Thursday, March 29, 2012

Individual responses to grief

female instrumental grievers are most disenfranchised
Instrumental vs. intuitive grievers



Martin and Doka describe the two styles of grieving in this way:
his wife would come back from work each day and go upstairs and have a good cry and he would be working, crafting the perfect memorial stone out of a piece of granite. As he’s chipping away at this granite and hearing his wife cry, he’s saying, “Why aren’t I grieving?

http://www.caring.com/articles/how-to-say-goodbye

On the other hand, an instrumental griever would generally not benefit from being asked, “How do you feel?” What works better is to ask the instrumental griever, “What were your reactions?” “What kinds of things were you thinking about at the time of your loss?” Or, “What kinds of things did you do immediately after the death of your loved.

Instrumental grievers generally will have a need to know and act on their own strengths in times of crisis. They will link their action to their pain and be more future oriented and independent minded. Intuitive grievers on the other hand will gain benefit from a community of support and will need to verbally share their pain openly.
Instrumental grievers tend to have tempered affect to a loss. While intuitive grievers are more likely to experience their grief as waves of affect, instrumental grievers are more likely to describe it in physical or cognitive terms. While intuitive grievers often need to express their feelings and seek the support of others, instrumental grievers are more likely to cognitively process or immerse themselves in activity.

Terry L. Martin and Kenneth J. Doka, Men Don't Cry-Women Do: Transcending
Gender Stereotypes of Grief, Series in Death, Dying, and Bereavement (Philadelphia, PA:
Brunner/Mazel, 2000), 4.

[DOC] GRIEF Styles

Hall, Christopher. Grief and Bereavement. Better Health Channel, 2000.

Sep2000 (January 19, 2004).

Martin, Terry L., and Kenneth J. Doka. Men Don't Cry--Women Do: Transcending
Gender Stereotypes of Grief. Philadelphia, PA: Brunner/Mazel, 2000.

Meagher, David, and Terry Martin. Gender Influences on Grieving Styles. 2003.

Wednesday, March 28, 2012

Health information hotline connects people to health care services and support

 Saint Elizabeth provides assistance via telephone and online chat 

 March 28, 2012 (Markham, Ontario) – The AskElizabeth hotline offers families and caregivers assistance in finding resources to help them make more informed decisions regarding their health or care options.

 In keeping with Saint Elizabeth’s roots, the program is a natural extension of the existing support provided through its social networking site, caretoknow.org, its e-learning programs, and its charitable offerings, including its critically-acclaimed Caregiver Support Program.

 AskElizabeth is accessible by phone 1-877-787-SEHC (7342) and by online chat at www.saintelizabeth.com.

Qualified health care staff are available during business hours from Monday to Friday from 8:30am - 4:30 pm ET, in both English and French.

 Saint Elizabeth Saint Elizabeth is an award-winning, not-for-profit and charitable health care organization known for its track record of social innovation and breakthrough clinical practices responding to client, family and health system needs. The organization’s team of 6,000 nurses, rehabilitation therapists, personal support workers and crisis-intervention staff deliver nearly five million health care visits annually.

Nurse Practitioners, nurse-led clinics, inequities?

What is a Nurse Practitioner?

A nurse practitioner (NP) is a registered nurse with advanced university education who provides personalized, quality health care to patients. Ontario nurse practitioners provide a full range of health care services to individuals, families and communities in a variety of settings including hospitals and community based clinics in cities and smaller towns inOntario. We work in partnership with physicians, nurses and other health care professionals such as social workers, midwives, mental health professionals and pharmacists to keep you, your family and your community well.

Want to learn more about NPs?

To Find a Nurse Practitioner in Ontario: Click Here

Key Documents about NPs

From MOHLTC:

The Ministry of Health and Long Term Care released two key studies about Nurse Practitioners in 2004 and 2007.
  1. IBM-McMaster Report on the Integration of Primary Health Care Nurse Practitioners into the Province of Ontario (2004) – was a review to determine how best to integrate primary health care NPs into Ontario’s health care system and specifically into various practice settings. (Read the report)
  2. NP Integration Task Team Report (March 2007) – was commissioned by Minister Smitherman in November 2005 to review, prioritize, implement, or advise on the implementation of the recommendations of “The Integration of Primary Health Care Nure Practitioners into the Province of Ontario” report. Establishing the NP Task Team was a significant marker of the Minister’s commitment to integrating this role into the Ontario health system. NPAO continues to monitor implementation of the report recommendations. (Read the Report)
Although Ontario has doubled the number of NPs from 2006 to 2010 (~2500) there is still a lot of work to ensure access to these providers, especially in rural communities.

Tuesday, March 27, 2012

Ontario Budget Proposal


From HPCO
 
The Ontario budget, released yesterday, contained several health care initiatives. While the details of how some of the initiatives will roll out are not yet available, the budget did not contain any direct references to hospice palliative care. There are however, investments in chronic care and home care, both areas with significant hospice palliative care service delivery. The budget also emphasizes that the goals of Ontario's Action Plan for Health Care are to achieve better patient care through better value from health care dollars. The Ontario Medical Association has expressed concern over the budget proposal to cap physician compensation at current levels. HPCO will continue to work with government to define the role of hospice palliative care and validate the return to the healthcare system on investments made in the sector.  

Below are some of the budget initiatives relevant to hospice palliative care. Full budget documents may be found here.
  • Increase investments in home care and community services by an average of four per cent annually for the next three years or $526 million per year by 2014-15
  • Development of a new Seniors Strategy that will expand house calls, increase access to home care, and provide improved care coordination
  • investments in chronic care services provided in the community to ease pressure on long-term care homes' waiting lists and help reduce the number of ALC patients in hospitals
  • Enhance care coordinators for seniors, particularly those with complex conditions, with guidance by working closely with all health care providers
  • Maintain total physician compensation at current levels through the next Physician Services Agreement with the Ontario Medical Association

'Press Release' Re: chocolate, should be melted in double-boiler

This is shameful, that the media negligently prints a press release that is misleading and arose from a flawed study.

How many people complain that 'science' tells us to eat something or avoid something?
A lot.
Why?
Because of flawed studies like this one.
Because of the media who cannot read what is written, and lack critical reflection skills.

Here's the press release.
Dr. , Family doc and founder of Ottawa's Bariatric Medical Institute writes:

It told me that the University of California in San Diego's PR department is beyond shameless, and that the Archives of Internal Medicine will publish pretty much anything.


So what did the study actually show?
The study looked at 975 men and women, aged 20-85, who filled out a single food frequency questionnaire as part of their enrollment in a study that was meant to look at the non-cardiac impact of statin drugs. Included in the questionnaire was the question, "How many times a week do you consume chocolate?". The authors then looked at the relationship between chocolate frequency and BMI controlling for:
  1. Fruit and vegetable intake
  2. Saturated fat intake
  3. Mood
  4. Number of days of week active for at least 20 minutes.

Ontario Health Study

Press Release:
To date, we have recruited 185,000 Ontarians into the Study! Will you help us reach 200,000 by March 31st. Tell at least one person about the Study and why you are taking part. If your friend or family member completes the Study’s online questionnaire by March 31, they will receive a special thank-you gift – 35 AIR MILES® reward miles or a $10 gift card from a choice of 12 retailers. Tell your friends about the OHS today or email them this link:
OntarioHealthStudy.ca!

Some exciting things going on with the Study:
  • Several important research studies are now underway using the health information you have provided.
  • Our first Assessment Centre is scheduled to open in May, which will add even more value to the health information we are collecting from Ontarians. We will send you an email about this soon and you can watch for details on our website and your Twitter and Facebook feeds.
  • OHS researchers are putting the finishing touches on our first follow-up questionnaire, which is on mental health. You will receive this questionnaire soon and we look forward to your participation.

To hear more about what’s going on with the Study, please watch our new Video Progress Report here.
Yours truly,
Professor Lyle Palmer, PhD FRSS FAIM
Executive Scientific Director, Ontario Health Study

Saturday, March 24, 2012

New designs for dementia residences

Such a lovely couple.
She is so agitated, 

Architecture book lays blueprint for dementia care


This is a brilliant idea, but to my mind, misplaced.

How serious is it that those with dementia get lost? Not so serious. Most live in smaller homes or apartments, or in retirement homes, all of which are not going to do renos. Many get lost walking in a straight line outside their residence, and we send out the troops looking for them.

What is far more serious is those who cannot manage the function of things, like a stove, phone, knife or fork, or stove top cooking. Many of my clients have been forbidden from cooking.

One couple, he with COPD and she with dementia, had to move from their one-bedroom apartment. She would set fire to things when cooking. He couldn't cook (a generational thing), and didn't seem to be able to monitor her enough to prevent a fire. She didn't get lost there, she couldn't cope with the anxiety and the 4 A's of dementiaAnger, Agitation, Anxiety, Apathy.
She was irritated and irritable, she didn't get lost. 


Many clients get lost driving, rather than in their own homes. Brain research tells us that driving is a skill that gets put into the old brain, automatic centre. How many times have you driven home and forgotten the drive itself? That is because unlike new, young drivers, these skills are put into the part of the brain where you react to the familiar.

Dementia patients are likely to get into their cars, and drive to a meeting they had scheduled 20 years ago. Then, they get lost, once there, and cannot find their way home. They remember how to drive, but do not know how to process the mental map and location strategies. Driving is done in the autonomic part of the reptilian brain, where we put those familiar activities.

Like birthing centres, where room design makes a mother feel more comfortable, putting in noise-limiting wood and good design standards into a long-term care residence (LTC) is laudable, but is it going to happen?

More handrails; more central nursing stations (some days you can swing a dead cat and not hit a nurse or PSW who are run off their feet); taller windows, more light; all this is wonderful, but not where the for-profits are going to put their money. They are more concerned about tax dividends.

Healthcare is so short money. Most LTC are for-profits, about 500 of the 600 or so in Ontario.

Far more important is spending money on excellent supervision. Well-trained PSWs who can monitor residents and ensure that they are safe.
 We need better trained, regulated PSWs who are more than simple caregivers, but trained in helping clients get exercise, manage their lives, understand biopsychosocial issues our dementia patients deal with every day.
What it boils down to is ensuring that all of us pay our fair taxes (the Trouble With Billionaires), and we are able to hire quality caregivers to help us deal with the dementia, and the costs of managing those in ill-health.

Updates on Canadian Sandoz drug shortage from HPCO

A provincial stakeholders group has been formed with representation from all areas within hospice palliative care.  A conference call is also held every Monday, Wednesday, and Friday with MOHLTC and the MOHLTC Emergency Operations Centre (EOC) to update all parties.  HPCO is represented by HPCO board member Elaine Klym who is the Director of Care at Maison Vale Hospice in Sudbury.

Processes have been established to report drug shortages within hospice palliative care settings. Reporting is segmented by care setting with community health service providers reporting shortages to their respective associations daily. The associations compile the reports and forward them to the Emergency Operations Centre at 2:00 PM daily.

  •   Community Care Access Centres report to the Ontario Association of Community Care Access Centres
  •   Home care organizations report to the Ontario Home Care Association
  •   Long-term care organizations report to the Ontario Long-Term Care Association or the Ontario Association of Non-Profit Homes and Services for Seniors
  •   Hospices report to Hospice Palliative Care Ontario
All operating Residential Hospices must now report shortages to HPCO by 1:30 PM daily so that we may compile the reports and forward them to the Emergency Operations Centre (EOC) by 2:00 PM.  An advisory has been sent to all Residential Hospice directors with details on the report procedure and template.

MOHLTC has tasked HPCO with developing a policy on medication return and retention within Residential Hospices. This will permit Residential Hospices to retain drugs in an on-site inventory when a client dies rather than returning the drugs for disposal.  A task group headed by Elaine Klym is drafting the policy for distribution by Friday, March 23. Since all Residential Hospices have drug inventory control policies and procedures in place implementation of a drug retention policy should be relatively straight forward.

The feedback from today?s stakeholder conference call was that in the in-home setting (patient?s  individual home) there is no way of maintaining quality of the medication once it has left the pharmacy so this medication must continue to be destroyed.

HPCO will continue to update members as information becomes available.

Rick Firth
Executive Director
Hospice Palliative Care Ontario
rfirth@hpco.ca

Canadian healthcare survey


[PDF] 

Health Care in Canada Survey 2006


Canadian Survey of Experiences with Primary Health Care (CSE ...

www.statcan.gc.ca › Home › Definitions, data sources and methods
5 Feb 2009 – The general purpose of the survey is to measure Canadians' experiences with health care.

Canadians happy with primary health care, study says - The Globe ...

23 Jul 2009 – The largest survey on primary health care ever conducted in Canadaf ound that most people have high praise for their family doctor, and a ...

Please click on the external link below to download the Executive Summary and slide presentation from this year and previous years. www.hcic-sssc.ca




Norovirus

I've been pretty ill with Norovirus. Watching the men's curling, they have people dropping like flies with 'flu', I bet it is this same virus, as well.

The problem with Norovirus:

 These viruses are relatively stable in the environment and can survive freezing and heating to 60°C (140°F).
It is highly communicable, and survives

Norovirus in Facilities Healthcare Sheet (CDC – PDF)
Wash your hands.
Stay home if you are sick.

We caught it a week after the kids had recovered. My son caught it two weeks later from the grandkids. IT is a horrible virus.

Nurse Practitioners, nurse-led clinics

We enjoyed visiting with our NP in Muskoka. The Family Health Team approach is a sensible one. Some seniors do not understand the expertise, but this is a hurdle that will be reduced with education and contact with these wonderful people.


Using RNs to their full scope + evidence = better health care for less money
* Raising the share of  RNs working full-time to 70 per cent by 2015
* Ensuring every Ontarian has access to a primary care provider
* Expanding the capacity of the existing 26 Nurse Practitioner-Led Clinics, and funding 50 new ones
* Ending competitive bidding in home care to ensure service stability for clients
* Strengthening integration of care across the health system
* Improving staffing levels for nursing homes
* Improving mental health and addiction services
* Increasing social assistance rates to reflect actual livings costs
* Building affordable housing
* Ending reliance on coal-fired generators and cancelling plans to build nuclear plants
The Registered Nurses' Association of Ontario (RNAO) is the professional association representing registered nurses wherever they practise in Ontario. Since 1925, RNAO has advocated for healthy public policy, promoted excellence in nursing practice, increased nurses' contribution to shaping the health-care system, and influenced decisions that affect nurses and the public they serve.




Read more

Adverse reaction to olanzapine

adverse reaction to olanzapine
Increase of death by 60 %
Health Canada Warning, Edmonton
When will physicians heed these news items?

Dementia patient dies after being prescribed anti-psychotic drugs ...

10 hours ago – An Edmonton woman died after being given double the prescribed dose
May 1, 2009 because of an “adverse reaction to olanzapine,” which ... In June 2005, Health Canada issued an advisory stating that Zyprexa, and ... have shown anti-psychotic drugs can increase the risk of death in seniors

Olanzapine (Zyprexa®), an atypical antipsychotic, was first marketed in Canada in July 1996 for the acute and maintenance treatment of schizophrenia and related psychotic disorders. A total of 153 domestic reports of suspected adverse drug reactions (ADRs) associated with olanzapine were received by the Canadian Adverse Drug Reaction Monitoring Programme (CADRMP) between that time and Feb. 24, 2000.
Olanzapine was reported as a suspected drug in 22 deaths. Reported causes of death included suicide or overdose (8), neuroleptic malignant syndrome (2), arrhythmia (3), myocardial infarction (1), heart failure and pneumonia (1), pneumonia (1), sepsis (1), sudden death (1), mesenteric thrombosis (1), choking (1), unknown (2).
Some of the reactions classified as serious or unexpected are discussed below. The product monograph should be consulted for other ADRs.

Seniors at risk for falls

I was reading about falls. It is the one thing that predicts seniors at risk for further health issues. Convincing seniors they are at risk is as hard as convincing young drivers to take it easy!
"Every 17 seconds an elderly person is taken to the ER because of a fall."



BY DARRELL BELLAART, DAILY NEWS MARCH 12, 2012

Families with aging relatives on limited incomes can take a number if they want to put them into a care facility. Nanaimo has a glut of beds for people with the money to pay, but for those without savings or a good pension, publicly funded beds are limited.
Patients must be assessed for placement in a publicly funded residential care facility, but such housing is in such short supply family members might not want to put off having the assessment done as soon as possible.
Seniors who are hospitalized often get care faster, but leaving it that long puts stress on the patient, family members and the healthcare system.

Collaboration Summit: Bridging Palliative Care and Chronic Disease


 
Registration is now open!

March 27, 2012
The Metropolitan Hotel
108 Chestnut Street, Toronto, ON 

Who Should Attend This Summit:
  • Chronic Disease Clinicians from across the continuum of care with an interest in developing their Palliative Care practices
  • Ministry and LHIN Senior Leadership
  • There are limited spots available for this event, so we encourage you to register early

Join the SHRNT HPC CoP

The Seniors Health Research Transfer Network  Hospice Palliative Care Community of Practice (SHRNT HCP CoP) brings together multiple stakeholders from across all care settings and professions including: front line healthcare workers, planners, researchers, policy makers, provincial organizations and caregivers who have an interest in hospice palliative care. Our goal is to improve the health and healthcare for seniors in Ontario by sharing hospice palliative care  knowledge, research, best practices and tools.  For more information about SHRTN please visit:www.shrtn.on.ca.  


Speak Up Ontario for Advance Care & Planning Interest Group Survey

Speak Up Ontario for Advance Care Planning 
HPCO in partnership with the Provincial End-of-Life Care Network and the Canadian Hospice Palliative Care Association has launched Speak Up Ontario! to promote advance care planning. To support this initiative, HPCO will be offering another training opportunity at the Annual Hospice Palliative Care Ontario Conference on May 1, 2012. For more information on this initiative, please contact your Hospice Palliative Care/End-of-Life network director.



Interest Group Survey

Hospice Palliative Care Ontario is conducting a survey of members to determine your interest in participating in active interest groups. The groups would operate within HPCO's Terms of Reference for Interest Groups, have a defined purpose and/or goals, identified membership, and meet on a schedule agreed to by the group members. The schedule may be monthly to semi-annually, but must be more than the one meeting held at conference. If you have not yet completed the survey, please click here to do so.









Compassionate care in Canada

It is a crime that those who need support in caring for family members cannot access it unless they have money to pay for such services, or access to institutions, where they can buy into a private room.

The CCB program is difficult to access if a doctor cannot predict end-of-life for a loved one. This was the case of my father. We knew he had a brain tumour, which caused dementia, but there was no way to predict when he would die from its impact on his brain functioning. He ended up living another 9 months, and I quit my job from the stress.
~~~~~~~~~~~

From CPCA and HPCO
An estimated 4 to 5 million Canadians are caring for an ill loved one. However, the stress can be immense - both emotionally and financially. Most caregivers are women, many of who are low-income.

A Global National investigation has found many families who need the money - aren't able to access the compassionate care benefit (CCB) program. A parliamentary report released in November 2011 even called for an overhaul of the system, but so far, there has been no action.

Sharon Baxter of the Canadian Palliative Care Association says Canada should take a "holistic" approach to compassionate care, one that doesn't rely solely on taxpayer dollars. She says more money should go toward programs like Meals on Wheels, or other non-profit organizations that help sick people.  Baxter doesn't believe the answer lies in hospitals.

Hospice Peterborough- Growing to Meet the Need for Care

Peterborough Housing Corporation (PHC) and Hospice Peterborough are thrilled to announce that Hospice Peterborough has made an offer to purchase a property on Reid and London Streets from the PHC. The property is part of a larger parcel that originally included Bradburn House and an adjacent vacant lot. Hospice Peterborough has a vision to enhance its current programming capacity to meet increased demand for services.The existing building on 554 Reid Street (the South East corner of Reid and London) will be transformed into a welcoming space for the growing home support program, day program, bereavement programs, support groups, family support, education and wellness programming.

Hospice Peterborough will work with the Peterborough Housing Corporation (PHC) and other community partners to move this project forward. This project will require a community effort to create an oasis of care where excellence, innovation, choice and compassion can be fostered. Hospice Peterborough will hold an information/open house meeting for the surrounding neighbourhood of the Reid/London Street site at PHC's Bradburn House at 293 London Street in April.

We Care Announces Partnership with the Canadian Hospice Palliative Care Association

In an effort to help meet the growing demand for hospice palliative care resources, We Care Home Health Services(We Care) announced a partnership today with the Canadian Hospice Palliative Care Association (CHPCA) to enhance end-of-life services and support networks acrossCanada and build hospice palliative care capacity by introducing knowledge, tools, and resources for Canadians.
CHPCA is the national voice for Hospice Palliative Care inCanada. Advancing and advocating for quality end-of-life/hospice palliative care in Canada, its work includes public policy, public education and awareness. The partnership between CHPCA and We Care will serve to build hospice palliative care capacity across the country by expanding knowledge, tools and professional resources. The partnership will be particularly relevant to the millions of caregivers who are desperately seeking viable choices and support services for loved ones confronting terminal illnesses. According to recent statistics from a CHPCA report, less than a third of Canadians that die annually have access to or receive hospice palliative and end-of-life services.

Many with cancer pain aren't on strong painkillers

Despite suffering severe pain, about one in three older cancer patients do not end up taking opioids, the most potent of analgesics, according to a new study from Canada.

It's not clear why these patients are not getting their pain treated with opioids, which include morphine, oxycodone and fentanyl. It could be that physicians are not prescribing the medications or that patients are getting prescriptions, but not filling them.

The researchers gathered information over two years on all cancer patients over age 65 in Ontario, Canada who had been screened for pain.

Of more than 24,000 people included in the study, 20 percent reported that they had severe pain.

Bereaved Pediatric Caregivers Survey


Dr. Susan Cadell of the Manulife Centre for Healthy Livingat Wilfrid Laurier University, is heading a study involving bereaved parents or caregivers and the positive and negative aspects of the experience. The study's focus is on bereaved parents and/or family members of children who have died from a life-limiting illness and it is the continuation of a study that focused on the role of caregiving children with life-limiting illnesses. We are looking for bereaved mothers, fathers, step-, foster and/or grandparents. If you have not yet participated in the survey, you may call toll free line at 1-800-810-0721, where they will be given information about the study.  Following the call, those people who agree to participate will be mailed a questionnaire that takes approximately 1 to 1.5 hours to complete.  This is a time lapse study, which means that the participants will be contacted approximately a year after the first questionnaire.

Participate in the survey by dialing: 1-800-810-0721, the deadline for the survey is April 15, 2012.

Grief and Bereavement Support Groups

North Frontenac Community Services in collaboration with
Sharbot Lake Family Health Team will be running...." Grief and Bereavement Support Group" - 8 week group starting March 8th,   2012, Thursday mornings from 10 until noon at Sharbot Lake Medical Centre.

Grief is a very individual and normal response to loss.  There is no "right" way to grieve.  When someone you love dies, you may find yourself on an emotional rollercoaster for days or months on end.  Talking to others who have had a similar loss can be very beneficial.

To register or obtain further information, please contactKevin Raison at 613-279-3151 or Martha Duncan at613-279-2100.

Lanark County to Start Adult Bereavement Support Group in Carleton Place  

[By Barbara Carroll] Community Home Support - Lanark County is now expanding its Bereavement Program to better serve the needs of those in the eastern end of the County. Beginning at the end of April, we are offering a new Adult Bereavement Support Group in Carleton Place.   This group is open to all adults who have experienced the death of someone significant in their lives.   It offers a safe, confidential environment in which people can share their feelings and experiences with others who are also going through a major loss. It provides the kind of emotional and social support that allows people to move through their grief and begin to heal.

The New Grief Support Group will meet at the Waterside Retirement Home, 105 McNeely Avenue in Carleton Place.   We are very grateful to the Waterside Retirement Home as they are offering the space for the Bereavement Group free of charge. The first meeting will take place onWednesday, April 25, 2012 from 1:30 pm - 3:30 pm. Subsequent meetings will be held on the last Wednesday of every month at the same time and place. There is no cost to attend the group sessions. Newcomers are always welcome. There is no requirement to pre-register but anyone wanting more information may contact the Volunteer Group Facilitators: Marilyn Fisher at 613-257-2162 or  mefisher@primus.ca; Barbara Carroll at: 613-256-6646 or barbaracarroll@rogers.com; and Corry Schutt (Foley) at: 613-812-1562 orcor_schutt@hotmail.com. Rebecca Bowie may also be contacted at the Community Home Support office: 613-267-6400 or rebeccab@chslc.ca.

Collaboration Summit: Bridging Palliative Care and Chronic Disease


Collaboration Summit: Bridging Palliative Care and Chronic Disease

Registration is now open!

March 27, 2012
The Metropolitan Hotel
108 Chestnut Street, Toronto, ON 

Who Should Attend This Summit:
  • Chronic Disease Clinicians from across the continuum of care with an interest in developing their Palliative Care practices
  • Ministry and LHIN Senior Leadership
  • There are limited spots available for this event, so we encourage you to register early

Top 10 Website Mistakes Charities Make

[ By Rachel Berdan ] Charities make the world a better place, and they often do it on shoestring budgets with staff and volunteers who are already stretched thin. With the time, people and money these organizations have already dedicated to mission-critical work, it's no wonder charities often make websites a low priority.
 
1. No direction = no action
2. Only one channel
3. A message in the wrong medium
4. Trying to please everyone
5. No proof in the pudding
6. Low (or no) maintenance
7. You've got our number...now what?
8. You look familiar
9. Out of style
10. Not measuring up

Minister Matthews' Statement On Sandoz Drug Supply

 [ March 7, 2012 ] Ontario is taking action to address the effects stemming from production and distribution issues at the Sandoz Canada plant in Boucherville, Quebec. Sandoz produces several critical drugs that are used routinely to treat patients in hospitals and other care settings.
Sandoz notified the ministry on February 28 of the supply implications of issues at its production facilities. Sandoz is focusing their production on key surgical and pain medications and has committed to inform customers of projected drug allocations so that they may plan accordingly.
The Ministry of Health and Long-Term Care immediately contacted health care sector partners to develop a plan to address any potential drug shortages. This plan includes :
  1. An assessment of the inventory of drugs and potential effects on services
  2. A redistribution plan to move available supplies of drugs across the province to where they are most urgently needed
  3. Provincial coordination of procurement of affected drugs
  4. A plan for service delivery in the event of drug shortages, including the identification of alternatives
  5. Ongoing communications with the health care sector

QUICK FACTS

  • The Ministry of Health and Long-Term Care is responsible for the Ontario Public Drug Programs (OPDP) which pays for most of the costs of prescription drugs for people who qualify.
  • Ontario hospitals coordinate the purchasing of drugs used in their facilities.
  • Health Canada is responsible for ensuring a drug is safe and can be made available for sale Canada. Only when they have approved a drug can Ontario consider funding under the OPDP.