Welcome to Ngāti Porou Oranga’s webpage, hosted by My Health Hub, for the recordings of matauranga sessions.

Ngāti Porou Oranga is a subsidiary of Te Runganganui o Ngāti Porou, and provides health services to the Ngāti Porou East Coast region of the North Island. They are one of the smallest Primary Health Organisations (PHO) in New Zealand, with the only Māori owned and operated hospital in the world (Te Puia Springs Hospital – sitting at the heart of the East Coast).
The enrolled population of Ngāti Porou Oranga is over 10,000 and approximately 50% of this population is rural. The proportion of Māori enrolled is around 83%. The population is primarily serviced through six clinics, and services are also provided through its hospital at Te Puia Springs.

We understand the challenges for this rural community accessing suitable matauranga and value working in partnership with them.

Bladder Management for RN’s

Held on: Thursday 8 August

Presented by: Janet Thackray

Topics include:

• What is a normal bladder
• Main types of bladder problems
• Common causes
• How to manage bladder problems

Bowel Cancer

Held on: Thursday 1 August

Presented by: Victoria Thompson, Nurse Support Coordinator, Bowel Cancer NZ 

Topics include:

• What is Bowel Cancer?
• Stats & figures
• Signs, symptoms & risks
• Screening in NZ
• Treatment options in NZ
• Research, & upcoming interventions

Intro to NZ ambulance sector CPGs for non-ambulance health professionals

Held on: Thursday 11 July

Presented by: Kris Gagliardi, Critical Care Paramedic, and Assistant Clinical Director, St John

Topics include:

• What are the Clinical Procedures and Guidelines (CPGs) and how are they are developed?
• Clinical practice levels within ambulance services
• The new NZCPG app
• Key aspects for Ngāti Porou Oranga

Management of acute asthma 

Held on: Thursday 4 July

Presented by: Kris Gagliardi, Critical Care Paramedic, and Assistant Clinical Director, St John

Topics include:

• What is Asthma
• Pathophysiology
• Determining severity
• Treatment

Out of Hospital approaches to analgesia & sedation

Held on: Thursday 27 June

Presented by: Kris Gagliardi, Critical Care Paramedic, and Assistant Clinical Director, St John

Topics include:

• General approach to analgesia
• Common analgesics used in the out-of-hospital setting
• Approaches to sedation

Acute stroke dx management and hospital destination

Held on: Thursday 20 June

Presented by: Kris Gagliardi, Critical Care Paramedic, and Assistant Clinical Director, St John

Topics include:

• What is stroke?
• Key aspects of the current stroke pathway
• Stroke assessment tools (FAST)
• Out-of-hospital treatment for stroke
• Transport considerations and hospital destination
• Thrombolysis (in-hospital)
• Recent and future developments in stroke care, including imaging and clot retrieval

Advanced De-escalation

Held on: Thursday 13 June

Presented by: Elle Cradwick, Mental Health Educator

Topic includes:

• Neurological underpinnings of the stress response system
• The escalation cycle
• How to present as calm – what not to do
• Strategies for debriefing

Antimicrobial Stewardship

Held on: Thursday 6 June

Presented by: Ben Harris, Medical Microbiology Scientist

Topic includes:

• Appropriate AB use & what is misuse?
• Antibiotic stewardship failures
• Microbiome
• General tips & points to ponder

Pragmatic paediatric prescribing

Held on: Thursday 30 May

Presented by: Jane Key, Senior Lecturer/Mātanga Tapuhi NP, School of Nursing Massey University

Topic includes:

Content of this presentation included:
• Children ARE different
• General principles of paediatric prescribing
• Prescribing for common conditions:
– Coughs and Colds
– Pre-school wheeze
– Asthma

Paediatric pain management

Held on: Thursday 23 May

Presented by: Jane Key, Senior Lecturer/Mātanga Tapuhi NP, School of Nursing Massey University

Topic includes:

• What is pain?
• Why is pain different in children
• How do we manage pain in children

Paediatric Gastroenteritis

Held on: Thursday 16 May

Presented by: Jane Key, Senior Lecturer/Mātanga Tapuhi NP, School of Nursing Massey University

Topic includes:

• Gastroenteritis in children
• Recognition
• Hydration Assessment
• Evidence Based Interventions
-Rehydration therapies | Adjunct therapies
-Parental advice

Management of fever in children

Held on: Thursday 9 May

Presented by: Jane Key, Senior Lecturer/Mātanga Tapuhi NP, School of Nursing Massey University

Topic included:

• What is fever & why do we get them?
• How do antipyretics work?
• When to give antipyretics?
• When to worry?
• Fever myths & fever phobia?
• When does fever cause febrile convulsions?

Spotting the sick child versus the “really” sick child

Held on: Thursday 2 May

Presented by: Jane Key, Senior Lecturer/Mātanga Tapuhi NP, School of Nursing Massey University

Topic included:

• Approach to the paediatric Patient
• Forming an initial impression
• The consultation
• Sifting Paediatric Differentials
• Child Protection Concerns
• Case Studies

Vaccine safety

Held on: Thursday 29 February

Presented by: Kirsty Basher, Immunisation coordinator/Team Leader Te Whatu Ora, Te Matau a Maui

Topic will include:

• Vaccine Life Cycle
• Anaphylaxis Signs and Symptoms
• Reporting AEFI in New Zealand
• Vaccine related adverse events
• Vaccine errors & what to do
• Pre-vaccination screening
• Surveillance

Cold Chain Management

Held on: Thursday 22 February

Presented by: Janine Brown, Well Child

Topic will include:
• NZ National Standards for management of cold chain
• Essential Cold Chain Elements
• Equipment
• Monitoring
• Managing Stock
• Cold Chain Breaches
• People
• Cold Chain Accreditation

Vaccine Preventable Diseases

Held on: Thursday 15 February

Presented by: Kirsty Basher, Immunisation coordinator, Te Whatu Ora, Te Matau a Māui

Topic will include:

• Pertussis
• Pneumococcal
• Measles
• Meningococcal
• HPV
• Influenza
• Covid-19
• BCG

NZ Immunisation Schedule

Held on: Thursday 8 February

Presented by: Janine Brown, Immunisation Coordinator/SRO/PHN Well Child Team

Topic will include:

• History of Immunisation
• NZ Immunistion Schedule
• Immunisation Priorities
• Improving Immunisation coverage
• Aotearoa Immunisation Register (AIR)
• Resources

Bronchiolitis

Held on: Thursday 30 November

Presented by: Nora Dunphy – Respiratory Paediatric CNS

Topic will include:

• Cause
• Risk factors for more serious disease
• How Bronchiolitis affects the pēpi
• Assessing severity
• Bronchiolitis Management
• When to refer to secondary care
• Preventing respiratory illness

A guide to managing Pre School Wheeze (PSW) & Asthma

Held on: Thursday 23 November

Presented by: Sue Parkes, Paediatric Respiratory Nurse Educator

Topic will include:

• Triggers | Signs & symptoms in under 2’s
• What is wheeze | Causes of wheeze
• Bronchioloitis under 2’s | Viral induced wheeze
• Red Flags – when to ask for help
• How to ease the coughing spasms | Foreign Body
• What is Pre-school Asthma
• Relievers age 2+ | BURST Therapy
• Use of Spacers; Use of masks
• Types of inhalers | AIR/SMART Therapy
• Asthma action plans | School Asthma Management Plan (SAMP)

COPD following the guidelines

Held on: Thursday 16 November

Presented by: Sue Jones, Teletriage Nurse, Whakarongorau

Topic will include:

• Diagnosis
• Management of the chronic disease
• Management of Exacerbation

Asthma

Held on: Thursday 9 November

Presented by: Sue Jones, Teletriage Nurse, Whakarongorau

Topic will include:

• What it is
• How it is managed
• Changes in the NZ Asthma Guidelines 2020
• Patient issues

Pathophysiology, lifestyle and DARS

Held on: Thursday 2 November

Presented by: Kasey Brown, Clinical Pharmacist

Topic will include:

• Hypoglycaemia
• Diabetic ketoacidosis
• Hypersosmolar hyperglycaemic state

Managing T1DM in primary care 

Held on: Thursday 26 October

Presented by: Dr Rosemary Hall, Endocrinologist

Topic will include:

• Pathophysiology of T1DM
• Diagnosis of T1DM
• Management – including the use of CGM, pumps, automated insulin delivery
• Discussion on approach to T1DM in Tairāwhiti

Pathophysiology, lifestyle and DARS

Held on: Thursday 19 October

Presented by: Dr Elina Kiuru |Kasey Brown, Clinical Pharmacist

Topic will include:

• Basic Pathophysiology of Type 2 diabetes
• Lifestyle advice and modifications
• Metformin and sulphonylureas
• Diabetic annual review

Diabetes updates including Liraglutide/Dulaglutide and Empagliflozin

Held on: Thursday 12 October

Presented by: Dr Elina Kiuru

Topic will include:

• What do the new Type 2 Diabetes guidelines look like?
• What does that mean for our whanau?
• What is clinical inertia and how our team can overcome it?
• Why do targets matter?
• What are the modern diabetes medicines and why our patients should be on them?

Sepsis – The Phantom Menace

Held on: Thursday 5 October

Presented by: Dr Paul Huggan, Acute Medicine & Infectious Disease Physician

Topic will include:

• Sepsis – what is it really?
• Impact & burden of sepsis
• Pathophysiology of sepsis
• Recognition & action, whole process approach.
• Post sepsis syndrome

Hypertension

Held on: Thursday 28 September

Presented by: Daman Kaur, Nurse practitioner with specialist interest in cardiology 

Topic will include:

• What is Hypertension
• Risk factors
• Diagnosis
• Treatment options

Acute Coronary Syndrome

Held on: Thursday 21 September

Presented by: Daman Kaur, Nurse practitioner with specialist interest in cardiology 

Topic will include:

• Assessment; what does ACS look like?
• Diagnosis and Differential Diagnoses
• Treatment of ACS

Atrial Fibrillation & Flutter

Held on: Thursday 14 September

Presented by: Daman Kaur, Nurse practitioner with specialist interest in cardiology 

Topic will include:
• Normal conduction system of the heart
• What is AF and what is Flutter?
• What do they look like on ECG
• Diagnosis and treatment options

Heart Failure

Held on: Thursday 7 September

Presented by: Daman Kaur, Nurse practitioner with specialist interest in cardiology 

Topic will include:
• HF- Definition and diagnosis of HF
• Trajectory of HF
• Pillars of HF therapy
• Who is at risk
• What can we do