Health Matters WBOP November 2018

Ward style Café lifts patients’ spirits Every Monday and Thursday the patient lounge within the Health in Ageing Ward at Tauranga Hospital is a hive of activity as patients mingle in what now has become their very own café. The café style setting encourages patients to talk to each other and make connections. “There’s a real café atmosphere. Staff can join in too on the proviso that they bring a patient with them.” Josie has been working on the ward for more than 16 years. She’s a firm believer in Reminiscence Therapy. Health Care Assistant Josie Bidois and Physio Assistant Annie Duffy came up “It lifts their spirits when they with the idea as part of discussions to can talk and reminisce about the improve services supporting patients’ Pictured Josie Bidois with Vonnie good old days and a lot of laughter rehabilitation journey and wellbeing. Keightley enjoying a cuppa in the can be heard throughout the ward. “A lot of our patients are at the stage ward café. They like that people know that in their lives where many of their they can laugh and can tell a joke or two.” friends have passed away. They can become quite isolated and lose confidence to interact with others. And that feeling can be compounded by health issues such as having a fall or suffering a stroke,” says Josie. Feedback from patients and their families has been positive. The concept proving so popular that housie, and quiz sessions have also be held in the café. She says the café is a way of helping them to gain confidence to get up and about and out of their rooms. The café now has an outdoor dining area too complete with small plants and flowers donated by Josie and others to give patients a burst of sunshine on a fine day. The café has been operating for about four months. Food for the café is funded from donations from families. Josie organises the weekly menu and tries to keep it varied. It operates like the usual café except there are no café workers, instead staff including doctors and nurses are serving the patrons and money does not change hands. “It’s about supporting our patients to gain confidence to connect with others.  The patients can bring their visitors along too. There are no rules aside from there’s no take out – that would defeat the purpose.” Josie says she’s learnt a lot from patients on the ward over the years.  She recalls a patient with dementia whose loving family did everything for her, things that she was capable of doing herself.  One day Josie asked them to stop. The family realised what she was still capable of achieving herself, and the woman thanked Josie for this. Colin Wright (left) has travelled from Wellington to see Arthur Rush. The pair has been friends for more than 50 years. “That’s really stuck with me. A person with dementia doesn’t have to be lonely. Our motto was adopted from Maggi Kuhn – Old age is not a disease.” From the Chair Here we are at the end of another year - and this one has certainly been a busy and eventful year. A highlight for me personally each year is the opportunities I get, as Board Chair, to thank staff personally for their continual hard work and contribution to the success of our DHB. The staff service recognition awards at Whakatāne and Tauranga at this time of year are two events I really enjoy. We thank those who have been working with us for 10 years and then every five years after that. This year we had about 350 staff being recognised. It is a privilege to be able to say thank you for the years of service, working to improve the health of our communities. I also want to acknowledge the rest of the staff and all the other health providers across our communities. It is their dedication and commitment that means you receive the care you need throughout the year. We are constantly looking at new ways to make our services more responsive to our communities’ needs and this month we have some great articles for you to read. So please take the time to enjoy this edition. We are soon heading into the Christmas and holiday season and many of us will be taking off for holidays. I want to wish you all a peaceful Christmas and holiday period. Enjoy some relaxation and down time over the summer and ensure you Sally Webb, Chair Bay of Plenty District Health Board CARE for yourselves and you whānau. If you are leaving the Bay for Christmas, safe travels wherever you go. Everyone please remember when you are out in the superb summer we are going to have SLIP, SLOP, SLAP and WRAP. Arohanui Sally Webb Bright future: Whetu Matthews (left) with her son Jared Te Iti-Matthews and General Manager Māori Health Gains and Development Tricia Keelan.a Dramatic improvement in tamariki health indicator Manaakitanga, determination and teamwork are behind the dramatic improvement of a Māori health indicator which has led to a national target being met for the first time, says the head of BOPDHB’s Māori Health Gains and Development. one thing but we are aiming for Toi Ora, and, that means supporting and empowering oranga in oral health and also ensuring timely assessment and treatment. Untreated oral health issues go on to affect children long term if not addressed.” In a little over 18 months the number of Bay of Plenty Māori pre- schoolers enrolled for free dental health services has risen by over 2,300. That has resulted in a jump from 59% of the eligible population enrolled to 96%, exceeding the national target. “Oranga niho - healthy baby teeth are important, not only for chewing food - they contribute to mauri ora, wairua ora, kōrero and oranga. The baby teeth also hold spaces for, and guide, the position of adult teeth.” “A number of approaches had been tried but the indicator had not really moved,” says BOPDHB General Manager Māori Health Gains and Development Tricia Keelan. “It was at 59% in March 2017 but had been lower before and the team set about changing that.” The BOPDHB’s Good to Great Team in Māori Health Gains and Development, working closely with the Community Health 4 Kids team, has been largely credited for the success. Key strategies employed included manaakitanga (mana enhancing interaction), use of the Institute for Healthcare Improvement (IHI) change methodology, data quality improvements, and whanaungatanga (relationships) and contact with parents of pre-schoolers. “It has been a Māori-led collaborative approach, where determination, persistence and mahitahi have paid off,” says Tricia, who added that the success was just the beginning. “The improvement has highlighted issues of unmet need in terms of oral health,” she says. “Enrolment is Tricia says the success had benefits for all children in te Moana a Toi as well. “Yes we achieved improvement in Māori pre-school enrolment but through this work we improved for non-Māori too. Enrolment for the total population of pre-schoolers in BOPDHB is now above the national target of 95%.” She says that the task ahead of the team now was to replicate this success in other areas and develop a new Te Toi Ahorangi Strategy. “This is just the beginning as we build on this work for improvement with other Māori health indicators such as breast screening, breast feeding and vaccinations.” “We are currently developing our Te Toi Ahorangi strategy for te Moana a Toi (the Bay of Plenty). We are looking forward to being Toi Ora driven as we work to influence waiora, whānau ora and mauri ora for our tamaariki and their whānau.” Phone 0800 TALKTEETH (0800 825 583) or 0800 935 5543 to make an appointment to have your child’s teeth checked. For more details see and search Talk Teeth.