Sunday, January 15, 2017

Affordable Care Act vs. Medicare, Medicaid

Sure glad to be in Canada, not the US. It would be great if drugs were covered for all Canadians. Drugs are covered for seniors, the disabled, and low income people.

Many Americans are confusing so-called Obamacare (the Affordable Care Act – ACA) with Medicare (which employees pay into), Medicaid (for the poor and disabled).



Wednesday, January 4, 2017

How to use a naloxone kit for an opioid overdose

Friday, December 30, 2016

Time to stop bashing seniors

This is a great article!

Time to stop bashing seniors


As for using up more health care dollars, we are the healthiest generation ever and because of that we are living longer. We also are the generation that is going to pass on the greatest wealth transfer that this country has ever seen, in the next 10 to 15 years and in doing this we just might save the next generation who are heavily in debt.

Choose wisely, physicians

Thursday, December 15, 2016

Health is a complicated issue

Wednesday, December 14, 2016

A Framework for Public Health Action: The Health Impact Pyramid

The Health Impact Pyramid

Abstract

A 5-tier pyramid best describes the impact of different types of public health interventions and provides a framework to improve health. At the base of this pyramid, indicating interventions with the greatest potential impact, are efforts to address socioeconomic determinants of health. In ascending order are interventions that change the context to make individuals' default decisions healthy, clinical interventions that require limited contact but confer long-term protection, ongoing direct clinical care, and health education and counseling.
Interventions focusing on lower levels of the pyramid tend to be more effective because they reach broader segments of society and require less individual effort. Implementing interventions at each of the levels can achieve the maximum possible sustained public health benefit.

LIFE EXPECTANCY IN DEVELoped countries has increased from less than 50 years in 1900 to nearly 80 years today. The greatest improvement occurred in the first half of the 20th century, when life expectancy in the United States and many parts of Europe increased by an average of 20 years, largely because of universal availability of clean water and rapid declines in infectious disease, as well as broad economic growth, rising living standards, and improved nutritional status. Smaller gains in the latter half of the 20th century resulted primarily from advances in treatment of cardiovascular disease and control of its risk factors (i.e., smoking, high blood pressure, and high cholesterol).

Tuesday, December 13, 2016

Canadian Virtual Hospice Newsletter

I volunteer with this group. They provide a lot of information for caregivers.

The holiday season is a time of reflection, contemplation, and compassion. As we reflect on the past year we wish to express our deep gratitude to everyone who has given of themselves to serve the needs of people living with advanced illness, grief and loss. We also want to extend our warmest thoughts to all of the patients and families in our Virtual Hospice community. The holidays can be a difficult time of year for those grieving an illness or loss. We encourage you to treat yourself with compassion and we have highlighted a few resources which we hope will be of use. Please know that our thoughts are with you and your families. Warm wishes now and always. 


FINDING NEW WAYS TO LIVE THROUGH THE HOLIDAYS
Virtual Hospice spiritual care advisor Glen Horst’s article Grief in Times of Celebration: The Empty Spot provides suggestions for celebrating the holidays when the absence of someone you care about is often most deeply felt.

 

HOLIDAY GRIEF SUPPORT
If you are struggling over the holidays, here are some ideas that may help:

CELEBRATING HANUKKAH AT THE END-OF-LIFE
Hanukkah is the festival of light. The days of Hanukkah are some of the happiest days of the year. Family members and friends in hospice are especially in need of the light during the holidays. Crossroads Hospice has compiled a list of ways to make the most of Hanukkah if you have a family member or friend in hospice care this season.

LOVING NEVER HAS TO STOP: THE HEART OF GRIEF
The holiday season can be a difficult time for people grieving the loss of someone they care about, whether the loss is anticipated, recent or one that is felt years later. In the video, Loving never has to stop: The heart of grief (04:12), Thomas Attig PhD reminds us that reminders can be painful at first but usually you can get around to a good place.


CHILDREN, GRIEF AND THE HOLIDAYS: HOW YOU CAN HELP
This list developed by the National Alliance for Grieving Children, provides simple ideas for helping grieving children during the holidays.

HELP A FAMILY IN NEED THIS HOLIDAY SEASON
“They gave me the biggest gift, this was the last trip I ever got to spend with my mom, the most important person in the world to me.” Give a Mile is looking to connect 35 people dealing with advanced illness with friends and families over the holidays. Learn more about the families in need and how you can help by visiting Give a Mile today.


 

CONTACT US
  • For free pamphlets, bookmarks, and webinars.
  • To suggest a story idea.
  • To let us know what's new in palliative care near you.

Saturday, December 3, 2016

Fall/Winter 2016 Issue of ACE Newsletter

Volume 13, Number 2 Fall/Winter 2016(pdf)

  • Pharmacy Services in Long-Term Care Homes
  • Privacy Act and Old Age Security Benefits
  • Patient-Centred Care: "Wishes" Are Not Consents
  • Case Comment: Andrade v. Andrade: A Purchase Money Resulting Trust
  • Quality and Accountability in Health Care?  Ontario's Patient Ombudsman and Bill 41, Patients First Act
  • ACE Celebrates Judith Wahl, Past Executive Director of ACE

Monday, November 28, 2016

SUBSTANCE MISUSE AMONG OLDER ADULTS

SUBSTANCE MISUSE AMONG OLDER ADULTS:
AN OVERVIEW OF PSYCHOSOCIAL INTERVENTIONS TO HELP YOUR CLIENTS
AN ONLINE WORKSHOP FOR HEALTHCARE & OTHER PROFESSIONALS 

When: Monday, January 9th to Sunday, February 5th, 2017 (4 weeks)
ONLINE weekly at your discretion
Cost:  $240 (Students/Seniors $120) 
Registration Deadline:  January 2nd, 2017 
This workshop will be offered only if there is sufficient enrolment.
Register online at 
www.aging.utoronto.ca
Course Objectives:
•    Become familiar with differential approaches for concurrent disorders
•    Be able to screen for addictions in older adults
•    Develop skills to recognize types of addictions in older adults
•    Be able to use geriatric, addiction-specific assessment tools


Outline:
Week 1:  Addictions Overview

    Types of addictions in geriatric populations
    Stigma and barriers to treatment
    Rationale for specialized treatment
    Principles of harm reduction

Week 2:  Assessment - How to ask the questions no one wants to ask
    Screening
    Assessment
    Geriatric specific tools

Week 3:  Theory and Practice
    Stages of Change Model
    How to work with the pre-contemplative patient
    Counselling techniques

Week 4:  Harm Reduction and Treatment Approaches with Special Subgroups
    Alcohol induced dementia
    Acquired brain injury
    Co-occurring mental health and addictions

Instructor:      Marilyn White-Campbell, B.A., Dip. Grt
Marilyn is a geriatric addiction specialist and a Canadian Pioneer in the field of addictions treatment for older adults.  As clinician and educator and researcher for over twenty five years, Marilyn works with concurrent disordered older adults in the community and in long term care.  She is currently on Secondment to the Wellington Waterloo LHIN to build capacity in geriatric addictions in collaboration with COPA, CMHA Specialized Geriatric Services and SJHC Guelph    Behavioral support team.   She is  Co-author of Addictions Treatment for Older Adults, she has presented nationally and internationally on the treatment of older adults with substance use disorders, and is the recipient of the Ontario Psychogeriatric Award of Excellence in 2011,  nominated for the Service Awards  for  Geriatric Excellence ( SAGE)  in the  category of  Executive  Senior Leadership Achievement  in  2015 and for  Team excellence  in 2016..  She is the founder of the COPA College © program, a group based model of care and co-author of two physician pocket guides for the treatment of substance use disorders in the elderly.

Registration and payment available online at www.aging.utoronto.ca