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Introduction : Improving Renal Care for Indigenous Communities in Australia: Strategies and Considerations
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Aboriginal
Renal disease has been recognised among Aboriginal Australians. This disease has been prominently seen at the end age of the population. As opined by Hoy and Nicol (2019), it is evident that renal issue has been linked to low-weight birth infants causing the death of young people at an early age. Therefore, developing a renal clinic for young patients helps in the delivery of prime support at an early age of life. Three main considerations in primary care for the renal patient for the young Australian population include increasing body weight through effective nutrition consumption, increasing physical activity and providing primary support through an action plan.
Citation
Gov.au, (2020), National Strategic Action Plan for Kidney Disease, Available at: https://www.health.gov.au/sites/default/files/documents/2020/03/national-strategic-action-plan-for-kidney-disease_0.pdf [Accessed on: 05.11.2022]
Gov.au, (2022), Northern Territory Renal Services Strategy, Available at: https://digitallibrary.health.nt.gov.au/prodjspui/bitstream/10137/1438/3/DoH_RenalServices_Strategy.pdf [Accessed on: 05.11.2022]
Gov.au, (2021), Renal supportive care, Available at: https://aci.health.nsw.gov.au/statewide-programs/lbvc/renal-supportive-care [Accessed on: 05.11.2022
The development of renal clinics for the aboriginal community is due to the increased risk of chronic Kidney disease (CKD). It is reported that 1.7 million of the aboriginal population has the least idea about the early sign of disease. This ultimately contributed to 17500 death cases in a year in Aboriginal and Torres Strait Islander communities. Therefore, developing a renal clinic for this community aims to change the earlier policy and intervention thereby providing primary care to this community. This significantly reduces the barriers to receiving primary care from the health facilities act. National strategies action plan affirms the aboriginal community to ensure optimal care with collaboration, equity and integrity (Gov.au, 2020). These strategies involve building the activities such as organ donation and transplantation to improve the outcome of primary care. They evenly involve in creating awareness between prevention and education. Linking with the case scenario, setting up the renal clinic in an indigenous community while among to reduce the barriers to people receiving primary care. Hence, this strategic action plan allows to delivery of primary support by raising awareness among the aboriginal community.
Renal Services
Indigenous people in remote Australia have health literacy and live with chronic diseases. As referred by Rheault et al. (2019), Northern Territory Renal Strategy 2017-2022 involves the context of prevention and control. They provide services to improve the chronic condition of CKD. They were involved in building Renal Services Framework 2012 – 2017 initiatives and actions that an Aboriginal community in Australia faced. They strengthen the partnership between the abdominal community with professional healthcare to deliver short, long and medium-term strategies (Gov.au, 2022). As per the case scenario, this framework helps in increasing the nutrition consumption for the community where renal treatment is a challenging burden. Therefore, it allows for lowering the barriers between primary care and the aboriginal community.
The Aboriginal community of Australia lacks social support due to cultural and geographical diversity. Renal supportive care engages in providing support with innovation in primary care. These services allow the individual to prioritise the issue by minimising the patient's suffering. This innovation involves ongoing supportive care through a multidisciplinary model (Gov.au, 2021). Clinicians and services on the basis of the outreach model provide nursing for renal issue patients. As per the case study, this innovation allows the renal disease patient to improve physical activity as the primary care and support. Therefore, developing renal clinic settings in indigenous community’s increases primary care delivery
Reference list
Journals
Hoy, W.E. and Nicol, J.L., 2019. The Barker hypothesis confirmed: the association of low birth weight with all-cause natural deaths in young adult life in a remote Australian Aboriginal community. Journal of Developmental Origins of Health and Disease, 10(1), pp.55-62.
Rheault, H., Coyer, F., Jones, L. and Bonner, A., 2019. Health literacy in Indigenous people with chronic disease living in remote Australia. BMC health services research, 19(1), pp.1-10.
Websites
Gov.au, (2020), National Strategic Action Plan for Kidney Disease, Available at: https://www.health.gov.au/sites/default/files/documents/2020/03/national-strategic-action-plan-for-kidney-disease_0.pdf [Accessed on: 05.11.2022]
Gov.au, (2021), Renal supportive care, Available at: https://aci.health.nsw.gov.au/statewide-programs/lbvc/renal-supportive-care [Accessed on: 05.11.2022]
Gov.au, (2022), Northern Territory Renal Services Strategy, Available at: https://digitallibrary.health.nt.gov.au/prodjspui/bitstream/10137/1438/3/DoH_RenalServices_Strategy.pdf [Accessed on: 05.11.2022]
