Tuberculosis is a major cause of child morbidity and mortality globally. Young children are at particular risk of severe and disseminated disease following exposure to a person with tuberculosis. Public health and clinical services, including in Victoria, focus on early detection and treatment of both disease and infection. There have been recent developments that potentially strengthen and decentralise services for tuberculosis.
We are unleashing the power of data to improve child health. The first such Centre in Australia is a hive of potential and ideas, realising the shared vision of our campus partners. We are using data to advance and humanise many different perspectives of paediatric patient care.
Pain is described as “an unpleasant sensory and emotional experience associated with, or resembling that associated with, actual or potential tissue damage”. This definition from IASP guides clinicians to potential prevention and intervention points for a reduction in the experience of pain for our patients.
Genetic conditions are the leading cause of death in children in high-income countries. Accurate and timely diagnosis is critical for being able to provide prognostic information and guide treatment, yet often takes many years.
“Let our families and others who are important to us, be with us to care for us and love us” (Charter on The Rights of Children and Young People in Healthcare Service in Australia, 2017).
Patient and family-centred care has been widely accepted as an ideal way to care for children in hospitals. This was not always the case. Drawing on the RCH Archives collection, interviews with current and past patients, families and nursing staff, we will explore how family-centred care has evolved over time, to the present era where the child and family are at the forefront of our care.
Too often research evidence fails to inform practice or policy, and opportunities to improve children’s health and wellbeing are lost. The Melbourne Children’s Knowledge Translation and Research Impact Project, funded by the RCH Foundation, seeks to better understand campus KT and impact needs, and has developed and piloted strategies to advance knowledge translation, implementation and research impact.
Medulloblastoma is the most common malignant brain tumour of childhood. Despite multidisciplinary therapies offered by neurosurgery, radiation oncology and paediatric oncology through cooperative group clinical trials, there are significant late effects of therapy, including but not limited to neuroendocrine deficits, neurocognitive impairment and second malignant neoplasms
The WHO’s World Hearing Day theme on 3rd March 2021 is ‘Hearing care for all: screen, rehabilitate, communicate’. The Royal Children’s Hospital is home to the Victorian Infant Hearing Screening Program (VIHSP) that has been delivering world-class universal hearing screening to Victorian babies for over a decade. Beyond screening, the RCH Audiology Clinic provides diagnostic care, and the Caring for Hearing Impaired Children (CHIC) Clinic delivers a multidisciplinary medical service that intersects with external audiology and early intervention services for hearing-impaired children beyond the hospital. Both VIHSP and CHIC are integrated with a childhood hearing loss research program at the Murdoch Children’s Research Institute to ensure evidence from research informs delivery of the best clinical care.
Advances in health and medical research are accelerating our understanding of disease mechanisms, and leading to new preventative interventions, diagnostic tools and novel therapeutic approaches that are transforming clinical care. Hence, there is an increasing need to better embed clinical research into clinical care delivered at the RCH and to support the development of individuals who are fluent in both clinical care and research.
The RCH Handbook is part of the history of education at the Royal Children’s Hospital. It is 56 years old (1st ed 1964). The Handbook is a trusted guide to managing common and serious childhood illnesses, widely used by students and practitioners across medical, nursing, and allied health fields. In our 150th year we celebrate the launch of the 10th edition of the RCH Handbook while looking forward to what next.
