THE DESIRE FOR PRIMARY CARE NURSES TO DO MORE, BE RECOGNISED AND VALUED FOR THE WORK THEY DO
With
Denise Lyons
Nurse Practitioner, Newcastle, NSW &
President, Australian Primary Health Care Nurses Association (APNA)
PEOPLE IN HEALTH CARE SEGMENT
Filmed in Newcastle, NSW | August 2025
Denise Lyons is a highly experienced nurse with over 40 years in the profession, including more than 25 years dedicated to primary care. She earned her Bachelor of Science in Nursing in the United States in 1985 and, in 2012, became an endorsed Nurse Practitioner in Australia. Currently, she serves as a primary care Nurse Practitioner in General Practice in Newcastle, where she is committed to delivering high-quality, patient-centred care that improves the health and wellbeing of her community.
Throughout her career, Denise has championed the vital role of nurses in primary health care. Her professional journey spans clinical practice, leadership, and policy, with a strong focus on innovation and equity in health service delivery. Passionate about excellence in primary care, she has contributed extensively to advancing the profession through leadership, mentoring, and advocacy.
As an elected Board Director, and now President of the Australian Primary Health Care Nurses Association (APNA), Denise is dedicated to strengthening the voice of primary health care nurses nationwide. She advocates for best practice, professional recognition, and sustainable models of care. Known for her collaborative leadership and strategic vision, Denise is committed to shaping a strong future for nursing and primary health care in Australia.
About APNA
The Australian Primary Health Care Nurses Association (APNA) is the peak body and professional membership association for all nurses working outside of a hospital setting in Australia. APNA champions the role of primary health care nurses; to advance professional recognition, ensure workforce sustainability, nurture leadership in health, and optimise the role of nurses in patient-centred care.
APNA represents a significant and rapidly expanding workforce; primary health care nurses account for around one in eight of the 640,000 registered health professionals in Australia.
Source: Supplied and from Australian Primary Health Care Nurses Association (APNA) website
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Awareness, diagnosis and treatment of Congenital Hypothyroidism
Australian Health Journal spoke to Associate Professor MIchelle Jack about congenital hypothyroidism and newborn screening and her concerns in the varying thresholds for across different states in Australia. Despite the existence of newborn screening programs since the 1970s, there is still controversy surrounding the appropriate screening levels. Congenital hypothyroidism, affecting about one in 3500 infants, can lead to severe intellectual and physical impairment if not diagnosed early. The condition is mainly caused by the thyroid gland’s failure to develop properly, resulting in insufficient thyroid hormone production.
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Bridging the orthodontic knowledge gap
In recent years, the orthodontic sector has been growing rapidly due to success in B2C marketing and companies like Invisalign reaching the consumer, but there has also been a lack of knowledge sharing among general dental practitioners and specialists.
General dentists require mentorship and guidance from orthodontists to feel confident in providing orthodontic treatment to their patients, ultimately improving the quality of care in the community.
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Thyroid health into pregnancy
‘Without an adequate amount of thyroid hormone mothers can be exposed to hypertensive disorders of pregnancy, including gestational hypertension and preeclampsia or eclampsia, which affect around 10% of pregnant women and are the leading causes of maternal and neonatal mortality worldwide. Mothers who suffer from hypertensive disorders during pregnancy are at increased risk of long-term cardiovascular consequences and hypertensive disorders in subsequent pregnancies. Evidence also indicates a risk of reduced cognitive ability to their offspring.
‘Knowing if you are genetically predisposed to Hashimoto’s or Graves’ Diseases, which are both thyroid autoimmune disorders is important to be aware of, to ensure all appropriate tests are ordered. Autoimmune disorders may predispose mothers to a thyroid problem during pregnancy’, says Professor Creswell Eastman, who also serves as the ATF’s Principal Medical Advisor.
