Monash Health Annual Report

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8 Graduate nurses from Ward 44 North, Monash Medical Centre, Christie Francisco (left) and Jaime Abbott (right).
Monash Health Annual Report 9 The year in review Delivering exceptional patient care Monash Health is committed to providing exceptional patient care and enhancing the patient experience. We listen to our patients, act on their feedback and implement innovative solutions to continually renew and improve the patient experience. Multi-disciplinary team comes together to save a life Our patient Leanne had overcome cervical cancer to become pregnant but also had a medical syndrome which made her at risk of significant complications during her pregnancy. The day before her scheduled elective caesarean she experienced acute chest pain and, upon presenting to the emergency department at Monash Medical Centre, it was confirmed that Leanne had suffered a heart dissection. This is a very a serious condition in which a large blood vessel branching off the heart, tears. Leanne was quickly assessed and scheduled for the emergency open heart surgery and the emergency caesarean that she needed, all in the one place, to save her life and deliver her baby. The team included emergency medicine physicians, cardiologists, cardiothoracic surgeons, obstetricians, paediatricians, anaesthetists, intensivists, and many essential highly skilled nursing and midwifery staff to care for her. Due to the exceptional care she received at Monash Health, Leanne was discharged home with her healthy daughter Arya 11 days later. Remarkable survival of Wally Ballard Thanks to the exceptional skills of the neurological team at Monash Medical Centre, 83-year-old Wally Ballard made a full recovery after suffering a stroke and a neurological condition called Locked-In Syndrome. After suffering a stroke during the night, Wally was awake but unable to move, speak or alert his wife to what was happening. He faced a bleak prognosis. However, once in hospital, a scan showed that much of Wally’s brain cells were still functioning. Monash Health Neurologist Dr Henry Ma and his team acted quickly and were able to remove the clot using a stent and give Wally his life back. According to Dr Ma, there has only been one other similar case where all the damage was reversed – Wally’s story was a remarkable case of survival. New research to reduce rates of stillbirth The findings of a recent translational research study has prompted a trial of new ethnic-specific clinical guidelines at Monash Women’s to better monitor women during pregnancy and reduce the rates of stillbirth. New research, undertaken in collaboration with the Hudson Institute of Medical Research and Monash University, featured a retrospective cohort study of almost 700,000 births and stillbirths in Victoria from 2000-11. The results showed pregnant women born in South Asian countries, such as India, Sri Lanka or Afghanistan, were at an increased risk of having a stillbirth in late-term pregnancy. The average natural onset of labour occurred earlier in South Asian-born women, at 39 weeks, compared to 40 weeks for Australian or New Zealandborn women, suggesting the time when a placenta can no longer sustain a foetus may differ across ethnicities. The epidemiological study, co-authored by Professor Euan Wallace of Monash Women’s and Monash University Research Fellow, Dr Mary-Ann Davey, and funded by the Stillbirth Foundation, has been published in the journal, PLOS One.
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