT0Y/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=50 Fri, 05 Dec 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia Mental health from a consumer perspective Routine outcome measurements used to gauge the effectiveness of mental health service treatments have been developed from the perspective of the health professional, not from the perspective of the consumers who actually use the services. Such perspectives potentially limit the scope of outcome measurements to a predefined view of symptom reduction, rather than taking into account the consumer's view of recovery. Talking about the effectiveness of mental health services from the consumer's perspective, Michael Bouwman spoke to Prof Brenda Happell. Participants noted that personal improvement was not always the result of medical intervention: support and social connectedness was seen as most important, as well as medication, spirituality and in some cases, cigarettes. The development of individually tailored crisis management plans, which incorporate a broad range of therapies that assist an individual through the recovery process, was noted as beneficial. no 00:09:40 consumer participation, evaluation, mental health services, outcome measurement, recovery ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=50 Perceived care needs for patients' waiting for heart and lung transplants<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=O7TKAf6jK1c:-Z3AGVA1vM0:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=O7TKAf6jK1c:-Z3AGVA1vM0:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/O7TKAf6jK1c" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/O7TKAf6jK1c/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=49 Fri, 28 Nov 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia Perceived care needs for patients' waiting for heart and lung transplants Waiting for a suitable organ transplant is a long, unpredictable, isolating and stressful experience. Although there is hope, there is also a great deal of uncertainty. To discuss her study on how nurses can support patients through the transplant period, Janelle Yorke spoke to Michael Bouwman. Communication by the nurses was found to be most important, including information and regular contact. Noted was that patients wanted nurses to know them and their needs, and tailor information to their needs: to cut through the medical "mumbo jumbo". Familiarity, positive thinking and compassion were also found to be an overwhelming need of patients. Medical staff need to develop a means of providing frequent, informed, appropriate and compassionate communication with patients awaiting transplant, either through transplant support groups or through innovative information technology usage, including the telephone, Skype or the internet. no 00:10:12 support groups, nursing, organ transplant, qualitative research, information technology usage in health care ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=49 Children's involvement in hospital thematic design and colour<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=-Bzma8tYkAk:qv2pSbHZQG8:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=-Bzma8tYkAk:qv2pSbHZQG8:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/-Bzma8tYkAk" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/-Bzma8tYkAk/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=48 Fri, 21 Nov 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia Children's involvement in hospital thematic design and colour Contrary to popular belief that children prefer bright colours with Disney themes in the hospital environment, a recent study by Dr Jane Coad has found that mid to low tones of colour and natural themes were preferred by children in hospitals. For IPP-SHR podcasts, Hamish Holewa spoke to Jane about her innovative study which not only asked for children's preferences for a new hospital being built, but included children and young people in the development of the study. Findings indicated that children preferred colour within the blue range: paler tones were chosen by younger children and darker tones by older children. Instead of the traditionally used themes of Disney and football/fairies, the natural themes of the sea and animals were frequently chosen. It was also found that the children wanted a 'home away from home' feel with soft furnishings including, cushions, rugs, and comfortable lighting. Findings have been used in the design of the University Hospital Coventry and Warwickshire Trust. no 00:09:29 children and young people, choice, hospital environment, participatory research ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=48 Breast Feeding Choices after Birthing Trauma<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=f3n6UrW5JD8:sDCzxhkRPug:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=f3n6UrW5JD8:sDCzxhkRPug:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/f3n6UrW5JD8" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/f3n6UrW5JD8/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=47 Fri, 14 Nov 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia Breast Feeding Choices after Birthing Trauma The World Health Organisation recommends exclusive breastfeeding for the first six months, but recent studies have shown that between four to seven months post-partum only 12 to 14 percent of mothers are still breastfeeding. One area rarely looked into is the experience of a traumatic childbrith and how it can influence the decision a mother makes in regards to breastfeeding, in which Dr Cheryl Tatano Beck discusses with Michael Bouwman for IPP-SHR podcasts. Mothers spoken to about their traumatic birth experience reported two paths: to breastfeed their baby as a way of proving their motherhood after the trauma, or to choose not to breastfeed due to their experience. Three themes emerged for mothers choosing to breastfeed: to prove oneself, make amends with the baby and to start the healing process. Factors impacting on a mother's choice not to breastfeed included: sense of physical violation, physical pain, perceived inadequate milk supply, intruding negative flashbacks to childbirth and feelings of detachment. no 00:10:32 birth trauma, breast-feeding, phenomenology, PTSD, qualiative ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=47 Emotional responses to food - adults with eating disorder<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=EtJlbZJ9Nbk:ZWVbHvvnYf4:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=EtJlbZJ9Nbk:ZWVbHvvnYf4:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/EtJlbZJ9Nbk" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/EtJlbZJ9Nbk/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=46 Fri, 07 Nov 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia Emotional responses to food - adults with eating disorder Control has been attributed as a key motivator behind eating disorders. Paradoxically, the ability for one to exert control over food, accompanies their loss of control in relation to food. Talking about her recent study exploring adults with eating disorders emotional responses' to images of food, Dr Anna Chur-Hansen spoke to Hamish Holewa for IPP-SHR podcasts. Using a qualitative methodolgy, adults with eating disorders were asked about their feelings and emotions whilst being shown different pictures of food. Results indicated that the central tenant to all reactions related to the notion of self control. Participants indicated positive feelings when they were able to influence their eating behaviours, and felt negative feelings when one could not exercise such control. It is suggested that Cognitive Behaviour Therapy (CBT) can potentially assist a person's need for control and help adjust maladaptive ways of thinking and behaving. no 00:10:16 emotion, qualitative, eating disorder, CBT, cognitive behaviour therapy, anorexia nervosa, bulimia ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=46 Sexuality in Relation to Cancer Nursing<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=Z6z0P7b_Ag0:wqVS-wR3x8M:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=Z6z0P7b_Ag0:wqVS-wR3x8M:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/Z6z0P7b_Ag0" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/Z6z0P7b_Ag0/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=45 Fri, 31 Oct 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia Sexuality in Relation to Cancer Nursing Discussing sexuality with cancer patients undergoing chemotherapy transcends the physical act: issues of body image; fertility; relationships and self esteem arise. In this week's podcast, Michael Bouwman discusses with Marie Lavin the effect that Chemotherapy has on a patient's sexuality and health care responses to this issue. Obstacles discovered in addressing sexuality with patients included: minimal to no education in that area, cultural issues and access to private physical environment. A workshop module is outlined as a method of increasing awareness and training to address issues of sexuality within an oncology setting. no 00:09:43 Ireland, oncology, sexuality, breast cancer, education, qualitative methodology ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=45 Living with early-stage Alzheimer's disease<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=m3cwk7oJxHI:xH6zeRSH2HE:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=m3cwk7oJxHI:xH6zeRSH2HE:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/m3cwk7oJxHI" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/m3cwk7oJxHI/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=44 Fri, 24 Oct 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia Living with early-stage Alzheimer's disease Within populist culture, Alzheimer's disease has been described as a death that leaves the body behind, death in slow motion, or becoming a mere shadow of one's self. However, people living with Alzheimer's disease who have access to the right resources can continue to work out a way of living with the disease. For IPP-SHR podcasts, Hamish Holewa spoke to Associate Professor Hazel MacRae, about her article that explores participants' experiences of living with early stage Alzheimer's disease. Participants reported strategies such as, social comparison, humour, hope, instrument telling and normalisation, as methods of coping with the disease. Additionally, medicialising the disease, which places the disease beyond the control of the individual, is another successful strategy used by people living with early stage Alzheimer's. no 00:10:00 Alzheimer's disease, culture and illness, meaning ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=44 Narratives from caregivers of children surviving the terrorist<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=AejxubguY9E:j2B4zJ0yRAY:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=AejxubguY9E:j2B4zJ0yRAY:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/AejxubguY9E" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/AejxubguY9E/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=43 Fri, 17 Oct 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia Narratives from caregivers of children surviving the terrorist 344 people were killed in the Beslan terrorist attack, of these 186 were children. Almost every member of Beslan lost someone they loved. For IPP-SHR podcasts,Hamish Holewa spoke to Dr Ughetta Moscardino about her work with survivors and caregivers of survivors from Beslan. Discussed were the protective factors associated with their society having a strong sense of cohesion, community and social opportunities. Factors relating to parenting, health and resilience were also discussed. no 00:09:56 Beslan, terrorism, children, families, culture, Russia, resilience ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=43 Latin American Hospitals<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=PDMpwjbwX1o:7tIuoN73nac:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=PDMpwjbwX1o:7tIuoN73nac:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/PDMpwjbwX1o" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/PDMpwjbwX1o/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=42 Fri, 10 Oct 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia Latin American Hospitals In some developing countries, non-adoption of evidence-based childbirth practices has resulted in a higher rate of episiotomies and deaths from hemorrhaging during childbirth. To explore this topic, Hamish Holewa spoke with Dr Marci Campbell about her study on facilitators and barriers to adoption of evidence based perinatal care in Latin American hospitals. Two evidence based practices were identified as not always following evidence based medicine, including: routine episiotomy rather than selective episiotomy; and active management of the third stage of labour. Findings indicated evidence based practice was not necessarily followed due to issues associated with: providing evidence based medicine; cultural and social translation; lack of role models and hierarchical leadership. To facilitate adoption of best practice, increased access to information, continuing education and peer/role model teaching is needed. no 00:10:31 ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=42 Cultural Factors in Health Consultations<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=8_gOwW6FyCM:oGKlGNrv8a8:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=8_gOwW6FyCM:oGKlGNrv8a8:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/8_gOwW6FyCM" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/8_gOwW6FyCM/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=41 Fri, 03 Oct 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia Cultural Factors in Health Consultations Whilst limited English proficiency can result in poor communication within a health care environment, cultural misunderstandings can have the biggest impact. For IPP-SHR Podcasts Michael Bouwman spoke with Dr Daniel Dohan about barriers in language and communication with Russian speaking patients with cancer. It was found that tensions regarding patient-physician communication is not about language but the cultural differences in regards to disclosure of their illness, such as non-acknowledgment of illness and receiving full informed disclosure of details. Discussed was how families did their best to protect relations by playing the 'game'. The use of professional interpreters in the exam room, with the patient and doctor, could help with the difficult cultural issues. Support options discussed included, how interpretation services are run and increasing the presence of interpreters in clinics and further cultural training for health professionals. no 13:08:01 immigrant health, communication, cancer, qualitative research, vulnerable populations ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=41 Strain in nursing care of people with dementia<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=24auz62ye4Y:dBRmTWF9XW8:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=24auz62ye4Y:dBRmTWF9XW8:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/24auz62ye4Y" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/24auz62ye4Y/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=40 Fri, 12 Sep 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia Strain in nursing care of people with dementia Despite research conducted with families of those living with dementia, there is scant literature on the ability of staff members to cope with providing appropriate care to dementia patients. It is assumed that such staff providing dementia care faces only stresses associated with the intrinsic difficulty of looking after people with dementia. Exploring this theme, for IPP-SHR podcasts Hamish Holewa spoke with Dr Mike Bird about his study which focused on the stressors staff face in dementia care settings in Australia, the UK and Sweden. Common findings from all three countries indicated that staff face numerous 'environmental factors' in facilitating optimal dementia care. Such stresses included: limited resources; unsupportive management; low pay and perceived professional responsibilities ofdementia cares. Additional stresses reported involved the 'encounter' of caring with people with dementia, including inability to interpret residents' needs, resident protection and competing needs. no 00:09:00 nurses experience, dementia, nursing care, qualitative research, interviews, focus groups ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=40 Primary Health Care- Alcohol and Tobacco Use<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=LXgOZ-fm8W4:t7q1pNGpDX4:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=LXgOZ-fm8W4:t7q1pNGpDX4:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/LXgOZ-fm8W4" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/LXgOZ-fm8W4/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=39 Fri, 05 Sep 2008 09:00:00 +1000 IPP-SHR, CQU Primary Health Care Programs- Alcohol and Tobacco Use Primary health care is the cornerstone of many international actions that are aimed at improving health. In particular, Dr Marko Kolsek spoke with Michael Bouwman about using this approach for management of alcohol and tobacco use within seven European countries. Alcohol and tobacco use is a determinant of many illnesses and its use contextualized through the lifestyle of an individual, their culture and community. Effective translation of primary health care programs tailored towards alcohol and tobacco use across multiple countries requires awareness of cultural, socio-economic and political factors that may favor or hinder such management. Although primary health programs cannot be directly transferred between different countries, primary health program factors such as, the involvement of various actors within the community and a comprehensive program transcend boarders. no 00:09:22 qualitative research, community action, primary health care, alcohol, tobacco, health promotion, participatory research ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=39 Drug Treatment Services in Russia<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=y7I_-QsnjgA:V0VtS6iROMQ:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=y7I_-QsnjgA:V0VtS6iROMQ:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/y7I_-QsnjgA" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/y7I_-QsnjgA/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=38 Fri, 29 Aug 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia Drug Treatment Services in Russia It is estimated that there are two million opiate users in Russia. With increasing growth within this population, Opiates abuse accounts for large proportion of treatment demands in Russia and Europe. To discuss drug users' views on treatment services and substitution therapy, Hamish Holewa spoke with Natalia Bobrova. As a smaller component of a larger project called 'Knowledge for action in HIV/Aids in the Russian Federation', findings showed that maximising early access to drug treatment services for drug users is an important step in preventing new HIV cases. User perceptions of drug treatments tended to be negative with rehabilitation services organised under an abstinence approach based on highly medicalised short-term episodic care. Some users indicated a stigmitsing and uncaring attitude from service provides, however a third of participants felt that psychological counseling was helpful in addiction treatment. Increased access to services and an holistic approach to treatment that addresses the diversity of drug users is posited as a positive step forward. no 00:09:15 drug treatment, perceptions, Russia, substitution therapy ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=38 Humour in Critical Care: A Sustaining Value<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=yKn0hN4VbNg:tGB8xUFSeMI:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=yKn0hN4VbNg:tGB8xUFSeMI:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/yKn0hN4VbNg" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/yKn0hN4VbNg/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=37 Fri, 22 Aug 2008 09:00:00 +1000 IPP-SHR, CQU Humour in Critical Care: A Sustaining Value Humour in palliative care is beneficial, not only for the patients, but for care givers themselves. Dr Ruth Dean recently spoke with Michael Bouwman about the role of humour in the care of critically ill patients. It was shown that humour can be appropriate within a palliative care environment and has positive benefits, such as reliving ongoing stress and tension. Ruth stated that the human connection made between patient and care giver, in the dehumanising environment of critical care, makes a positive difference to the experience of the patient and their care giver. no 00:10:21 Humour, ICU, Intensive Care Unit, Palliative Care, ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=37 Maintaining Authenticity: Challenges of Challenging Paid-for-Participation<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=G__LKgGVbqU:CwEunzEVhzU:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=G__LKgGVbqU:CwEunzEVhzU:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/G__LKgGVbqU" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/G__LKgGVbqU/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=36 Fri, 15 Aug 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia Maintaining Authenticity: Challenges of Challenging Paid-for-Participation Sometimes, paid-for-participation interviews don't always yield the results that were hoped for. For IPP-SHR podcasts, Hamish Holewa spoke with Dr Kay Cook about the outcomes of paid-for-participation. Although some participants were open about taking part for the money, participants indicated that payment did not automatically entitle the interviewer to their personal story. As a result some adversarial interviews resulted, where the participant tried to maintain control over their identity and unsettle the balance of power through tactics such as minimal disclosure and rehearsed narratives. Such tactics were emphasised when participants did not feel the research had any intrinsic benefit to them or their community. When using pay-for-participation as a recruitment method, the authenticity of the researcher and the research needs to be communicated effectively and for participants to identify with the goals of the research. no 00:09:47 qualitative methods, general, interviews, vulnerable populations, data collection and management, dramaturgical analysis ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=36 Nurses' Experiences of Drug Administration Errors<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=RznE_4uSlfQ:iTiqI01P_4Y:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=RznE_4uSlfQ:iTiqI01P_4Y:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/RznE_4uSlfQ" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/RznE_4uSlfQ/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=35 Fri, 08 Aug 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia Nurses' Experiences of Drug Administration Errors The administration of medication is an important task within the nursing profession and administration errors can lead to significant consequences for the patient and the health professional. To discuss such consequences, Michael Bouwman spoke with Anne-Berit Schelbred about nurses' experiences of drug administration errors. Drug administration errors can have a 'devastating' effect on nurses and can have an enduring effect on their professional and personal lives. It was reported that management reactions are central to the outcomes an administration error can have on a nurse. Openness, support and a non-punitive approach from managers can assist nurses dealing with such events. Additionally, a systematic exploration, of practice routines and underlying causes of the area, needs to be instigated after an error to ensure quality assurance. no 00:06:29 empirical research report, drug adminstration errors, psycho social consquences, medication errors, nurses, qualitative research ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=35 Breast Cancer Screening in Israel<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=zlPBBx1nQgM:r5JSmTOztt8:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=zlPBBx1nQgM:r5JSmTOztt8:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/zlPBBx1nQgM" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/zlPBBx1nQgM/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=34 Fri, 01 Aug 2008 09:00:00 +1000 IPP-SHR, CQUniversity Breast Cancer Screening in Israel Russian immigrant women in Israel place their own preventative health care at a very low level in their lives. To explore such reasons, Hamish Holewa spoke with Dr Larissa Remennick to discuss why women, who immigrated from the former Soviet Union, which had strong emphasis on preventive health, proceeded to neglect their preventative health checks once they were in Israel. Main factors that resulted in this neglect of health concerns included: the lowering of socio-economic status and inadequate occupation opportunities; the lack of culturally and linguistically appropriate information given to the women; former paternalistic responsibilities to one's own health; and the older aged women's attitudes towards the risk of breast cancer. Findings from the study extend to all countries that have a significant immigration program and highlight the need for special culturally appropriate programs specifically designed to encourage the use of health services for immigrants. no 00:10:21 lay health beliefs, breast cancer screening, Russian immigrant women ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=34 Cardiovascular Risk Assessment Software<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=ZVfRXHyi95M:rIzeZ5DKkWI:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=ZVfRXHyi95M:rIzeZ5DKkWI:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/ZVfRXHyi95M" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/ZVfRXHyi95M/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=33 Fri, 25 Jul 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia Cardiovascular Risk Assessment Software The prevalence of computer decision support programs can improve cardiovascular risk assessment and management. For this week's IPP-SHR podcast, Michael Bouwman spoke to Dr Anne Wilson about the role of decision support programs in reducing the odds of the risk of cardiovascular disease occurring, and General Practitioners' views on working with this software. The discussion was set in the context of the new decision support software: EMPOWER. A distinction between EMPOWER and other decision support software is the EMPOWER'S ability to incorporate educational material and advocate for shared decision making between health professionals and patients. Practice and policy implications of software utilisation were also discussed, including: workflow and routine impact, shared information access and data entry glitches. Overall software decision making programs were generally welcomed by patients within a cardio-vascular risk management framework. no 00:09:44 cardiovascular, decision aid, electronic decision support software, evaluation, medical informatics ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=33 "Grand Families" Changing Roles in Non-parent Headed Households<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=b_YEMc26jh4:deDoG7F3_jk:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=b_YEMc26jh4:deDoG7F3_jk:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/b_YEMc26jh4" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/b_YEMc26jh4/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=32 Fri, 18 Jul 2008 09:00:00 +1000 IPP-SHR, CQU "Grand Families" Changing Roles in Non-parent Headed Households According to the 2000 US census approximately 4.5 million children were living in a grandparent household. To discuss this growing social phenomenon IPP-SHR podcast host, Hamish Holewa spoke with Dr Catherine Tompkins about her study exploring the relationship between grandparents and the grandchildren in which the grandparent is the primary care giver. Discussed was the social situations that result in grandparents taking on the care of their grandchildren and the personal responsibility that grandparents feel towards taking on the care of their grandchildren. Further discussed were the form of grandparent/grandchild relationships and the circumstances that resulted in the grandchildren then becoming care providers of the grandparents. no 00:09:50 grandparent, grandchildren, primary care givers, grandparent-headed household, dyad ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=32 Social Workers' Fears of Threats<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=3DbUoaoXqLY:viVnxgAYHKY:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=3DbUoaoXqLY:viVnxgAYHKY:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/3DbUoaoXqLY" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/3DbUoaoXqLY/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=31 Fri, 11 Jul 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia Social Workers' Fears of Threats Fear of assault was found to be the top fear for social workers, followed by fear of death, losing control and being disapproved of respectively. For IPP-SHR Podcasts Michael Bouwman spoke with Dr Martin Smith about the fears social workers face every day in their working lives. Discussed was the notion that the perceived threat is just as serious as an attack; the building up of the expectation of the threat, and the consequences of being over-fearful and emphasising the threat can be greater than the threat itself. Martin noted that in such cases, an ordinary exchange can impinge on a worker's confidence and can be a catalyst for the onset of extreme fear, reducing the person into a non-person. Good supervision and support can help workers identify the fear spectrum and act before it impacts negatively on them. no 00:10:25 fear, threats, accusations, complaints processes, containment ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=31 Relatives' Experiences in Intensive Care<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=fq8stodQtV4:yg3voEL2k30:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=fq8stodQtV4:yg3voEL2k30:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/fq8stodQtV4" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/fq8stodQtV4/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=30 Fri, 20 Jun 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia Relatives' Experiences in Intensive Care Intensive Care Units (ICU) can be alien and frightening environments for relatives caring for those close to them. Hamish Holewa, talked to Research Nurse, Anne Agard about her study exploring the experiences of relatives of patients in ICU. Anne explained that the presence of high-tech equipment, differing and numerous sounds, and ICU policies and rules act to increase the uncertainty. It was reported that ICU staff's ongoing exposure to the ICU environment can have a desensitising effect which can negatively impact upon the effective assessment of relatives' needs. Anne discussed three dominant coping strategies that relatives employee, including: enduring uncertainty, putting self aside and forming personal cues. Such strategies must be understood by health professionals involved within the critical care process to decrease further negative sequelae of the experience of relatives caring for loved ones in ICU. no 00:08:35 Intensive care, relatives, experiences, qualitative research ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=30 The Politics of Orphanhood - an Ethiopian Study<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=ky6ilEYqeFo:pSw8xHMcvV4:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=ky6ilEYqeFo:pSw8xHMcvV4:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/ky6ilEYqeFo" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/ky6ilEYqeFo/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=29 Fri, 13 Jun 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia The Politics of Orphanhood - an Ethiopian Study Despite popular opinion, 70% of orphans in Ethiopia are non-AIDS orphans, with most orphaned due to famine, war, disease and abandonment mainly due to poverty. For this week's podcast, Michael Bouwman spoke to Dr Tatek Abebe about the complexities of orphan care in Ethiopia. Tatek emphasised the importance of not viewing orphans as victims, as this fails to capture the burden of care shouldered by orphans, their families and communities. Also discussed were factors that influence the quality of care that orphans receive, the influences that surround who a family will provide care for, and how these orphans view themselves as 'resources' to the families that care for them. The outcomes of this study show the need for higher government involvement in care, intervention strategies need to involve disadvantaged children, in general, and to listen to the views of orphans and acknowledge their contributions to the family. no 00:07:06 Ethiopia, HIV/AIDS, orphans, extended families, children, qualitative ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=29 Parental views on pediatric pain management in Jordanian Cancer Hospital<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=Y2F2rc-JSTI:2CIr8m5MA_0:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=Y2F2rc-JSTI:2CIr8m5MA_0:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/Y2F2rc-JSTI" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/Y2F2rc-JSTI/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=28 Fri, 06 Jun 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia Parental views on pediatric pain management in Jordanian Cancer Hospital Children's pain management represents a challenge for health professionals and caring institutions worldwide. For IPP-SHR podcasts, Hamish Holewa spoke to Paula Forgeron, about this problem and the fact that in developing countries - the focus being on Jordan - government regulations, lack of training and not enough health professionals result in paediatric pain management either being ignored or under treated. Paula discussed that through her study, the opposite occurred to what previous literature had stated: parents in Jordan wanted their child's pain managed, that mothers wanted to make decisions about care and no concerns were raised about addiction. This study challenged the religious assumptions that had been placed on the parents and revealed that almost all the parents felt that their worst pain experience was to see their child in pain. no 00:10:23 Pediatric pain, pain service, child health services, cancer pain, developing countries ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=28 The 'Good Nurse' viewpoints from Japanese Patients<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=KMixxlE10Xc:FEe3FzzQM4Y:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=KMixxlE10Xc:FEe3FzzQM4Y:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/KMixxlE10Xc" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/KMixxlE10Xc/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=27 Fri, 30 May 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia The 'Good Nurse' viewpoints from Japanese Patients Literature suggests that nurses' ethical approach is driven by good moral sense and rarely by principles. Michael Bouwman spoke to Dr Seiko Izumi, for the next series of IPP-SHR podcasts. Seiko discussed her multi-national collaborated study on what defines a 'good nurse' and the ethical standpoint of Asian countries was looked at in comparison with the strong influence from western theories. The outcomes of the study found that most ethical acts of nurses were driven by a deep moral virtue rather than following predefined principles. Patients felt a good nurse is a good person, interested in the patient, with professional competence. The use of the Japanese Kanji character of the person (hito) symbolises the relationship between a good nurse and patient. A patient not only wants to be treated as a person, but also be treated by a person. no 00:09:54 cancer patients, Japanese, nurse-patient relations, nursing ethics, phenomenology, professional comportment, virtue ethics ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=27 Community Programs and Neonatal Care in South Africa<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=A9TcwE0Qs0w:6zYROawnK6I:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=A9TcwE0Qs0w:6zYROawnK6I:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/A9TcwE0Qs0w" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/A9TcwE0Qs0w/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=26 Fri, 23 May 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia Community Programs and Neonatal Care in South Africa Statistics show that newborn and maternal deaths in South African are higher than most middle income countries. Hamish Holewa, for IPP-SHR podcasts, spoke with Dr Debra Jackson about the factors that impact the utilisation of maternal health services. Discussed were the issue of gaps in service coverage and quality, which, if improved, could prevent most of the causes of maternal and newborn deaths. Also talked about was the methodology used within the study of obtaining information on how women utilised ante-natal and post-natal care, and what factors resulted in a higher or lower level of utilisation. As the main cause of death is AIDS, understanding, encouragement and more focus on saving the mother's life, as well as the baby's, can drastically improve the situation. no 00:09:48 HIV/AIDS, infant mortality, maternity care, maternal mortality, neonatal follow-up, postpartum care, situation analysis, utilization of health services, verbal autopsy ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=26 Decision Making at Birth: New Strategies for Midwifes<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=KtGyZTb_rgs:ZCM7IJMD-98:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=KtGyZTb_rgs:ZCM7IJMD-98:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/KtGyZTb_rgs" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/KtGyZTb_rgs/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=25 Fri, 16 May 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia Decision Making at Birth: New Strategies for Midwifes When it comes to birthing practices, most decisions are made by health professionals with little involvement from the birthing mother. Michael Bouwman recently talked to Dr Sam Porter about his study on the new directions in decision making strategies of midwives, which incorporate using known skills and knowledge to work in collaboration with mothers. Sam talked about the most commonly used method being a classic protocol driven approach, the relevance of power in decision making, in relation to a safe birth and healthy mother and child, and the experience being a positive one for the mother. The role of the midwifery managers and their incorporation of the new approach was also discussed, allowing for a balance between protocol and the involvement of the mother in her birthing decisions. no 00:10:33 clinical decision-making, focus groups, midwifery, new professionalism, observation, qualitative research ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=25 Cancer Survivors and the Successful Return to Work<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=IdJmMxAJND0:GCFue63z1xE:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=IdJmMxAJND0:GCFue63z1xE:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/IdJmMxAJND0" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/IdJmMxAJND0/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=24 Fri, 09 May 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia Cancer Survivors and the Successful Return to Work With a 66% overall 5 year relative survival rate for cancer patients during 1996 to 2003, cancer survivorship represents an increasing significant issue in regards to survivors returning to work. For this IPP-SHR Podcast, Hamish Holewa talks to Dr Nancy Nachreiner about her recent study on cancer survivors and their return to work. Discussed issues include returning to work for cancer survivors: the importance of work in a persons life, the increased survival rate of cancer sufferers, and the potential benefits to both employees and employers on having successful return to work policies. Practical implications of this study were also discussed including issues of physician support, providing background knowledge, and the need for suitable planning before returning to work. no 00:08:35 Psycho-oncology, psycho oncology, survivorship, cancer, return-to-work, mortality ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=24 Lay Health Care Worker Programs in South Africa<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=OW7sWSPhs0s:1N3CLI3Apt0:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=OW7sWSPhs0s:1N3CLI3Apt0:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/OW7sWSPhs0s" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/OW7sWSPhs0s/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=23 Fri, 02 May 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia Lay Health Care Worker Programs in South Africa Michael Bouwman recently spoke with Dr Marina Clarke as part of the IPP-SHR podcasts. Discussion involved the implementation and evaluation of a community outreach health care approach, undertaken by primary health care nurses in the South African agricultural sector. Also discussed where problems associated with changes to legislation, high incidence of alcohol abuse and the degradation of workers living conditions, have made it more difficult to provide health care. Marina and Michael also talked about the intervention itself, the use of trained volunteers who were lay health workers and the feedback Marina received from these health workers about being involved. The podcasts focuses on the practical implications of identifying and training people to support and train lay health workers and talking about what has been learned from this approach, Marina indicated that successful integration of lay health workers requires a community development approach, one that requires education of local politicians, policy makers and health care members. no 00:11:20 Agriculture, Community Programs, Integrated Care, Lay Health Worker, Nurse, Poverty, Primary Health Care, South Africa, Tuberculosis. ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=23 Supporting Sibilings through Paediatric BMT<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=Y_x85Nut1VI:auvzxrNJyjE:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=Y_x85Nut1VI:auvzxrNJyjE:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/Y_x85Nut1VI" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/Y_x85Nut1VI/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=22 Fri, 25 Apr 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia Supporting Sibilings through Paediatric BMT Hamish Holewa recently spoke with Krista Wilkins about her study on supporting siblings through the paediatric bone marrow transplant trajectory. Krista spoke about the link between good information, truthfulness and choice and the implications for clinical practice and whether the findings have been translated into better supportive care for siblings. no 00:08:00 BMT, bone marrow transplant, family, communication, siblings, paediatric, pediatric ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=22 Surrogate Decision-Making<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=ReScX7WnSos:tYECjkeHGb0:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=ReScX7WnSos:tYECjkeHGb0:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/ReScX7WnSos" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/ReScX7WnSos/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=21 Fri, 18 Apr 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia Surrogate Decision-Making For IPP-SHR podcasts, Michael Bouwman talked with Dr Elizabeth Vig about her study and article on surviving surrogate decision-making. Lisa and Michael discussed the notion of end-of-life surrogate decision-making in health and that the surrogates' characteristics, life circumstances and social networks affect the surrogate experience of decision-making. Lisa talked about her findings and how they highlight the complexity of relationship and communication issues for the surrogate-patient and for the surrogate-clinician, and detailed her suggestions for reducing surrogates stress. no 00:09:00 Communication, bioethics, consent, ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=21 Technology and Care in ICU<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=qWGo9JXk4ic:2eD6QwJPvdE:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=qWGo9JXk4ic:2eD6QwJPvdE:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/qWGo9JXk4ic" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/qWGo9JXk4ic/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=20 Fri, 28 Mar 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia Technology and Care in ICU IPP-SHR's podcast host, Hamish Holewa, speaks with Anne Charlott Wikstrom, Head of the Division in the Department of Nursing, Health and Culture at University West, Trollhattan, Sweden, about research she has done exploring the meaning of technology in intensive care units. Hamish and Anne discuss some of the ethical dilemmas associated with using technology in this context and engage in an interesting exploration of the notion of technology being embedded in care and medical treatment. no 00:09:00 technology, care, bioethics, communication, hierarchy, communication ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=20 Reproductive Intentions Among HIV Positive<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=H-tqh2MCU_8:lEPtT60hMxE:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=H-tqh2MCU_8:lEPtT60hMxE:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/H-tqh2MCU_8" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/H-tqh2MCU_8/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=19 Fri, 21 Mar 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia Reproductive Intentions Among HIV Positive Michael Bouwman recently talked with Dr Diane Cooper about her study on reproductive intentions among HIV-positive women and men in South Africa. Michael and Diane discussed the context of the work on the reproductive choices of HIV positive men and women in South Africa, and why there is previously no research completed on this topic. Diane also discussed with Michael the role that ART (antiretroviral treatment) and PMTCT (prevention of mother-to-child HIV transmission) now play in influencing reproductive choice, and Diane talked about what recommendations she has to inform the development of supportive policy and programs for safer and healthier reproductive options among HIV positive individuals in South Africa. no 00:09:00 HIV, reproductive, qualitative, psychosocial, ethics ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=19 Health Failure Prognosis Communication<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=fsU6ApgNqs4:bPrUgvuOnT0:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=fsU6ApgNqs4:bPrUgvuOnT0:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/fsU6ApgNqs4" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/fsU6ApgNqs4/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=18 Fri, 14 Mar 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia Health Failure Prognosis Communication Hamish Holewa recently caught up with Dr Patricia Caldwell to talk about her study and article on preferences of patients with heart failure for prognosis communication. Hamish and Patricia discussed the disadvantages heart patients faced when discussing and attending to end-of-life issues. The study explored issues including truth-telling, wellness, end-of-life planning and positive experiences of qualitative methodology in exploring end-of-life issues. Hamish and Patricia also discussed her findings on hope for quality of life, symptom control and control over end of life decisions, as well as the practical implications of the study's findings. no 00:10:23 communication, heart failure, CPD, prognosis communication, palliative care ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=18 Chemotherapy and Needle Anxiety<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=XqgaxBtVCq8:m6SneVl9YOU:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=XqgaxBtVCq8:m6SneVl9YOU:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/XqgaxBtVCq8" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/XqgaxBtVCq8/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=17 Fri, 07 Mar 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia Chemotherapy and Needle Anxiety Michael Bouwman recently talked with Anna Cox about needle anxiety after going through chemotherapy. Anna and Michael talked about the difference between needle phobia and needle anxiety, and what created Anna's interest in this area. Anna also talked about her findings on the causative relationship between the experience of chemotherapy and the development of needle anxiety. Michael and Anna also discussed practical and psycho-social strategies recommended to prevent this needle anxiety, including the monitoring of chemotherapy regimes for their effect on a patients psycho-social well-being. no 00:08:25 Chemotherapy, psychosocial side effects, needle anxiety, cancer, oncology, haematology ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=17 Ethical Dilemmas in Telephone Nursing<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=wKg4c5g9Uw0:zOlmdDyt0sw:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=wKg4c5g9Uw0:zOlmdDyt0sw:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/wKg4c5g9Uw0" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/wKg4c5g9Uw0/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=16 Fri, 29 Feb 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia Ethical Dilemmas in Telephone Nursing Hamish Holewa speaks with Swedish researcher Dr Inger Holmstrom about her study on the ethical dilemmas arising from telephone nursing. Hamish and Inger discuss the significant changes to health care in Sweden that have resulted in the expanding use of telephone nursing and Inger touches upon her motivation for conducting this research. Inger also speaks about the relevance of her findings to the experiences of moral stress and burnout found among nurses and suggests ways, identified in her research, for policy makers and service providers to address these concerns. no 00:08:00 telemedicine, tele nursing, psycho social issues, remote medicine, ethics, bioethics ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=16 Mental Health Consumers and the Therapeutic Relationship<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=lkpwosX1Jbk:fpVtMfbnDrU:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=lkpwosX1Jbk:fpVtMfbnDrU:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/lkpwosX1Jbk" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/lkpwosX1Jbk/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=15 Fri, 22 Feb 2008 09:00:00 +1000 IPP-SHR, CQU Mental Health Consumers and the Therapeutic Relationship Michael Bouwman talked with Mona Shattell about her study and article on mental health service recipients' experience of the therapeutic relationship. Mona and Michael discussed Mona's findings that touch, self-disclosure, and blunt feedback challenged some long-held beliefs. Mona also talked about other factors that she found to be important in what makes the "therapeutic" in a therapeutic relationship. Michael and Mona also talked about what feedback has come from health professionals or consumers and how that is making a difference in the real world. no 00:07:00 mental health, therapeutic relationships, psychosocial factors, recovery ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=15 Psycho-Social Influences on Breast Cancer Prognosis<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=5yZM5kCkMg4:cO9E8_q-P-c:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=5yZM5kCkMg4:cO9E8_q-P-c:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/5yZM5kCkMg4" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/5yZM5kCkMg4/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=14 Fri, 15 Feb 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia Psycho-Social Influences on Breast Cancer Prognosis Hamish Holewa talks with Petros Rafailidis about his involvement in a study of the effect of psycho-social factors on breast cancer outcomes. Hamish and Petros discuss the psycho-social factors that have been found to be relevant to disease outcome and Petros talks about the limits of research in this area and the fact that conflicting evidence exists on the impact of psycho-social factors. no 00:07:58 Breast cancer, systematic review, psyscho social factors, health determinants, ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=14 Cardiac Pain or Panic Disorder?<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=y_Ft9HNKQAo:PvLhaSJX0WY:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=y_Ft9HNKQAo:PvLhaSJX0WY:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/y_Ft9HNKQAo" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/y_Ft9HNKQAo/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=13 Fri, 08 Feb 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia Cardiac Pain or Panic Disorder? In this IPP-SHR podcast Michael Bouwman talks with Helen Hamer about her research into the difficulties health professionals' face in distinguishing between cardiac pain and panic disorder within an emergency room context. Helen and Michael discuss Helen's motivation for doing this research, the difficulties associated with diagnosing panic disorder and the ways in which health professionals go about managing such uncertainty and ambiguity. no 00:08:00 cardiac pain, panic disorder, anxiety disorder, emergency decision making, bioethics, psychosocial factors, ambiguity in diagnosis ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=13 Health Services Priority Setting<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=jZQVKJT5rrI:OVP9SBTooF8:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=jZQVKJT5rrI:OVP9SBTooF8:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/jZQVKJT5rrI" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/jZQVKJT5rrI/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=12 Fri, 01 Feb 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia Health Services Priority Setting Hamish Holewa talks with Dr Lydia Kapiriri about her research on priority setting in developing country health care institutions, which was conducted within a Ugandan hospital. Lydia talks about the varied ethical and priority setting concepts documented by the study and how the findings of this research can be translated into practice. no 00:09:00 health economics, priority setting, Uganda, developing countries, bio ethics, qualiative, accountablity of reasonableness ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=12 Participation in Qualitative Research<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=m7FZasE1Ugk:ScytYv0M5JI:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=m7FZasE1Ugk:ScytYv0M5JI:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/m7FZasE1Ugk" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/m7FZasE1Ugk/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=11 Fri, 25 Jan 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia Participation in Qualitative Research Michael Bouwman talks with Dr Elizabeth Peel about research she has done exploring why people take part in qualitative research. Michael and Elizabeth discuss Elizabeth's motivation to do this work and, as well as why she chose a qualitative methodology to explore these issues. Elizabeth also speaks about the insights her findings provide into the role of nurses in the research recruitment process and the important factors that drive participation in research. no 00:07:53 Qualitative Research, Psychosocial factors, Benefits ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=11 Health Providers' Illness Naratives<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=8b9EWd0gibY:T6mXKsgHJ5M:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=8b9EWd0gibY:T6mXKsgHJ5M:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/8b9EWd0gibY" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/8b9EWd0gibY/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=10 Fri, 18 Jan 2008 09:00:00 +1000 IPP-SHR, CQUniversity Australia Health Providers' Illness Naratives IPP-SHR host Michael Bouwman talks with Dr Robert Kempainen about his qualitative study analysing personal illness narratives written by health care professionals. Michael and Robert discuss the findings of this research; the unique issues this study raises for health professionals and consumers; and how these findings can be used for educational purposes. no 00:08:00 health providers, qualitative study, health care professional, ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=10 Dr Judith Kaur from the Mayo Clinic USA talks about Indigenous Cancer Issues<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=5jH0G0grPMg:YR0xkF-SV0o:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=5jH0G0grPMg:YR0xkF-SV0o:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/5jH0G0grPMg" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/5jH0G0grPMg/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=9 Fri, 21 Dec 2007 09:00:00 +1000 IPP-SHR, CQUniversity Australia Dr Judith Kaur from the Mayo Clinic USA talks about Indigenous Cancer Issues This special long play installment of the occasional lecture series looks at Indigenous health issues in North America from the unique perspective of Dr Judith Kaur, a Choktoi Cherokee, and one of only two American-Indian medical oncologists in the USA. Dr Kaur is the medical director of the American Native Programs at the Mayo Clinic Comprehensive Cancer Centre, which is involved in outreach with American Indians and Indigenous Alaskans. Dr Kaur's research includes a special interest in women's cancer, especially cervical and breast cancer. She is associate professor of oncology in the Mayo Clinic College of Medicine. She is also the medical director of the Mayo Clinic Hospice and chair of the palliative care taskforce. THIS IS THE LAST PODCAST FOR 2007. WISHING YOU SEASONS GREETINGS AND A HAPPY NEW YEAR. WE WILL BE RETURNING FOR WEEKLY PODCASTS ON THE 18TH OF JANUARY 2008. no 00:54:42 Indigenous, Cancer Control, Prevention, Native Americans, Mayo, Psychosocial Issues ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=9 Patient Expectations of Blood Testing<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=SPUqy-v16KE:LLo8id12dmQ:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=SPUqy-v16KE:LLo8id12dmQ:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/SPUqy-v16KE" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/SPUqy-v16KE/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=8 Fri, 14 Dec 2007 09:00:00 +1000 IPP-SHR, CQUniversity Australia Patient Expectations of Blood Testing Hamish Holewa interviews Dr Marloes van Bokhoven about work she has done exploring why patients want to have their blood tested. Marloes discusses her motivation for conducting research into patients' expectations of blood testing; her findings that patients' often hold high expectations of blood testing; and the fundamental tension highlighted in her research between maintaining the magic of testing and handling the misunderstood disadvantages associated with screening. no 00:06:59 GP, general practice, qualitative, blood testing, patient expectation, screening, psychosocial ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=8 Schizophrenia in China and India<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=hdkIsPE5qC4:ePrQmpKrZfE:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=hdkIsPE5qC4:ePrQmpKrZfE:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/hdkIsPE5qC4" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/hdkIsPE5qC4/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=7 Fri, 07 Dec 2007 09:00:00 +1000 IPP-SHR, CQUniversity Australia Schizophrenia in China and India In this IPP-SHR Podcast, host Stasia Kail-Buckley talks with Professor Louise Higgins about her research exploring mental health nurses' experiences of schizophrenia care in China and India. Louise and Stasia discuss the issues relating to care within these cultures, and the similarities and differences between the western model of care and Chinese and Indian approaches. The interview concludes with a discussion of the potential for these findings to be incorporated into western mental health systems to improve outcomes for individuals with schizophrenia. no 00:08:00 mental health, psychosocial, china, india, nurses experience, qualiative methodology ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=7 Maintaining Face in the presentation of depression<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=nMn-ITgx4ZA:vkGAEIC1Vx8:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=nMn-ITgx4ZA:vkGAEIC1Vx8:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/nMn-ITgx4ZA" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/nMn-ITgx4ZA/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=6 Fri, 30 Nov 2007 09:00:00 +1000 IPP-SHR, CQUniversity Australia Maintaining Face in the presentation of depression Michael Bouwman talks with Dr Kristian Pollock about her study on maintaining face in the presentation of depression in medical encounters. Kristian and Michael talk about the tension between the benefits of saving face verses the benefits of appropriate diagnosis and treatment. They also discuss the qualitative research process adopted in Kristian's study, focusing on how the findings on 'face' emerged from the data analysis. no 00:07:51 Depression, GP consultation, mental health, mental health models, anti depressents, ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=6 Community Based Services for Mothers at High Psycho-Social Risk<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=r4_UnREveIo:uo1nX9PWrTY:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=r4_UnREveIo:uo1nX9PWrTY:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/r4_UnREveIo" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/r4_UnREveIo/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=5 Fri, 23 Nov 2007 09:00:00 +1000 IPP-SHR, CQUniversity Australia Community Based Services for Mothers at High Psycho-Social Risk In this podcast Hamish Holewa talks with Professor Maria Jose Rodrigo Lopez, who has been involved with a Spanish study evaluating a community centre-based program for mothers facing significant barriers to effective parenting. Hamish and Professor Rodrigo-Lopez discus her involvement in this program, how the program is run and it's effectiveness at supporting mothers to engade in positive parenting practices. no 00:07:42 childhood, parenting, psycho-social risk, community based programs ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=5 Positive Outcomes Gained from Touch Therapy for Autistic Children. Stasia Kail-Buckley recently talked to Dr Lesley Powell about her study and subsequent article into the positive outcomes gained from touch therapy for autistic children.<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=tvCb2it22yQ:wg70qEX-I5o:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=tvCb2it22yQ:wg70qEX-I5o:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/tvCb2it22yQ" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/tvCb2it22yQ/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=4 Fri, 16 Nov 2007 09:00:00 +1000 IPP-SHR, CQUniversity Australia Positive Outcomes Gained from Touch Therapy for Autistic Children. Stasia Kail-Buckley recently talked to Dr Lesley Powell about her study and subsequent article into the positive outcomes gained from touch therapy for autistic children. Stasia Kail-Buckley talks with Dr Lesley Powell about her study exploring the experience of touch between children with autism and their parents. Dr Powell discusses the positive outcomes that autistic children were found to gain from touch therapy and the way in which this practical intervention can empower parents. no 00:06:54 autism, children, touch therapy, ipp-shr, health, psycho social research, cquniversity ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=4 Consumer Operated Self-Help Centres in New Jersey, USA. Michael Bouwman spoke with Dr Margaret Swarbrick, who has been involved in a study on consumer operated self help centres in New Jersey USA. Michael's podcast discussion with Dr Swarbrick focussed o<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=wfN4XYnsA_4:ug9h4jDaTdU:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=wfN4XYnsA_4:ug9h4jDaTdU:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/wfN4XYnsA_4" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/wfN4XYnsA_4/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=3 Fri, 09 Nov 2007 09:00:00 +1000 IPP-SHR, CQUniversity Australia Consumer Operated Self-Help Centres in New Jersey, USA. Michael Bouwman recently spoke with Dr Margaret Swarbrick, who has been involved in a study on consumer operated self help centres in New Jersey USA. Michael's podcast discussion with Dr Swarbrick f Michael Bouwman spoke with Dr Margaret Swarbrick, who has been involved in a study of consumer operated self help centres in New Jersey, USA. Michael's podcast discussion with Dr Swarbrick focussed on the success of these self help centres in aiding people's recovery from mental illness, some of the obstacles faced in the data collection and relevant feedback received from the study. no 00:00:47 self help centres, recovery, mental health, ipp-shr, health, psycho social research, cquniversity ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=3 Fathers' Thoughts on Caring for their Young Children with Type 1 Diabetes. Stasia Kail-Buckley talked to Dr Sullivan-Bolyai about her study and article, the difficulties these fathers faced and their fears and achievements in learning how to care for a<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=YvXABv7irXY:7Ib-kURBRGU:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=YvXABv7irXY:7Ib-kURBRGU:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/YvXABv7irXY" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/YvXABv7irXY/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=2 Fri, 02 Nov 2007 09:00:00 +1000 IPP-SHR, CQUniversity Australia Stasia Kail-Buckley talked to Dr Sullivan-Bolyai about her study and article, the difficulties these fathers faced and their fears and achievements in learning how to care for their child with type 1 diabetes. Stasia Kail-Buckley talked to Dr Susan Sullivan-Bolyai about her study of the parenting experiences of fathers of children with Type One Diabetes. Through their discussion, Stasia and Susan explore the difficulties these fathers face, their fears, and their achievements in learning how to care for their children and be a strong support in their lives. no 00:08:59 fathers, children, type 1 diabetes, ippshr, health, psycho social research, cquniversity ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=2 Difficulty in management of non specific acute back pain in the UK. Michael Bouwman talked to Dr Alan Breen who recently completed a study on GP management of acute back pain in the United Kingdom.<div class="feedflare"> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=y9jvQJqQLvo:QRfAPM-_NSk:yIl2AUoC8zA"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=yIl2AUoC8zA" border="0"></img></a> <a href="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?a=y9jvQJqQLvo:QRfAPM-_NSk:63t7Ie-LG7Y"><img src="http://feeds.feedburner.com/~ff/ipp-shr_podcasts?d=63t7Ie-LG7Y" border="0"></img></a> </div><img src="http://feeds.feedburner.com/~r/ipp-shr_podcasts/~4/y9jvQJqQLvo" height="1" width="1"/> http://feedproxy.google.com/~r/ipp-shr_podcasts/~3/y9jvQJqQLvo/ http://www.ipp-shr.cqu.edu.au/podcasts/?id=1 Sat, 27 Oct 2007 09:00:00 +1000 IPP-SHR, CQUniversity Australia Difficulty in management of non specific acute back pain in the UK. Michael Bouwman talked to Dr Alan Breen who recently completed a study on GP management of acute back pain in the United Kingdom. Michael Bouwman talked to Dr Alan Breen who has recently completed a study on GP management of acute back pain in the United Kingdom. Michael and Alan discuss the difficulties encountered by GPs managing patient issues relating to acute non-specific back pain and the lack of guiding evidence available in this area. no 00:07:40 ippshr, health, psycho social research, cquniversity ipp-shr@cqu.edu.au (IPP-SHR, CQUniversity)http://www.ipp-shr.cqu.edu.au/podcasts/?id=1 IPP-SHR, CQUniversitynonadultIPP-SHR Podcasts - A detailed look in the world of psycho-social health research