NPCPD mock up with Jackie sound (2)

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Nursepoint now...

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And introducing... CPD

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Name Email Password Specialty About Contact T&Cs Nursing Assessment: Respiratory System What is Nursepoint CPD?

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Name Email Password Specialty About Contact T&Cs Nursing Assessment: Respiratory System What is Nursepoint CPD? Quick, easy registration! Clean, simple interface Demo video

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Welcome back Jackie! Update my details 10 hours complete! My Learning Plan Specialty Packages Rural and Remote Mental Health Aged Care Palliative Care Community Health Perioperative Family Health Critical Care & Emergency Rehabilitation Medical-Surgical Topics To do list: Stress Urinary elimination Completed modules : Indigenous health issues in Australia Infection control Medication Therapy My certificates Search by... Bowel elimination Care of Surgical Patients Complementary and alternative therapies Contemporary health issues in Australia Culturally competent care Fluid, Electrolyte and acid balance Hygiene Indigenous health issues in Australia Infection control Medication Therapy Mental Health and Wellness in Australia Mobility and immobility Nursing Assessment: Cardiovascular System Nursing Assessment: Respiratory System Nursing Assessment: Musculoskeletal System Nursing Assessment: Digestive System Featured course: Nursing Assessment: Respiratory System My learning plan helps identify and prioritise my learning needs, and evaluate my practice against the relevant competency or professional practice. Easy search across a broad range of topics CPD tracker !

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Objectives Module References Conclusion Journal Contemporary health issues in Australia The material in this module will assist you to: Understand some of the ways that government might attempt to increase the overall health status of the population. Identify which diseases are likely to be major causes of morbidity and mortality in the future. Consider reasons why the health status of Indigenous Australians is poor. Understand the likely changes in the populations of Australia in the next 50 years. Examine the effect of an ageing population on hospitalisations and the average length of hospital stay. Consider the major causes of death in Australia and why they differ from the major causes in developing countries. Understand how stress can contribute to the development of disease. Topical subject areas! Clear learning objectives for every module!

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Objectives Module References Conclusion Journal Objectives Module Conclusion References Journal What is contemporary health? Current population Population projection Ageing population Hospitalisation Mortality Stress Indigenous population What is contemporary health? Contemporary health refers to the current health of individuals and the health status of the population as a whole. In Western countries like Australia, individuals typically have a long life expectancy — life expectancy has increased due to comprehensive national childhood and at-risk group immunisation programs, improvements in public hygiene (such as fluoridation of the water supplies) and an elevation in living standards. Furthermore, the majority of individuals have access to advanced medical technology, which significantly contributes to their quality of life. The majority of diseases causing mortality in Australia are not the same as those causing mortality in developing nations. For instance, the greatest single cause of death worldwide is infection. While infection is responsible for some deaths in Australia, rates are low compared to deaths from coronary heart disease, cancers and cerebrovascular disease. And although the medical management of such diseases has improved dramatically, lengthening life expectancy, greater numbers of individuals are now living with these diseases, which impact on their lifestyle Easy navigation! 1 CPD hour per module

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Objectives Module References Conclusion Journal Objectives Module Conclusion References Journal What is contemporary health? Current population Population projection Ageing population Hospitalisation Mortality Stress Indigenous population Current population Compared with the rest of the world, the populations of Australia is tiny. Collectively, as of 2009 the population of Australia was 22 million within a global population of just over 6.7 billion, making Australia the most populous countries in the world Australia is one of the most sparsely populated countries in the world, but it is highly urbanised: approximately 85% of people reside in settlements of 10,000 persons or more. The vast majority of people live near the coast, in the eastern and south-eastern coastal strips: approximately 77% of the total population live in cities and towns within 50 kilometres of the coast (see Figure 33-1). Fun animations!

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Objectives Module References Conclusion Journal Objectives Module Conclusion References Journal What is contemporary health? Current population Population projection Ageing population Hospitalisation Mortality Stress Indigenous population Population projection The population of Australia is increasing, albeit slowly, at about 1% per year. The main reasons for this increase are a long life expectancy and migration. This increase is expected to continue despite low fertility rates compared with the rest of the world — in Australia, the average age of a mother having her first child has increased by 6 years since 1971. 2 It has been estimated that the Australian population will increase to approximately 35 million by 2050, although this may fall to between 30 and 43 million due to differing fertility rates, migration patterns and life expectancy. While this population does not appear to be large, especially compared with countries such as China (1.3 billion), large sections of Australia are inhabitable and so the emphasis of population growth will be predominantly in the cities. Moreover, the future growth in the population will greatly expand the size of the ageing population. Current statistics and research

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Objectives Module References Conclusion Journal Objectives Module Conclusion References Journal What is contemporary health? Current population Population projection Ageing population Hospitalisation Mortality Stress Indigenous population Hospitalisation The bedrock of our healthcare system is our hospitals. In Australia, as of 2009 there were more than 750 public hospitals and 550 private hospitals accounting for approximately 84,000 beds. 20 Hospitals provide a range of medical services, but essentially if a member of society becomes ill, they will very likely be admitted to hospital for care. The aged population are likely to require more hospitalisations and more access to the healthcare system than the younger population. 19 In 2007 there were about 7 million presentations to emergency departments and just under 8 million admissions to hospital 20 — a large amount in a population of 22 million. Videos!

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Objectives Module References Conclusion Journal Objectives Module Conclusion References Journal What is contemporary health? Current population Population projection Ageing population Hospitalisation Mortality Stress Indigenous population Stress Physical stressors, such as pain and exercise, are the most obvious examples of stress. However, psychological stressors can also impact negatively on an individual. It has been suggested that psychological stress occurs when the environmental demands that the individual perceives are greater than the individual’s adaptive capability. 26 Whichever way the stress is perceived, the main physiological response is activation of the sympathetic nervous system with a concomitant release of the hormones cortisol , adrenaline and noradrenaline . This effect is termed the hypothalamic-pituitary-adrenal axis , because it involves all of these glands. The release of hormones from these glands has a wide-ranging effect and in prolonged activation can lead to dysfunction of organ systems, such as the cardiovascular, respiratory, hepatic and immune systems. In addition, it is generally believed that stress can influence or cause the development and progression of disease. Concept maps!

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Objectives Module References Conclusion Journal Objectives Module Conclusion References Journal What is contemporary health? Current population Population projection Ageing population Hospitalisation Mortality Stress Indigenous population Indigenous health There is one group of people within the Australian population who have not been mentioned in detail thus far who have extremely poor health outcomes: Indigenous Australians. Compared to their non-Indigenous counterparts, Indigenous Australians are extremely disadvantaged, both in terms of morbidity and mortality. For instance, in the 1960s, the infant mortality rate among Indigenous Australians was one of the highest in the world. It has since declined dramatically, but it is still twice the rate of the non-Indigenous population. 55 This disadvantage continues through to adulthood: for example, the life expectancy of an Indigenous male is approximately 17 years less than for non-Indigenous males. 2 Unfortunately, this statistic has not altered significantly in the last 30 years. 55 Health alerts!

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Objectives Module References Conclusion Journal Objectives Module Conclusion References Journal Conclusion Urbanisation has influenced the prevalence of chronic diseases such as diabetes mellitus, chronic obstructive pulmonary disease, coronary heart disease and asthma, with higher rates in the cities compared to rural and remote locations. Australia’s population is projected to increase to approximately 35 million by 2050. The aged population is projected to increase dramatically in the next 40 years, which will significantly impact on health services. In 2007 in Australia there were about 8 million hospital admissions. The average length of stay in hospital is 3.3 days, while the average length of stay for the 85 years and older age group is more than 6 days. Coronary heart disease remains the greatest single cause of death, accounting for almost 20% of deaths. Stress activates the sympathetic nervous system and causes a release of the hormones cortisol , adrenaline and noradrenaline , which can lead to organ dysfunction and the development and progression of disease. Almost 7 million Australians are expected to be classified as obese by 2025. Module Objectives Module Clear, bullet-point summary

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Objectives Module References Conclusion Journal Objectives Module Conclusion References Journal References 1. Bai J, Cederbaum AI. Mitochondrial catalase and oxidative injury. Biol Signals Recept 2001; 10(3–4):189–199. 2. Lee HC, Wei YH. Mitochondrial biogenesis and mitochondrial DNA maintenance of mammalian cells under oxidative stress. Int J Biochem Cell Biol 2005; 37(4):822–834. 3. Lopez MF, Melov S. Applied proteomics: mitochondrial proteins and effect on function. Circ Res 2002; 90(4):380–389. 4. Melov S. Therapeutics against mitochondrial oxidative stress in animal models of aging. Ann N Y Acad Sci 2002; 959:330–340. 5. Golden TR, Melov S. Mitochondrial DNA mutations, oxidative stress and aging. Mech Ageing Dev 2001; 122(14):1577–1589. 6. Kelso GF et al. Selective targeting of a redox -active ubiquinone to mitochondria with cells: antioxidant and antiapoptotic properties. J Biol Chem 2001; 276(7):4588–4596. 7. Lee HC, Wei YH. Mitochondrial alterations, cellular response to oxidative stress and defective degradation of proteins in aging. Biogerontology 2001; 2(4):231–244. 8. Lenaz G et al. Role of mitochondria in oxidative stress and aging. Ann N Y Acad Sci 2002; 959:199–213. 9. Kornitzer D, Chiechanover A. Modes of regulation of ubiquitin mediated protein degradation. J Cell Physiol 2000; 183(1):1–11. 10. Loeb S, Kettermann A, Carter H, Ferrucci L, Metter E, Walsh P. Prostate volume changes over time: results from the Baltimore longitudinal study of aging. J Urology 2009; 182:1458–1462. 11. Raloff J. Coming to terms with death: accurate descriptions of a cell’s demise may offer clues to diseases and treatments. Sci News 2001; 159:378–380. 12. D’Mello SR. Molecular regulation of neuronal apoptosis. Curr Top Dev Biol 1998; 39:187–213. 13. Zakeri Z, Lockshin RA. Cell death during development. J Immunol Methods 2002; 265(1–2):3–20. 14. Majno G, Joris I. Apoptosis, oncosis and necrosis: an overview of cell death. Am J Pathol 1995; 146(1):3–15. 15. Johnson HA. (ed.) Is aging physiological or pathological? In relations between normal aging and disease. New York: Raven; 1985. 16. Babel B, Bomsdorf E, Schmidt R. Future life expectancy in Australia, Europe, Japan and North America. J Pop Res 2007; 24:119–131. 17. Olshansky S, Passaro D, Hershow R, Layden J, Carnes B et al. (2005). A potential decline in life expectancy in the United States in the 21st Century. New Engl J Med 2005; 352:1138–1146. 18. Minckler J, Anstall HB, Minckler TM. Pathobiology : an introduction. Mosby: St Louis; 1971. 19. Shennan T. Postmortems and morbid anatomy. 3rd edn . Baltimore: William Wood; 1935. Module Objectives Module References Referenced Peer reviewed Evidence-based Expert authors

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Objectives Module References Conclusion Journal Objectives Module Conclusion References Journal Journal – Reflective Practice How does the topic of this module relate to your scope of practice? Module Objectives Module References References Journal Enter text... Save to ePortfolio Email ePortfolio and email Reflect on learning and apply to practice

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Name Email Password Specialty About Contact T&Cs Nursing Assessment: Respiratory System What is Nursepoint CPD? Nursepoint CPD: Everything a nurse needs to complete and track 20 hours of compulsory CPD !