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favicon.ico: tnipe.wordpress.com - There are still battles to be .

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site title: There are still battles to be fought A periodic blog on matters health, union, social justice, and the occasional random rant

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Text of the page (random words):
e part of that includes those most affected by climate change people living in rural and remote areas particularly farmers people fleeing danger to build new lives both refugees and family violence survivors and people whose health needs are made worse and or more complex by poverty which includes but is not limited to homeless folk we have members who care for all these groups members who are or have been from all these groups particularly the last women over fifty are the fastest growing homeless population demographic in australia third as demonstrated by anmf vic s participation in this program we are part of a broader union movement not only do our brethren in other unions support us in our campaigns as we surely all remember from 2011 12 their gains contribute to our conditions starting with victorian stone masons winning an eight hour work day i therefore imagine that just like with the anna stewart memorial project participants will learn about the issues we have in common that includes casualisation sub contracting the erosion of conditions increasing productivity demands i e workload occupational violence and aggression including sexual harassment and representation however the focus of the program is on what the branch does for members finally we wouldn t have achieved or kept any of the conditions we have without the activism of our membership and leadership even when directly affected only some of us speak up and fight how quickly our battles would be won if everyone took action but few of us can do it on our own i will never forget the neonatal emergency transport service nurses who came to the alfred during 2012 s industrial action they weren t affected by it as they re covered by a separate agreement but they came in solidarity in response to a fb request by a nurse from the royal children s hospital after he saw how few nurses felt comfortable taking action at that site that was on saturday the only day i missed and so i can take none of the credit for them starting a statewide day of action to support nurses at the alfred inspired by their call to abandon action at their own hospitals nurses as far from melbourne as mildura organised buses to support their colleagues for alfred day contacted trades hall to seek advice and notified the press on wednesday march 7 2012 then anf vic branch secretary lisa fitzpatrick announced that the government had finally agreed to sit in good faith at the negotiating table which they had refused to do for months she did this from the alfred steps to hundreds of members supporters and media image courtesy of the abc https mobile abc net au news 2012 03 07 nurses agree to suspend industrial action 3873134 pfmredir sm the campaign was a success thanks to months of tireless work by anf staff members and the support of other unions without activists we have nobody advocating for change without a desire for change there s no need for a union without seeing the big picture we don t know what needs to change without organisation we have no direction about how to make change without solidarity we only have the involvement of those directly affected and there s no pressure for change unless there are lots of people campaigning for it it all begins with activism that plus vision organisation and solidarity get us this which is why all unionists need to be activists not only for the issues that directly affect us but for those that affect us indirectly image via the australian nursing and midwifery federation vic branch lies misrepresentation and distortion 22 thursday nov 2018 posted by tara nipe in uncategorized leave a comment yesterday my sister who lives in the bentleigh district and south metro region gave me an interesting pamphlet that was slipped in her letterbox authorised in teeny tiny type at the back by margaret tighe for right to life the three fold leaflet makes a lot of misleading and outright false claims about the voluntary assisted dying legislation it needs debunking and i m here to do just that i ll take the text in the order it should be read opening with four claims here three true but incomplete and one false 1 euthanasia is toxic the compounds used are capable of causing death that s the prescribed intention 2 pentobarbital and secobarbital the generic names for these drugs are barbiturates a drug class used for sedation and anxiety management before the introduction of benzodiazepines which have a far wider therapeutic window which means they re safer in higher doses barbiturates are the drug class of choice for assisted dying because they re painless generally well tolerated i e unlikely to be vomited up cause coma without death available in oral and iv forms and invariably lethal in high doses the nt rights of the terminally ill act 1995 allowed terminally ill adults after medical review by three physicians including a specialist and a psychiatrist to access physician assisted suicide via a device created by euthanasia advocate dr philip nitschke the deliverance machine above released a fatal dose of barbiturates into the patient s bloodstream if they responded yes to a series of questions on the attached laptop 3 once a schedule 4 drug available only by prescription pentobarbital and secobarbital were rescheduled for animal only use in conjunction with the liberal federal government s euthanasia laws act 1997 which blocked the nt legislation from being used again the rescheduling was specifically to prevent the use of these drugs for being used for this purpose they were not banned outright as the populace would be outraged if vets could not quickly and painlessly euthanise animals 4 the classification of medications and poisons is federally mandated and cannot be overruled by a state government any pharmacist doctor or other regulated health professional who documents distributes prescribes or administers medications outside these regulations would have their registration reviewed which is why you can t just ask a vet for a dose to help your aunt vi die peacefully the 2017 victorian legislation does not mention any class of drug let alone the names of any specific medications referring only to a compound which would be individually prescribed by the primary doctor in each case page two is factually correct in all respects 1 although some 80 of victorians support the right of competent dying adults whose suffering cannot be eased to have assistance to die the legislation did not pass with an overwhelming majority 2 while the word kill is emotive it s true that the vad law is a significant change for victoria 3 while ethicists debate the distinction between withholding life extending treatment and withdrawing them there absolutely is a qualitative and real difference between withdrawing an intervention that is prolonging life like a ventilator and introducing an agent with the intent of expediting inevitable imminent death 4 and 5 the problem here is that assisted dying is being artificially connected to suicide for while it is certainly true that vad is the deliberate ending of a person s life at their behest and almost always by their hand it is not suicide how can i say that here s a list of factors that contribute to and reduce suicidality via the black dog institute none of these relates to the situation of someone seeking assisted dying and it s not just black dog lifeline s advice also doesn t apply to this circumstance suicide is a real and important issue as is oft said it is a permanent solution to a temporary problem assisted dying is about reducing the length of time someone whose death is inevitable and imminent experiences unbelievable suffering after other options have been exhausted there are four claims and two quotes on page three while the claims here are true their juxtaposition presents an argument without requiring the author s to do the work of making it valid 1 premier andrews and health minister hennessy correctly state that the vad legislation is the safest of any kind in this area 2 the phrase out of control is undefinable unsourced and relates to the very different legislation of europe 3 while substantively true this implies that our vulnerable people are at risk of being killed without their consent something not possible here 4 the uk vote did not have our legislation to take into account interestingly there is no mention of oregon where similar but less well safeguarded laws to victoria s have been in place for two decades with no claims of anyone s life being ended without consent next we see a whole two members of the british parliament quoted to support ms tighe s position to give some context to those quotes there are currently 791 lords including 92 hereditary peers and 26 anglican bishops there are 650 members of the house of commons to page four some doctors absolutely oppose assisted dying as do some nurses other things some medical doctors oppose include contraception evolution easing the suffering of the dying and the idea that the earth is round other doctors and nurses support it here and overseas on to page five there is so very much wrong here 1 this is a distortion people with a mental illness that impairs their competency may not under any circumstances access vad in victoria however just as a competent person with for example well managed depression can drive vote enter into contracts run for office and make other decisions about their health a competent person with a previous or controlled mental illness can also pursue vad 2 the requirements for competency do not change in the presence of other conditions a person with suicidal depression can be sectioned under the mental health act and required to have life saving intervention including dialysis against their will in addition to this one of the qualifying requirements is that the suffering cannot be relieved in a way the patient seems tolerable with two physicians assessing their position and condition ceasing treatment to change a life limiting condition to a terminal one would trigger a mental health review and likely undermine competency also note that the rate of assisted suicide uptake in oregon is around 0 4 despite a similar rate of chronic disease and mental ill health plus health care inequity that doesn t exist here there is no requirement there for suffering only a six month life expectancy but this scenario drawn by right to life has not emerged most of us want to live regardless of how hard that living is and unless you ve experienced or witnessed it it s near impossible to appreciate just how difficult living with chronic illnesses can be the last page is incontrovertible catholic mr keating does oppose assisted dying and mr staikos did vote in favour of the bill so this is all accurate why i m running for the victorian senate 12 monday nov 2018 posted by tara nipe in australian politics social justice voluntary assisted dying leave a comment tags human rights politics in seventeen days it will be a year since the andrews government passed australia s first state legalising voluntary assisted dying for adults who are competent suffering and have a life expectancy of six months or less twelve months or less for those with neurodegenerative conditions it comes into effect mid june of next year unless the state election in twelve days changes victoria s mp composition as a number of parties including the liberal party and the shooters and fishers want to overturn it before the system and processed have even been completed last year i put my money where my mouth is as a project officer for the victorian branch of the australian nursing and midwifery federation working to get the legislation through this month i m working to keep the legislation intact by campaigning as a candidate for the voluntary euthanasia party in the eastern metro region the voluntary euthanasia party has four interrelated national policies to campaign for the legal right for competent dying people to choose how and when they will die without fear or pain to improve the status of advanced care directives so they are binding educate health staff about their use and have completed acds available on a statewide database for ready access by health practitioners when required to support improved research and funding for quality palliative care and improve access to medical marijuana as everyone who knows me follows this blog or follows me on twitter knows i am passionate about a number of things primarily around health education justice and equity these policies are all consistent with mine and my ethical position as a casuist is also consistent with the vep s platform of determining positions on other matters as they arrive my position on this has been consistent since high school informed by almost thirty years as a nurse in victoria s acute public sector and honed by my three post graduate qualifications in health care ethics i firmly believe that voluntary assisted dying should be an option only after specialist medical review and if palliative care interventions have proven inadequate to ensure this is not just a pleasant theory i strongly support and have long advocated for increased funding and support for palliative care services particularly for non oncological conditions like end stage organ failure and in regional and remote areas to listen to me speak about the vad legislation listen to this podcast of my address at the melbourne unitarian peace memorial church last month http melbourneunitarian org au index php mp3 service podcasts 549 tara nipe registered nurse voluntary assisted dying over the next week and a half i ll discuss my positions on alcohol and other drugs post secondary education energy and the environment the health care system with additional entries covering the indigenous health gap mental health and sexual health social support systems taxation and workers rights australia s first legislation enacted in 1996 and overturned in 1997 was in the northern territory assessment tips for undergraduate students 31 wednesday oct 2018 posted by tara nipe in clinical nursing education leave a comment tags education health hints and tips students study introduction the following brief essay covers four sections that undergraduate students often have difficulty with when writing essays or assessments with long answers how to tackle an assessment tactics what to keep in mind when creating an essay plan key concepts how to support your argument referencing and what to remember before submitting finishing touches the most important aspects of each of these sections are then listed in point form though this was written with nursing and midwifery students in mind as indicated by some examples much of this advice is transferable to other disciplines that include essay and long answer forms of assessment tactics as soon as you can after receiving the assessment read through it you re looking for several things what kind of work is needed a 1 000 word essay o...
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