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Health to me, is a more holistic approach to awareness of our own mental health and physical well-being in addition to physical health. When you invest more time into your mind, body and spirit, they all interconnect cohesively and help you to move towards a healthier and more well-balanced existence.

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Social Determinants that impact migrants/refugees. 

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Social Determinants that impact migrants/refugees. 

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- Education
- Income
- Unemployment

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Health issues that refugees may present upon immigration to Australia. 

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Health issues that refugees may present upon immigration to Australia. 

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Afghanistan located in Central Asia with Iran to its west and Pakistan to its east. It is one of the top three countries with the highest number of citizens to seek refuge in Australia.

There are between 12-15 000 Afghans living permanently in Australia today, approximately 3,500 also have temporary protection visas. The Soviet invasion in 1979 was the fundamental reason for their arrival. (ABC, 2022)

Upon arrival to Australian these are three examples of common health issues refugees may present with:
(Australian Refuge Health, 2023)

Mental health: Due to risky travel, war torn environments, incarceration at borders and prolonged uncertainty, asylum seekers may encounter additional stressors as a result. There is strong evidence that immigration detention in Australia particularly long-term detention, has negative short and long-term effects on peoples physical and mental health. One treatment option is clinical post-arrival assessment for emotional health and mental disorders as well as continued monitoring for stressors connected to the experience of being a refugee and being resettled over time.

Immunisations: People from refugee backgrounds have an increased chance of arriving in Australia with inadequate or no immunisations. No one will come completely immunised because the immunisation schedules of their home countries differ from those of Australian standards. One treatment option is to determine which vaccines have already been given before creating an appropriate plan to start administration of vaccinations needed.

Skin Infections: Dermatitis, skin ulcers, and contagious illnesses including scabies are more common amongst Afghan refugees in comparison to other types of refugees. This could be due to the high incidence of starvation, forced foot travel and lack of access to basic healthcare. One example of a treatment for such illnesses includes an initial physical examination should involve skin evaluation. The best plan of action will rely on the results of the final diagnosis.

References: ABC. (2022, March 29). “Turning of the tide”: Australia to take in 16,500 more refugees from Afghanistan. ABC News. www.abc.net.au/news/2022-03-30/budget-afghanistan-refugee-intake-humanitarian-program/100948614

Australian Refuge Health. (2023). Australian Refugee Health» Primary Care for People of Refugee Backgrounds. Australian Refugee Health - Primary Care for People of Refugee Backgrounds. refugeehealthguide.org.au/

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It is a simple way to improve your physical and emotional health, it can even provide some pain relief, improve well-being, and support mood. BUT make sure you’re listening to the appropriate music depending on the purpose. For example if you’re trying to ‘de-stress and focus’, you would listen to more calming tunes as opposed to something upbeat and fast

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There are multiple benefits of exercise that exist for both physical and mental health. Exercise on a regular basis can improve your mood, increase your energy, fight diseases and disorders, improve your sleep, and even improve your sex life. Exercise can strengthen your bones and muscles, help you loose weight, lower your chances of developing diseases, and enhance you capacity to carry out daily tasks.

Exercise can also help you maintain a healthy weight, reduce your blood pressure, increase your levels of goof cholesterol, enhance blood flow (circulation), avoid bone loss that can cause osteoporosis, and lengthen your life! (Mayo Clinic, 2021)

Reference: Mayo Clinic. (2021, October 8). 7 great reasons why exercise matters. Mayo Clinic. .mayoclinic.org/healthy-lifestyle/fitness/in-depth/exercise/art-20048389

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Reference: Image from Competency Standards Framework for Clinicians, January 2019.

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Clinicians need to be conscious of their cultural values and beliefs and consider their own cultural history and how this influences their interactions with others. They should be able to self-reflect to examine their capability to offer flexible treatment to patients from different cultures and to interact in a way that is respectful of that person and their culture. I have given some examples on how I hope to deliver culturally appropriate care to my future patients. (Competency Standards Framework for Clinicians, 2019)

Increasing self-awareness: By considering my own cultural background and preconceptions to better understand how these may influence my interactions with future patients from other cultural backgrounds.

Understanding different cultures: Spending necessary time to get familiar with different cultural norms, values, and practices of the patients I will be treating. In doing so I will be able to better understand the requirements of my patients and deliver the best care possible.

Relationships with patients: I will endeavor to work to establish solid bonds with my patients that are based on mutual respect, trust, and free-flowing communication. In doing this I hope my patients will feel more at ease discussing their health and cultural background with me.

Reference: Competency Standards Framework for Clinicians. (2019, January). Culturally Responsive Clinical Practice: Working with People from Migrant and Refugee Backgrounds. ://moodleprod.murdoch.edu.au/pluginfile.php/3573073/mod_resource/content/1/Culturally-responsive-clinical-practice-Working-with-people-from-migrant-and-refugee-backgrounds-Jan2019.pdf

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Create a habit of gratitude; it’s an excellent mental exercise. You can use it to pinpoint parts of your life for which you should feel grateful and appreciative. Those who express gratitude more frequently tent to be happier more content with their lives. Additionally, the happy feelings brought on by practising thankfulness can assist in being less materialistic, less likely to experience burnout, better sleep, less fatigue, and lower levels of cellular inflammation, lowering blood pressure and slowing your heart rate, so why not give it a crack? (Miller, 2019)

Reference: Miller, K. (2019, July 2). 14 Health Benefits of Practicing Gratitude According to Science. Positive Psychology. positivepsychology.com/benefits-of-gratitude/

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Your Physical and mental wellness are both impacted by sleep, that’s why getting enough shuteye is crucial. For adults between 18 – mid 60’s it is recommended to have 7 to 9 hours of sleep. (Health Direct, 2020)

Here are some ideas on how to increase the quality of your sleep;

-        Create a sleep schedule, set a consistent schedule for when you go to bed and wake up.

-        Avoid using screens at night right before you sleep, don’t bring your computers, iPad or phones to bed. These devices ‘blue light’ can overstimulate you and even keep you awake!

-        Set a caffeine cutoff time when the suns up enjoy your cup of coffee. Avoid consuming coffee in the late afternoon or evening (unless you’re like me and don’t drink coffee at all, and yes, I know what you’re thinking, the answer is yes, I can function perfectly fine).

-        Try take short naps during the day; oversleeping throughout the day might mess with your internal clock and make it more challenging at nighttime to sleep.

Reference: Health direct. (2020, March 3). Sleep tips for children. Www.healthdirect.gov.au. www.healthdirect.gov.au/sleep-tips-for-children