New Allied Health Educators - NCHN · Weaning Tube Dependent Children –––– The Graz Model ((((Cont’d ))) Physiotherapy is conducted three to six times per week and includes

June 2010

Allied to Kids is an initiative of the NSW Child Health Network. The newsletter will be

circulated regularly to provide updates and information to support allied health

professionals who work with children.

NSW Child Health Networks

Issue 22

New Allied Health Educators

I am pleased to announce that the Allied Health Educators (AHE) for the Northern

Child Health Network (NCHN) and Western Child Health Network (WCHN) have

been appointed. The NCHN Allied Health Educator is Sonia Hughes who started in

the position May 31st. Many of you will know Sonia, who has been the Senior

Speech Pathologist in Taree and a NCHN Project Officer. The WCHN AHE is

Emma Geor who will be based at The Children’s Hospital Westmead and will start

June 15. They will be in touch with teams in the Child Health Networks soon.

CP Day for Parents Kylie Anne Good, Ann Lancaster, Kerrie HansKylie Anne Good, Ann Lancaster, Kerrie HansKylie Anne Good, Ann Lancaster, Kerrie HansKylie Anne Good, Ann Lancaster, Kerrie Hans, Sydney Children’s Hospital, Sydney Children’s Hospital, Sydney Children’s Hospital, Sydney Children’s Hospital

Approximately 40 parents of children with cerebral palsy participated in the Parent Education Day held at

Sydney Children’s Hospital (SCH) on Friday May 21st. It was opened by Professor Les White, CEO, and topics

included What’s around the corner for children with Cerebral Palsy by Dr. Kevin Lowe (Director of Cerebral

Palsy services), and Parenting your child with Cerebral Palsy. An update of new research presented at the

recent Australasian Academy of Cerebral Palsy and Developmental Medicine conference in New Zealand, was

also discussed.

A highlight of the morning was the guest speakers from The Spastic Centre, Peter Horsley and Emily Sheppard.

Peter gave an inspiring talk on the ING Ignite youth mentoring program and the Emerge leadership program of

which Emily was a graduate. One parent commented they found this “amazing, heart warming and

inspirational”.

Correction: Subscribing to Listserves In the last edition the method to subscribe to a listserve was incorrect. To subscribe to a listserve:

1. Email [email protected] 2. Leave the subject line blank 3. Type "subscribe" followed by the list's name (e.g. Speech Path

"paedspeak"; OT "paediatricots"; PT "paedpt"; Social Work "paedsocwk"; Psych "paedpsych"; dietetics "paeddiet")

4. Type 'end' on the next line 5. Remove any signatures from your email

Inside this issue:Inside this issue:Inside this issue:Inside this issue:

New Allied Health New Allied Health New Allied Health New Allied Health EducatorsEducatorsEducatorsEducators

1111

CorrectioCorrectioCorrectioCorrection: Listservesn: Listservesn: Listservesn: Listserves 1111

CP Day for ParentCP Day for ParentCP Day for ParentCP Day for Parentssss 1111

UnsuspectUnsuspectUnsuspectUnsuspectedededed SSSSubdural ubdural ubdural ubdural HaematomaHaematomaHaematomaHaematoma

2222

Weaning Tube Weaning Tube Weaning Tube Weaning Tube Dependent ChildrenDependent ChildrenDependent ChildrenDependent Children 3333

Events & Resources Events & Resources Events & Resources Events & Resources 5555

Positions Vacant Positions Vacant Positions Vacant Positions Vacant 11111111

In the afternoon, parents were offered a choice of workshops by the allied

health team from the Cerebral Palsy service at SCH. The workshops included

Introduction to signing-Makaton, “Let’s get Physical” Participation in sport

and recreation, “Get a grip!” Maximising hand function for your child, Food

Growth, and Well-being in Cerebral Palsy. Parents commented they greatly

valued being able to discuss topics with other parents on the day.

Issue 22Issue 22Issue 22Issue 22 Page Page Page Page 2222

Unsuspected Subdural Haematomas (SDH)

Dr Alex JohnsonDr Alex JohnsonDr Alex JohnsonDr Alex Johnson, Sydney, Sydney, Sydney, Sydney Children’s Hospital, Randwick Children’s Hospital, Randwick Children’s Hospital, Randwick Children’s Hospital, Randwick

This paper was presented as “Investigation of an unusual head injury of an infant led to some interesting

findings” at Australian and New Zealand Child Neurology Society meeting in NZ, and at the Brain Injury

Rehabilitation Program meeting at Sydney Children’s Hospital (SCH), Randwick.

In 2009, a six week old baby presented to emergency at a peripheral hospital with symptoms of irritability, a

low grade temperature and vomiting over several hours. There was no history of trauma given by the parents

at the time. The infant had been born at full term following an extremely precipitous vaginal delivery.

Following further discussions with the baby’s mother, the team discovered an incident had occurred just

before presentation to the hospital. Whilst driving her car, she had been forced to undertake two successive

swerves during which time she heard an unusual noise, followed by her baby crying. The crash investigation

unit re-examined the car and baby capsule (which was found to be fitted incorrectly), and uncovered some

marks consistent with an impact of the capsule against the car door. Given the appearance of injuries

separated by time, it was felt that the earlier haematomas could be related to birth trauma.

In summary it appeared that the infant had unsuspected SDH due to delivery and then suffered a second

traumatic injury with parietal fracture and further frontal contusions during the incident. To fully appreciate

the implications of this case, two angles of investigation were needed:

1. The prevalence of unsuspected SDH in the neonatal period, and

2. The safety of car restraints for infants.

A literature search was conducted on SDH secondary to delivery at birth, to determine its incidence and the

time taken to resolve. The search indicated that asymptomatic unsuspected SDH in a full term infant is much

more common than previously expected. Rooks et al (2008) examined MRIs in asymptomatic full term

neonates, and identified SDH in up to 46% of newborns. Although there was some evidence for risk factors

such as instrumental delivery, SDH can also accompany vaginal delivery and caesarean section. They tend to

be relatively limited in size and resolve spontaneously within a month or so.

While waiting for the MRI, the child had a right side partial seizure. MRI

investigations revealed a fracture with large left frontal haematoma and

bilateral subdural haematomas (SDH). Of note, the haematomas were felt

to be of different ages, so the infant was transferred to SCH for further

investigation. Initial examination at SCH indicated an alert infant with

normal head control, good tone, normal eye movements and no bruises or

physical injuries. Multiple reviews occurred by various teams in the hospital

including Neurology and the Child Protection Unit. A repeat MRI showed

more mass effect, requiring neurosurgical intervention. Burr holes were

drilled bilaterally, and straw-coloured fluid was drained.

So, what about the infant restraints? So, what about the infant restraints? So, what about the infant restraints? So, what about the infant restraints?

A recent MJA study, noted more than 20% of child restraints are fitted

incorrectly (as was the situation in the case study presented above), and

only 2/3 parents will consider using a licensed restraint fitter (Reeve et

al, 2007). Moreover, of those parents who were confident fitting their

own child’s capsule or seat, 64% had made at least one error.


Unsuspected Subdural Haematoma (Cont’d)

For those infants and children restrained in correctly fitted capsules and child seats, 93% will escape from an

MVA without an injury (Muszynski et al, 2005). In summary, child restraints are safe in MVAs if the seat is

correctly fitted and the child correctly restrained.

*Since this presentation, new child restraint legislation has been enacted nationally.

http://www.kidsafensw.org/roadsafety/child_restraints.htm

ReferencesReferencesReferencesReferences

1. Cheryl A. Muszynski, M.D., Narayan Yoganandan, Ph.D., Frank A. Pintar, Ph.D.,and Thomas A.

Gennarelli, M.D. Risk of pediatric head injury after motor vehicle accidents J Neurosurg (Pediatrics 4)

102:374–379, 2005

2. Katie N Reeve, Yvonne A Zurynski, Elizabeth J Elliott and Lynne Bilston Seatbelts and the law: how well

do we protect Australian children? MJA 2007; 186: 635–638

3. V.J. Rooks, J.P. Eaton, L. Ruess, G.W. Petermann, J. Keck-Wherley, R.C. Pedersen, Prevalence and

Evolution of Intracranial Hemorrhage in Asymptomatic Term InfantAm J Neuroradiol 29:1082– 89; Jun-

Jul 2008. www.ajnr.org

Weaning Tube Dependent Children – The Graz Model

Kylie Whitten, Paediatric Dietitian Sydney Children’s Hospital, RandwickKylie Whitten, Paediatric Dietitian Sydney Children’s Hospital, RandwickKylie Whitten, Paediatric Dietitian Sydney Children’s Hospital, RandwickKylie Whitten, Paediatric Dietitian Sydney Children’s Hospital, Randwick

• Rapid tube weaning to enable the child to feel hunger (approximately 60% of feed volume is cut by day 3)

• Increasing autonomy, enabling the child to learn to eat without adult interference

The approach is multidisciplinary with University Professor Dr Marguerite Dunitz-Scheer at the helm of a team

of medical, nursing and allied health staff including a physiotherapist and dietitian, multiple speech

therapists, occupational therapists and psychologists. Many of the medical and psychology staff are also

trained in psychotherapy.

Each patient is provided with a weekly timetable for intensive therapy. Speech and occupational therapy

sessions are conducted for one hour, three times per week. Occupational therapists must have post graduate

qualifications in sensory integration. In addition to developing gross and fine motor skills, they use biological

textures to overcome tactile defensiveness, as most tube fed children prefer plastic. Speech therapists work

on the facial area using exercises to prepare the child for eating and to desensitise orally averse children.

These sessions are conducted outside of eating times.

With thanks to the Douglas and Lola Douglas Scholarship from the Sydney

Children’s Hospital (SCH) I was fortunate to have the opportunity to attend the

three week tube weaning program at the University Hospital in Graz. Graz is the

second largest city in Austria that is well known for its lush green landscape,

pumpkin seed oil (amongst other culinary delights) and a beautiful old clock

tower that sits high above the city. More recently, Graz has become well known

in the medical world for its tube weaning program. Families from all over the

world travel to Graz hoping their child will no longer be tube dependent when

they leave.

The Graz model has evolved over 20 years with the two main goals of treatment being:


Weaning Tube Dependent Children Weaning Tube Dependent Children Weaning Tube Dependent Children Weaning Tube Dependent Children –––– The Graz Model The Graz Model The Graz Model The Graz Model ((((Cont’dCont’dCont’dCont’d))))

Physiotherapy is conducted three to six times per week and includes an

assessment of the head and neck area, cranio-sacral work and swimming to

assist children to feel comfortable having water touch their mouth and face.

The physiotherapist also works with stressed parents. Psychology sessions vary

according to patient and parental needs and can be conducted as frequent as

daily. The dietitian works with families to build the nutritional quality and caloric

density of the child’s oral intake.

The team work together in a friendly, respectful and cohesive manner, ensuring

that the advice provided is consistent. From my observation this is one of the

key elements that makes this program successful as the team present with

confidence that what they do works and this builds trust, enabling families to

feel very supported.

Eating soup

During the first week parents start to become anxious as they lose control of the

feeding process that has been their responsibility for so long. The therapists are

supportive and remind parents that their role is no longer the feeder, but the

provider of food – enabling the child to self regulate. Toward the end of the three

weeks they are much more relaxed about the process and relieved to no longer have

to administer tube feeds.

Another key factor in the success of this program is the play picnic, conducted at

12pm each day for one hour. Sheets are spread on a non-carpeted floor and food of

various tastes and textures is laid out on small colourful plastic plates, together with

plastic cups and cutlery. Food is presented as being appealing and in small, non-

threatening portions. The session is considered to be experimental baby

psychotherapy, encouraging exploration of the world of food without interfering

adults to coax, harass, bribe, entice or force the feeding situation. Parents are to

remain passive unless specifically asked by their child for assistance.

Play picnic

As an observer (and primarily therapist) it was very difficult to resist the urge to

assist a child and very rewarding to see them master new skills.

The play picnic is definitely one of the first aspects of the program that I would

like to explore further with key players upon my return to Sydney Children’s

Hospital. With an interested and supportive key medical person, time, a re-think

of work practices and a cohesive team of allied heath staff, this is a very

feasible program that could be implemented in most hospital settings. If you

would like to obtain further information about the program, refer to

http://www.notube.at.

Learning to use a fork

Picasso!


Supporting Allied Health

Professionals Working with Children

Events & ResourcesEvents & ResourcesEvents & ResourcesEvents & Resources 20 20 20 2010101010 … … … …

Maree Doble

GESCHN

Allied Health Educator

Phone: 02 9382 4471

Email: [email protected]

StateStateStateState----wide Telehealth Education Opportunitieswide Telehealth Education Opportunitieswide Telehealth Education Opportunitieswide Telehealth Education Opportunities Available to allied health professionals who provide services through NSW Health.

NSW Child Health Network Allied Health Telehealth Education

Sessions are held fortnightly on Tuesday, 1:00 Tuesday, 1:00 Tuesday, 1:00 Tuesday, 1:00 –––– 2:00 2:00 2:00 2:00. Upcoming sessions: 8th June Findings from the tube weaning programme in Graz, Austria: A Dietitians Perspective. Kylie

Whitten, Paediatric Dietitian, SCH Note this is an Note this is an Note this is an Note this is an additionaladditionaladditionaladditional Telehealth session Telehealth session Telehealth session Telehealth session

15th June Exploring young Person’s Experience of Depression, Lisa Parker Clinical Psychologist, SCH

13th July Developing Speech Pathology Services for Young Aboriginal Children, Lauren Varlow, SCH

To book, contact Chloe Travers, Telehealth Coordinator at [email protected]. To request an audio recording of the sessions, contact Chloe Travers no later than 1 week following the sessionno later than 1 week following the sessionno later than 1 week following the sessionno later than 1 week following the session.

Sydney Children's Hospital Medical Grand Rounds

The SCH Medical Grand Rounds Education Program is held each Wednesday, 1:00 Wednesday, 1:00 Wednesday, 1:00 Wednesday, 1:00 ---- 2:00 2:00 2:00 2:00. Upcoming sessions:

2nd June A complex case of complex regional pain syndrome

Simon Cohen, Meg Goodison-Farnsworth (Psychology), Marianne McCormick (Physiotherapy)

9th June Iatrogenic injury, or systemic disease? Marcia Hogeling (Dermatology)

16th June The Allied Forces: Interventions to enhance function and participation. Two case studies Allied health staff and clinicians

23rd June SCH Health Awards

30th June TBA

To book into a videoconference session or participate in the WebEx trial contact Katy Sterling-Levis at [email protected] or call 9382 1641.

To view previous sessions on the SESIAHS intranet go to http://sch.sesahs.nsw.gov.au/education/video/

To request a DVD copy of a session contact Melissa Dax at [email protected] no later no later no later no later than 1 week following the session.than 1 week following the session.than 1 week following the session.than 1 week following the session.

Sydney Children's Hospital Mental Health Grand Rounds

The SCH Mental Health Grand Rounds Education Program is held fortnightly on Monday, 1:00 Monday, 1:00 Monday, 1:00 Monday, 1:00 ---- 2:00 2:00 2:00 2:00. Details of upcoming Mental Health Grand Rounds sessions will be distributed by email and included in the Allied to Kids newsletter.

To view previous sessions on the SESIAHS intranet go to http://sch.sesahs.nsw.gov.au/education/video/

To request a DVD copy of a session, contact Melissa Dax at [email protected] nononono later later later later than 1 week following the sessionthan 1 week following the sessionthan 1 week following the sessionthan 1 week following the session.

Emma Geor

WCHN


Phone: TBA

E-mail: TBA

Sonia Hughes

NCHN


Phone: 6592 9623 / 0423823633

Email: [email protected]


Events & Resources 20Events & Resources 20Events & Resources 20Events & Resources 2010101010 continuedcontinuedcontinuedcontinued…………

NSW Institute of Trauma and Injury Management NSW Institute of Trauma and Injury Management NSW Institute of Trauma and Injury Management NSW Institute of Trauma and Injury Management

proudly presentsproudly presentsproudly presentsproudly presents

Allied Health & Rehabilitation Trauma SeminarAllied Health & Rehabilitation Trauma SeminarAllied Health & Rehabilitation Trauma SeminarAllied Health & Rehabilitation Trauma Seminar

Friday 18Friday 18Friday 18Friday 18thththth June 2010 June 2010 June 2010 June 2010 Novotel Sydney Olympic ParkNovotel Sydney Olympic ParkNovotel Sydney Olympic ParkNovotel Sydney Olympic Park

Strictly limited places available Strictly limited places available Strictly limited places available Strictly limited places available –––– Registrations close 4 Registrations close 4 Registrations close 4 Registrations close 4thththth June 2010 June 2010 June 2010 June 2010

Seminar Cost: Seminar Cost: Seminar Cost: Seminar Cost: $77pp (including GST) For further enquires please contact:For further enquires please contact:For further enquires please contact:For further enquires please contact: Glenn Sisson, NSW ITIM Ph: 02 8877 5396 [email protected]

Picky Eaters vs. Problem Feeders: The SOS Approach to Feeding CNRC - Children’s Nutrition Research Centre

DatesDatesDatesDates Basic 3 day course:Basic 3 day course:Basic 3 day course:Basic 3 day course: Tuesday 20 July – Thursday 22 July, 2010 Advanced courses:Advanced courses:Advanced courses:Advanced courses: Friday 23 July, 2010 Feeding the Child with Gastro-oesophageal Reflux Feeding the Child with Food Allergy and/ or Intolerance Feeding the Child Transitioning off Tube Feedings Saturday 24 July, 2010 Feeding the Child on the Autism Spectrum The Continuum of Feeding Interventions Working with Parents to Maximize Engagement LocationLocationLocationLocation Education Centre Royal Brisbane and Women’s Hospital Bowen Bridge Rd, Herston Brisbane, Queensland On the programOn the programOn the programOn the program Register now to attend the SOS Approach to Feeding workshop. This is a transdisciplinary program for assessing and treating children with feeding difficulties and weight/ growth problems of all ages, with a special focus on children from 12 months to 5 years. ResourcesResourcesResourcesResources All participants will be provided with a manual applicable to the days they attend. Who should attendWho should attendWho should attendWho should attend This course is designed for dietitians/ nutritionists, speech pathologists, occupational therapists, psychologists, GPs, paediatricians, early childhood and community nurses, physiotherapists, mental health workers, special educators, and interested paediatric health professionals.

CosCosCosCostttt Basic 3 day course $660.00 (Inc GST) Advanced days $250.00 (Inc GST) per day Basic 3 day course plus both advanced days $1,100 (save $60) NOTE: Advanced courses are only available if you have NOTE: Advanced courses are only available if you have NOTE: Advanced courses are only available if you have NOTE: Advanced courses are only available if you have attended Basic days 1attended Basic days 1attended Basic days 1attended Basic days 1––––3. If you3. If you3. If you3. If you attended the 2009 basic attended the 2009 basic attended the 2009 basic attended the 2009 basic coursecoursecoursecourse in either Brisbane or Perth, you are eligible to in either Brisbane or Perth, you are eligible to in either Brisbane or Perth, you are eligible to in either Brisbane or Perth, you are eligible to attendattendattendattend these advanced days in 2010.these advanced days in 2010.these advanced days in 2010.these advanced days in 2010. Registration closes Friday 2 July 2010. Registration closes Friday 2 July 2010. Registration closes Friday 2 July 2010. Registration closes Friday 2 July 2010. Limited seating available.Limited seating available.Limited seating available.Limited seating available. Visit the website www.uq.edu.au/cnrcwww.uq.edu.au/cnrcwww.uq.edu.au/cnrcwww.uq.edu.au/cnrc for directions to the venue, parking, public transport options, accommodation and additional program/ registration forms. Contact CNRCContact CNRCContact CNRCContact CNRC For further information contact the Children’s Nutrition Research Centre Phone: +61 7 3636 1981 Fax: +61 7 3346 4684 Email: [email protected]


Hanen Program It Takes Two to Talk® Three day Certification Workshop for Speech Pathologists

MondMondMondMonday July ay July ay July ay July 5 5 5 5 –––– Wednesday July 7 Wednesday July 7 Wednesday July 7 Wednesday July 7th th th th 2010201020102010 Early Childhood Intervention Program, 13 Kane Cr, Coffs HarbourEarly Childhood Intervention Program, 13 Kane Cr, Coffs HarbourEarly Childhood Intervention Program, 13 Kane Cr, Coffs HarbourEarly Childhood Intervention Program, 13 Kane Cr, Coffs Harbour

Cost: $Cost: $Cost: $Cost: $1100 1100 1100 1100 ((((limited to 14 participantslimited to 14 participantslimited to 14 participantslimited to 14 participants))))

It Takes Two to Talk® — The Hanen Program® for Parents is a well-known model of family-focused early language intervention for young children with expressive and/or receptive language delays.

In this experiential workshop, speech pathologists learn about the Hanen approach to early language intervention, which empowers parents of children with language delays to become their child’s primary language facilitator. They also receive training in how to lead the It Takes Two to Talk Program.

Further information contact: Joy Leach, Early Intervention Program Coffs Harbour e: [email protected] t: (02) 6652 8080 f: (02) 6652 6039

Save the DateSave the DateSave the DateSave the Date

Paediatric Acute Care Conference

September 2September 2September 2September 2----4, 4, 4, 4, 2010201020102010 The Hyatt CThe Hyatt CThe Hyatt CThe Hyatt Canberraanberraanberraanberra

The Paediatric Acute Care (PAC) conference is a new feature on the APLS and Paediatric Critical Care calendar. The 2010 program promises an exciting mix of research, critical care updates and interactive activities. Topics to be covered during the first two days will include: Procedural sedation - Analgesics - Fracture management - Burns, toxicology and trauma - Respiratory and neurology - Intensive care for the non-intensivist.

For further information go to www.apls.org.au/PAC2010

The Grace HotelThe Grace HotelThe Grace HotelThe Grace Hotel

Sydney on the 16 & 17 SeptemberSydney on the 16 & 17 SeptemberSydney on the 16 & 17 SeptemberSydney on the 16 & 17 September

Key note speakers are Robert Palisano, Dr. Dianne Russell, Dr Sylvia Rodger, and Russell Shuttleworth.

Pre-Conference Workshop: "Knowledge Translation and Exchange: How to increase the use of research evidence in clinical practice”

Online information and registration facility located at http://www2.regodirect.com.au/spot2010.

Conference comments or queries contact Katherine Gambell, on [email protected] or phone on 0243 204 133.

Website and registration enquires contact the VMS Helpline on [email protected] or

9526 1221.

2010 Conference2010 Conference2010 Conference2010 Conference

Registration Now OpenRegistration Now OpenRegistration Now OpenRegistration Now Open

Events & Resources 20Events & Resources 20Events & Resources 20Events & Resources 2010101010 continuedcontinuedcontinuedcontinued…………


Getting Equipped: Thinking Big for Little People Monday July 26Monday July 26Monday July 26Monday July 26th th th th 2010201020102010, , , , 8:30am8:30am8:30am8:30am---- 3:30pm 3:30pm 3:30pm 3:30pm Sydney Children’s Hospital, RandwickSydney Children’s Hospital, RandwickSydney Children’s Hospital, RandwickSydney Children’s Hospital, Randwick

Cost: $80Cost: $80Cost: $80Cost: $80 (Including morning tea and lunch) (Including morning tea and lunch) (Including morning tea and lunch) (Including morning tea and lunch) A forum for paediatric therapists to learn, share information, network and discuss equipment prescription for children with disabilities under 8 years of age. Themes for the dayThemes for the dayThemes for the dayThemes for the day

• Keynote session- guest speakers include Enable, Independent Living Centre and national expert occupational therapists

• Getting back to basics: Equipment prescription for under 8’s, Bathing, toileting, sleeping, strollers, high chairs, car seats and classroom furniture

• Clinical applications: Restrictive practice, transport, medico-legal issues and complex case study presentation

Program Program Program Program now now now now availableavailableavailableavailable & Registration closes July 16th & Registration closes July 16th & Registration closes July 16th & Registration closes July 16th Contact for further information:

Sarah Saab, Secretary, Allied Health Department Sydney Children’s Hospital E: [email protected] f: (02) 93821079

Seeking EOI from therapists who would like to be trained to administer and rate the Assisting Hand

Assessment. In order to run this course, a minimum number of paying participants is required by 12th July

2010. To inform us of your interest, please email Salli-Ann Craik [email protected].

Course Dates:Course Dates:Course Dates:Course Dates: 12, 13, 14 August 2010.

Venue:Venue:Venue:Venue: Ryde Learning Centre, The Spastic Centre NSW, Sydney

Host:Host:Host:Host: The Spastic Centre NSW

Contact:Contact:Contact:Contact: Salli-Ann Craik, Consultant for Occupational Therapy, The Spastic Centre for further information

and registration details.

Course DescriptionCourse DescriptionCourse DescriptionCourse Description

The Assisting Hand Assessment (AHA) measures and describes the effectiveness with which a child who has

unilateral disability makes use of their affected hand (assisting hand) during bimanual activities. The AHA is

a standardised criterion-referenced test that is valid, reliable and sensitive to change. The test is intended

for children with hemiplegic cerebral palsy and brachial plexus injuries aged between 18 months and 12

years, and a younger version is under development.

The course covers reliable administration of the AHA assessment and is organised in two phases.

1. Three days of lecturing and practical training with certified instructors.

2. Certification process following the workshop.

Instructors : Instructors : Instructors : Instructors : Brian Hoare and Melinda Randall

Costs: Costs: Costs: Costs: $1000.00$1000.00$1000.00$1000.00

Closing date: Closing date: Closing date: Closing date: For EOI 30th June 2010 (Payment for the course must be received by 12th July 2010)

Assisting Hand Assessment Assisting Hand Assessment Assisting Hand Assessment Assisting Hand Assessment

(AHA) Rater Certification (AHA) Rater Certification (AHA) Rater Certification (AHA) Rater Certification

CourCourCourCourse se se se ---- Expression of Interest Expression of Interest Expression of Interest Expression of Interest




Paediatric Cerebral Palsy Professional Development Day Friday 13Friday 13Friday 13Friday 13thththth August August August August 2010201020102010

The The The The Children’s Hospital, Children’s Hospital, Children’s Hospital, Children’s Hospital, WestmeadWestmeadWestmeadWestmead Presented by Rehabilitation and Orthopedics with Physical Disability ServicePresented by Rehabilitation and Orthopedics with Physical Disability ServicePresented by Rehabilitation and Orthopedics with Physical Disability ServicePresented by Rehabilitation and Orthopedics with Physical Disability Service

Cost: $8Cost: $8Cost: $8Cost: $85555 ( ( ( (Early Bird) $100 (standardEarly Bird) $100 (standardEarly Bird) $100 (standardEarly Bird) $100 (standard)))) Intended forIntended forIntended forIntended for: Physiotherapists, Occupational Therapists, Orthotists and Social Workers Venue:Venue:Venue:Venue: Lorimer Dods Lecture Theatre in The Children’s Hospital Westmead (cnr Hawkesbury Rd and Hainsworth St Westmead) Contact: Lisa Haidley Department of Orthopaedic Surgery

e: [email protected] t: (02) 9845 3020 f: (02) 9845 3180

Introduction to Paediatrics Orthopaedics Saturday 14Saturday 14Saturday 14Saturday 14thththth August August August August 2010201020102010

Participants will have opportunity to acquire basic theory and practice skills in developmental dysplasia of hips, Torticollis / Plagiocephaly, brachial plexus palsy, lower limb alignment, common foot deformities T.C.V, T.E.V, M.A. This workshop is for physiotherapists who are new to paediatrics or have an interest in paediatrics, working in maternity units, isolation or rural areas who will encounter these common orthopaedic conditions.

Venue:Venue:Venue:Venue: APA NSW Branch, 77 Parramatta

Road, Silverwater, NSW

Cost:Cost:Cost:Cost: NPG/Rural Member $180, APA

Member $280, Non-Member $345

Register By:Register By:Register By:Register By: Friday 30 July 2010 online at APA website

Speech Sound Disorders: The Basics & Beyond June 7 & 8, June 7 & 8, June 7 & 8, June 7 & 8, 2010201020102010

NewcastleNewcastleNewcastleNewcastle Caroline Bowen, PhD, CPSPCaroline Bowen, PhD, CPSPCaroline Bowen, PhD, CPSPCaroline Bowen, PhD, CPSP

This workshop is being presented for the first time in Australia, in Newcastle on June 7-8, 2010 and is customised to suit the participants. Learners will:

• gain familiarity with current issues in classification, assessment and diagnosis of speech sound disorder in children, including Articulation Disorders, Phonological Disorders, Childhood Apraxia of Speech and the dysarthrias.

• be able to expedite treatment gains by implementing a range of evidence-based and/or theoretically-supported, therapy selection criteria, traditional and non-traditional treatment-target selection criteria, intervention approaches, procedures, activities, for SSD including phonetic, phonemic, nonlinear, and motor learning therapies.

• make practical and meaningful connections between recent research in the area of child speech development and disorders on the one hand, and day-to-day SLP intervention on the other.

Register online at www.speechpathologyaustralia.org.au Speech

Pathology

Australia



SSSSAVE THE AVE THE AVE THE AVE THE DDDDATEATEATEATE

MANY PATHS TO FOLLOW

The NSW Institute of Rural Clinical Services and Teaching (IRCST) is proud to present the 2nd Rural and Remote Health Conference in Albury November 4th and 5th.

Further InformationFurther InformationFurther InformationFurther Information

http://www.hssevents.health.nsw.gov.au/rural

\\\\

action PACT Learning offers a wide range of specialist and nationally recognised courses to assist the professional development needs of employees in the disability sector. Courses for June include:

• Understanding CP

• Working with people with a disability

• Tube feeding

• Qualitative research

• Makaton with children

• First aid

• Advanced workshop on Movement Disorders and EBP

For the full calendar visit

www.thespasticcentre.org.auwww.thespasticcentre.org.auwww.thespasticcentre.org.auwww.thespasticcentre.org.au

NSW Paediatric Dietitians Network Meeting

ASD: Overview & Nutrition Interventions Dr Romy Hurwitz: Paediatrician Liverpool Hospital Korrine Miller: Parent, Teacher, Autism Advisory & Support Service DateDateDateDate: Wednesday 23rd June, 2010 TimeTimeTimeTime: 2-4.30pm VenueVenueVenueVenue: Liverpool Hospital, Conference Room 1 Thomas & Rachel Moore Education Centre Videoconferencing: available at a variable cost per site.

RSVP to attend meeting by Friday 18th JuneRSVP to attend meeting by Friday 18th JuneRSVP to attend meeting by Friday 18th JuneRSVP to attend meeting by Friday 18th June RSVP for videoconferencing Friday 4th JuneRSVP for videoconferencing Friday 4th JuneRSVP for videoconferencing Friday 4th JuneRSVP for videoconferencing Friday 4th June

Traci Cook [email protected]

9828 6764

Afternoon tea sponsored by

There’s There’s There’s There’s MMMMore to ore to ore to ore to PPPProcess with Crocess with Crocess with Crocess with Central entral entral entral AAAAuditory uditory uditory uditory PPPProcessing rocessing rocessing rocessing DDDDisorder (CAPD)isorder (CAPD)isorder (CAPD)isorder (CAPD)

Saturday July 3rd 2010

Dr Wayne Wilson

The brochure can be accessed on-line at:

http://online.speechpathologyaustralia.org.au/IMI

S_public/Core/Events/Events.aspx

If you have trouble accessing the brochure follow

the step by step guide:

http://www.speechpathologyaustralia.org.au/libra

ry/User_Guides/Online_Registration_Instructions.

pdf

National office of Speech Pathology Australia on

03 9642 4899 for assistance.

Speech

Pathology

Australia


PPPPAEDIATRIC AEDIATRIC AEDIATRIC AEDIATRIC OOOOCCUPATIONAL CCUPATIONAL CCUPATIONAL CCUPATIONAL TTTTHERAPIST HERAPIST HERAPIST HERAPIST (F/T(F/T(F/T(F/T –––– P/T)P/T)P/T)P/T) PPPPRIVATE RIVATE RIVATE RIVATE PPPPRACTICE RACTICE RACTICE RACTICE –––– BBBBUNDABERG UNDABERG UNDABERG UNDABERG

Work with two experienced OTs servicing largely preschool and school aged children. Caseload includes learning disabilities, ASD, toileting, handwriting and fine motor difficulties, CP (esp post botox therapy), sensory processing difficulties just to include a few. There is also the opportunity to work with adult clients needing rehab and/or home visits. We are currently moving into exciting, purpose built premises with a gym equipped for sensory integration therapy and you have the opportunity to make that area your own. Part or full time work is on offer with good pay rates, family friendly hours and mentoring if required. Enquiries: Barb or Cheryl on (07) 4151 1222; barb on 0438 284 892 or email [email protected]

PPPPAEDIAAEDIAAEDIAAEDIATRIC TRIC TRIC TRIC OOOOCCUPATIONAL CCUPATIONAL CCUPATIONAL CCUPATIONAL TTTTHERAPIST HERAPIST HERAPIST HERAPIST (P/T)(P/T)(P/T)(P/T) RCHRCHRCHRCH AND AND AND AND MMMMATERATERATERATER,,,, BBBBRISBANE RISBANE RISBANE RISBANE QLDQLDQLDQLD

The Children's Health Service District (including Royal Children's Hospital and Mater Children's Hospital) is seeking a

Paediatric Clinical Education Support Officer Paediatric Clinical Education Support Officer Paediatric Clinical Education Support Officer Paediatric Clinical Education Support Officer (HP4). This is a permanent part - time position (0.6FTE) however OTs

looking for full time work are encouraged to apply. Applications close on June 7. For more information contact Imogen

Fisher (07) 36361247 - Royal Children's Hospital / Ann Edwards (07) 31638241 - Mater Children's Hospital or

https://smartjobs.qld.gov.au/jobtools/jncustomsearch.searchResults?in_organid=14904&in_jobreference=QLD/H10

RCH05222

PPPPAEDIATRIC AEDIATRIC AEDIATRIC AEDIATRIC SSSSPEECH PEECH PEECH PEECH PPPPATHOLOGIST ATHOLOGIST ATHOLOGIST ATHOLOGIST P/TP/TP/TP/T (O(O(O(ORANGERANGERANGERANGE,,,, NSW)NSW)NSW)NSW)

KidSPOT is a private paediatric practice that provides speech pathology and occupational therapy services to children in the Orange NSW region and towns close to the area. We are seeking a caring and enthusiastic Speech Pathologist to join our multidisciplinary health care team. The position will have a varied caseload with individual and group therapy, and home and school visits. The Speech Pathologist will have a minimum of 1-2 years experience, although new graduate applications will be considered. Salary is negotiable and hours are flexible. There is potential to increase to full-time employment.

For further information Contact Katie O'Brien – 0404857780 or [email protected]@[email protected]@hotmail.com

Positions VacantPositions VacantPositions VacantPositions Vacant … … … …

LLLLOCUM OCUM OCUM OCUM OOOOCCUPATIONAL CCUPATIONAL CCUPATIONAL CCUPATIONAL TTTTHERAPIST HERAPIST HERAPIST HERAPIST (T(T(T(TEMP EMP EMP EMP LLLLOCUMOCUMOCUMOCUM,,,, AAAALICE LICE LICE LICE SSSSPRINGSPRINGSPRINGSPRINGS))))

A locum position is available to February 2011, with the Children’s Development Team, Aged and Disability Program, Alice Springs. Responsibilities include providing community based culturally appropriate assessment and therapeutic services; participating in multi-disciplinary case management and PD; and promoting and supporting service development and evaluation to enhance service delivery and strengthen partnerships. For further details contact Michelle Foley: 08 8951

6720. [email protected]

PPPPAEDIATRIC AEDIATRIC AEDIATRIC AEDIATRIC OOOOCCUPATIONAL CCUPATIONAL CCUPATIONAL CCUPATIONAL TTTTHEHEHEHERAPIST RAPIST RAPIST RAPIST (P/T)(P/T)(P/T)(P/T) PPPPRIVATE RIVATE RIVATE RIVATE PPPPRACTICERACTICERACTICERACTICE –––– SSSSYDNEY YDNEY YDNEY YDNEY (M(M(M(MIRANDAIRANDAIRANDAIRANDA))))

A dedicated and enthusiastic therapist is required to join a paediatric team in private practice. The position is part

time, 3-4 days per week. The caseload includes preschool and school aged clients with a variety of conditions

including fine and gross motor co-ordination, learning difficulties, handwriting, ADD/ADHD, ASD, and physical and

intellectual disabilities. The position is available from June, 2010. All applications and enquiries can be directed to

Janine Painter, Occupational Therapist: 0403 077838 or [email protected]

SSSSPEPEPEPEECH ECH ECH ECH PPPPATHOLOGISTATHOLOGISTATHOLOGISTATHOLOGIST LLLLEVEL EVEL EVEL EVEL 1111----2222 HHHHOBARTOBARTOBARTOBART,,,, TASTASTASTAS

We have a 12 month position for a Paediatric Speech Pathologist at St Giles in Hobart. This role implements and evaluates therapeutic interventions for clients and families, both from an Speech Pathology framework and as a member of a multi-disciplinary team. New grads encouraged to apply. For more info or to have a chat contact Bek Hockley: (03) 6238 1801 or [email protected]


LLLLOCUM OCUM OCUM OCUM PPPPAEDIATRIC AEDIATRIC AEDIATRIC AEDIATRIC PPPPHYSIOTHERAPIST HYSIOTHERAPIST HYSIOTHERAPIST HYSIOTHERAPIST (P/T)(P/T)(P/T)(P/T) CCCCHILDRENHILDRENHILDRENHILDREN’’’’S S S S TTTTHERAPY HERAPY HERAPY HERAPY SSSSERVICEERVICEERVICEERVICE,,,, QLDQLDQLDQLD

The Children’s Therapy Service currently has a 0.4FTE locum position available for 3 months, with a possibility of

extension. The successful applicant will deliver high level PT clinical services as part of a specialised multidisciplinary

team across multiple sites to optimize health outcomes for infants and children experiencing complex developmental

difficulties. For further information contact Marian Foxcroft on 0437 647 559 or [email protected]

OOOOCCCCCUPATIONAL CUPATIONAL CUPATIONAL CUPATIONAL TTTTHERAPISTHERAPISTHERAPISTHERAPIST ((((FFFF/T)/T)/T)/T) PPPPRIVATE RIVATE RIVATE RIVATE PPPPRACTICERACTICERACTICERACTICE,,,, SSSSUTHERLAND UTHERLAND UTHERLAND UTHERLAND SSSSHIREHIREHIREHIRE,,,, NSWNSWNSWNSW

Sensational Kids OTSensational Kids OTSensational Kids OTSensational Kids OT (www.sensationalkidsot.com.au) is looking for a motivated paediatric OT to join their practice based in Kirrawee, Sydney. The position would best suit an energetic therapist who is seeking the opportunity to expand and specialise their skills in the latest cutting edge based therapy. Experience is desirable but not essential. The practice provides specialised OT services to children with Sensory Processing Disorders, Autism, Aspergers, ADHD/ADD, Dyspraxia, Social-emotional challenges and other learning and motor challenges. The practice is an approved autism provider. A generous remuneration package will be negotiated with the successful applicant. For further information call Tanya on 0410285241.

Email applications to [email protected] by 5pm Friday 4th June 2010.

OOOOCCUPATIONAL CCUPATIONAL CCUPATIONAL CCUPATIONAL TTTTHERAPISTHERAPISTHERAPISTHERAPIST,,,, PPPPAEDIATRIC AEDIATRIC AEDIATRIC AEDIATRIC CCCCLINICAL LINICAL LINICAL LINICAL EEEEDUCATION DUCATION DUCATION DUCATION LLLLEADEREADEREADEREADER (P/T)(P/T)(P/T)(P/T)

The Paediatric Clinical Education Leader is a state-wide position within Queensland Health which may be based at

any location with state-wide responsibilities. For more information, please see the link below or contact Imogen

Fisher on (07)3636 1247.

https://smartjobs.qld.gov.au/jobtools/jncustomsearch.searchResults?in_organid=14904&in_jobreference=QLD/H1

0RCH05219

SSSSPEECH PEECH PEECH PEECH PPPPATHOLOGISTATHOLOGISTATHOLOGISTATHOLOGIST EEEEAST AST AST AST MMMMELBOURNEELBOURNEELBOURNEELBOURNE,,,, VICVICVICVIC

Irabina is a specialist autism school in East Melbourne. A Speech Pathologist is required to join their transdisciplinary team of professionals who are committed to family centered practice. The role is both profession specific and one of a skilled early intervention worker and family service coordinator. For more information contact Maria Fassoulakis Senior Speech Pathologist on (03) 9720 1118.

Case Manager Case Manager Case Manager Case Manager LongLongLongLong----termtermtermterm Ventilation Ventilation Ventilation Ventilation

ProgramProgramProgramProgram AHP Level 4AHP Level 4AHP Level 4AHP Level 4PartPartPartPart----time (24 hpw)time (24 hpw)time (24 hpw)time (24 hpw) Position No. 680264/0209/10

This position works as part of the multidisciplinary long-term ventilation care team and includes co-ordination and leadership of in-patient care, discharge planning and management of children post discharge in the community. The successful applicant will provide case management services to children and adolescents requiring long-term ventilation, including writing applications to the Children’s Home Ventilation Program (CHVP) and other funding support agencies. The case manager is also responsible for the coordination and leadership of the outpatient service including coordination of the multidisciplinary long-term ventilation clinic. Closes: Closes: Closes: Closes: 06/06/10

http://www.chw.edu.au/about/jobs/vacancies/ Enquiries: Alison Jones on (02) 9845 3369 or email

[email protected]

Occupational Therapist Occupational Therapist Occupational Therapist Occupational Therapist

LongLongLongLong----term Ventilation term Ventilation term Ventilation term Ventilation

ProgramProgramProgramProgram

Level 2Level 2Level 2Level 2 PartPartPartPart----time (15 h.p.w.)time (15 h.p.w.)time (15 h.p.w.)time (15 h.p.w.) Position No. 680410/0210/10 This position provides Occupational Therapy services to long-term ventilated babies, children and adolescents, as part of the multi-disciplinary team. This includes developmental therapy, equipment prescription, discharge planning and integration into the community setting. This is a developing Unit, so development of programmes, protocols and service provision will be required. Participation in ongoing education, teaching and quality activities is expected. Closes: Closes: Closes: Closes: 06/06/10.

http://www.chw.edu.au/about/jobs/vacancies/

Enquiries: Alison Jones on (02) 9845 3369 or email [email protected] .

Positions VacantPositions VacantPositions VacantPositions Vacant … … … …

Documents

New Allied Health Educators - NCHN · Weaning Tube Dependent Children –––– The Graz Model ((((Cont’d ))) Physiotherapy is conducted three to six times per week and includes