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2018 ADEA-VIC Branch Conference

 


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Program 16 March
Program 17 March
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Registration
Venue
Accommodation
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Friday 16 March 2018

 

4.00-6.00pm – Research Masterclass

This workshop is designed for beginning/inexperienced researchers. It will cover the basic contents of a well-written research protocol.

Professor Trisha Dunning, Deakin University

Nicole Duggan, RN CDE

Dr Bodil Rasmussen, RN

4.00-6.00pm – Flash Glucose Monitoring Workshop sponsored by Abbott Diabetes Care

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Saturday 17 March 2018

8.00-9.00am – Registration 
8.40-8.45am – Welcome by Branch Chair
 8.45-9.30am – Measuring Diabetes Distress

People with diabetes need psychological support throughout their life span from the time of diagnosis. The psychological make-up of the people with diabetes play a central role in self-management behaviors. Without adherence to the effective therapies, there would be persistent sub-optimal control of the condition, an increase in diabetes-related complications, causing deterioration in quality of life, resulting in increased healthcare utilization and burden on healthcare systems. However, provision of psycho social support is generally inadequate due to its challenging nature of needs and demands on the healthcare systems. It is now recommended that all people with diabetes be screened for diabetes distress on an annual basis using one of validated tools available. These tools include the PAID Scale, DDS, PAID 5. This presentation will discuss use of the PAID Scale, scoring and next steps in your consultations with people with diabetes.

Anne Morris, RN CDE
 9.30-10.15am – Burnout for People with Diabetes

Diabetes burnout is a psychological state defined as a state of disillusion, frustration and at times feeling overwhelmed by the condition of diabetes. Diabetes burnout can manifest as a disregard for the many aspects related to a diabetes self-care regimen. Alternatively a person may be very diligent with their diabetes self-care but experience a gnawing drain and a subtle lack of energy for facing the daily grind of diabetes management. Health professionals’ expectations and unrelenting standards can have a negative effect on clients’ mental health as can minimising the inconveniences and losses associated with living with diabetes. This presentation will provide opportunities for clinicians to reflect on their practice and how they ‘meet’ clients’ burnout manifestations. Clients’ stories will be highlighted and the strategies to overcome burnout. These include managing frustration, building acceptance, honouring diabetes-related losses, and applying self-compassion.

Dr Lisa Engel, Psychologist
 10.45-11.30am – Oral Abstracts

Diabetes Camps Victoria: Enabling independence through adventure – Elizabeth Dlugosz

Southern Melbourne Primary Care Partnership simplifies client flow for insulin initiation – Marg Ryan

Effects of increased waiting times for diabetes education in women with gestational diabetes mellitus on birthing outcomes – Gillian Krenzin

Improving delivery of sick day education for Type 1 diabetes in an acute hospital – Jane Ivey

 11.30am-12.15pm – The Lived Experience of Closed Loop Therapy

Individuals living with type 1 diabetes (T1D) come from a diverse community with a variety of backgrounds and education levels. Peer support can offer a valuable resource for people living with T1D and their families and carers. Peer support can take many forms; support group meetings, social media forums and technical support. The ‘we are not waiting’ group had its foundation amongst parents of children with T1D in the United States. They developed software programs that assist people with T1D to create programs to assist self-management.  The ‘Nightscout’ program was the first such program released by the group. Nightscout allowed parents or carers to track glucose levels remotely using a small mobile computer device. It could be argued that this initiative drove the development of Continuous Glucose Monitoring (CGM) with remote access by the companies involved in CGM technologies.

At the same time, the #OpenAPS community was starting, looking to create home-made hybrid ‘artificial pancreas’ systems utilising the devices currently available commercially.  The concept involves an insulin pump  automatically adjusting basal insulin delivery  keeping glucose levels within a set target range by ‘speaking’ to a CGM via a small mobile computer. The system is relatively inexpensive to set up if you already have an insulin pump. There are currently over fifty (50) people with T1D using their homemade hybrid pump system in Australia.

Renza and I both live with T1D. We have made the decision to build our own hybrid closed loop systems to help manage our diabetes.  Whilst we have different roles within the diabetes community we both feel the need to utilise the best options available to assist us with our management. We hope to share, with you, our experience of looping, both as individuals and as part of a larger T1 community.

As CDEs we need to acknowledge and support peer support programs for our patients.  Does this form of peer support challenge the traditional role of the CDE?

Cheryl Steele, RN CDE; Renza Scibilia, Diabetes advocate and peer leader
 12.15-1.00pm – Is self-compassion the antidote to diabetes stigma and distress?

Managing diabetes is a relentless task. The emphasis on control for diabetes self-management can lead to feelings of self-blame and failure when targets are not reached. Not only can it place an emotional burden on the person living with the condition, but it can also invite negative attention and judgements from others, suggesting a social burden. Our research has demonstrated that people with type 1 (T1D) and type 2 diabetes (T2D) experience stigma associated with their condition. For the first time, researchers and clinicians can quantitatively measure the perceptions and/or experiences of diabetes stigma using our newly validated Diabetes Stigma Assessment Scales (DSAS-1 and DSAS-2; for people with T1D and T2D diabetes, respectively). Our preliminary research has found that greater diabetes stigma is associated with worse emotional health, including higher diabetes distress, and lower self-compassion. Self-compassion is defined as the practice of treating oneself with kindness in the face of negative events, and emerging research suggests it is an effective emotional regulation strategy for reducing diabetes distress. In addition to intervening directly with people with diabetes, self-compassion interventions can also involve working with diabetes health professionals who offer feedback during routine clinical consultations.

Dr Adriana Ventura, Australian Centre for Behavioural Research in Diabetes
1.00-2.00pm – Lunch & Poster Presentations

Theme 1: new models of care delivery – Lisa Taliana

Educating our diabetes clinic patients to adopt safer injection practices – Christopher Uren

Effective partnerships improving diabetes management in regional Victoria – Claire McGregor

2.00-2.45pm – ‘Getting the Best Out of People’ to Reduce Practitioner Burnout

There is one constant in a health-care journey and that is the patient. As a clinician, we are mindfully designing culturally-sensitive personalised interventions to sustain patients’ involvement in their treatment, and encourage patients to take an active role in their own health and health care. Quite often all this is occurring with high administrative demands, tight timelines and clinicians investing more energy and effort than the patients. This session will provide you with some strategies to empower your patients, reduce your workload, providing you with the skills and tools that you need to empower and activate your patients to thrive rather than survive with their diabetes.

Dr Tim Denton, GP
2.45-3.30pm – Illicit Drugs and the Consequences for the Management of the Person with Diabetes

The use of illicit drugs, in particular amphetamine based drugs, is becoming increasingly common, with a growing impact on our health system, society at large and the individual drug users. These illicit drugs pose an even greater risk to the person with diabetes due to their effects, both direct and indirect, on blood glucose and on their individual health care behaviours. We will explore the physiological effects of amphetamine based drugs, the newly emerging synthetic analogues, and the associated risks for the individual with diabetes.

Wendy Porteous, RN, Ballarat Health Services

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Speakers

   Dr Tim Denton, GP worked in Central Australia with Pitjantjara people for 12 months before relocating to Geelong.  From 1998 Tim worked in Maningrida in Central Arnhem Land. Since 2002 Tim has work at Surfcoast Medical Centre’s Anglesea Practice. He currently immediate past chair of the West Vic PHN & chair the Kardinia Health (the Geelong Superclinic) Board, Tim worked for 5 years as a GP at Headspace Geelong until 2012.
   Wendy Porteous, RN, Cert A&E, BN, Grad Dip Adv Clinical Education, Grad Cert eLearning, Master Advanced Clinical Nursing (Emergency), Cert IV WAT. Clinical Nurse Educator & eLearning Course Developer at Ballarat Health Services. Subject Coordinator – Emergency Nursing Practice – Grad. Cert. Nursing Practice (Emergency) – University of Melbourne.Wendy has a long career  in emergency nursing, working in multiple roles at PANCH and The Northern Hospital, also worked as resuscitation coordinator at Mercy Hospital for Women and in Interventional Radiology at RMH, before returning to work in the country (Ballarat) in 2004.
   Lisa Engel (Doctor of Psychology, Health: Diabetes Educator). Lisa completed a Doctor of Psychology degree in 2009 at Deakin University. She has a long-standing interest in diabetes having worked in the area since 1992. Her Doctoral thesis investigated the psychological impact of OzDAFNE training in adults with type 1 diabetes. Lisa has a private psychology practice at Sandringham and South Yarra. Her current interests include the benefits of gut health on mood disorders and mindfulness-based approaches to manage diabetes burnout.
   Ann Morris , RN, CDE, started working in Diabetes Education in 1976 at the Royal Children’s Hospital. In 1980 she moved to Diabetes Foundation Vic (Diabetes Victoria) and in 1984, she moved to Warrnambool where she has continued her work in Diabetes Education to the current day in her own private practice. Along with Jan Baldwin and many others, she is a founding member of ADEA. People with diabetes live with a relentless condition and experience many barriers to self-care which may include diabetes distress and burnout. These psychological factors play a significant role in their capacity to meet healthcare professional expectations and clinical targets which adds to the burden already present. Ann is the 2016 Jan Baldwin National CDE of the Year.
   Dr Adriana Ventura BA, GDipPsych, DPsych (Health), MAPS.  Adriana is a Research Fellow at the Australian Centre for Behavioural Research in Diabetes (ACBRD), and she holds a Doctor of Psychology (Health) degree from Deakin University. She is also a nationally registered psychologist and works part-time in private practice in Frankston.  Since Adriana joined the ACBRD in 2012, she has been engaged in various projects, including research into diabetes stigma. In July 2017, Adriana became the coordinator of the National Diabetes Services Scheme ‘Mental Health and Diabetes’ National Priority Area. The program focuses on the development and implementation of resources for health professionals and people with diabetes to better manage the psychological complexities associated with diabetes.
  Cheryl Steele undertook her nursing training at Ballarat Base Hospital and then Midwifery Training at Western Health. She completed a Diploma of Health Counselling at Victoria University and her Graduate Certificate of Diabetes Management at Mayfield Education Centre. She is the manager of Diabetes Education Services at Western Health and has worked in diabetes education for more than 20 years.  Her primary interests in diabetes education are insulin pumps, Continuous Glucose Monitoring Systems and Gestational Diabetes.  During her career she has initiated over 500 people with type 1 diabetes on insulin pumps. Cheryl has co-authored papers in peer reviewed journals on Type 1 diabetes and Gestational Diabetes. Cheryl lives with Type 1 diabetes, is the mother of two children (now adults with T1) and has a grandchild with T1.
Renza Scibilia has lived with type 1 diabetes since 1998. She is a well-known advocate and peer leader, promoting a person-centred approach to healthcare. She is the National Program Manager for Type 1 Diabetes and Consumer Voice at Diabetes Australia. Renza is the author of one of Australia’s most widely-read patient blogs, Diabetogenic: (www.diabetogenic.wordpress.com). She’s a regular speaker at international conferences and has participated in, and led, the EASD Bloggers Summit each year since 2012 and satellite consumer events at ADA and ATTD. Since August last year, Renza has been wearing a DIY hybrid closed loop system to manage her diabetes. She is part of the #WeAreNotWaiting movement, encouraging and supporting people with diabetes to augment current diabetes technologies to get the most out of them.

 

Accommodation

Book your accommodation now at the special conference rate by calling or emailing the Mercure at Ballarat. Accommodation prices are:

Guests can book via (03) 5327 1200 or reservations@mercureballarat.com.auor www.mercureballarat.com.au. Please state that you are attending the Australian Diabetes Educators Association – Victorian Branch conference on 17 March 2018 when booking to receive the above prices.

Please note that there is a White Night Festival on Saturday 17 March 2018 in Ballarat and accommodation for that night may fill up fast!

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