Health Matters WBOP May 2016 | Page 3

Take a Breath of Fresh Air This May Quitting smoking can be a difficult process but things like creating a smokefree car and home are a great step in the right direction. “Creating a smokefree car and home helps protect family and visitors from secondhand smoke,” says Bay of Plenty District Health Board (BOPDHB) Smoking Cessation Co-ordinator Wendy Tustin-Payne, who is helping promote World Smokefree on Tuesday 31 May. “More than 350 New Zealanders die from secondhand smoke each year, and the dangers of smoking remain long after the cigarette has been extinguished.” The dangers of second-hand smoke are well known and recent research is bringing to light the dangers of third-hand smoke. This occurs from ash and smoke that settles on the surface of furniture, carpet and car interiors which can be ingested or inhaled, even long after smoking has stopped. “Children in particular are vulnerable to the effects of cigarette smoke, and often don’t have a choice to move away,” says Wendy. “Not smoking around children also sets a good example, as research indicates children with parents who do smoke are three times more likely to take up smoking themselves.” This May, why not make your home and car smokefree, and encourage others to do. Ask friends and whānau to support you by not smoking in your car and home, put up ‘no smoking’ stickers, and be a positive role model by not smoking around children. If you are thinking about quitting smoking, or want some advice on creating smokefree environments contact Quitline on 0800 778 778. They provide free quit smoking counselling, nicotine replacement therapy and information about cessation medication, and can help you link up with local support services. Free smokefree stickers and resources can be ordered online via the Health Promotion Agency website www.hpa.org.nz Clarity over Care Decisions Reduces Stress of Mum’s Final Days “It feels good to know we got it right for mum,” says Rangitawhai Rahiri. Rangitawhai’s mother Rauhina Moke died less than four weeks ago, aged just 63. Her diagnosis of terminal cancer, in June 2015, rocked her family but one simple document, a Future Care Plan, helped bring clarity and reduce some of the stress of her last days. Rangitawhai Rahiri has encouraged other family members to complete a Future Care Plan. Rangitawhai has now spread the word about Future Care Plans to several other members of her extended family. “She obviously didn’t have any control over the cancer so this (a Future Care Plan) at least gave her a sense of control over what was going to happen at the end. She was very excited about that. “Families need to discuss this, because if you don’t, when the time comes and someone gets sick, you run around like headless chickens and can make bad decisions. “She would whip out her care plan to everyone who came in our house, get them to take a look and read it. Pretty much everyone who would listen got to hear about it.” “Sometimes when it’s left to one person to decide everything that’s what can split families because disagreements arise. Here there’s no argument because it’s there in black and white.” Rangitawhai says for her family, having Rauhina’s wishes written down by her, took away a lot of pressure and helped them cope better with the fact they were losing her. “It made things heaps easier for her care, and after she passed as well. It saves having to think about these things when you don’t feel like thinking about them. any loaned hospital equipment to Tauranga Hospital’s main reception. “Everything was coming from her. Right down to her funeral, it was all in her care plan and she would keep scribbling things on it. At her tangi I was walking around with it in my handbag in case I had to whip it out and clear anything up.” “If you knew my mum you would know that she liked to be in control of things,” laughs Rangitawhai from Te Puke. A Future Care Plan is a document which gives people the opportunity to write down their wishes for their healthcare. This includes things such as: people you would like involved in decision-making, your spiritual or cultural needs, even simple preferences such as a fondness for spicy food or bright rooms for example. Rauhina Moke, who passed away on 21st March, was a passionate advocate of Future Care Plans. “There are lots of things we don’t discuss, especially to do with sickness, there’s a lot kept secret. But going through this process has definitely made our family closer. PLEASE RETURN For more information on future/advance care planning go to www. advancecareplanning.org. nz To download a Future Care Plan go to the BOPDHB website www.bopdhb.govt.nz/ media/58138/my-futurecare-plan-paua.pdf Free hard copies of the Future Care Plan are available at the receptions of both Tauranga and Whakatane Hospitals. Thank you.