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Our Health and Age care Director is the Director of Goondee Nursing home, Strathfield, Ramona Johansson, had over 40 years of experience as a registered nurse, in Public Hospitals, Age Care facilities, Director of Nursing and Administrator in the Health and Community sector in the Pacific, Australia and abroad. She has supported our Pacific Islanders and General communities with placements of senior citizens, employment of Pacific Islanders nurses, health, forums and community development.

Ramona will run sessions once a fortnight on air and in person to encourage healthy living and eating. To help reduce the rate of stroke/diabetic/kidney failure/ Cancer training and health issues.  She will be working on community awareness to reduce diseases such as diabetes that are a real problem in many Pacific Islanders. Pacific populations have shown a near doubling of stroke incidence, diabetics” Maori and Pacific people, in particular, strokes are now occurring more frequently and at a younger age - on average up to 10 and 15 years earlier than Australian/Europeans people. This is due to the way Pacific Islanders’ way of tradition, food, cultures and styles and also come down to the way Pacific Islanders consumed food. "Significant change in the patterns of stroke/diabetic management were identified over the 20 year period, however substantial action to improve prevention strategies must be planned as the local and global burden on the community. She will be taken care of all Health, Medical and Age Care Facility PISSAM program with Doctor Patu. Ramona has Samoan, Tongan and German background.

Ramona believes in life is saving the family and saving the lives of the whole community. In her experiences working with Community Development, Hospital and Age care she sees that PREVENTION IS MUCH BETTER THAN CURE is her magic words.

Empowering Pacific Islanders people, ensuring quality of care for all and energizing science to find the cures. The Cure may come one day but as PISSAM's expert on her area of profession she believes that local organizations that are meeting the breast health and breast cancer needs in our community very badly.

Her supports and emphasis is on funding culturally appropriate programs targeting medically programs that will fill those gaps.

Uninsured or under-insured, low-income, Pacific Islanders women for Early Detection and Education:

Information and Service Center, “Women’s Breast Cancer

Prevention Project”

The Pacific Islanders Women’s Breast Cancer Prevention Project is increasing awareness of breast cancer and the importance of mammography screening in the Pacific Islanders community, and providing access to breast cancer screening through educational workshops, one-on-one outreach, health fairs, and breast cancer screenings in Campsie and beyond with an interpreter to explain on the screening. A minimum of 50 women will be served a day, and at least 50 women will receive breast cancer screening.

“Outreach and Education to Increase Early

Detection of Breast Cancer in Campsie”

PISSAM Regional Health Network is expanding their current outreach and breast health:

Education in, Pacific Islanders and provide targeted outreach to Pacific Islanders women on air.

This project will reach out to all Pacific Islanders women and can booked once every 3 months.

Family Planning “Honoring Women’s Health Project”

The Honouring Women’s Health Project is working to improve the health and well-being low-income, uninsured or under-insured, Pacific Islanders minority women living in NSW by increasing knowledge of and access to breast cancer screening and early detection. This project will reach all Pacific Islanders medically underserved women with breast health education and provide access to breast cancer screening to approximately all Pacific Islanders women.

Program provides with culturally-competent community-based breast health outreach and education and screenings to low-income, limited English proficient   Pacific Islanders, living in ACROSS Canterbury. Bilingual female community advocates promote breast health through one-on-one, group, and on radio-based outreach and education and also provide on-site interpretation during breast health screenings, conduct in-language reminder and follow-up calls for breast cancer screenings. The project will reach all Pacific Islanders women with breast health education and anticipates screening  of all Pacific Islanders women.

“Breast Health Outreach in Under-served Communities in NSW Pacific Islanders populations. Traditional education/outreach models are not successful with this underserved demographic. Is expanding their  peer education program to include comprehensive breast health and early detection and will reach more than 400 women with breast health education and access to screening. “Increasing Breast Cancer Screening Among Pacific Islanders Women in NSW is a way forward Prevention.

This project will address disparities in breast cancer screenings and breast cancer survival rates for Pacific Islanders women living in NSW. Key activities include:

recruiting, training and coordinating peer-educators from within the target communities; hosting 3 culturally appropriate Womens Health Fairs; providing 10 mammography service days at Campsie shopping centre. The project will provide breast health education to all Pacific Islanders women across Canterbury and beyond.

PISSAM director of Nursing Ramona Johansson said that, “Increasing Education, Screening and Support Services to Pacific Islander women in the Community is a must”

The PISSAM program will be improving breast cancer education,

screening and support services to Pacific Islander women communities.

The project promotes culturally sensitive breast cancer education, access to screening and patient navigation to more than Pacific Islanders Women and their families living across Canterbury and beyond. The PISSAM will work with community groups such as schools, churches and cultural and social groups to accomplish their goals.

The silent killer ( your kidney)

Put your hand on your heart.

That was easy, wasn’t it?

Now put your hand on your kidneys.

Unless you’re a doctor or a nurse, I bet you had to pause, at least, before patting yourself vaguely about half way down the back.

The kidneys are the organs we don’t really talk about much – partly because their main function is waste management, but also because, unlike the heart, we don’t even really notice they’re there until they start playing up.

Yet Australia is experiencing an upsurge in kidney disease, as I have reason to know.

It was late November of 1994 when a close friend of mine's kidneys just stopped working altogether.

It was not a good day, not least because her immune system had gone haywire and she had begun vomiting and coughing up large quantities of blood.

Frightening as that was, her life was, if anything, even more threatened by the failure of both kidneys.

In simple terms, she filled up with fluid. Her legs swelled up to elephantine proportions, and most dangerously her lungs filled up with liquid.

she had to sit upright at all times, including during sleep. If she leaned backwards, even a few degrees, she began to drown in her own fluid.

Because the space in her lungs was mostly filled with liquid, very little oxygen could get into her bloodstream.

she hovered like this between life and death for nearly two weeks.

Imagine flying endlessly around the world in the economy class of a very bad airline on which the seat-recline button was out of order, with the added discomfort of tubes and wires being regularly inserted and removed from various parts of your anatomy.

In her case, the ordeal had an end.

Savage quantities of powerful immune-suppressant drugs eventually brought her body under control.

But it left her with damaged kidneys for life, and a window into the problem Australia is currently facing.

Kidney disease is bad for your blood pressure, it makes you vulnerable to dehydration, it makes you tired, it makes your limbs swell up.

And as it gets worse, you can end up spending hours every week attached to a large machine.

Overall, even with treatment, it’s likely to shorten your life.

It’s a silent disease, too, in the sense that your kidneys can be very badly damaged before you or your doctor realise anything’s wrong.

Have a look at the statistics for chronic kidney disease or CKD for last year, put out by Kidney Health Australia. They come from the Australian and New Zealand Dialysis & Transplant Registry, but these are the figures for Australia.

In 2008, there was a 7.1 per cent increase compared to the previous year. What that meant was almost seven new patients requiring dialysis or transplantation each and every day of the year.

That represents a heavy cost to the Australian economy – and to state health budgets.

Dialysis machines are expensive - $65,000 a year per patient on average. The hospital facilities and staff needed to support them are in short supply.

The result is a cost to the country which is also growing fast.

The last figures available show that spending on kidney disease rose by 33 per cent in the four years to 2005.

So what’s the source of this growing problem?

To some extent, the growth in numbers is fed by the relatively good news that fewer people are dying of heart disease, and some of those people are living on to become kidney patients.

But the largest single cause is diabetes, and that’s gone up at a startling rate.

Dr Tim Mathew of Kidney Health Australia tells us: “In the 1980s the percentage of people getting kidney disease from diabetes was around 6 per cent. Now it’s 34 per cent."

So Australia’s rising obesity levels – combined with an aging population – seem almost certain to make the problem get worse and worse over the coming decades.

The solutions are simple, even if in Australia at the moment they also seem very difficult to put into practice.

People need to eat less, and better, food, and to take more exercise.

Doctors need to identify the problem early.

There’s also a strong argument for a better co-ordinated national strategy for treating the larger numbers who have developed chronic kidney disease.

Kidney specialists would like to see more dialysis patients treat themselves at home. Home dialysis costs around half as much as dialysis in a hospital – yet the use of home dialysis differs wildly around the country.

In NSW, says Kidney Health Australia’s Dr Tim Mathew, about 14 per cent of dialysis patients use and maintain their own machines at home. In South Australia, the figure is just 1 per cent. Both of them can’t be right.

A national Kidney Czar, like the one they have in the UK, might help us sort these things out.

The kidney disease my friend have was not preventable; most kidney disease is.

The kidney clinic where she go to be treated, at Sydney’s Prince of Wales Hospital, is always full; the doctors and nurses do a brilliant job, but they’re overworked.

If you don’t want your kids to end up there, or somewhere similar, in a few years, take it from me: get them to exercise and don’t let them eat so much fatty, sugary food or soft drinks.

The alternative – dialysis three times a week, or the lottery of the transplant list – is really not attractive.

Ramona Johansson.

Director of Nursing

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Meals on Wheels Directory locally

This directory was created to make it easier to find the meals on wheels service in your local area.                           NSW Meals on Wheels          Major Sponsor

Locality - Name                 Phone   Fax

Ashfield - Ashfield Municipal Meals on Wheels  02 9716 1851       02 9716 1856

PO Box 1145 Ashfield NSW 2131 - mowashfield@optusnet.com.au           Fix

Auburn - Meals on Wheels Auburn          02 9897 3832       02 9637 0531

NSW Auburn 2144 0        Fix

Bankstown - Bankstown Council Meals on Wheels           02 9707 9646       02 9707 9586

PO Box 8 Bankstown NSW 1885 - pridep@bankstown.nsw.gov.au            Fix

Baulkham Hills - Baulkham Hills Food Service       02 9639 4361       02 9639 3585

PO Box 880 Baulkham Hills NSW 1755 - apaterso@bhsc.nsw.gov.au          Fix

Bexley - Rockdale Meals Service               02 9502 3198       02 9554 3313

PO Box 64 Bexley NSW 2207 - pdarasferrier@rockdale.nsw.gov.au           Fix

Blacktown - Blacktown Meals On Wheels Service Inc       02 9622 6183       02 9676 8260

PO Box 947 Blacktown NSW 2148 - blacktownmow@viper.com.au            Fix

Bondi Junction - Waverley Council Meals on Wheels        02 9389 9506       02 9389 2612

PO Box 9 Bondi Junction NSW 2022 - mow@waverley.nsw.gov.au            Fix

bigpond.com     Fix

Burwood - Burwood Food Services          02 9744 1866       02 9744 0886

70 Gaskill Street Burwood NSW 2804       Fix

Camden - Camden Meals on Wheels Inc               02 4655 6822       02 4655 6822

PO Box 8 Camden NSW 2804       Fix

Campbelltown - City of Campbelltown Meals on Wheels & Housebound Resource Service Inc     02 4645 4523       02 4645 4426

PO Box 685 Campbelltown NSW 2560 - cmow@ispdr.net.au        Fix

Campsie - Canterbury Meals on Wheels                02 9718 3093       02 9718 1883

PO Box 151 Campsie NSW 2675 - hacc@carrathool.nsw.gov.au   Fix

Caringbah - Sutherland Food Services Inc              02 9526 6123       02 9526 6121

PO Box 2497 Caringbah NSW 2229 - meals@idx.com.au  Fix

PO Box 332 Condobolin NSW 2877 - condomow@westserv.net.au           Fix

Crows Nest - The Crows Nest Centre/North Sydney Meals on Wheels    02 9439 5122       02 9439 8608

NSW Crows Nest 2065 0                Fix

Delegate - Delegate Meals on Wheels Inc             02 6458 8092       na

Double Bay - Woollahra Voluntary Community Service Incorporated        02 9327 2361       02 9327 7065

512 New South Head Road Double Bay NSW 2028 - woollahramow@hotmail.com             Fix

Drummoyne - Drummoyne Meals on Wheels     02 9713 6057       02 9712 2058

Locked Bag 1470 Drummoyne NSW 1470 - council@canadabay.nsw.gov.au           Fix

Eastwood - Christian Community Aid Service Inc                02 9858 3222       02 9858 4286

12 Lakeside Road Eastwood NSW 2122 - ccas@one.net.au            Fix

Fairfield - City of Fairfield Meals on Wheels          02 9728 6939       02 9728 3242

PO Box 261 Fairfield NSW 2165 - ffldmow@bigpond.com               Fix

Glebe - St Helens Food Service (Formerly Leichhardt MOW)        02 9367 9222       02 9367 9111

St Helens Community Centre: 1/184 Glebe Point Road Glebe NSW 2037 - leichhardt@lmc.nsw.gov.au    

Greenacre - Greenacre Area Neighbourhood Centre Inc               02 9750 7982       02 9750 0850

PO Box 164 Greenacre NSW 2190 - gnc@bcsc.com.au     Fix

Homebush - Homebush-Strathfield Community Service Meals on Wheels            02 9746 7801       02 9746 7801

1B Bates Street Homebush NSW 2140 - homebushmow@bigpond.com.au           Fix

Hornsby - Hornsby Meals on Wheels & Food Services     02 9477 9214       02 9477 9195

36 Palmerston Road Hornsby NSW 2077 - mlsonwls@speednet.com.au Fix

Hunters Hill - Gladesville Food Services/Gladesville & District Community Aid Service Inc                02 9817 0101       02 9816 5462

46 Gladesville Road Hunters Hill NSW 2110 - mealsonwheels@optusnet.com.au                Fix

Hurstville - Hurstville Meals on Wheels  02 9579 5253       02 9580 7347

PO Box 545 Hurstville NSW 2220                Fix

Hurstville - St George Community Services Inc    02 9580 9055       02 9585 0227

49A Treacy Street Hurstville NSW 2571 - stgchris@stgcs.com.au Fix

Kingsford - Randwick Meals on Wheels Inc           02 9398 2731       02 9399 3458

Cnr Anzac Parade & Rainbow Street Kingsford NSW 2032 - randmow@ipentire.com         Fix

Kingswood - Nepean Food Services Inc  02 4733 7200       02 4733 7211

PO Box 605 Kingswood NSW 2747 - nfood@bigpond.com              Fix

Kingswood - Warragamba/Silverdale HACC Services        02 4733 7200       02 4733 7211

PO Box 605 Kingswood NSW 2550 - nfood@pnc.com.au Fix

Kogarah - Kogarah Meals on Wheels Service Incorporated            02 9553 7799       02 9553 9020

PO Box 87 Kogarah NSW 2217 - kmow@ihug.com.au       Fix

Lane Cove - Lane Cove Community Aid Service  02 9427 6425       02 9427 7933

164 Longueville Road Lane Cove NSW 2066          Fix

Lithgow - Lithgow Information & Neighbourhood Centre Inc (Linc HACC Services)             02 6352 2077       02 6353 1826

PO Box 289 Lithgow NSW 2790 - dennis@linc.org.au        Fix

Liverpool - City of Liverpool Meals on Wheels Inc              02 9821 9393       02 9737 6529

PO Box 637 Liverpool NSW 2170 - livmow@ihig.com.au  Fix

Manly - Manly Meals on Wheels - Manly Council               na           na

PO Box 82 Manly NSW 1655         Fix

Merrylands - Holroyd Meals on Wheels 02 9840 9944       02 9840 9946

PO Box 42 Merrylands NSW 2160 - mealsonwheels@holroyd.nsw.gov.au              Fix

Millers Point - Millers Point Activity Centre           02 9244 3696       02 9244 3697

NSW Millers Point 2000 0 - fscimone@cityofsydney.nsw.gov.au Fix

Newtown - Marrickville Food Services    02 9335 2186       02 9550 6832

11-13 Darley Street Newtown NSW 2042 - cordtf@marrickville.nsw.gov.au           Fix

North Strathfield - Concord Community Food Services Inc            02 9747 1135       02 9516 2966

PO Box 145 North Strathfield NSW 2137 - confood@bigpond.com             Fix

Parramatta - Parramatta Food Services Meals on Wheels              02 9635 5293       02 9635 6085

PO Box 32 Parramatta NSW 2124 - mealsonwheels@parracity.nsw.gov.au            Fix

Penrith - Penrith Community Aid Service Meals on Wheels          02 4731 1380       na

Shop 3 Penrith 10 H 0     Fix

Picton - Picton/Burragorang Meals on Wheels    02 4677 2524       02 4677 2695

Spit Junction - Mosman Food Services/Municipal Council              02 99784130        02 9978 4137

PO Box 211 Spit Junction NSW 2088 - c.morley@mosman.nsw.gov.au     Fix

St Peters - South Sydney Council Meals on Wheels Distribution Centre   02 9557 5278       02 9557 5673

Unit 7/8-10 Burrows Road St Peters NSW 2044   Fix

Strawberry Hills - South Sydney City Council Meals on Wheels    02 9557 5278       02 9557 5673

NSW Strawberry Hills 2012 0 - mow@sscc.nsw.gov.au     Fix

Surry Hills - Australian Chinese Community Association  02 9281 1377       02 9281 1603

NSW Surry Hills 2010 0 - accacity@kbdnet.net.au               Fix

Turramurra - Ku-ring-gai Meals on Wheels           02 9144 2044       02 9983 1659

PO Box 173 Turramurra NSW 2074 - meals@kmow.org.au             Web | Fix

Wentworth - Wentworth District Meals on Wheels Assoc Inc      03 5027 3352       03 5027 3352

PO Box 283 Wentworth NSW 2648 - wentmow@iine

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PREVENTION IS MUCH BETTER THAN LOOKING FOR CURE WHEN IT IS TOO LATE

Sources ABC NEWS 21/11/2009

408kg man cut from chair, then dies

A US man weighing 408 kilograms, who sat in a chair for the last eight months of his life, died after medical workers had to dismantle his mobile home to remove him, local media said.

Daniel Webb, 33, became immobile in March after hurting his knee and sat in the reclining chair in his South Carolina home for months while refusing doctor visits because he lacked health insurance, local WSPA-TV said.

Authorities said Mr Webb's wife Ada called paramedics to their Greenwood County mobile home on Wednesday after he complained of intense pain.

They had to cut him from the chair with special tools, after which they found him with sores over his body and covered in human waste and then dismantled half of his house to get him to an ambulance.

He died from cardiac arrest on the way to the hospital.

"If he would have had the proper care we tried to get for him back in March this would have never happened," Mr Webb's wife said.

- AFP

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The owner of this website and publication is PISSAM NETWORK, which is under the umbrella of Canterbury Harmony group Inc. auspice by Riverwood Community Centre and its working partner.  Content may not be reproduced in any format or changed, sold or used to promote or endorse any product or service, inappropriate or misleading context.. Acknowledgment to the PISSAM NETWORK & Its auspice body Riverwood Community Centre

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