Health Matters EBOP July 2019

Bay to benefi t from $5 million fund focused on ageing well Did you know? • 24 hours of bed-rest reduces your muscle power by 2.5% and not just in your arms and legs but in your heart and lungs. • Older adults living at home typically take 900 steps per day but in hospital most patients only take 250 steps per day. • Longer bed rest leads to a longer stay in hospital and greater risk of infection. • For people 80plus, one week in bed ages their muscles by 10 years. Get Well and Get Home sooner Whakatāne Hospital staff swap their regular work attire for activewear supporting ‘Get Up ,Get Dressed, Get Moving’. Helping people age well, retaining a more active lifestyle in the process, is the focus of a new $5 million fund. And a handy smartphone app is just one of the ways in which the money will be used to help do that. The funding from the Ministry of Business, Innovation and Employment (MBIE) will support the AWESSoM (Ageing Well through Eating, Sleeping, Socialising and Mobility) trial, scheduled to begin in September and which the Bay of Plenty District Health Board (BOPDHB) will participate in. AWESSoM is headed by Professor Ngaire Kerse from the University of Auckland but a researcher will be based in the Bay of Plenty throughout. Part of the trial will involve adapting a smartphone LifeCurve app which supports healthy ageing. “In Scotland the LifeCurve is used to support healthy ageing and to identify where Allied Health professionals should be intervening,” says BOPDHB Allied Health Director Dr Sarah Mitchell, who worked on a similar programme in Scotland. Sarah says the work looked at the sub-optimal life curve (where people endured a long period of decline) and the optimal curve (where people retained more function for longer as they aged). to not being able to eat independently,” says Sarah. “You can tell a person they are either mildly frail, moderately frail, or severely frail, but that doesn’t mean anything to them and is a very defi cit based approach. But if you can tell them where they are based on what things they are able, or unable, to do, that means so much more and focuses on their assets rather than their defi cits. “This is where you are but if you do this, this and this, you can get better. It’s simple but eff ective. It might also then suggest activities the person might like to pursue to improve or maintain their function. “It might for example, suggest a local aqua aerobics class with one of our partner agencies,” added Sarah. “Because it’s fun and easy for people, using real-life examples of everyday tasks, it really resonates. People love it. “At the end of the day what we’re trying to do is to help people live healthier happier lives as they age. The work in Scotland was based on where it was best to concentrate our eff orts to do that. The idea was to shift our Allied Health expertise and in some cases resources much closer to the top of the curve so that people could benefi t more.” Stylish activewear on show as hospital staff support ‘Get Up, Get Dressed, Get Moving’ Tauranga and Whakatāne hospital staff swapped their regular work clothes for their best active gear recently, in support of the global Get Up, Get Dressed, Get Moving campaign. Linked to the social movement #endPJparalysis, the campaign highlights the importance, particularly for older patients, of keeping active while in hospital. There is plenty of evidence that immobility in hospital leads to deconditioning, loss of functional ability and cognitive impairment. For the older person even a few days bed rest can cause a rapid decline in muscle strength and lead to an increased stay in hospital and complications. BOPDHB Nurse Practitioner Rosie Winters Sarah says the proposed app will take people through a series of questions based on everyday tasks to assess their functionality. This information will then be used to compare the user with others of comparable age. “Normal ageing starts with the process of not being able to cut your toenails and progresses through a number of stages all the way through Just over a year ago the Bay of Plenty Health Consumer Council (BOPHCC) began its work in the Bay of Plenty to help bring the consumers perspective on health issues to the forefront of the Bay of Plenty District Health Board. Consumer Council Chair John Powell A smartphone app is one of the ways funding will be used for the new Ageing Well through Eating, Sleeping, Socialising and Mobility Programme being trialled in the Bay of Plenty. says, “Traditionally people think if they’re in hospital they must stay in bed. We need to shift that mindset and, as soon as possible encourage our patients to get up and move. “When patients come in and change into gowns they sometimes tend to retract into a passive role. “Getting up and moving has been shown to reduce the risk of falls, improve strength and stamina and enable patients to recover sooner.” As part of the campaign, Allied Health teams in both hospitals organised activities on the wards encouraging patients to be active. Patient meals were also delivered with additional tray liners with the message “Get better sooner by following the 3Gs – Get up, get dressed, get moving.” Bay of Plenty Health Consumer Council update “We’re living longer but we don’t want that to translate as just more years of decline. We want our work as Allied Health professionals to be improving people’s lives and that means targeting the work earlier on the curve where it can have an impact and keep people more active and mobile. “What we found in Scotland was that 43% of our work was taking place towards the end of the curve. So basically a massive amount of functional decline was going on without people seeing Allied Health professionals.” • Get up - spend less time on the bed and eat meals whilst sitting in a chair. • Get dressed - get changed into comfortable day clothes. • Get moving - walk to the bathroom and regularly around the ward . The BOPHCC is an advisory and advocacy body which will endeavour to represent the Bay of Plenty community to advance the BOPDHB’s mission of “Enabling communities to achieve good health, independence and access to quality services.” Chair of the Council John Powell says the past 12 months have been an active time of learning for its 14 members who come from both the Eastern and Western Bay of Plenty. “We have received briefi ngs about the many health services provided in the Bay of Plenty, have visited Whakatāne Hospital, met with local health leaders and practitioners from Māori, youth, mental health and other services and participated in working groups with the Health Quality & Safety Commission, Ministry of Health and General Practitioners New Zealand,” says John. “This has helped us gain a wider insight into the provision of health services and areas that may need greater attention in the Bay of Plenty.” The priority for the Council has been identifying areas where the Council can provide the DHB with input from Bay of Plenty consumers. These areas include prevention and early detection programme/services, keeping children well and out of hospital, healthy, safe and supported youth, person and family/whānau centred care, a healthy start for all babies and improving lives of those with disabilities and/or long term need, and the eff ective use of health resources. “We are not set up to receive complaints from the public, but to be a helpful and clear consumer voice to the BOPDHB.” John is keen to emphasise the strong commitment from the members of the Health Consumer Council to work with anyone who has used, is using, or will use any form of publicly funded health service, in the Bay of Plenty. To contact the BOP Health Consumer Council email consumercouncil@bopdhb.govt.nz