Hastings Macleay Clinical Network - New Books List

Recent systematic review on falls and delirium

Falls and delirium are relatively common � and can have serious consequences for the elderly. This recent study reports on a systematic review about the association between falls and delirium in older people (aged 65 years or older). The review results �suggest that falls and delirium are inextricably linked�. The authors propose that this indicated �a need to further refine fall risk assessment tools and protocols to specifically include delirium for consideration as a risk factor�.

Source: https://betterhealthwhileaging.net

If you work with the aged you'll be interested in this article. 

The Overlap Between Falls and Delirium in Hospitalized Older Adults: A Systematic Review
Sillner AY, Holle CL, Rudolph JL
Clinics in Geriatric Medicine. 2019 [epub].

Please request it from your network Library service

When hospitals lead to harm: Opioid year of action

This year there will be more than 2.5 million surgeries in Australia. The prescribing, administration and dispensing of opioids will follow many of these procedures.

Due to unrealistic expectations of pain management, overprescribing and lack of evidence-based educational programs for health professionals, use will grow into dependence and harm for some people.

Since the inaugural multidisciplinary and collaborative Medicines Leadership Forum in Canberra in July 2018 framed the issue of hospital-initiated opioid harm from a pharmacy perspective, SHPA has released a landmark report detailing the problems Australia faces, and solutions that could help turn the tide.

Read more here on Hospital and HealthCare.

New title available at CHHC library Overcoming Opioid Addiction : The Authoritative Medical Guide for Patients, Families, Doctors, and Therapists

** Reminder ** MNCLHD Libraries Needs Assessment Survey

We are carrying out an evaluation of the library�s services, to see if we can improve facilities and services and keep them up to date with staff needs. Thank you for taking the time to fill in this questionnaire; it should only take five � ten minutes of your time. Your answers will be treated with complete confidentiality and will be entirely anonymous. Hardcopies are available in both CHHC and PMBH library. If you have any questions about this questionnaire, please contact 6656 7161 or 5524 2192.

Survey will be open until COB 15th March 2019

Please take our survey here or click on the pic below:

Caesarians increase risk of postnatal depression

A major new study conducted by the University of York, and published in the Journal of Health Economics, provides new evidence that emergency C-sections put new mothers at greater risk of experiencing mental health problems after giving birth.

The study has revealed first-time mothers who give birth via unplanned caesarean section are 15% more likely to experience postnatal depression. Furthermore, the numbers of C-sections performed worldwide have increased dramatically in many developed countries over the past few decades

The author of the study is calling for more mental health support for women whose babies are delivered via emergency caesarean section, or C-section � a surgical procedure usually carried out because of complications during labour.

Read more here at Hospital and Healthcare.

                                                           Source: Hospital and Healthcare

�Year of the Nurse� in 2020

Nursing Now, the three-year global campaign aiming to improve health and lift the profile of nursing, has welcomed backing by the World Health Organization (WHO) to designate 2020 the �Year of the Nurse�.

�There are 20 million nurses and midwives globally, who make up half of the professional health workforce. This is a wonderful opportunity to show people what an exciting career nursing is and highlight what nurses can do to help achieve health for all.�

Read full article here on ANMJ and more at Nursing Now 

                                                                   Source: ANMJ

Is breakfast the most important meal of the day?

Will eating a good breakfast improve your energy through the day and help you loose weight? Recent research published in the British Medical Journal suggests that this might not be the case. Recommending the inclusion of breakfast to adults seeking weight loss guidance might not be a good plan, as it could have the opposite effect.

"Effect of breakfast on weight and energy intake: systematic review and meta-analysis of randomised controlled trials".
BMJ 2019; 364 doi: https://doi.org/10.1136/bmj.l42 (Published 30 January 2019)Cite this as: BMJ 2019;364:l42

                                                                               www.bmj.com

If you would like to read this article go to your CIAP account (NSW Health employees only) or contact your Librarian for the document to be delivered to your desk-top.

CIAP / MIMs Online and MIMs App : Do you know how to access these vital tools?

NSW Health employees have access to the Clinical Information Access Portal (CIAP) free of charge.

Register for a CIAP account on a NSW Health Department Intranet computer
www.ciap.health.nsw.gov.au

> MY CIAP Account > Register for My CIAP Account
Once you've completed the form you will be sent and e-mail with a verification link which must be used within 24 hours. Once that's done you are ready to use CIAP from anywhere!

Resources include major databases, core journals, medicines information, ebooks and more.

You can use MIMS Online from any networked computer of from your own device when you've registered for your CIAP account. If you use your own device you will need to use data.

There are a range of tools available online that also have applications available for staff to use offline, but one of the most popular is MIMS Australia.

To get the App all you need to do is download the iMIMS from the App Store or MIMS for android from the Google Play Store. Links to these can be found by navigating to the CIAP website as above  and selecting the "Mobile" tab on the top menu.

Then register for an "enterprise token" number from the appropriately named button on the Mobile Resources page on CIAP. Select your device type, enter your email address and follow the prompts. Remember to record your token number.

Open the app on your device and select "Logon (Token Required)" under the enterprise users only section.

Enter your enterprise token number and your app is ready to go.

Need help? See your Network Librarian

MNCLHD Libraries Needs Assessment Survey

We are carrying out an evaluation of the library�s services, to see if we can improve facilities and services and keep them up to date with staff needs. Thank you for taking the time to fill in this questionnaire; it should only take five � ten minutes of your time. Your answers will be treated with complete confidentiality and will be entirely anonymous. Hardcopies are available in both CHHC and PMBH library. If you have any questions about this questionnaire, please contact 6656 7161 or 5524 2192.

Please take our survey here

picture credit: admonsters.com

ScrubUp App helps inexperienced perioperative nurses

Perioperative nurse and ScrubApp inventor Marrianne McGhee has been a registered nurse for over 20 years. Marrianne had not been working as a registered nurse for long when she was asked to scrub for an embolectomy � assisting an experienced, and somewhat intimidating, vascular surgeon to remove a blood clot. The procedure did not go according to plan, leaving the surgeon increasingly frustrated and Marianne feeling very ineffective and unhelpful.

If faced with the same situation now, she would have known the potential risks and would have prepped the theatre accordingly, but is concerned about the ongoing pressures put on junior nurses, who continue to be asked to scrub for cases across surgical specialities they�re unfamiliar with.

Which is why she developed mobile app ScrubUp � as a way to support novice nurses.

Read the full article here on Hospital and Healthcare.

                                                                                                 photo credit: Hospital and Healthcare

AI supports instant diagnosis of top eye disease

Artificial intelligence is being used to support the instant diagnosis of diabetic retinopathy, one of the top causes of blindness, in its earliest stages.

The diabetic-related eye disease is the leading cause of vision loss in adults and its impact is growing worldwide, with 191 million people set to be affected by 2030.
Now a team of Australian�Brazilian researchers led by RMIT University have developed an image-processing algorithm that can automatically detect one of the key signs of the disease, fluid on the retina, with an accuracy rate of 98%.

Read more here at Hospital and Healthcare.

Is Safety and Quality on your radar?

On the Radar is summarises some of the recent publications on Safety and Quality in Health Care.  Access to documents may depend on whether they are Open Access or not, as a MNCLHD Library Member you will be able to request items not directly available to you to be delivered to your desk-top. To access these summaries and more go to website of the Australian Commission on Safety and Quality in Health Care.

Source: safetyandquality.gov.au

Join the Library and browse the Libraries intranet site to discover what the library can do for you. (This service is available to MNCLHD Employees only).

Rethinking how antibiotics are used - JAMA article

An interesting article published in JAMA "Rethinking How Antibiotics Are Prescribed: Incorporating the 4 Moments of Antibiotic Decision Making Into Clinical Practice", is a recommended read.

By: Pranita D. Tamma; Melissa A. Miller; Sara E. Cosgrove
JAMA. 2019;321(2):139-140. doi:10.1001/jama.2018.19509

Article Abstract:

Antibiotics save countless lives, but can also cause significant harm including antibiotic-associated adverse events, Clostridium difficile (also known as Clostridioides difficile) infections, increasing antibiotic resistance, and changes to the microbiome (the implications of changes to the microbiome are only beginning to be understood).1 Antibiotic stewardship programs have become increasingly commonplace in hospitals in the United States and around the world, but these programs almost always rely heavily on restrictive practices (eg, requiring approval before prescribing certain antibiotics) or persuasive practices (eg, discussions with clinicians regarding the continued need for antibiotics).2 Although these approaches have had success in improving antibiotic use,2 they depend on external motivators, and their ability to influence how clinicians will prescribe antibiotics in the absence of an antibiotic stewardship program�driven intervention is questionable.

If you'd like to have the full-text of this article delivered to your desk top. Please contact the Library (MNCLHD Staff only) MNCLHD-PMBH-Library@health.nsw.gov.au 

Research shows and increase in bowel cancer among young Australians.

Bowel cancer mostly affects people over the age of 50, but recent evidence suggests it�s on the rise among younger Australians.

A study, published recently in Cancer Epidemiology, Biomarkers and Prevention, found the incidence of bowel cancer, has increased by up to 9% in people under 50 years of age, from the 1990s to date.

The research examined all recorded cases of bowel cancer from the past forty years in Australians aged over 20 years. Previous studies assessing bowel cancer incidence in young Australians have also seen an increase in the younger age group.

This trend is also seen in young people in the United States.

Could unhealthy lifestyle behaviours, like increased intake of highly processed foods be the problem?

Read more at The Conversation

                                                                                                           Image from Shutterstock

Your mental health in 2019

Currently one in five Australians experience mental ill health every year.

Australian Psychological Society President Ros Knight says people who spend a lot of time caring for others need to make time to care for their own mental health.

Reflecting on your own mental and emotional wellness and taking steps to manage it is something nurses and midwives would benefit from doing every day.

Here are 10 psychological tips to help you stay mentally healthy in 2019.

Be kind to yourself: Treat yourself with the same kindness, concern and support you�d show a good friend facing struggles. Self-compassion fosters resilience in the face of adversity.

Contact with others: Deep, meaningful relationships help mental health. Listen to others, be genuine, share your thoughts and feelings and celebrate everyday positive experiences with friends.

Accept your feelings: Avoiding difficult emotions, keeping feelings to yourself or stewing over problems reduces wellbeing. Be open to experiences and accept all your feelings and thoughts, including the difficult ones.

Keep your perspective: Look for constructive solutions, think flexibly and see situations from different perspectives when you are confronted by everyday problems.

Live up to your values: Live a life consistent with your values. Be aware of your own values � of how you would like to lead your whole life, behave towards others, and treat yourself.

Read the remaining 5 tips here on ANMJ.

Strategic Framework for Suicide Prevention in NSW 2018-2023

The Framework will guide activities in NSW until 2023 and marks the beginning of the journey towards zero suicides in NSW.

The launch of the Framework in October 2018 was accompanied by investment in new and expanded initiatives to implement priorities under the Framework including:

• aftercare services for people who have made a suicide attempt
• alternative services for people presenting to emergency departments in distress
• more counsellors for regional and rural communities
• strengthening practices in the mental health system to eliminate suicides and suicide attempts among people in care

Read more or download the Framework here on the Mental Health Commission of NSW website.

                                                                                   Source: mental health commission of NSW

Life Check

Millions of Australians are being asked to take a free online Life Check on a new website launched on January 15 2019, as the Liberal National Government continues rolling out its More Choices For A Longer Lifemeasures, supporting Australians to live longer, better lives.

Australians aged 45 and over can now access free advice to plan and take positive steps towards better health and greater security.

The online Life Checks cover four areas that research has shown are keys to our wellbeing: Health, work, finance and social life.

As quoted on health.gov.au �We should be aiming to live well to 100 or more,� said Minister Wyatt. �We�re already living 25 years longer than we did a century ago and we owe it to ourselves, our families and the nation to live the best we can.

To take a Life Check, visit https://lifechecks.gov.au

Doctors back pill testing at music festivals in Australia

Experts in the field of drug policy in Australia know that existing policies are failing. Calls for total abstinence: �just say no to drugs� and even cruder enforcement strategies have had little to no impact on drug use or the level of their detrimental effects on the community.

Whether we like it or not, drug use is commonplace in Australia, particularly amongst the young. "In 2016 43% of people aged 14 and older reported they had used an illicit drug at some point in their lifetime". And "28% of people in their twenties said they had used illicit drugs in the past year".

The inflexible attitudes of today's policy-makers contrast dramatically with the ground-breaking approaches to public health policy for which Australia was once known. Since the 1970s many successful campaigns have improved road safety, increased immunisation rates and helped stem the spread of blood-borne virus infections.

Wearing seatbelts was made compulsory across Australia in the early 1970s. Random breath testing and helmets for bike riders were introduced in the 1980s. These actions alone saved many thousands of lives.

In the late 1980s the introduction of needle exchange, methadone treatment programs, and more recently, extensive access to effective therapies for hepatitis C, have reduced the health burden from devastating infections such as HIV and the incidence of serious liver disease, dramatically.

All of these programs had to overcome forceful and continued hostility from opposition that argued they would do more harm than good. "But in all cases the pessimists were proved wrong". Road safety measures did not cause drivers and cyclists to behave more recklessly. Clean needle availability did not increase intravenous drug use. Ready access to condoms did not provoke greater risk taking and increased cases of AIDS.

Read more at The Conversation

                                                                                                         from shutterstock.com