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How do children learn good manners?

<div class="theconversation-article-body"> <p><em><a href="https://theconversation.com/profiles/sophia-waters-501831">Sophia Waters</a>, <a href="https://theconversation.com/institutions/university-of-new-england-919">University of New England</a></em></p> <p>Ensuring kids have manners is a <a href="https://tidsskrift.dk/sss/article/view/135074">perennial preoccupation</a> for parents and caregivers.</p> <p>How, then, do you teach good manners to children?</p> <p>Modelling good manners around the home and in your own interaction with others is obviously crucial.</p> <p>But there’s a clear <a href="https://tidsskrift.dk/sss/article/view/135074">uniting theme</a> when it comes to manners in Australia: in Australian English, good manners centre on honouring personal autonomy, egalitarianism and not appearing to tell people what to do.</p> <h2>Which manners matter most in Australia?</h2> <p>Some of the most important manners in Australian English are behavioural edicts that focus on particular speech acts: greeting, requesting, thanking and apologising.</p> <p>These speech acts have a <a href="https://tidsskrift.dk/sss/article/view/135074/179857">set of words</a> associated with them:</p> <ul> <li>hello</li> <li>hi</li> <li>may I please…?</li> <li>could I please…?</li> <li>thank you</li> <li>ta</li> <li>sorry</li> <li>excuse me.</li> </ul> <p>Good manners make people feel comfortable in social situations by adding predictability and reassurance.</p> <p>They can act as signposts in interactions. Anglo cultures place a lot of weight on <a href="https://www.sciencedirect.com/science/article/pii/S0378216612001014">egalitarianism</a>, personal autonomy and ensuring we don’t <a href="https://www.google.com.au/books/edition/English/d-d5AAAAIAAJ?hl=en">tell people what to do</a>.</p> <p>If you want to get someone to do something for you – pass you a pen, for example – you frame the request as a question to signal that you’re not telling them what to do.</p> <p>You’ll also add one of the main characters in Anglo politeness: the magic word, “<a href="https://www.academia.edu/20312114/Lige_a_Danish_magic_word_An_ethnopragmatic_analysis">please</a>”.</p> <p>This framing recognises you don’t expect or demand compliance. You’re acknowledging the other person as an autonomous individual who can do what they want.</p> <p>If the person does the thing you’ve asked, the next step is to say “thank you” to recognise the other person’s autonomy. You’re acknowledging they didn’t have to help just because you asked.</p> <h2>The heavy hitters</h2> <p>The words “please” and “thank you” are such heavy hitters in Australian English good manners, they’re two of the words that language learners and migrants <a href="https://www.tandfonline.com/doi/epdf/10.1080/10408340308518247?needAccess=true">learn first</a>.</p> <p>They can help soften the impact of your words. Think, for example, of the difference between “no” and “no, thank you”.</p> <p>Of course, there are times when “no” is a full sentence. But what if someone offered you a cup of tea and you replied “no” without its concomitant “thank you” to soften your rejection and acknowledge this offer didn’t have to be made? Don’t be surprised if they think you sound a bit rude.</p> <p>The other big players in Australian English good manners are “sorry” and “excuse me”. Much like in <a href="https://www.instagram.com/p/BZ1Eid0gnLV/">British English</a>, the Australian “sorry” means many things.</p> <p>These can preface an intrusion on someone’s personal space, like before squeezing past someone in the cinema, or on someone’s speaking turn.</p> <p>Interrupting or talking over someone else is often heavily frowned on in Australian English because it is often interpreted as disregarding what the other person has to say.</p> <p>But in some cultures, <a href="https://www.sciencedirect.com/science/article/pii/S0346251X14001365">such as French</a>, this conversational style is actively encouraged. And some languages and cultures <a href="https://www.sciencedirect.com/science/article/pii/S038800011830069X?via%3Dihub">have different conventions</a> around what good manners look like around strangers versus with family.</p> <p>Good manners involve saying certain words in predictable contexts.</p> <p>But knowing what these are and when to use them demonstrates a deeper cultural awareness of what behaviours are valued.</p> <h2>How do children learn manners?</h2> <p>As part of my <a href="https://tidsskrift.dk/sss/article/view/135074">research</a>, I’ve analysed parenting forum posts about “good manners”. Some believe good manners should be effortless; one parent said:</p> <blockquote> <p>Good manners shouldn’t be something that a child has to think about […] teach them correctly at home from day one, manners become an integral part of the way they view things.</p> </blockquote> <p>Another forum user posited good modelling was the key, saying:</p> <blockquote> <p>the parent has to lead by example, rather than forcing a child to say one or the other.</p> </blockquote> <p>One <a href="https://pubmed.ncbi.nlm.nih.gov/38777043/">study</a>, which involved analysis of more than 20 hours of videorecorded family dinner interactions collected in Italy, found mealtimes are also sites where parents control their children’s conduct “through the micro-politics of good manners.”</p> <blockquote> <p>By participating in mealtime interactions, children witness and have the chance to acquire the specific cultural principles governing bodily conduct at the table, such as ‘sitting properly’, ‘eating with cutlery’, and ‘chewing with mouth closed’.</p> <p>Yet, they are also socialised to a foundational principle of human sociality: one’s own behavior must be self-monitored according to the perspective of the generalised Other.</p> </blockquote> <p>In Australian English, that means regulating your behaviour to make sure you don’t do something that could be seen as “rude”. As I argued in a 2012 <a href="https://www.sciencedirect.com/science/article/abs/pii/S0378216612000410">paper</a>:</p> <blockquote> <p>While child socialisation in Anglo culture involves heavy discouragement of rudeness, French does not have a direct equivalent feature […] French children are taught <em>ça ne se fait pas</em>, ‘that is not done’. Where the French proscribe the behaviours outright, the Anglos […] appeal to the image one has of oneself in interpersonal interactions.</p> </blockquote> <p>In Anglo English, the penalties for breaches could be other people’s disapproval and hurting their feelings.</p> <h2>Why are good manners important?</h2> <p>Good manners affect our interactions with others and help us build positive relationships.</p> <p>Fourteenth century English bishop and educator, William of Wykeham, declared that “<a href="https://www.oxfordreference.com/display/10.1093/oi/authority.20110803100131244#:%7E:text=Manners%20maketh%20man%20proverbial%20saying,Winchester%20and%20chancellor%20of%20England">manners maketh the man</a>”.</p> <p>John Hopkins University Professor <a href="https://ii.library.jhu.edu/2018/12/11/in-memory-of-p-m-forni-the-case-for-civility-in-the-classroom-and-beyond/">Pier Forni</a> called them a “precious life-improvement tool.”</p> <p>The “Good Manners” <a href="https://education.qld.gov.au/about-us/history/history-topics/good-manners-chart">chart</a>, based on a set of rules devised by the Children’s National guild of Courtesy in UK primary schools in 1889, was issued to Queensland primary schools until the 1960s.</p> <p>It tells kids to remember the golden rule to “always do to others as you would wish them to do to you if you were in their place.”</p> <p>Good manners form part of the bedrock for human sociality. Childhood is when we give kids foundational training on interacting with others and help them learn how to be a culturally competent member of a society.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/237133/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/sophia-waters-501831">Sophia Waters</a>, Senior Lecturer in Writing, <a href="https://theconversation.com/institutions/university-of-new-england-919">University of New England</a></em></p> <p><em>Image credits: Shutterstock</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/how-do-children-learn-good-manners-237133">original article</a>.</em></p> </div>

Family & Pets

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Hugh Grant finally reveals his children's names

<p>Hugh Grant has revealed the names of his two youngest daughters for the first time in a candid interview moment. </p> <p>The English actor and father-of-five has never announced the names of two of his children or the gender of his youngest offspring.</p> <p>Now, during an interview with talk show host Jimmy Kimmel, the 64-year-old finally shared that his youngest child was a girl and shared her name with viewers.</p> <p>During a conversation about his own unusual middle name, Mungo, he said, "I was in a bit of a panic with my wife on the day we named [our daughter]."</p> <p>Sharing the hilarious inspiration behind the name, he said, "We thought it might be nice for her when she was older if she could say in bars that her middle name is Danger. So, her name is Lulu Danger Grant. Austin Powers, you know?"</p> <p>Hugh, who also has a son named John Mungo, went on to reveal that his youngest isn't the only child in the family with a fun name. </p> <p>He went on to say that he and his wife Anna were stressed when naming their first daughter, and decided to ask their son for advice. </p> <p>"We asked her elder brother when she was on the way, 'there's a new baby coming along, what shall we call her?'", Hugh explained. "And he said 'Kevin', because that was his favourite Minion."</p> <p>"And we did think about calling her Kevin, but then we said, 'you'd better think of something else', and he said 'Blue', because that was his favourite colour."</p> <p>The announcement was out of character for Hugh, who despite being a huge Hollywood name, tends to keep his personal life out of the spotlight.</p> <p><em>Image credits: YouTube</em></p>

Family & Pets

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We know parents shape their children’s reading – but so can aunts, uncles and grandparents, by sharing beloved books

<div class="theconversation-article-body"><em><a href="https://theconversation.com/profiles/emily-grace-baulch-1399683">Emily Grace Baulch</a>, <a href="https://theconversation.com/institutions/the-university-of-queensland-805">The University of Queensland</a></em></p> <p><a href="https://creative.gov.au/news/media-releases/revealing-reading-a-survey-of-australian-reading-habits/">Over 80%</a> of Australians with children encourage them to read. Children whose parents enjoy reading are <a href="https://www.booktrust.org.uk/news-and-features/news/news-2023/new-research-from-booktrust-reveals-the-impact-of-parental-reading-enjoyment-on-childrens-reading-habits/">20% more likely</a> to enjoy it too.</p> <p>My research has found parents aren’t the only family members who play an important role in developing a passion for reading – extended family, from grandparents to siblings, uncles and great-aunts, also influence readers’ connections to books.</p> <p>I surveyed 160 Australian readers about their home bookshelves and reading habits. More than 80% of them acknowledged the significant influence of family in what and how they read. Reading to children is often <a href="https://www.booktrust.org.uk/globalassets/resources/research/booktrust-family-survey-research-briefing-2-reading-influencers.pdf">the invisible workload of mothers</a>: 95% of mothers read to children, compared to 67% of fathers.</p> <p>Yet intriguingly, those I surveyed – whose ages ranged from their early 20s to their 70s – collectively talked about books being passed down across eight generations.</p> <p>Family members were associated with their most valued books – and their identities as readers.</p> <h2>Treasured possessions</h2> <p>Books passed down through generations often become treasured possessions, embodying a shared family history. One person discussed an old hardcover copy of <a href="https://www.harpercollins.com.au/9780732284350/blinky-bill/">Blinky Bill</a> by Dorothy Wall. Originally given to her father and his siblings by their great-aunt in 1961, the book’s pages are now discoloured and falling out.</p> <p>“Although I always think of my mother as having been my reading role model,” she wrote, “actually my father had an equally big impact, just in another way.” Her father is a central organising figure on her home bookshelf: she has dedicated a whole shelf to the books he liked.</p> <p>The story she tells about his old copy of Blinky Bill, however, crosses generations. The book’s battered state is a testament to its longevity and well-loved status. Its inscription to her family members makes the copy unique and irreplaceable.</p> <p>Another person remembered a set of Dickens’ novels, complete with margin notes and century-old newspaper clippings, carefully stored with her most special books. These volumes, initially owned by her great-great-grandmother and later gifted by her great-aunt, represent a reading bond passed down through generations.</p> <p>Such books can never be replaced, no matter how many copies might be in circulation. These books are closely associated with memories and experiences – they are invaluable for who they represent.</p> <p>A third person has her father’s “old” Anne McCaffrey’s <a href="https://www.goodreads.com/series/40323-dragonriders-of-pern">Dragonriders of Pern</a> series: he read it to her as a teenager, then passed it down. The book “sparked” her interest in science-fiction, and she now intends to pass it on to her own teenager. Her book, too, is “battered”, with “chunks falling out when you read it”. The cover is falling off.</p> <p>The deteriorating state of a book is part of the book’s legacy. It shows how loved it has been. Reading passions can be deliberately cultivated through family, but their value is less connected to reading comprehension or literacy than a sense of connection through sharing.</p> <p>Inherited, much-loved books bind families together. They can anchor absent family members to the present. These books can come to symbolise love, connection and loss.</p> <p>The family members who’ve passed down their books might not be physically present in children’s lives – they may not be reading aloud to them at bedtime – but through their books, they can have a strong presence in their loved ones’ memories. That indelible trace can be sustained into adulthood.</p> <h2>Buying books for the next generation</h2> <p>Another way relatives contribute to a family reading legacy is by buying new copies of much-loved books for the next generation. Theresa Sheen, from The Quick Brown Fox, a specialist children’s bookstore in Brisbane, notes that customers often ask for copies of books they had when they were younger.</p> <p>They may have read them to their children and now want them for their grandchildren. For example, <a href="https://www.goodreads.com/series/40767-the-baby-sitters-club">The Babysitters Club series</a> by Ann M. Martin was mentioned multiple times as a nostalgic favourite, now being sought after by grandparents.</p> <p>Readers’ habits of re-buying favourite books can affect the publishing industry. With older children’s classics still selling, publishers seek to update the text to reflect contemporary cultural mores. Enid Blyton is one author who endures through intergenerational love and nostalgia. However, her work is regularly <a href="https://www.news.com.au/entertainment/books-magazines/books/enid-blytons-famous-five-books-edited-to-remove-offensive-words/news-story/47a63bb79a5d870f19aed58b19469bb5">edited and bowdlerised</a> to update it.</p> <p>Books can be imbued with the voices and emotions of others. They are more than just physical objects – they are vessels of shared experiences that can be passed down, up and across generations. This enduring bond between family members does more than preserve individual stories. It actively shapes and sustains a vibrant reading culture.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/232372/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><a href="https://theconversation.com/profiles/emily-grace-baulch-1399683"><em>Emily Grace Baulch</em></a><em>, Producer at Ludo Studio &amp; Freelance Editor, <a href="https://theconversation.com/institutions/the-university-of-queensland-805">The University of Queensland</a></em></p> <p><em>Image credits: Shutterstock </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/we-know-parents-shape-their-childrens-reading-but-so-can-aunts-uncles-and-grandparents-by-sharing-beloved-books-232372">original article</a>.</em></p> </div>

Family & Pets

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Father breaks silence after wife and two children die in tragic drowning

<p>Hoai Nguyen, 32, and her two children, Mitchell, 7, and Hazel, 5, were enjoying a day out at Shearer Park in south-west Sydney, and were walking down to a small pier on the waterfront before they were spotted <a href="https://www.oversixty.com.au/health/caring/unimaginable-sorrow-mother-and-two-children-drown-during-family-outing" target="_blank" rel="noopener">struggling in the Georges River</a> about 10.15am on Saturday. </p> <p>Hoai was pulled to shore shortly afterwards, but despite desperate attempts by rescuers and bystanders she could not be revived. </p> <p>The bodies of the two children were recovered a few hours later, metres from a jetty. </p> <p>The children's father, Dinh Nguyen, had been at work during the incident and only found out about the tragedy when police showed up at his house. </p> <p>He has since broken his silence, and told <em>The Sydney Morning Herald</em> that his wife was navigating a mental illness prior to her death. </p> <p>“She has bipolar disorder, and she has some ups and some downs,” he told the publication. </p> <p>“She takes medicine. Sometimes it works, sometimes it doesn’t.”</p> <p>He also recalled one of the last conversations the couple had, the night prior to the tragedy. </p> <p>“She told me the last night she didn’t sleep so she wanted to stay at home,” he said.</p> <p>According to <em>The Daily Telegraph</em>, detectives are now probing whether the incident was premeditated as they continue their investigations into the tragedy. </p> <p>The southwest Sydney community has since rallied around the family's loved ones, with bouquets of flowers and tributes seen at the riverbank as part of a growing memorial. </p> <p>A close friend of the family, Sarah Vu, has also organised a <a href="https://www.gofundme.com/f/hoai-mitchell-and-hazel-nguyen" target="_blank" rel="noopener">GoFundMe</a> page for the family which has since raised over $60,600 of their $40,000 goal. </p> <p>“I sincerely thank the entire community for their contributions,” she wrote in a social media tribute on Monday.</p> <p>“The family have decided to bring Hoai and the kids back to Vietnam.</p> <p>“The fund has currently exceeded my expectations, but I will keep the link open for anyone who still wants to donate.”</p> <p>"All we can do now is pray for you and the little ones to depart peacefully,” she added with a video of two young kids holding hands and skipping down a street together. </p> <p><em><strong>Need to talk to someone? Don't go it alone.</strong></em></p> <p><em>Lifeline: <strong>13 11 14</strong>, <a href="https://www.lifeline.org.au/" target="_blank" rel="noopener">lifeline.org.au </a></em></p> <p><em>SANE Support line and Forums: <strong>1800 187 263,</strong> <a href="https://saneforums.org/" target="_blank" rel="noopener">saneforums.org</a></em></p> <p><em>Headspace: <strong>1800 650 890,</strong> <a href="https://headspace.org.au/" target="_blank" rel="noopener">headspace.org.au</a></em></p> <p><em>Beyond Blue: <strong>1300 224 635</strong>, <a href="beyondblue.org.au" target="_blank" rel="noopener">beyondblue.org.au </a></em></p> <p><em>Images: Facebook/ GoFundMe</em></p>

Caring

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New $1m reward for cold case murder of three children

<p>A new $1 million reward is being offered for information about each of the murders of three First Nations children around 34 years ago. </p> <p>Four-year-old Evelyn Greenup, Clinton Speedy-Duroux, 16, and Colleen Walker-Craig, 16, disappeared from Bowraville, a town in northern NSW over a five-month period from September 1990. </p> <p>Evelyn and Clinton's remains were found in nearby bushland, but Colleen's have never been found. </p> <p>The murders were initially investigated separately before being linked by the homicide squad. </p> <p>Now, after various appeals over the decades, NSW Police have issued a re-appeal for information into the murders, with a particular focus on locating the remains of Colleen.</p> <p>“A $1 million reward for information that leads to the arrest and conviction of the person or persons responsible for each of the children’s murder remains in place, as well as for information leading to the location and recovery of Colleen’s remains,” NSW Police said on Monday.</p> <p>Detectives are also going to be spending the week in Bowraville to  speak to locals who may have information about the children's deaths. </p> <p>A man, who can't be named for legal reasons, was acquitted of Clinton's murder in 1994, and Evelyn's murder in 2006. </p> <p>The case was the subject of two police investigations, multiple trials, a coronial inquest, and a parliamentary inquiry. </p> <p>In 2018, the government tried to convince the NSW court of criminal appeal that there was fresh and compelling evidence – related to the disappearance of Colleen – in attempt to overturn the two acquittals and instead have a new single trial on three murder charges. </p> <p>However, the court refused to grant special leave to the NSW government to appeal against the decision. </p> <p>In 2019, hundreds protested in front of the gates of the Court of Appeal when a retrial was denied. </p> <p><em>Images: 7pm TV News NSW/ ABC News</em></p>

Legal

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"Unimaginable sorrow": Mother and two children drown during family outing

<p>A mother and two children have died after struggling to swim in a Sydney waterway, with tributes and donations flowing in to support the grieving father.</p> <p>Hoai Nguyen, 32, and her two children, Mitchell, seven, and Hazel, five, were enjoying a day out at Shearer Park in south-west Sydney on Sunday, when they were spotted in distress in the waters of the Georges River. </p> <p>Hoai was pulled from the river, but despite the best efforts of bystanders and paramedics, she was unable to be revived. </p> <p>Police and volunteers from the State Emergency Service launched a large search and rescue operation for the two children, with divers locating their bodies in the water hours later, metres from a jetty.</p> <p>According to <em><a href="https://www.9news.com.au/national/sydney-news-georges-river-mother-hoai-nguyen-and-children-drown-lansvale/c8601ec9-47a1-4a79-8a12-67c3ff18f3ea" target="_blank" rel="noopener">9News</a></em>, the children's father and Hoai's husband had been at work during the incident and was only alerted to the tragedy when police showed up at his house. </p> <p>A <a href="https://www.gofundme.com/f/hoai-mitchell-and-hazel-nguyen" target="_blank" rel="noopener">GoFundMe</a> page has been set up by a family friend to support the children's father, Hoai's husband, and their one-year-old brother during the "time of unimaginable sorrow".</p> <p>"A beloved mother and her two young children tragically drowned... leaving behind a profound void in our hearts and a father and baby who is only 1 years old," the fundraiser reads.</p> <p>An investigation into how the mother and her children ended up in the water is ongoing, as NSW Police acting superintendent Luke Scott yesterday described the tragedy as "beyond words".</p> <p><em>Image credits: GoFundMe</em></p>

Caring

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Mother helps raise over $1 million for her children ahead of her death

<p>A single mother from America has left an enduring financial legacy to her two young children in the weeks before her untimely death. </p> <p>Erika Diarte-Carr, 30, started a <a href="https://www.gofundme.com/f/help-erika-and-her-children-with-funeral-expenses" target="_blank" rel="noopener">GoFundMe</a> page after she was diagnosed with terminal cancer in order to cover costs of her own funeral, as well as providing funds to raise her two kids,  Jeremiah, 7, and Aaliyah, 5.</p> <p>After setting the fundraising goal for $5,000 USD, generous members of her community spread the word of her selfless actions, with the fundraiser now reaching over $1.7 million USD and counting. </p> <p>Titled “Support Erika: A Mother planning her own funeral”, the page has garnered more than 38,000 individual donations.</p> <p>The page reads, “Dear family, friends and to all of those of you who may or may not know know me..."</p> <p>“My name is Erika Diarte-Carr. I am 30 years old and a single mother of two beautiful children. Jeremiah (7) and Aaliyah (5). ❤️ They are my whole life, light and soul. My children are my fight and what keep me going.”</p> <p>The mother then shared the tragic details of her cancer journey, as she recalled being diagnosed with stage 4 terminal cancer in May 2022 after presenting for “normal shoulder surgery”.</p> <p>“By that point, the damage had already been done. In that moment, mine and my kids’ entire lives had changed forever, as well as all of those around us,” she wrote.</p> <p>On top of her cancer diagnosis, Erika was hit with another blow in January 2024 as she was diagnosed with Cushing's Syndrome, which resulted in rapid weight gain, Type 2 diabetes, and further debilitating symptoms the mother claimed had “taken so much away” from her family.</p> <p>The page was updated in mid-September upon advice Ms Diarte-Carr had just three months to live and that treatments would “no longer help”.</p> <p>The mother added to the GoFundMe page how the excess funds would be allocated, writing, “For anyone’s concern, all the funds that have exceeded my funeral costs goal will be now put into a trust fund for my babies that way I can leave behind something for them and I can still ensure they are going to be ok as they grow up."</p> <p>On October 4th, the mother thanked donors and announced she and her family were able to take one final trip together hoping to leave her kids with “memories that’ll last a lifetime”.</p> <p>Just days later, Erika's cousin shared a post to social media to announce that Erika had passed away on October 12th.</p> <p>“It is with a heavy heart that this is the final update I will be giving for my cousin Erika,” she wrote on Facebook.</p> <p>“She fought a long and hard battle. She was strong and held on as long as she could for her babies. I know she was so thankful for all of your support and love and prayers.”</p> <p><em>Image credits: GoFundMe</em></p>

Caring

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Andrew O'Keefe rushed to hospital

<p>Andrew O'Keefe has been rushed to hospital after being revived by paramedics at a party in Sydney's Eastern Suburbs over the weekend. </p> <p>The disgraced TV host was partying at a home in Vaucluse at 3:30am on Saturday when emergency services were called after allegedly suffering a drug overdose. </p> <p>Paramedics revived O'Keefe at the scene before transporting him to the nearby St Vincent's Hospital for treatment. </p> <p><em>The Daily Telegraph</em> reported that he has since been released from hospital. </p> <p>In a statement, NSW Police said of the incident, "Officers attached to Eastern Suburbs Police Area Command were called to a home unit on Old South Head Road at Vaucluse about 3.40am, responding to concerns for the welfare of a 52-year-old man."</p> <p>"NSW Ambulance paramedics rendered assistance to the man before taking him to St Vincent's Hospital where he was reported to be in a stable condition. Inquiries into the incident are continuing."</p> <p>O'Keefe's health incident comes just days after a court upheld his convictions for domestic violence assault, as District Court Judge John Pickering rejected his lawyers' arguments that a woman had inflicted scratch marks on her own arm and later blamed O'Keefe.</p> <p>The troubled former TV star was convicted in January of three counts of domestic violence-related assault, twice contravening an AVO against him, and two charges for possessing a prohibited drug.</p> <p>He was ordered to serve 18 months on a community corrections order, which involves supervision and reporting requirements, and fined $800 for the drug offences.</p> <p><em>Image credits: JOEL CARRETT/EPA-EFE/Shutterstock Editorial</em></p> <p> </p>

Caring

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“Enough is enough”: Albanese to introduce social media ban for children

<p>Australian children could soon be banned from accessing social media platforms like Instagram and TikTok amid growing concerns around its impacts on young minds. </p> <p>Prime Minister Anthony Albanese confirmed on Tuesday that his government would introduce landmark legislation to enforce a minimum age limit for access to social media, with the minimum age yet to be determined. </p> <p>This follows similar announcements made from Victoria and South Australia, with SA proposing an outright ban for kids under 13 and parental consent between the ages of 14 and 15, an option that is being considered to be implemented across the country. </p> <p>“We are taking this action because enough is enough,” Albanese said in a statement provided before the announcement.</p> <p>“Parents are worried sick about this.</p> <p>“The safety and mental and physical health of our young people is paramount.”</p> <p>The legislation will be introduced before the end of this year, after an age verification trial, although the age limits and start date have yet to be finalised. </p> <p>The government said the legislation would be worked on in national cabinet and draw on a report by former High Court Chief Justice Robert French commissioned by the SA government and released on Sunday. </p> <p>The report includes a draft bill to ban children under 14 from social media and making mandatory for companies to gain parental consent for  14 and 15-year-olds to use their platforms.</p> <p>On Tuesday morning, Albanese told <em>Sunrise </em>host Natalie Barr that he wanted to see kids “off their devices and on to the footy fields or the netball courts to get them interacting with real people having real experiences." </p> <p>“And we know that social media is doing social harm.</p> <p>“We want to make sure we get it right, but we want to make sure as well that we act which is why we have said we will introduce legislation before the end of this year." </p> <p>When the Sunrise host pointed out that "no country in the world has successfully been able to do this," with young teens finding alternative ways to access adult sites including using a VPN, Albanese replied: “that is why we are doing the trial to get it right”. </p> <p>“If it was easy it would have been done around the world. But just because something is hard doesn’t mean that you shouldn’t try.</p> <p>“We want to work with parents to work with companies, to work with state and territory governments to make sure that we act in this area.”</p> <p>Albanese also said that allowing children unfettered access to smartphones and social media have had devastating impacts for some families, including through online bullying and access to material which causes social harm. </p> <p>“The safety and mental and physical health of our young people is paramount,’’ he said.</p> <p>“We are taking this action because enough is enough.”</p> <p>Investigations, trials and negotiations with social media companies are currently ongoing, with Albanese saying the social media giants also needed to take responsibility. </p> <p>“They’re not above everyone else. They can’t just say, ‘We’re a big multinational company. We can do whatever we like’, regardless of the harm that’s being caused,” he said.</p> <p>SA Premier Peter Malinauskas, who led the change to introduce the bans, said his state’s bill would require platforms such as Facebook, Instagram and TikTok to ensure they took all reasonable steps to prevent children from getting access.</p> <p>“This is a problem that demands swift and decisive leadership, and I thank the Prime Minister for demonstrating it,’’ the SA Premier said.</p> <p>“The evidence shows early access to addictive social media is causing our kids harm.</p> <p>“This is no different to cigarettes or alcohol. When a product or service hurts children, governments must act.”</p> <p>The National Cabinet discussed the issue formally and informally last week, with all jurisdictions committed to tackling the issue. </p> <p><em>Image: </em><em>Viktollio / Shutterstock.com</em></p> <p> </p>

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Maggie Beer rushed to hospital

<p>Maggie Beer has been rushed to hospital after she suffered a nasty fall in her Barossa Valley home in South Australia. </p> <p>The Aussie food icon shared a statement with her followers on Instagram to share to the news, saying she had suffered minor bone fractures and a few cuts and bruises. </p> <p>The 79-year-old assured her fans that she will make a full recovery after her stint in hospital, but her family said in the post “it may just take a little while”.</p> <p>Maggie's family wrote on Instagram that her husband Col had been at home at the time of the fall, adding that "she is now in the excellent hands of her doctors who are confident she will make a full recovery."</p> <p>“More than anything else, Maggie hates letting people down. But she has multiple events and public engagements coming up that she may have to miss,” the social media post said.</p> <p>“She has asked us to apologise on her behalf to all those affected — and has asked for your patience as she recuperates.”</p> <p>Maggie's famous friends and fans were quick to comment well wishes on her post, wishing her a speedy recovery. </p> <p>“Sending you all our love and healing energy beautiful Maggie,” fellow celebrity chef, Kylie Kwong said.</p> <p>Chef Peter Gilmore added, "Look after yourself Maggie. You are loved by so many people an inspiration, take time to heal."</p> <p>“Maggie is one of the very best x hugs for a full recovery very soon. Wonderful lady, get better soon,” a fan commented.</p> <p><em>Image credits: Instagram</em></p>

Caring

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Readers response: What’s your favourite travel memory with your children?

<p>One of the best parts about travelling is having your kids, or even grandkids, in tow to experience a unique holiday together. </p> <p>We asked our reader what their favourite travel memory they're shared with their children is and the response was overwhelming. Here's what they said. </p> <p><strong>Lynne Fairbrother</strong> - All the camping trips we made when they were kids, great family fun.</p> <p><strong>Karen Ambrose</strong> - A long boat trip on the canals in England…. fabulous.</p> <p><strong>Christine Whyte</strong> - Lovely family holidays where I holidayed with my parents, aunties, uncles, and cousins every year for over 18 years. Great summers of beach and fishing and fun times.</p> <p><strong>Suzie Justinic</strong> - Many overseas trips we had as a family to see family in other countries.</p> <p><strong>Cathrine Stanton Hillier</strong> - Sleeping in the back window ledge of the car. Mum made a small sleeping bag for me.</p> <p><strong>Margie Buckingham</strong> - Every year, one holiday was an ‘away holiday’ while the other 3 were spent at nanny’s beach house, which were just the best!</p> <p>Touring Tassie on the Spirit was a great holiday. So was the Gold Coast doing the Theme Parks. But I think the best was driving to Sydney for the Olympics 2000.</p> <p><strong>Barbara Holmes</strong> - The great holidays staying at Cairns Colonial Resort in the 80’s! </p> <p><strong>Jill Harker</strong> - Emigrating from the UK to Australia on the ship in 1970 when the boys were about 7 and 8!</p> <p><em>Image credits: Shutterstock </em></p>

Travel Tips

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Readers response: What is the best piece of advice you've passed down to your children?

<p>if there's one thing you can count on your parents or grandparents for, it's to hand down valuable advice that will work its way through generations. </p> <p>This advice could be simple everyday words of wisdom, or more life-altering affirmations. </p> <p>We asked our reader what is the best piece of advice they have passed down to their children and grandchildren, and the response was overwhelming. Here's what you said. </p> <p><span dir="auto"><strong>Margaret Barnes</strong> - Treat other people as you would like them to treat yourself.</span></p> <p><span dir="auto"><strong>Kate Stephens</strong> - Listen to your mother.</span></p> <p><span dir="auto"><strong>Keryn Bache</strong> - I recently advised my 22 year old granddaughter that if you have nothing nice to say, then say nothing at all. </span></p> <p><span dir="auto"><strong>Linda Kauffman</strong> - Be careful in relationships.</span></p> <p><span dir="auto"><strong>Janice Evans</strong> - Live within your means.</span></p> <p><span dir="auto"><strong>Norell Standley</strong> - Learn self defence to protect yourselves.</span></p> <p><span dir="auto"><strong>Les Thornborough</strong> - Look after your parents in their old age.</span></p> <p><span dir="auto"><strong>Linda Kauffman </strong>- Thinking before acting.</span></p> <p><span dir="auto"><strong>Liz N Jeff Busky</strong> - Don't try drugs, you may just like them.</span></p> <p><span dir="auto"><strong>Rick Dayes</strong> - Mind your own business.</span></p> <p><span dir="auto"><strong>Margie Buckingham</strong> - Live respectfully.</span></p> <p><span dir="auto"><strong>Marian Arakiel </strong>- Get a job, get up, dress up and show up.</span></p> <p><em><span dir="auto">Image credits: Shutterstock </span></em></p>

Family & Pets

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TV star charged over making indecent images of children

<p>Former BBC presenter Huw Edwards has been charged with making indecent images of children. </p> <p>The 62-year-old, who left the UK public broadcaster in April after 40 years, faces three charges over alleged activity between December 2020 and April 2022.</p> <p>Police claim the offences are claimed to be linked to images shared on WhatsApp.</p> <p>After being arrested in November last year by London's Metropolitan Police, he was charged with the offences on June 26th.</p> <p>A Metropolitan Police spokesman said of the arrest, “Huw Edwards, 62, of Southwark, London has been charged with three counts of making indecent images of children following a Met Police investigation."</p> <p>“The offences, which are alleged to have taken place between December 2020 and April 2022, relate to images shared on a WhatsApp chat. Edwards was arrested on 8 November 2023. He was charged on Wednesday, 26 June following authorisation from the Crown Prosecution Service."</p> <p>“He has been bailed to appear at Westminster Magistrates’ Court on Wednesday 31 July."</p> <p>Married dad-of-five Edwards resigned from the BBC three months ago after a stellar career spanning almost 40 years.</p> <p>The BBC revealed their star presenter’s resignation in a short statement on April 22nd, writing, “Huw Edwards has resigned and left the BBC."</p> <p>“After 40 years of service, Huw explained that his decision was made on the basis of advice. The BBC has accepted his resignation.”</p> <p><em>Image credits: BBC</em></p>

Legal

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Man arrested after BBC presenter's wife and children murdered

<p>British police have apprehended the man they believe is responsible for a brutal crossbow attack on the wife and two children of a well-known BBC radio presenter. </p> <p>In a statement released on Wednesday afternoon (early Thursday AEST), Hertfordshire Police said 26-year-old Kyle Clifford had been located in the Enfield area of north London and that he was receiving medical treatment for injuries.</p> <p>The BBC confirmed that the women killed were the family of its well-known radio racing commentator John Hunt — his 61-year-old wife Carol Hunt and their daughters Louise and Hannah, aged 25 and 28 respectively.</p> <p>Their tragic death prompted a major manhunt for the 26-year-old, as the public were urged not to approach Clifford.</p> <p>"Following extensive inquiries, the suspect has been located and nobody else is being sought in connection with the investigation at this time," Detective Inspector Justine Jenkins from the Bedfordshire, Cambridgeshire and Hertfordshire major crime unit said.</p> <p>"This continues to be an incredibly difficult time for the victims' family and we would ask that their privacy is respected as they come to terms with what has happened."</p> <p>A colleague of Hunt's and BBC 5 Live's lead presenter Mark Chapman struggled to hold back the tears as he expressed everyone's shock and pain.</p> <p>"We have a football match to bring you tonight ... and we will start our buildup to it shortly but this has been a heartbreaking day," he said as he opened Wednesday's coverage on 5 Live of England's semifinal match against The Netherlands in soccer's European Championship.</p> <p>"John Hunt is our colleague and our friend, not just to the current 5 Live sport team but to all of those who've worked here with him over the past 20 years, and also to all of you who have enjoyed his superb commentaries," Chapman said. "So on behalf of everyone connected to 5 Live Sport, our love and thoughts and support are with John and his family."</p> <p>Police were first alerted to the violent killings on Tuesday evening when emergency services were called to a house in Bushey, a residential area in north-western London.</p> <p>Paramedics tried to revive the women, but they died at the scene. </p> <p>While police have yet to establish a link between the suspect and the family, some British media outlets have claimed Clifford, who served in the British Army between 2019 and 2022, was an ex-boyfriend of one of the daughters.</p> <p><em>Image credits: Peter Manning/LNP/Shutterstock Editorial/Hertfordshire Police</em></p>

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Boomer couple divide audiences after revealing they're spending their children's inheritance

<p>A couple from Victoria have ignited a fierce debate over spending their children's inheritance, after they revealed they are happy to spend the money on holidays during their retirement years. </p> <p>Leanne and Leon Ryland appeared on the SBS show <em>Insight</em>, along with their son Alex, to discuss how they are spending their retirement fund without considering leaving their cash flow to their two grown up kids. </p> <p>The couple have spent $170,000 on travelling so far, with their goal to visit the wonders of the world taking them to Machu Picchu in Peru, India, Sri Lanka and the Maldives, with the US being next on their agenda. </p> <p>The couple joked the only thing their two sons would inherit would be their “shelf of s***”, a pile of cheap trinkets from their travels.</p> <p>However, the couple also own a home, and have been using their superannuation, pension and savings to fund their travels. </p> <p>Their jet setting comes after they saw a financial planner before they retired about four years ago after saving their whole lives.</p> <p>“We’ve done all the right things by investing in property, boosting up our super, making sure that was healthy, going without a lot of things,” Ms Ryland said.</p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-permalink="https://www.instagram.com/reel/C9JyzoDvYkM/?utm_source=ig_embed&amp;utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/reel/C9JyzoDvYkM/?utm_source=ig_embed&amp;utm_campaign=loading" target="_blank" rel="noopener">A post shared by Insight at SBS (@insightsbs)</a></p> </div> </blockquote> <p>“And he said, ‘You’re crazy if you don’t retire when you can, because you’ll spend most of your wealth on travel or whatever in the first 10 years and then after that it slows down’."</p> <p>“It’s changing your mindset. You get into a phase now where you actually spend instead of save.”</p> <p>The cashed-up boomers run a Facebook group called “SKIclub”, which stands for “spending kids inheritance”, where retirees can share travel tips.</p> <p>Ms Ryland said she’s trying to convince her husband they have to “spend now, because if we don’t spend it, you know he gets it”, pointing to her son.</p> <p>“We’re not going be able to spend all this money so let’s do it because in another 10 years we won’t be climbing the Great Wall of China. We won’t be going up Machu Picchu,” she said.</p> <p>“We won’t be doing those things. So we’ve gotta do it now because what else is there?”</p> <p>The attitude of the couple quickly welcomed a wave of criticism online, who were quick to brand the pair as “entitled”. </p> <p>“SBS <em>Insight</em> tonight is hilarious — boomer privilege at its best &amp; still not conscious of it. So entitled,” one person wrote on X.</p> <p>“Boomers are evil … bragging about overseas holidays with no regard for the environment, spending all their money so their kids have no inheritance,” another wrote.</p> <p>“Clogging healthcare due to their perceived entitlement for health and refusal to die. Selfish and privileged.”</p> <p>However, despite the views of many on social media, the couple’s son Alex appeared to support his parents' decision.</p> <p>“It’s their money,” he told the program.</p> <p>“They’ve worked hard their entire life and invested well in order to get that money so I think they should be able to do whatever they’d like with it.”</p> <p>Alex's sentiment was echoed by others online, with one person saying, "They have a right to do what they want, after the years of being so amazing and responsible for raising a kids, their turn is now."</p> <p>Another simply stated, "It's their money, they can do what they want."</p> <p><em>Insight</em>’s ‘The Boomer Economy’ is available to stream on <a title="https://www.sbs.com.au/ondemand/news-series/insight" href="https://www.sbs.com.au/ondemand/news-series/insight" data-outlook-id="534ae148-66c7-42db-b3ee-8f15bf016de4">SBS On Demand</a> now.</p> <p><em>Image credits: SBS</em></p>

Retirement Life

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Three children dead after allegedly being forced into house fire

<p><em><strong>Warning: This article contains disturbing content that readers may find distressing. </strong></em></p> <p>Three children have tragically died in a house fire in Sydney's west, with police allegedly treating the incident as a domestic violence attack. </p> <p>At 1am on Sunday morning, neighbours raised the alarm after spotting the fire in a family home in the suburb of Lalor Park.</p> <p>Firefighters arrived on the scene in six minutes to battle what neighbours called an "intense" blaze. </p> <p>"The flames were shooting out the front window at 20 feet," Brett said.</p> <p>Two adults and seven young children were inside when the fire broke out, with neighbours saying they were awoken by screaming. </p> <p>Two boys aged three and six years old were given CPR on the street but could not be revived, and a 10-month-old baby girl was also found dead inside the home.</p> <p>As rescue crews, emergency services and locals battled to extinguish the powerful flames and rescue those inside, father Dean Heasman was allegedly seen pushing the children back in.</p> <p>"We're alleging that 28-year-old man took direct actions to prevent the rescue of those young lives that were lost," NSW Police Homicide Squad Superintendent Danny Doherty said.</p> <p>"We will allege that this 28-year-old man's actions were directly the cause of the death of these three young people."</p> <p>"We've seen three young lives have just been taken away in the most tragic of circumstances, quite unimaginable how the family is coping with this."</p> <p>A 29-year-old woman, a nine-year-old girl, and three boys aged four, seven and 11 were also in the house during the blaze, but escaped and were rushed to Westmead hospital. </p> <p>Neighbours said the surviving children told them the man ordered them to stay inside the home as it burned, one of them claiming he tried to fight in a bid to save his siblings.</p> <p>"Dad tried to kill us," the child allegedly told rescuers.</p> <p>Residents claimed they saw the man attempting to drag the terrified children back inside, as they said he was shouting "leave me here to die".</p> <p>It's understood the man, who was arrested at the scene and remains in a coma with significant injuries, was not previously known to police and had no existing apprehended violence order against him.</p> <p>NSW Premier Chris Minns labelled the incident "horrifying and senseless" and offered the family support, as an investigation into the cause of the blaze begins. </p> <p><em>Image credits: Nine News</em></p> <p> </p>

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Ambulance ramping is getting worse in Australia. Here’s why – and what we can do about it

<div class="theconversation-article-body"><em><a href="https://theconversation.com/profiles/jonathan-karnon-290">Jonathan Karnon</a>, <a href="https://theconversation.com/institutions/flinders-university-972">Flinders University</a> and <a href="https://theconversation.com/profiles/andrew-partington-93821">Andrew Partington</a>, <a href="https://theconversation.com/institutions/flinders-university-972">Flinders University</a></em></p> <p>We’ve seen countless <a href="https://www.heraldsun.com.au/leader/ballarat/ambulance-ramping-leaves-paramedics-unable-to-respond-to-emergencies-says-union/news-story/54b6fee380eb7b7f1c9b2784edf3d2cd">media reports</a> in recent days, weeks and months about the <a href="https://www.couriermail.com.au/news/queensland/qld-politics/worst-cases-of-ambulance-ramping-at-queensland-hospitals-revealed/news-story/bcf4833b5197774329cf983029d77cb4">ramping of ambulances</a> at <a href="https://thewest.com.au/news/health/ambulance-ramping-reaches-record-levels-in-june-as-hospitals-struggle-with-surging-winter-demand-c-15192504">hospital emergency departments</a> (EDs) around Australia.</p> <p>Ambulance ramping occurs when paramedics are made to wait at the hospital’s entrance and are unable to transfer their patient into the emergency department within an appropriate time frame – defined as <a href="https://www.sahealth.sa.gov.au/wps/wcm/connect/public+content/sa+health+internet/about+us/our+performance/ambulance+waiting+times">30 minutes</a> in South Australia.</p> <p>Ramping is an indicator of hospital stress. It means patients are waiting longer to receive care in the emergency department, and patients requiring inpatient care are waiting longer to access a hospital bed.</p> <p>Research suggests <a href="https://www.mja.com.au/journal/2022/217/5/influence-ambulance-offload-time-30-day-risks-death-and-re-presentation-patients">ambulance ramping</a> and <a href="https://onlinelibrary.wiley.com/doi/10.1111/1742-6723.13699">having to wait longer</a> for a hospital bed are associated with a greater risk of patients dying up to 30 days after their initial presentation.</p> <p>So why is ambulance ramping still a problem? And what can we do to fix it?</p> <h2>Ramping is getting worse</h2> <p>Available data indicate the problem has become worse over time. In <a href="https://www.sahealth.sa.gov.au/wps/wcm/connect/public+content/sa+health+internet/about+us/our+performance/ambulance+waiting+times">South Australia</a>, for example, ramping has been steadily increasing since 2017, from around 500 hours “ramped” per month to around 4,000 hours per month in 2024. This is the sum of the time ambulances spend waiting beyond 30 minutes after arriving at the hospital.</p> <p>In <a href="https://www.bhi.nsw.gov.au/data-portal">New South Wales</a>, we calculate the numbers of patients being ramped increased from around 44,000 patients per month in early 2022 to more than 50,000 in early 2024.</p> <h2>What’s driving the increase in ramping?</h2> <p>The ambulance ramping bottleneck reflects an imbalance between the number of people presenting at emergency departments and the capacity to treat patients and transfer those requiring inpatient care to a ward.</p> <p>Potential drivers of this imbalance are increased emergency department presentations and reduced availability of inpatient beds. The latter may reflect increased demand for beds, including longer hospital stays.</p> <p>Between the financial years 2018–19 and 2022–23 (the latest period for which figures are available), Australian Institute of Health and Welfare data show the numbers of more serious presentations (triage categories 1 to 3) increased by <a href="https://www.aihw.gov.au/reports-data/myhospitals/sectors/emergency-department-care">almost 700,000</a> across Australia.</p> <p>Some 100,000 fewer patients who presented to an emergency department were <a href="https://www.aihw.gov.au/reports-data/myhospitals/sectors/admitted-patients">admitted as inpatients</a> during this period, but the additional presentations will nonetheless have contributed to more ramping.</p> <p>In the same period, admissions to inpatient beds that did not come through an emergency department increased by <a href="https://www.aihw.gov.au/reports-data/myhospitals/sectors/admitted-patients">almost 400,000</a> across the country. These include admissions for the management of chronic conditions (such as diabetes, heart disease, asthma and so on) and infections and viruses (COVID, flu, RSV and others).</p> <p>Further, COVID and other viruses are likely to have contributed to increased hospital stress via <a href="https://www.aihw.gov.au/reports/workforce/health-workforce">workforce shortages</a>. This has possibly led to delays in seeing patients in the emergency department and in discharging patients from hospital.</p> <p>There has not been a significant increase in <a href="https://www.aihw.gov.au/reports-data/myhospitals/sectors/admitted-patients">patients’ time in hospital</a> receiving required care, but there appear to be increasing numbers of patients waiting for placement in an aged care facility or for home care services after their treatment <a href="https://www.ama.com.au/sites/default/files/2023-02/Hospital%20exit%20block%20-%20a%20symptom%20of%20a%20sick%20health%20system_Final.pdf">has finished</a>.</p> <h2>Many admissions may be preventable</h2> <p>Increased vaccination rates could reduce the impact of viruses. For example, only <a href="https://www.aihw.gov.au/reports/australias-health/immunisation-and-vaccination">21% of Australians</a> aged 65 to 74 received the 2023 COVID booster recommended for their age group.</p> <p>We know there were significant increases in people delaying or avoiding seeing a GP <a href="https://www.abs.gov.au/media-centre/media-releases/more-people-putting-seeing-health-professionals-due-cost">due to cost</a> in 2022–23, which can put extra pressure on hospitals. The government is trying to address this issue by increasing <a href="https://www.health.gov.au/our-work/increases-to-bulk-billing-incentive-payments">incentives to GPs</a> to reduce costs to patients.</p> <p>Meanwhile, government health departments may not have been provided with enough funding to meet increasing demand for health care. Year on year the gap between supply and demand grows. <a href="https://www.theguardian.com/australia-news/article/2024/jun/27/victoria-hospitals-recruitment-freeze-cost-cuts-premier-jacinta-allan">Victorian hospitals</a> are reportedly scrambling to reduce spending in light of proposed budget cuts.</p> <h2>What are the solutions?</h2> <p>The creation of new hospital beds is not the only option for increasing capacity. Governments should design, implement and scale up services that free up hospital capacity by providing appropriate and cost-effective out-of-hospital care.</p> <p>For example, there is further scope to care for patients admitted to hospital in their own homes with the support of digital technologies. Programs such as <a href="https://www.sahealth.sa.gov.au/wps/wcm/connect/public+content/sa+health+internet/services/hospitals/my+home+hospital/my+home+hospital">My Home Hospital</a> in South Australia aim to provide an alternative to inpatient care.</p> <p>Across Australia, such “hospital in the home” care was provided 150,000 times in 2022–23, compared to <a href="https://www.aihw.gov.au/reports-data/myhospitals/sectors/admitted-patients">6.8 million episodes of care</a> in public hospitals.</p> <p>Virtual ED services are a growing phenomenon across Australia, using <a href="https://theconversation.com/what-is-a-virtual-emergency-department-and-when-should-you-visit-one-228098">virtual consultations</a> to identify patients for whom urgent care can be provided outside hospital. The Victorian virtual ED service is targeting a capacity of <a href="https://www.afr.com/policy/health-and-education/meet-the-two-doctors-revolutionising-emergency-healthcare-20240415-p5fjud">1,000 consults</a> per day.</p> <p>Longer-term solutions require co-operation between state and territory governments and the federal government to prevent and better manage chronic conditions, such as diabetes and heart disease, outside hospital. This includes boosting access to GPs and improving communication between GPs and hospitals.</p> <p>Greater investment in well-designed policies and programs to support healthy ageing would also likely help, as well as improving access to required out-of-hospital aged care and disability services for patients waiting to leave hospital.</p> <p>All these measures could ease the pressure on hospitals and reduce the likelihood of patients waiting in an ambulance, unable to get inside and receive the care they need.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/232720/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/jonathan-karnon-290">Jonathan Karnon</a>, Professor of Health Economics, <a href="https://theconversation.com/institutions/flinders-university-972">Flinders University</a> and <a href="https://theconversation.com/profiles/andrew-partington-93821">Andrew Partington</a>, Research Fellow (Health Economics), <a href="https://theconversation.com/institutions/flinders-university-972">Flinders University</a></em></p> <p><em>Image credits: Shutterstock </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/ambulance-ramping-is-getting-worse-in-australia-heres-why-and-what-we-can-do-about-it-232720">original article</a>.</em></p> </div>

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Planning a country escape these school holidays? 4 ways to avoid clogging up the emergency department

<div class="theconversation-article-body"><em><a href="https://theconversation.com/profiles/katherine-riley-1499452">Katherine Riley</a>, <a href="https://theconversation.com/institutions/university-of-wollongong-711">University of Wollongong</a> and <a href="https://theconversation.com/profiles/rebekkah-middleton-314433">Rebekkah Middleton</a>, <a href="https://theconversation.com/institutions/university-of-wollongong-711">University of Wollongong</a></em></p> <p>Winter school holidays are either here or coming up, depending on where in Australia you live. Maybe you’re planning a <a href="https://www.tra.gov.au/en/domestic/domestic-tourism-results">rural escape</a>.</p> <p>Rural tourism is crucial for job growth and sustainability of small rural towns. However, for rural emergency departments, <a href="https://www.abc.net.au/listen/programs/am/holiday-medico-shortages-in-rural-and-remote-australia/103266540">school holidays</a> are often the busiest times.</p> <p>No-one plans a trip to the emergency department on holidays. But if you need health care, there are often other ways of accessing it than turning up at a rural hospital.</p> <p>Here’s why it’s so important to leave rural emergency departments for life-threatening illness or injuries, and some other options for seeking care.</p> <h2>We’re short of doctors and nurses</h2> <p>The Australian Institute of Health and Welfare <a href="https://www.aihw.gov.au/reports/rural-remote-australians/rural-and-remote-health">reports</a> a significant shortfall of nurses and specialist doctors in rural towns compared with staffing levels in big cities.</p> <p>This means many small rural emergency departments only have nurses on staff, with doctors on call or consulted remotely from a larger hospital.</p> <p>In a <a href="https://www.sciencedirect.com/science/article/pii/S1755599X2300143X">study</a> published earlier this year, my colleagues and I discovered this dynamic was especially challenging for rural emergency nurses when critically ill patients presented.</p> <p>One nurse told us: "We need more staff. I mean, I look at these emergency TV shows, and you see them in Kings Cross at the big hospitals there or overseas, they get a phone call […] there’s a resus coming in. Everyone’s standing around the bed with all their signs on, the airway/circulation/team leader […] and here, we have two people. It’s just so different. It’s just a false sense of reality. It’s ridiculous."</p> <p>So emergency departments should be used for <a href="https://www.health.nsw.gov.au/Hospitals/Going_To_hospital/Publications/keep-ed-emergencies.pdf">emergencies only</a>. These include:</p> <ul> <li>sudden collapse</li> <li>chest pain or pressure lasting more than ten minutes</li> <li>breathing difficulty</li> <li>serious mental health condition</li> <li>uncontrollable bleeding.</li> </ul> <p>When emergency departments are used responsibly, this can reduce the pressure on staff. It ensures the most seriously ill receive the care they need promptly.</p> <h2>What are my alternatives?</h2> <p>Here are four ways you and your family can be better prepared for your rural holiday and avoid an unnecessary visit to the emergency department.</p> <p><strong>1. Pack your scripts and medical history summary</strong></p> <p>Bring essential scripts and medications with you. This reduces the need to visit the local emergency department and ensures you have what you need during your stay.</p> <p>Do you have a chronic condition or have had a recent illness or surgery? Make sure you speak to your GP before you go. They can provide a medical health summary that includes your recent treatments and medications. Alternatively, if you have access to <a href="https://www.digitalhealth.gov.au/initiatives-and-programs/my-health-record">My Health Record</a>, ask your GP to prepare a shared health summary and upload it to your record. If you need medical care, this summary will assist in a timely assessment.</p> <p><strong>2. Call Healthdirect, NURSE-ON-CALL or 13HEALTH depending on where you are</strong></p> <p><a href="https://www.healthdirect.gov.au/how-healthdirect-can-help-you">Healthdirect</a> is a 24-hour telephone health advice line (known as NURSE-ON-CALL in Victoria or 13HEALTH in Queensland). By calling the relevant number, you will be connected to a registered nurse who will ask a series of questions and provide evidence-based advice and guidance. The Healthdirect website also offers an interactive <a href="https://www.healthdirect.gov.au/symptom-checker">symptom checker</a> to advise whether you should see a GP, go to an emergency department, or manage your symptoms at home (or in this case, on holidays):</p> <ul> <li> <p><a href="https://www.healthdirect.gov.au">Healthdirect</a> - 1800 022 222</p> </li> <li> <p><a href="https://www.healthdirect.gov.au/nurse-on-call">NURSE-ON-CALL</a> (Vic) - 1300 60 60 24</p> </li> <li> <p><a href="https://www.qld.gov.au/health/contacts/advice/13health">13HEALTH</a> (Qld) - 13 43 25 84.</p> </li> </ul> <p><strong>3. Need a GP? How about GP telehealth services?</strong></p> <p>For minor health concerns or non-urgent issues, <a href="https://www.smh.com.au/national/nsw/how-emily-took-advantage-of-one-of-the-few-good-things-to-come-out-of-covid-20240507-p5fpg3.html">GP telehealth services</a> are a remote-access option that can be used when away from home. Before you go away, check with your GP to see if they offer a <a href="https://www.health.gov.au/topics/health-technologies-and-digital-health/about/telehealth">telehealth service</a>.</p> <p><strong>4. Go to an Urgent Care Clinic</strong></p> <p>The Australian government has funded the opening of <a href="https://www.health.gov.au/find-a-medicare-ucc/about">Urgent Care Clinics</a> across the country. These clinics provide medical assessment and care for urgent illnesses or injuries. They have been created as a solution to divert people away from busy emergency departments. But these Urgent Care Clinics are not suitable for people experiencing emergency or life-threatening conditions.</p> <p>Urgent Care Clinics are ideal for illnesses and injuries that would require urgent treatment such as gastroenteritis, minor infections, lacerations and back pain. Check <a href="https://www.health.gov.au/find-a-medicare-ucc">here</a> to find your closest clinic.</p> <hr /> <p><em>Please keep the emergency department for life-threatening illnesses or injuries, and if needed, call 000 for an ambulance immediately.</em><!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/232262/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/katherine-riley-1499452">Katherine Riley</a>, Lecturer, School of Nursing, <a href="https://theconversation.com/institutions/university-of-wollongong-711">University of Wollongong</a> and <a href="https://theconversation.com/profiles/rebekkah-middleton-314433">Rebekkah Middleton</a>, Associate Professor, School of Nursing, <a href="https://theconversation.com/institutions/university-of-wollongong-711">University of Wollongong</a></em></p> <p><em>Image credits: Shutterstock </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/planning-a-country-escape-these-school-holidays-4-ways-to-avoid-clogging-up-the-emergency-department-232262">original article</a>.</em></p> </div>

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