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For Whānau Manaaki Family Caregivers
- Kete Aronui Maori Palliative Care A site for whānau manaaki, family caregivers
- Te Ipu Aronui Road Map
- Kete Tuauri
- Spirituality and wairua
- Karakia definition
- Diverse spiritual faiths and practices
- Spiritual safety and protection
- Spiritual care within hospitals, hospices and aged residential care services
- The power of karakia
- Spiritual support at time of death
- What if you do not know your spiritual care customs?
- Kete Aronui - rongoā
- Rongoā healing
- Forms of rongoā
- Use of rongoā rākau (natural plant medicines) is increasing
- Are you thinking about using rongoā?
- Include your rongoā healer in your health care team
- Self-care
- Te Ipu Aronui’s Kete Tuauri
- Staying with the tūpāpaku
- Karakia before and after death
- Preparing the tūpāpaku (body)
- Caring for the tūpāpaku (body) after death
- Planning and preparation for care following death
- Whakanoa (spiritual clearing of environment process)
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For Health Professionals
- Whanaungatanga - Establishing a relationship
- Connections take time
- First contact - building a rapport
- Rich histories and lifestyles
- Building trusting relationships
- Whānau systems of care Care roles within whānau
- Geographical location and end of life care
- Challenges whānau face
- Cultural safety - more effective than cultural competency
- Cultural safety - a definition
- Māori health and palliative care workforce
- Strengthening Māori cultural safety
- Caring for Māori health professionals
- Tikanga
- Ngākau pono Working with a sincere heart
- Caring with aroha
- Self-care
- Te Reo Māori The Māori language
- New Zealand history
- Kaumātua tino rangatiratanga Independence, authority
- Places kaumātua are cared for
- Dying in a healthcare setting
- Living in a ‘home’
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Pae Herenga Research Background
- Healthcare providers
- Palliative care resources
- Support services
- Grief and loss support
- Research
- Tangihanga and funerals
- Links and Information for Health Professionals
- Te Reo Māori Resources
- Cultural Safety
- New Zealand History
- Pūrākau
- Advanced Care Planning (ACP)
- Medicines Directory
- Publications
- Māori Data Sovereignty
- Covid 19 Study
Other Research Projects
Keteparaha: A Community Framework to Support Māori Healthy Ageing and End of Life
This study is currently being led by Dr Melissa Carey with support from Professor Merryn Gott, Dr Tess Moeke-Maxwell and Mrs Kathleen Mason. Melissa is an advanced practice registered nurse, who has 20 years clinical experience. She is an emerging Māori health researcher. We will have the findings and a link to the Māori community toolkit available in 2022.
Keteparaha is a three-year research project. The aims are to identify and develop a framework for a compassionate community toolkit to support a South Auckland Māori community with healthy ageing and end of life care. A Māori community research focus will inform the framework development and the toolkit pilot. During this project the researcher will work closely with kaumātua, Māori researchers and international experts to focus on a strengths-based approach empowering Māori communities to improve health and well-being for ageing Māori people. This research will help to support kaumātua, whānau, Māori communities and health professionals to access critical information and resources to assist older Māori to age well; also supporting their whānau carers with better resources to provide care at end-of-life. We will be working with the World Health Organisation’s community toolkit experts from Kansas, USA to co-design the toolkit with collaboration from the community in South Auckland.
Kat Mason
Rongowhakaata, Ngāti Porou
Kat is a Research Assistant at the School of Nursing, University of Auckland. She has a Bachelor of Health Science (Māori Health) and has an interest in Kaupapa Māori Research, in particular, how researchers care for and analyse the kōrero whānau share. Kat was born in Auckland, raised in Blenheim and is of Rongowhakaata and Ngāti Porou descent.
Professor Merryn Gott
Professor Merryn Gott is the director of Te Ārai Palliative Care and End of Life Research Group (https://tearairesearchgroup.org/). Merryn set up the Te Ārai research group in collaboration with her colleagues in 2014 (most of us are from the School of Nursing, University of Auckland).
Tess Huia Moeke-Maxwell
Kia ora, my name is Tess Huia Moeke-Maxwell (Ngāi Tai ki Tāmaki Makaurau & Ngāti Porou). Following on from my post-doctoral investigation (2009 - 2012) on Māori end of life experiences, I’ve worked in the School of Nursing, University of Auckland, as a Research Fellow and a founding member of the Te Ārai Palliative Care and End of Life Research Group. In 2017 I was awarded a project grant from the Health Research Council of New Zealand to lead the Pae Herenga study. The Kāhui Kaumātua Rōpū for Te Ārai asked me to lead a study to gather information about the traditional care customs whānau manaaki (family carers) use to care for their kaumātua (older person) at the end of their life, and to share this with Māori whānau who will be called on to provide care to their kaumātua. We also wanted to share this information with Hospice New Zealand, palliative care professionals as well as health and social care professionals more broadly. We are grateful to Hospice NZ for supporting this study since its inception.
The Pae Herenga study is important as there is an anticipated rise in older Māori deaths over the next thirty years; we need to prepare ourselves for the privilege of caring for our kaumātua. On behalf of my team, I would like to thank each and every person and whānau who took part in the Pae Herenga study. Without everyone’s support we would not have been able to complete this piece of work.
He rau ringa oti ai.
Many hands make light work.
Melissa Carey
Dr Melissa Carey (Ngāti Raukawa, Ngāti Huri) has worked as a registered nurse for over 20 years practising within the acute clinical setting in regional and rural Australia. Since 2006 Melissa has been employed within the tertiary education sector where she has developed and delivered various nursing education programmes for undergraduate and post graduate students. Completing a PhD in 2016 at Queensland University of Technology, Melissa is an emerging health researcher with experience in Ethnographic, Auto-ethnographic and Kaupapa Māori research methodologies. Her research areas include Indigenous knowledge and research, creativity and health education, cultural recovery and healing, cultural safety, cultural needs at end-of-life and healthy ageing for Māori. In 2020 Melissa commenced a Postdoctoral Māori Career Development Fellowship funded by the Health Research Council New Zealand and the University of Auckland within the School of Nursing. The focus of this research is to develop and pilot a compassionate community toolkit for healthy ageing and end of life care for Māori people in South Auckland.