PIKI TE ORA REGISTRATION FORM PIKI TE ORA management pamphlet.pdf · 100 Heads Road, P O Box 4260,...
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100 Heads Road, P O Box 4260, Wanganui Phone: (06) 348 0109, Fax: (06) 348 8205 Email: [email protected] Web: www.wrhn.org.nz Whanganui Regional Health Network PIKI TE ORA Uplifting your wellbeing “You are here to learn what you already know, what is in your bones!” An enabling and effective self management workshop Who referred you £ General Practice £ Secondary services £ Work & Income NZ £ Whanganui Learning Centre £ Iwi provider £ Self referral £ Other _____________________________ Workshop details Preferred time: £ Morning £ Afternoon £ Evening Have you attended a Piki te Ora workshop before? £ Yes If you are interested in attending the workshop, please fill in the registration form and return to: Anne Kauika or Andre Mason Whanganui Regional Health Network 100 Heads Road, Whanganui Email: [email protected] PIKI TE ORA REGISTRATION FORM Preferred day: £ Monday £ Tuesday £ Wednesday £ Thursday £ Friday £ No For more information please contact: Anne Kauika Phone: (06) 348 0109 extn 729 Cell: 027 867 2587 [email protected] Andre Mason Phone: (06) 348 0109 extn 718 Cell: 021 245 0510 Mary Hirini Phone: (06) 348 0109 extn 718 Cell: 029 222 5388 [email protected] We look forward to sharing with you!
Transcript of PIKI TE ORA REGISTRATION FORM PIKI TE ORA management pamphlet.pdf · 100 Heads Road, P O Box 4260,...
100 Heads Road, P O Box 4260, WanganuiPhone: (06) 348 0109, Fax: (06) 348 8205
Email: [email protected] Web: www.wrhn.org.nz
Whanganui Regional
Health Network
PIKI TE ORAUplifting your wellbeing
“You are here to learn what youalready know, what is in your bones!”
An enabling and effective self management workshop
Who referred you
£General Practice
£Secondary services
£Work & Income NZ
£Whanganui Learning Centre
£Iwi provider
£Self referral
£Other _____________________________
Workshop details
Preferred time:
£Morning
£Afternoon
£Evening
Have you attended a Piki te Ora workshop before?
£Yes
If you are interested in attending the workshop, please fill in the registration form and return to:
Anne Kauika or Andre MasonWhanganui Regional Health Network
100 Heads Road, WhanganuiEmail: [email protected]
PIKI TE ORAREGISTRATION FORM
Preferred day:
£Monday
£Tuesday
£Wednesday
£Thursday
£Friday
£No
For more information please contact:
Anne KauikaPhone: (06) 348 0109 extn 729
Cell: 027 867 [email protected]
Andre MasonPhone: (06) 348 0109 extn 718
Cell: 021 245 0510
Mary HiriniPhone: (06) 348 0109 extn 718
Cell: 029 222 [email protected]
We look forward tosharing with you!
A free self-management workshop
______________________________________
Workshop topics include:
The 7 week course that could change your life!
Would you like to feel better, have more energy and do more of the activities you enjoy?
Do you live with chronic pain, fatigue, tiredness or depression?
Would you like to learn new ways of coping and better manage your symptoms, health or life?
Do you have trouble taking your medications regularly?
Do you leave the doctor’s surgery with unanswered questions or still not sure what
you can do to help yourself or your loved one?
Strategies for handling frustration, acute pain and isolation
Tips for safe exercise and physical activity
Tips for taking medications safely
Ideas for healthy eating
Mindfulness and relaxation
Communication skills that will help with family, friends and health professionals
Learn how to tackle any problem
Goal setting and making action plans
Cuppa and chat time too!
Who should attend?
What participants say:
Anyone who lives with a long-term health condition will benefit from attending th is workshop.
Some examples of health conditions are: chronic pain, arthritis, cancer, heart d isease, depression, anxiety disorders, diabetes, respiratory or lung problems such as asthma, and more.
“I have learned to recognise early signs of my depression and I am able to put into action my plan to do uplifting things to prevent a major relapse.”
“I’ve learnt to manage my illness and not to be scared.”
“I wouldn’t change anything about the course I enjoyed and learnt from every workshop.”
“I now make my own decisions that are right for me and I don’t allow others to make them for me.”
PIKI TE ORAUplifting your wellbeing
Personal Informaton
Date: _____ / _____ / __________
Your name: _____________________________
______________________________________
Address: _______________________________
______________________________________
Contact phone: __________________________
Mobile: ________________________________
Email: _________________________________
Date of birth: _____ / _____ / __________
Ethnicity: ______________________________
Name of GP and practice: __________________
______________________________________
Long-term health condition/s: ______________
______________________________________
Support person attending: Yes No
Support person name: ____________________
______________________________________
Relationship: ___________________________
PIKI TE ORAREGISTRATION FORM
Whanganui Regional Health Network is licensed to deliver this course which was developed by the Patient Education Center at Stanford University in the United States
