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Working out at EFit PT gym aka my happy place. (I am the one nearest to the camera.)

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Health means to me being in a state of self-awareness of both my physical and mental health. Connecting with my physical body through exercise helps me to maintain a clear mind and an understanding of my overall physical wellbeing. Being able to recognise, interpret, and accept my emotions allows me to maintain good mental health and helps me to connect with friends and family. Being self-aware allows me to identify any areas of concern so that I can address these when needed.

E-Fit PT. (2023). Your Monday morning reminder. E-Fit PT Facebook. https://www.facebook.com/photo/?fbid=804698718108872&set=a.517885593456854

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When I am feeling homesick for New Zealand, I listen to the Kiwi band SIX60, after migrating to Perth, Australia seeing them live and connecting with fellow Kiwi's in Perth helps me feel at home.

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The Discussion Paper of Australia’s Humanitarian Program 2023-24 (Department of Home Affairs, 2023) 

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In 2021, after the withdrawal of allied military and the downfall of the Afghan government, the Taliban returned to power. This crisis saw an urgent humanitarian emergency in a country that already struggled with ongoing conflict, poverty, and food insecurity. The Royal Children’s Hospital of Melbourne (2021) stated that Australia took in over 4000 people from Afghanistan including 2500 women and children. Upon arrival The Royal Children’s Hospital of Melbourne (2021) completed health screenings finding the refugees were arriving with low B12 levels, a number of people unimmunised or under-immunised compared to Australian standards and most notably mental health distress.

The Australian Refugee Health Practice Guide (n.d) outlines a number of blood conditions which are commonly caused by depleted food stores within the body initiated by food and water insecurities. Among these conditions Vitamin B12 deficiencies were detected within the Afghan refugees in 2021, in particular children (The Royal Children’s Hospital of Melbourne, 2021). Vitamin B12 deficiency can be adjusted through oral tablets or intramuscular injections, diet literacy on how to consume B12 within a diet is recommended.

Afghanistan’s immunisation schedule according to The Royal Children’s Hospital of Melbourne (2021) missed a number of vaccinations recommended in Australia. Being that the Afghan refugees in 2021 left their homes at an expedited rate and with the covid-19 pandemic occurring at this time immunisation were an important topic and anyone with no immunisation records would be required a full renewal of all vaccinations to Australian standards. This could be assessed at the time of a health screening and an immunisation catch up plan to be established (The Australian Refugee Health Practice Guide, n.d)

The Forum of Australian Services for Survivors of Torture and Trauma (2022) deemed evacuees as “severely traumatised people”. The conflict experienced by Afghans before arriving in Australia would have been enough to trigger several mental health concerns, plus family separation and resettlement in a new country would qualify them for a mental health screening on arrival. The Australian Refugee Health Practice Guide (n.d) identified many refugees experience Post Traumatic Stress Disorder (PTSD), depression and anxiety and The Forum of Australian Services for Survivors of Torture and Trauma (2023) have provided specialised contacts for refugees to find clinical support in every state and territory.

The Discussion Paper of Australia’s Humanitarian Program 2023-24 (Department of Home Affairs, 2023) Australia reports Afghans as the highest number of offshore granted visa and wants to include 26,500 places for Afghans within our Humanitarian Program till 2026.

The Australian Refugee Health Practice Guide. (2023). Anaemia, Iron Deficiency, and Other Blood Conditions. https://refugeehealthguide.org.au/anaemia-iron-deficiency-and-other-blood-conditions/

The Australian Refugee Health Practice Guide. (2023). Immunisation. https://refugeehealthguide.org.au/immunisation/

The Australian Refugee Health Practice Guide. (2023). Mental Health. https://refugeehealthguide.org.au/mental-health/

Department of Home Affairs. (2023). Discussion Paper: Australia’s Humanitarian Program 2023-24. Australian Government. https://www.homeaffairs.gov.au/reports-and-pubs/files/australias-humanitarian-program-23-24-discussion-paper.pdf

The Forum of Australian Services for Survivors of Torture and Trauma. (2022). FASSTT agencies respond to the crisis in Afghanistan. https://www.fasstt.org.au/afghanistan-crisis/

The Royal Children’s Hospital of Melbourne. (2021). Afghan refugees - key issues. https://www.rch.org.au/immigranthealth/clinical/Afghan_refugees_-_key_issues/

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Three WHO Social Determinants on Migrants and Refugees

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Three WHO Social Determinants on Migrants and Refugees

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Department of Home Affairs. (2023). Settle in Australia: Education and Training. Australian Government. https://immi.homeaffairs.gov.au/settling-in-australia/settle-in-australia/key-settlement-topics/education-and-training

Department of Home Affairs. (2023). Settle in Australia: Health and Wellbeing. Australian Government. https://immi.homeaffairs.gov.au/settling-in-australia/settle-in-australia/key-settlement-topics/health-and-wellbeing

Malala Fund. (2023). Afghanistan. https://malala.org/countries/afghanistan

The Australian Refugee Health Practice Guide. (2023). Chronic Non-Communicable Diseases in Adults. https://refugeehealthguide.org.au/chronic-non-communicable-diseases-in-adults/

World Health Organization. (2023). Social determinants of health. https://www.who.int/health-topics/social-determinants-of-health#tab=tab_1

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Nursing in the Family: Mary Violet Duffell

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Nursing in the Family: Mary Violet Duffell

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Nursing in the Family: Mary Violet Duffell

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European settlers arrived in Aotearoa (New Zealand) in 1769, they found the Māori people living here in a number of tribal areas called an "Iwi".

My family line is connected to the Nagi Tahu iwi of the lower South Island.

Similar to Aboriginal and Torres Strait Islanders of Australia, New Zealand tribal areas are not often recognised due to the migration of many westerners.

Starr, J. (2013). Map of New Zealand’s Māori Iwi (tribes). Evolving Newsroom https://evolvingnewsroom.co.nz/map-of-new-zealands-maori-iwi-tribes/

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Analysing some of my own cultural beliefs, values, and biases I can now relate better to the competency standard 12.1 within the Culturally Responsive Clinical Practice: Working with People from Migrant and Refugee Backgrounds (Working Group of the Migrant and Refugee Women’s Health Partnership, 2019, p. 30).

This knowledge will help me to endeavour developing further awareness on how my own culture can influence my interactions as a nurse and how this could have the potential to affect my patients from different cultural backgrounds than mine.

For me the most useful skill I already have is communication, and I now have the ability to further upgrade my communication skills by respectfully learning about the people I am treating and how their cultural backgrounds can influence how they would like to be treated.

Working Group of the Migrant and Refugee Women’s Health Partnership. (2019). Culturally Responsive Clinical Practice: Working with People from Migrant and Refugee Backgrounds. https://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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Lolly Cake is a sweet slice found at every kiwi kid’s birthday party. This super sweet dish is made with fruit puff lollies and malt biscuits which are proudly kiwi ingredients. It is now possible to buy these ingredients in Perth from a Kiwi Shop or some items can be found in the international aisle in the supermarkets.

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(Left) Personal image taken of my family tree, (Right) Image from the Otago Settlers Museum archives of William Isaac Haberfield. 

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Otago Settlers Museum in Dunedin was where I was able to find my Whakapapa. A Whakapapa is how someone can trace their Māori identity or line of descent.

Here we found William Isaac Haberfield (Otago Settlers Museum, n.d), a British settler from Bristol, England born in 1815. Arriving in Otago, New Zealand in 1836 after bringing a ship full of convicts to Tasmania, Australia. William married a Māori woman, Meriana Teitei. She was the daughter of an important fighting chef Pahi and his wife Piki, from the Ngai Tahu Iwi (tribe).

The last names Pike and Haberfield are still used within my current family generations. Though I have a Whakapapa of Māori decent, and I acknowledge where I have come from, I do not identify as Māori and was raised in a more western household specifically British.

Otago Settlers Museum. (n.d). Portraits; William Isaac Haberfield. Otago Settlers Museum. https://www.toituosm.com/collections/smith-gallery/wall-1/william-isaac-haberfield

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Kapa Haka is a powerful performance with a combination of song, chanting and dancing generally done in traditional dress at important events and gatherings (100% Pure New Zealand, 2023). The above video was taken shortly after the horrific attack on Muslims in Christchurch, this performance represents the emotions felt and shows a high level of respect to those affected. The Haka is often performed as a sign of defence in times of war as a form of intimidation to those who are trying to attack.

100% Pure New Zealand. (2023). Kapa haka - traditional Māori performing arts. https://www.newzealand.com/int/feature/kapa-haka-maori-performance/

CBS News. (2019, March 20). Students perform Haka to mourn victims of Christchurch shooting. [Video]. https://www.youtube.com/watch?v=YOZkO7YfCS4&ab_channel=CBCNews

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Students perform Haka to mourn victims of Christchurch shooting