Tui Ora Ltd
Presentation for
MIDLANDS REGION PRIMARY HEALTH
CARE NURSE LEADERS FORUM
Date 30TH May 2014
Tui Ora Ltd
 Tui Ora
• Background
• Vision
• Mission
• Funding
Geographical
Area
Services offered
Child & Adolescent Mental
Health Service
General Mental
Alcohol and Drugs,
Health
Wellness Team
TPC
Taranaki Primary Connections
Supported Accommodation
Long Term Conditions
Youth Services
Alt Ed
Tui Ora Family Health
Cultural Advisor,
Kaiawhina. Koroua Kuia
Services
Homebased Support
Public Health
POPULATION – TUI ORA FAMILY HEALTH
MHN Locality: North Taranaki
Proportion of MHN: 4%
iii
TUI ORA FAMILY HEALTH – POPULATION AGE
Population
Age
0-4
313
5-14
593
15-24
481
25-44
911
45-64
701
65-74
138
75+
72
TUI ORA FAMILY HEALTH – POPULATION ETHNICITY
Population
Ethnicity
Asian European
197
1,015
Maori
1,796
Pacific Island
130
Other
71
TUI ORA FAMILY HEALTH – POPULATION QUINTILE
Population
Quintile
Q1
169
Q2
364
Q3
601
Q4
912
Q5
995
Not recorded
168
TUI ORA FAMILY HEALTH – POPULATION GENDER
Population
Gender
Female
1660
Male
1549
POPULATION – TUI ORA FAMILY HEALTH
MHN Locality: North Taranaki - Proportion of MHN: 4%
POPULATION – TUI ORA FAMILY HEALTH
MHN Locality: North Taranaki - Proportion of MHN: 4%
POPULATION – TUI ORA FAMILY HEALTH
MHN Locality: North Taranaki - Proportion of MHN: 4%
Role of the Nurse in Whanau ora

Clinical Practice

Holistic Approach

Culturally aware
NAVIGATOR/KAIAWHINA
In a GP environment the clinical team has limited
time and resources to attend to patient’s holistic
wellbeing with most engagements are the standard
15 minute appointment.
The most important phase of engagement is
‘Whakawhanaungatanga’.
Listening and capturing their story at its rawest
must be given respect.
NAVIGATOR/KAIAWHINA
There are whanau who identify their needs as ‘small’ or ‘one-off’ - but we have
learnt that the smallest of need can have a huge impact on whanau.
 My child has no shoes to wear to school
 My child is always sick, always in hospital.
 I have been kicked out of home.
 I am sleeping in my car I have no money I have no food
 I DNA my appointments because I have no transport or I have a car but I can
not afford the registration / w.o.f / petrol.
 I have come to see my doctor today because I have a sore knee but what
actually pains me is I was raped as a child and now my 7yr old moko tells me
she is being touched by a known person.
Pathway
Phone calls (network) – i.e. Salvation Army, Winz, Budget advice, CYF
Phone calls to TDHB – OPD, Radiology
Outcome
Follow up – on-going aspirations
WHANAU ORA PLAN
Patient 1
 Lives alone – ex wife and their 17yr old daughter live in NP
 Friends picked up his medication from the pharmacy – they are all
users
 Friends took his eftpos card and emptied his account weekly
 Friend was his signatory at the bank
 He has short term memory loss
 Cannot walk 2 flights of stairs – awaiting surgery for hip
replacement
 Has Multi outstanding bills
 Has seizures – ambulance callouts numerous times, has an
outstanding account
 Unopened mail
WHANAU ORA PLAN
Patient 1 Pathway
•
•
•
•
•
•
Kaiawhina – support and advocate to Winz, set up redirection of the benefit to
support his outstanding accounts
Access Ability – home support – PC, house cleaning, shopping
Navigator – transport and support to medical appointments
Conversation with pharmacy – weekly courier pick up & selected people to pick
up
Continence nurse support
Medlab home visits
Outcome
•
•
•
•
•
•
•
•
Medication oversight
Joined St John Ambulance membership group
Bills / mortgage / insurance are being paid
Cupboards are stocked weekly & meals are prepared
Daily care support
Transported to medical appointments
Incontinent products available
Communication with ex wife now active
WHANAU ORA PLAN
Patient 2
• Moved home with whanau to Taranaki from Australia after
10yrs, staying with uncle
• Has Klippel-Feil Syndrome – can not lie in an ordinary bed
• Constant seizures
• Menorrhagia
• Profoundly deaf
• Signs
• Mother transports patient to a friend’s house 1.5 km away daily
for a shower – hygiene, therapeutic
• Bathroom tiny, separate toilet.
WHANAU ORA PLAN
Patient 2 Pathway
• Access Ability – to support with PC & outings
• Deaf foundation – interpreter
• TDHB OT – assess bathroom
Outcome
• Care support for outings in the event of seizures.
• Medical alarm
• Interpreter available when necessary
• Given a hospital bed
• Has a new wet-floor bathroom thanks to local tradesmen and
businesses that provided free materials and time – now
showers whenever she feels the need
• Volunteers for 2 hrs a week at the SPCA – she never ever
thought in her wildest dream that this would be possible.