Health Matters EBOP November 2019

New play space opens for sick children at Whakatāne Hospital Pictured from left: Waikato Home training Dialysis Nurse Belinda McLeod, Renal Specialist Dr Lai Chan, Nurse Practitioner Terry Jennings, Clinical Director and Renal Specialist Dr Andrew Henderson and Renal Dialysis nurses Rini Dipin ,Gaya Palani, and Celeste Tado. Above: The Paediatrics Team celebrating the opening of the new play space with other staff , contractors, Countdown and Simeon and Liana. A new play space has opened at Whakatāne Hospital allowing sick children to have some safe outdoor play without leaving the ward. Whakatāne toddler Simeon Wait, who’s 2.5 years old was guest of honour called on to cut the ribbon at the offi cial opening earlier this month. A twin and youngest of fi ve siblings, Simeon has been having treatment for Neuroblastoma cancer in his adrenal glands at the hospital and Starship for most of the year. His mum Liana says, “For all kids the most important thing is playing. Having the play area so close, attached to the ward makes it doable especially for those sick kids who can’t move too far.” At the moment Simeon is coming to the hospital a couple of times a week for treatment. “Play is the best therapy. It’s great to have the play space on the ward that’s clean. It’s really important for kids like Simeon who are more susceptible to picking up viruses,” says Liana. Paediatric Ward Nurse Manager Sharon Powley says the new fenced outdoor play area under sun shades, not only provides sick children with a short burst of play, it also benefi ts their siblings. “When a child’s in hospital their families are there too, especially with young children. They get quite cooped up inside, this play space gives them something to do without taking their parents or caregivers away from the ward.” The outdoor play space was funded from the annual Countdown Kids Hospital Appeal. Increased access to incentre dialysis for Eastern Bay More people with kidney failure who need supported dialysis three times a week can have their treatment in the Eastern Bay reducing the need to travel to Waikato. Above: Toddler Simeon Wait and his mum Liana cut the ribbon, offi cially opening the new play space for sick children pictured with Paediatric Ward Nurse Manager Sharon Powley. “We’re very grateful for Countdown and our communities support. Without that, this wouldn’t have happened,” says Sharon. The annual Countdown Kids Hospital Appeal has raised more than $12.8 million since it began in 2007. About $1 million has contributed to the extra ‘nice-to-haves’ over and above what could be aff orded within budget constraints at Whakatāne and Tauranga hospitals. Whakatāne Countdown Store Manager Wynand Kruger says, “It has been a real privilege for our staff to be involved in getting the [play area] off the ground. It’s an eye opener to see how much fundraising eff orts mean to the community.” This month the Satellite Renal Unit at Whakatāne Hospital started operating an extra six haemodialysis spaces providing treatment for an extra six patients each week. Renal Nurse Practitioner Terry Jennings says, “Six doesn’t sound like a lot. But for people needing dialysis and their families, six extra dialysis spaces makes a massive diff erence to their lives. It means, for the most part, treatment is available minutes from their homes rather than the person having to do a 4.5 hour round trip to Hamilton three times a week.” There are about 80 people living across the Eastern Bay who require dialysis for their kidney failure daily or triweekly. Dialysis clears the blood of waste products - doing the job of kidneys when they no longer work. Most people on dialysis choose or are able to manage their treatment at home, as it’s more convenient and less disruptive to their lives. For others, they need to come to hospital to have this treatment. Up until now the Renal Unit at Whakatāne Hospital has been full meaning some patients had to travel to the Waikato Renal unit to receive their regular dialysis. Dialysis is a lifelong treatment. A successful kidney transplant is the preferred treatment for end stage kidney disease but due to high demand and limited kidney donors, a transplant is not always an option. In New Zealand, about 2800 people are currently on dialysis, with numbers growing by around 6% each year. What is kidney disease? „ Your kidneys clean your blood by working as a fi lter to remove water and wastes from your body. Kidney disease damages these fi lters so they don’t do their job properly. „ Kidney disease usually affects both kidneys and may also damage other parts of your body, such as your heart. „ When enough of the fi lters are damaged, the body will fi ll up with excess wastes and water. This is called kidney failure. It can happen when you have kidney disease for a long period of time (chronic kidney disease). „ Kidney failure is fatal if not treated by either dialysis or a kidney transplant. “For these people, the reality is, regular dialysis becomes their ‘job’. It’s like coming to work each day, they spend so much of their time connected up to the machine. And for those people who have had to travel long distances for dialysis the impact on their lives and that of their families is often much greater,” says Terry Jennings. Terry, who was instrumental in setting up the satellite unit in Whakatāne eight years ago, recently advanced to a Renal Nurse Practitioner role. She’s one of seven renal nurse practitioners in the country and the fi rst in the Bay of Plenty. A desire to ease the burden on people with kidney disease and their families - and to support local access to specialist care is what motivated her to expand her nursing skills. As a Renal Nurse Practitioner, Terry is able to assess patients and provide treatment interventions, including prescribing medications at the unit rather than the patient having to wait to book in to see their GP or a kidney doctor at their next clinic appointment. “They’re coming here three days a week so it makes sense to treat those issues which have an impact on their wellbeing then and there. It also frees up doctors to focus on more complex treatment issues.” Ultimately Terry’s vision is for the satellite unit to provide a more holistic “one-stop shop” service for patients living with kidney failure. “The reality is demand for dialysis is increasing. In collaboration with the wider Regional Renal team, including renal specialists, nurses, and GPs, we’re always looking at ways of improving health services for renal patients.” A M I AT R I S K? You’re at gre ater risk of kidney disea se if you: • have high blood press ure • have diab etes • smoke • have a fa mily history of kidney d isease • are over 50 • are of Māo ri or Pacifi c heritage. If you’re in favour – as any of these groups, d k your docto o r for a kidney yourself a check-up.