Management

Watch the video 3.1 in the Week 3 module where Tieandra’s mother Janaya describes her daughter’s patient journey. For the purposes of the patient journey mapping exercise, I have added (a fictitious) background for Janaya and Tieandra Dunnett and their family .Janaya and Tieandra live with their family in a small house in Thevenard, Ceduna. Tieandra is in year 10 at the local area high school, and has three younger siblings. Janaya, her mum, works at the local primary school as an Aboriginal education worker part time (low income). Tieandra’s dad was working at the local mine, until it recently closed, and he is currently looking for new work. He coaches the local under 18 football team. The family car has recently developed engine trouble and is unreliable for longer car trips. Their extended family, on both sides, live in Ceduna and local homelands, and help out where they can. The majority of the extended family speak both English and Pitjantjatjara (Links to an external site.)Links to an external site., and a few times a year Tieandra and her family travel out to Yalata and Oak Valley for family and cultural gatherings. Janaya’s mother’s sister is a well-known local Nungkari (traditional healer). One of Janaya’s sisters lives in Adelaide, in Noarlunga. Ceduna has a local hospital and an Aboriginal health service, but limited specialist and investigation services. People requiring these services usually travel to Port Augusta or Port Lincoln. There are limited bus services from Ceduna to Port Augusta, the Aboriginal hostel in Port Augusta has recently closed, and the Step Down Unit at Port Augusta has reduced their opening hours from Monday – Friday. There is no bus directly from Ceduna to Port Lincoln. The Patient Assistance Transport Scheme covers part, but not all of transport and accommodation costs for patients requiring travel. When Tieandra was sent to Adelaide to the Women’s and Children Hospital, her mum Janaya went with her. The younger siblings stayed in Ceduna. There are Aboriginal Liaison Officers at the Women’s and Children’s hospital, but not afterhours or on weekends. The old nursing home at the W&CH used to provide cheap accommodation, but has now been closed due to safety concerns. If you choose to use this case study, begin with Tieandra’s first visit to the doctor and continue her journey through to surgery and follow up. This will require you to change some of the headings in Table 3 to reflect her initial visit to the doctor, return visit, travel for investigation, specialist visit, trip to Adelaide for surgery, and follow up. Where there are gaps in information for your mapping, you can comment on additional things that you may consider or would enquire about if you were able to talk with Janaya and Tieandra. Write these in italics.