The Psychogeriatric Nurses’Association Australia (Inc)

Friday, 13 September 2019Innovation Campus, North Wollongong

Collaboration working in Older People’s Mental Health, Aged and Dementia Care

RAISE YOUR VOICE

CONFERENCE SPEAKERS

Quick reference guide and snapshot of today’s speakers

Dr Sue Packer AM

Anne Sammut

Prof Maria A. Fiatarone Singh, MD, FRACP

Dr Elizabeth Preston &Mr Eddie Zeballos

A/Prof SteveMacfarlane

Prof Yun-Hee Jeon

Catherine Brown

Dr Sid Williams

Danielle Kennedy

Diane Herr

SEPTEMBER 2019, Page 1www.pgna.org.au

CONFERENCE OPENING ADDRESS KEYNOTE SPEAKER

Topic: stages of life share - and what can we learn from the two experiences

An integrated perspective on frailty

Abstract: We continue to learn about what is most important in the development of babies’ brains and how this is important for all of life. This has been my life’s work. Perhaps it should not be surprising, although it is still a surprise to me, that many important aspects of aged care are a re-emergence of similar issues and priorities. This makes it almost a re-run in some ways of what was important when we had “just begun”.

paediatric career managing children who were challenged in so many ways in their development and now navigating the aged care system with my elderly (but younger than me!) sister with complex health and ageing issues.Many similar actions are required, but with differing priorities and philosophies. I will explore some of these.Bio: Dr Packer began her career as a paediatrician in 1972, working with community groups and children who had been abused, and had behavioural problems

This led to a lifelong interest in the lives of Australian children, and what they had to tell us about the country as a whole. She has said repeatedly, and adamantly, that Australia excels in only one thing when it comes to children - vaccination. This is the faintest of praise; even in Canberra, she says, there was much room for improvement.“In many ways you feel the ACT should be able to manage better: we don’t have the tyranny of distance, we don’t have very varied populations in widely spread places,” Dr Packer has said.

with pride and achievement.She was made a member of the Order of Australia in 1999 for services to child welfare, paediatrics and the public, and has a long list of voluntary roles, all dedicated to the improvement of the lives of children.And she has maintained all along that her main role is one she cannot walk away from. In this, she has plenty in common with the Thai cave duo, but in her case, the victims she works with are otherwise unheard and unseen. And unlike the hapless soccer team, the world is not watching these children. Taken from – Canberra Times 2019.

MB BS FRACPWork: The Canberra HospitalHonorary appointment

John Sutton Chair of Exercise and Sport SciencePhysical Activity, Lifestyle, Ageing and Wellbeing Faculty Research GroupFaculty of Health SciencesProfessor Sydney Medical School

Topic: and dementia: What to do when drugs have failed us?

Abstract: The health of older adults is defined in part

Bio: Prof Maria Fiatarone Singh, M.D., FRACP, a geriatrician, has held the inaugural John Sutton Chair

by intersecting contributions of genetic profile, lifestylehabits, physiological changes of ageing, psychologicalcharacteristics, social and cultural factors, environmentalexposures, and serendipitous events. Among the mostfeared consequences of ageing are the onset of frailtyand dementia, geriatric syndromes which underliemuch of the poor quality of life and other adverseoutcomes in the oldest old. Unfortunately, decades of research to find an anabolic pharmacological agent to address frailty and sarcopenia, or a drug to prevent ortreat cognitive impairment have failed to find such magic bullets. However, there is a substantial and growing evidence base that specific interventions targeting exercise capacity, nutritional patterns, psychological well-being, social engagement, and prescribing cascades are potent tools available to geriatricians and allied health professionals which may improve frailty, cognition and quality of life in this cohort. In this talk, the evidence base for these interventions for frailty and dementia, as well as ways to screen, implement, and assess relevant person-centred outcomes will be described.

of Exercise and Sport Science, Faculty of Health Sciences, and Professorship, Sydney Medical School since 1999. Her research, teaching and clinical career has focused on the integration of geriatric medicine, exercise, and nutrition to improve quality of life in older adults, and she is recognised internationally for this work spanning over 3 decades. She has designed and carried out many clinical trials and longitudinal studies in Australia, the USA, Norway, and France, including large multi-centre trials of exercise and chronic disease prevention and treatment. She has published extensively, having authored/edited 3 books and over 360 peer-reviewed journal articles, book chapters, position stands, and reviews, with an H-Index of 66. She has been awarded research funding exceeding AUD $57 million to date.

MD, FRACPWork: University of Sydney

Dr Sue Packer AM

2019 Senior Australian of the year

Professor Maria A. Fiatarone Singh, MD, FRACP

PGNA “Raise Your Voice” Speakers Guide

KEYNOTE SPEAKER KEYNOTE SPEAKER

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Topic: Dementia Support Australia: Too Many Acronyms? Where do they all fit?

Abstract: Dementia Support Australia (DSA) is an industry partnership led by HammondCare. DSA comprises the Dementia Behaviour management Advisory Service (DBMAS), the Severe Behaviour Response Team (SBRT) and the needs-based assessment service determining eligibility for entry into the Special Dementia Care Program (SDCP).Too many acronyms? Where do they all fit? A/Prof Macfarlane will provide a service overview, present cases studies that illustrate DSA’s model of care, provide an update on service outcomes, and discuss how DSA can interface with your own services.Bio: Steve graduated from Monash University in 1991, and spent the next 17 years at Peninsula Health in Melbourne, completing his psychiatry training there and becoming Director of Aged Psychiatry in 2005. He moved to Alfred Health in 2008 as Associate Professor and Director of Aged Psychiatry, before accepting as position as head of Clinical Services with Dementia Support Australia in 2016.Steve has been running Alzheimer’s disease clinical trials for over 20 years, and has clinical interest in frontal lobe disorders and in senile squalor. His work with Dementia Support Australia (DSA) has him overseeing a group of geriatricians and old-age psychiatrists working around the country, and he has been intimately involved with the development of the proposed new Commonwealth Special Dementia Care Program and with the Royal Commission into Aged Care Safety and Quality.Qualifications: MB.BS. (Hons.) MPM FRANZCP Cert. Old Age Psych. Work: Head of Clinical Services, Dementia Support Australia, Melbourne

Topic: Courage, Cracks and Creative Collaboration

Abstract: Sharing, teamwork and interprofessional respect are key attributes to positive health outcomes for our consumers especially where care delivery is complex. Mental wellbeing for older people is often challenged by factors such as their environment, poor access to screening and fragmentation of assessment services. This presentation illustrates examples of both nursing and interdisciplinary collaboration where strong advocacy and evidence-based practice have affected solutions for those with complex needs. The challenges of embracing and respecting health colleagues’ boundaries or limitations whether related to funding, stigma or mutual setting of consumer goals often become issues, and key themes that are evident from the literature are often based on our expertise, our accountability, our sincerity, our commitment and respect for a consumer centered positive outcome.Bio: Catherine Brown is a Nurse Practitioner in Psychogeriatrics and Cognition and has over 30 years clinical, training and management experience working with older people across all sectors. She has presented at multiple conferences on person-centred care models, multi-sensory environments, behaviour assessment, anxiety and depression, ethics in dementia care, and quality improvement, and has participated on several NT and NSW State Health reference groups related to dementia.She currently is an independent Consultant and Certificate IV Trainer supporting organisations through case management, staff mentoring and improving health outcomes for consumers through promoting physical and psychological wellness. Empowering staff to cultivate therapeutic relationships and build sustainable foundations of person-centred evidence-based practice is the core to Catherine’s integrated workplace learning models.Qualifications: M Clin Nursing (Aged Care), M NP Work: Self employed

A/Prof Steve Macfarlane

Head of Clinical Services, Dementia Support Australia

Catherine Brown

Nurse Practitioner Cognition and Psychogeriatrics Work

PGNA “Raise Your Voice” Speakers Guide

SEPTEMBER 2019, Page 3www.pgna.org.au

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Topic:Collaboration: empowering clinical practice in dementia care Abstract: There are multiple challenges in responseto the increasing number of people diagnosed with dementia. Awareness and accessibly of local services is often a barrier, along with the fragmentation, variation and availability across local health districts in NSW.An evolving area prominent with challenges is in regards to the support and care of those people diagnosed with dementia who have associated severe behavioural changes. To support these people, there needs to be clinical transparency and an increase in collaborative practices across networks. With the new Aged Care Quality Standards, NSQHS standards and the ongoing Aged care Royal Commission, we are now directed toward a consumer-led service delivery model in meeting the needs of our community along their dementia continuum of care. In this model, collaboration is paramount. Bio: Shortly after qualifying as a Registered Nurse,I spent 15 years working in various health care settings and roles in the United Kingdom (UK), predominantly in Haemato-oncology, where I developed a nurse led PICC insertion service as a part of my MSc Advanced Practice (Cancer Nursing). On returning to Australia, I completed my Masters in Advanced Nursing (Nurse Practitioner) and was endorsed in May 2017. My role as a Nurse Practitioner in Aged Care in Murrumbidgee Local Heath District aims to actively contribute to the improvement of health outcomes and develop innovative ways of delivering services to meet the needs of a diverse and ageing population.

Masters in Advanced Nursing (Nurse Practitioner); MSc Advanced Practice (Cancer Nursing); Bachelor of Science (Nursing)Work: Murrumbidgee Local Health District

Topic:

Value of Collaborative Practice

Abstract:

What collaborative practice is Why collaborative practice can be so critical to the

achievement of good outcomes for older people The key steps in building a successful collaborative

arrangement, and the key enablers for collaborativepractice.

Bio: Anne has worked extensively within the ageing

a Social Worker and Educator. She has contributed

services throughout her career and particularly, to the

hospital, community, residential and educational settings for both government and non-government organisations. These organisations include: Lidcombe Hospital; the NSW Institute of Psychiatry; NSW Health Promotion and Alzheimer’s Australia NSW. She has also taught as a guest lecturer for Sydney and NSW Universities. Anne is the author of copious educational materials and several publications related to ageing and dementia care, She has also presented several papers and keynote addresses at a variety of national and state conferences. Anne currently works within The Residential Education Service at HammondCare.

BSW (Hons 1); Fellow of the Australian Association of Gerontology, Distinguished Service Award, Australian Association of Gerontology (2004). Cert IV in Training & AssessmentWork: HammondCare

Danielle Kennedy

Nurse Practitioner Aged Care

Anne Sammut

Social Worker - Residential Education Services

PGNA “Raise Your Voice” Speakers Guide

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Topic:A Suicide Prevention Initiative: A collaborative Project between Older People’s Mental Health Acute Inpatient andCommunity Services

Abstract: Consumers discharged from acute mentalhealth units have a marked increased risk for suicide. Research indicates suicide prevention initiatives should commence during the inpatient admission with continued implementation post discharge. In line with this research, a 2018 ISLHD Mental Health Directive outlined that all consumers discharged from acute mental health units require relapse prevention strategies as part of transfer of care procedure. This project aims to develop a formalised procedure and format for the development and implementation of suicide safety plans for consumers of the Older People’s Mental Health Service. The proposed safety

identify their level of suicidality, communicate their level of distress, and direct them to associated responses/strategies. The project aims to evaluate the safety plan across development and implementation phases from the perspective of consumers and mental health staff. Following evaluation, there is potential for the suicide safety plans to be implemented across mental health services.Bio: Together with a multidisciplinary research team,Eddie and Liz are using their mental health experience to develop this suicide prevention project. Eddie has extensive experience working in both community and inpatient settings in adult and older people’s mental health. Liz completed her university studies with post doctorate research in ways to support carers of people with dementia.

Elizabeth Preston: Clinical PhD (Psychology), B.Psychology (Honours)Eddie Zeballos: Mental Health Post Graduate Diploma, Bachelor of Nursing Work: Elizabeth Preston: Older People’s MentalHealth Service, Community Team, ISLHD, NSW HealthEddie Zeballos: Older People’s Mental Health Service, Acute Inpatient Unit, ISLHD, NSW Health

Topic:StepUp for Dementia Research - Connecting the public with dementia researchers and enabling them to be part of the solution

Abstract: There is no systematic way for people withdementia to get involved in research, and limited support is available to facilitate a broader public engagement in dementia research. Recruiting participants in dementia research is costly and time consuming. In partnership with University College London and University of Exeter, a team at the university of Sydney has been working to tackle the challenges in Australia through StepUp for Dementia Research. This presentation will focus on what this new initiative aims to deliver and how it will achieve

engagement in dementia research.Bio: Yun-Hee is the Susan and Isaac Wakil Professor ofHealthy Ageing at the Susan Wakil School of Sydney Nursing and Midwifery. She is Director of StepUp for Dementia Research. For the past 20 years, she has been leading and collaborating in research into person-centred care, reablement, measuring and improving aged/dementia care quality, and aged care workforce leadership.

RN, PhDWork: The University of Sydney

Dr Elizabeth Preston

Clinical Psychologist

Mr Eddie Zeballos

Clinical Nurse Consultant

Professor Yun-Hee Jeon

Registered Nurse

KEYNOTE SPEAKER KEYNOTE SPEAKER

Topic:Mental Illness: mind, body, brain, family and culture

Abstract: Dr Sid, using case histories, will presentsome information on: anxiety, depression, hallucinations, delusions and confabulations associated with brain pathology and/or systemic (body) disorders. His main takeaway messages for attendees will be:1. Keep an open mind about a person’s mental

illness and consider brain and body causes or atleast contributions to mental health issues.

2. Always attend to and consider psychological, family

proven ‘organic’ factors.3. If in doubt consider discussing the issues or

referring for assessment/opinion to an appropriateperson or team.

Bio: Sid, Formerly an Associate Professor of Psychiatryat the University of Sydney, has been a pioneer in providing and developing mental health and dementia services, education and support for older people experiencing dementia and mental health issues, their families, carers and professionals involved in assessment and care. He has worked particularly in South Western Sydney and several Rural and Regional services. His very readable book Your Brain in Sickness and in Health. The experience of dementia and other brain disorders, is, according to one reviewer, ‘destined to become a trusted go-to volume on the subject of brain disorders’.

MB, BS, FRANZCPWork: Guardianship Division NCAT and NSW MentalHealth Review Tribunal

Topic:Balancing “what to do” as opposed to “how to do it”

Abstract: The aged care sector has faced increasedscrutiny about the quality of aged care services, prompting reforms and more recently the Royal Commission into Quality and Safety. Aged care sits within a broader system of health and human services and older people experience complex journeys through fragmented systems that impact on positive outcomes for health and wellbeing.This presentation will provide an overview of the intent of the new Aged Care Quality standards that came into effect in July 2019, with a focus on models of care that recognise the consumer’s sense of self. Through collaboration between all partners in care, social inclusion, health and well-being can be fostered

realised goals and interventions. Real experiences will be shared to demonstrate the importance of true collaboration to improve consumer experience and outcomes. Working as a registered nurse consultant in residential aged care, as well as having both my parents with high care needs in an aged care facility, gives me a clear and frustrating understanding of how the Standards should be applied, could be applied and how they are not being applied. My ongoing question is do we really endeavor to apply the new standards in order to meet ACQSC requirements, or is it to provide the consumer with the best tailor made care possible.ACSA Consultancy – Consumer Advocate, Aged Care Standards Australia.Bio:Registered Nurse then went on to qualify as a midwife, a paediatric nurse as well as a paediatric primary health care nurse. Diane worked as a private nurse practitioner from 1992 until immigrating to Australia

nursing and found her passion. Since then, Diane has worked in a variety of Management roles, both in Australia and New Zealand, and has been working as a residential aged care consultant since 2007.

Registered Nurse Consultant /Consumer AdvocateWork: ACSA as well as a private residential agedcare consultant

Dr Sid Williams

Psychogeriatrician

Diane Herr

Registered Nurse Consultant/Consumer Advocate

SEPTEMBER 2019, Page 5www.pgna.org.au PGNA “Raise Your Voice” Speakers Guide