Ngāti Porou Oranga
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.
Coming soon:
Rural Health Services – Vascular assessments
Held on: 11 September 2025
Presented by: Jackie Atkins & Jenn Boyle, Specialty Clinical Nurses Rural Health, District Nursing Service, Tairawhiti DHB
Topic covers:
• Overview of Rural Health services & referral criteria
• Why vascular assessments are performed
• ABPI & TBPI and results
• Management of venous & arterial insufficiency
CVRA assessment update
Held on: 4 September 2025
Presented by: Lydia Albejay, Ngati Porou Oranga
Topic covers:
- Target groups (who should be tested)
- Pathway for CVRA
- NPO policy and procedure
- Follow up CVRA/ recalls
Peadiatrics – Ezcema & Dermatitis
Held on: 28 August 2025
Presented by: Kellie Deans & Jane Edwards PEADS CNS, Tairāwhiti DHB
Topic includes:
- Brief overview of eczema, management and control
- Physical and psychological impact of eczema
- What/where to access resources for whanau
- Paediatric Outreach Nursing Service referral criteria
Peadiatrics – Rheumatic Fever Update
Held on: 21 August 2025
Presented by: Dr Dr Shaun Grant, Paediatrician, Tairāwhiti DHB
Topic includes:
• Rheumatic heart disease screening on the East Coast.
• What can we do for our tamariki and rangatahi?
ADHD and Neurodevelopmental diversity
Held on: 14 August 2025
Presented by: Dr Catherine Crofts, Clinical Pharmacist, Public Health Researcher, Locum Pharmacist – AUT Tāmaki Makaurau
Topic includes:
Assisted Dying
Held on: 7 August 2025
Presented by: Georgie Beard, Nurse Practitioner, Ngati Porou Oranga
Topic includes:
• Legal and ethical overview
• Assisted dying care pathway
• Responding when a person raises assisted dying
Atrial Fibrillation
Held on: 31 July 2025
Presented by: Tracy Low, Cardiology Nurse Practitioner, Tairāwhiti Health New Zealand
Topic includes:
• Clinical application of AF-CARE management model
• Updates in stroke prevention and anticoagulation
• Compare rate Vs rhythm strategies
• Integrate co-morbidity and equity-focused care.
Heart Failure
Held on: 24 July 2025
Presented by: Kirsten Willock, Cardiology Nurse Practitioner, Tairāwhiti Health New Zealand
Topic includes:
• Overview of HF
• Diagnosing HF
• Why the emphasis on LVF with rEF
• Pharmacological Therapy
• Working together
Child Protection
Held on: 17 July 2025
Presented by: Georgie Beard, Nurse Practitioner, Ngati Porou Oranga
Topic includes:
- Different forms of abuse and neglect
- What to look for with child abuse and neglect
- What to do about it when you have a concern.
The Health and Disability Commission (Code of Health and Disability Services Consumer’s Rights)
Held on: 15 May 2025
Presented by: Jessica Buddendijk, Aged Care Advisor
Topic includes:
• Understanding the Code of Rights and responsibilities as a healthcare provider
• Privacy Act and Health Information Privacy Code – what you must do
• How to encourage choice and independence, including informed consent
Infection Prevention & Control for General Practice
Held on: 8 May 2025
Presented by: Ruth Barratt, Vector Consulting
Topic includes:
• Principles of infection prevention and control in the practice setting
• Meeting the RNZCGP Quality Framework Foundation Standard
• How to meet compliance with NZS 8134:2021 Ngā paerewa – section 5
Anaemia in Primary Care
Held on: 10 April 2025
Presented by: Dr Tom Sapsford, Haematologist, Te Whatu Ora Waitemata
Topic includes:
• Understand the causes and types of anaemia
• Learn diagnostic approaches and interpretation of lab results
• Explore treatment options
• Discuss patient-centred care and monitoring strategies
Immunisations for Pregnancy and Measles
Held on: 27 February 2025
Presented by: Renee Stewart, Midlands Regional Advisor, IMAC
Topic includes:
• Why vaccination is important
• What diseases to protect against in pregnancy
• When to vaccinate
• Resources available
Thyroid Disorders – Hypothyroidism and Hyperthyroidism
Held on: 20 February 2025
Presented by: Rosemary Hall, Endocrinologist, University of Otago
Topic includes:
• Differential diagnoses
• Management plans
• Case studies
The Immunisation Schedule & Cold Chain
Held on: 13 February 2025
Presented by: Janine Brown, Immunisation Coordinator/PHN Well Child Team Tairāwhiti
Topic includes:
• The immunisation schedule
• Our local imms stats where we are at
• Cold Chain
Pertussis – The ins and outs
Held on: 30 January 2025
Presented by: Dr Kiriana Bird, Medical Director, Specialist GP, Ngati Porou Oranga
Topic includes:
• Update of Pertussis outbreak in NZ
• Key messages for Pertussis management
• Notification process & where to find information
• Ngati Porou Immunisation Strategy
Self Care at the end of the year
Held on: 12 December 2024
Presented by: Elle Cradwick, Mental Health Educator, Big Chats
Topic includes:
• Define & discuss self-care
• Look at its importance in our professional roles
• Complete a cheat sheet
• Introduce several tools for your kete
Gout – Part 3 – Update on gout management – recorded webinar
Held on: 5 December 2024
Presented by: Prof Nicola Dalbeth, Rheumatologist, Te Toka Tumai & Uni of Auck
Topic includes:
• Clinical Gout update
• New resources to support effective gout management
Gout – Part 2 – Having the conversation about Gout with whanau – recorded webinar
Held on: 28 November 2024
Presented by: Susan Reid, Director, Health Literacy NZ
Topic includes:
• different ways you can have a conversation about gout with whānau
• how to build understanding of the real causes of gout
• how these causes can be treated to avoid attacks and prevent other health impacts of gout
Understanding Gout – recorded webinar part 1
Held on: 21 November 2024
Presented by: Professor Nicola Dalbeth Professor, University of Auckland, Rheumatologist, ADHB
Topic includes:
• Māori whānau and Pacific people’s kidney function & uric acid
• Treatment to prevent gout attacks using long term medicine.
• Why focusing on food and drink alone will not address the underlying causes of gout
• Health risks of the high-dose pain relief used to treat gout attacks.
Deprescribing and Hyperinsulinaemia
Held on: Thursday 14 November 2024
Presented by: Dr Catherine Crofts, Clinical Pharmacist, Lecturer Pharmacology AUT
Topic includes
• Journey from deprescribing to understanding hyperinsuliaemeia
• Why we need to support the use of SGLT-2 inhibitors
• Concerns about GLP-1 agonists for weight loss
• Why we need to move to an insulin-focused model for all forms of diabetes mellitus
Diabetes related foot disease
Held on: Thursday 7 November 2024
Presented by: Michele Garrett, Professional Leader Podiatry Te Whatu Ora Waitemata & Claire O’Shea, Podiatrist Te Whatu Ora Waikato
Topic includes
• What is diabetes foot disease
• What can we do about it
• Management of risk factors
• Foot screening
• Management of diabetes foot disease
Monogenic diabetes and LADA
Held on: Thursday 31October
Presented by: Rosemary Hall, Endocrinologist, University of Otago
Topic includes
• When to suspect another type of diabetes
• What other types of diabetes do we need to think about?
• How do we investigate for other types of diabetes?
• How does the type of diabetes affect management?
Diabetes Update
Held on: Thursday 24 October
Presented by: Kasey Brown, Clinical Pharmacist Prescriber, Long Term Conditions, Ngati Porou Oranga
Topic includes:
- Continuous Glucose Monitoring (CGM) Pharmac funding – sensors only
- Automated Insulin Device (AID) Pharmac funding – sensors plus insulin pump
- Insulins: Ryzodeg and Penmix30/Penmix50/Mixtard30
- Caresens Testing Machine
- Update: Diabetes Prescribers Conference & discussion on DAR processes
Diabetes Management & Dexamethasone use in palliative care
Held on: Thursday 26 September
Presented by: Dr Anna Meuli, Clinical Director, Hospice Tairawhiti
Topic includes:
• Effects of Dexamethasone use in Palliative Care
• Principles & progression of Diabetes Management in Palliative Care
• Emotional and Communication Considerations
• Hospice Tairawhiti Team introduction
Diabetes Management & Dexamethasone use in palliative care
Held on: Thursday 26 September
Presented by: Dr Anna Meuli, Clinical Director, Hospice Tairawhiti
Topic includes:
• Effects of Dexamethasone use in Palliative Care
• Principles & progression of Diabetes Management in Palliative Care
• Emotional and Communication Considerations
• Hospice Tairawhiti Team introduction
Management of Pain in Palliative care
Held on: Thursday 19 September
Presented by: Dr Anna Meuli, Clinical Director, Hospice Tairawhiti
Topic includes:
• Concept of total pain – Te Whare Tapa Wha model
• Pharmacological & non-pharmacological approaches to pain management
• WHO analgesic ladder
• Overview & discussion of most used opioids
• Adjuvant medications
Tō tātou Reo advance care planning – rua
Held on: Thursday 12 September
Presented by: Jane Goodwin, Prog Manager Advanced Care Planning Health NZ
Topic includes:
• Shared goals of care
• Serious illness conversation guide
• Examples & impact of the tools in action
Management of nausea and vomiting in palliative care
Held on: Thursday 5 September
Presented by: Joy Cairns, Clinical Nurse Specialist, Hospice Tairawhiti
Topic includes:
• 4 Goals of Nausea Assessment and Management
• Possible nausea causes
• Pharmacological & Non-pharmacological Management Strategies
The 3 D’s – Depression, Dementia and Delirium
Held on: Thursday 29 August
Presented by: Dr Michal Boyd, Honorary Assoc. Professor, University of Auckland
Topic includes:
• Dementia types; characteristics & management
• Depression in the elderly
• Causes and consequences of delirium
• Nursing management and care
Tō tātou Reo advance care planning – kotahi
Held on: Thursday 22 August
Presented by: Jane Goodwin, Advance Care Planning Programme Manager, Te Whatu Ora
Topic includes:
• What is advance care planning
• Legalities and common questions
• Benefits of advance care planning
• The different tools and resources to support whānau
Sleep Health
Held on: Thursday 15 August
Presented by: Sally Powell,Nurse Practitioner, Masters of Health Sciences
Topics include:
• Wellness and Good Sleep Relationship
• Causes of sleep deprivation and lost sleep opportunity
• Assessing sleep issues
• Common sleep disorders
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
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