Ontario Healthcare - for those over 50

Presentation on quilting in long-term care

2012-01-27T05:37:00.000-08:00

While volunteering at Perth Community Care Centre, some of the ladies from the Lanark County Quilting Guild made a presentation of some of their members' quilts!For more photos, click here.Each quilt has a history and is unique!You can watch it here: http://vimeo.com/35722813 Quilting in Lanark County http://vimeo.com/35722813"These lovely ladies visited Perth Community Care Centre and shared the

Talking with Kids about Alzheimer's disease

2012-01-26T05:47:00.000-08:00

"What My Grandma Means to Say," a new videoOf course, dementia is caused by many diseases, not just A.D. and yet, the results are the same. My late father's brain tumour caused dementia symptoms that my 20-something children had some difficulty dealing with. As a teacher, I found that talking and reading about issues helped kids understand. I created an amazon book list of books I found helpful

Person Centred Care

2012-01-25T06:32:00.001-08:00

Are these the most powerful words in healthcare? “I’m listening.” “What’s this like for you?” “What’s important to you?” That’s the goal of UHN’s Patient-Centred Care Symposium: Shaping a Uniquely Canadian Approach to Patient Centred Care“Patient-Centred Care (PCC) can mean different things for each of us, but it starts from the needs common to all of us…recognizing that we are all human and

Continuum of care and placements: where will you die?

2012-01-24T09:20:00.000-08:00

There are a couple of flaws to this study, before we apply it to Canadian healthcare: Healthcare in Canada is different than in the US. There are more than two options; people die at home, in emergency, in retirement homes and in long-term care. We must educate physicians, no question. And nurses, and professional caregivers.We need patient advocates to support them.There is much research to

This isn't elder abuse- this is fraud

2012-01-24T09:08:00.000-08:00

Plain and simple. Besides, there isn't enough data on senior fraud, nor elder abuse, as they are lumped together. Taking advantage: Elder financial abuse on the rise. In the majority of elder financial abuse cases, abusers have a close connection to the victim and exploit this connection. Family members, friends, neighbours and caregivers are often the ones committing these crimes. Taking

A case for early dementia diagnosis

2012-01-24T08:59:00.000-08:00

Not all dementia is Alzheimer's Disease. Not all symptoms are dementia. In my father's case, the hospital emergency missed a diagnosis of delirium as they confused it with his dementia symptoms from his brain tumour. Excellent info from the Alzheimer's SocietyBe aware of the warning signs. If you’re concerned about dementia for yourself or someone you care about, talk to your family doctor or

Palliative-care network discusses pain, symptom management, music therapy

2012-01-23T15:58:00.000-08:00

'I want people to know that there is a resource team here to help them,' says network lead PETERBOROUGH, Ont. - The latest Four Counties Long-Term Care Palliative Network meeting held in Peterborough Jan. 19 saw about 100 sector stakeholders convene for a daylong information session on a myriad of issues, including addressing pain, symptom management and music therapy. Full Story Stanton says

Profile of seniors’ transportation statistics

2012-01-23T09:31:00.000-08:00

Transportation is a big issue for many seniors. Getting to and from appointments, accessing goods and finding services is crucial. This study included those seniors living in private residences. Seniors make up about 13.7% of the population. According to the 2009 study, 22% of people over age 65 lived outside metropolitan areas compared to 20% of people ages 45 - 64. More older men than women

US healthcare

2012-01-23T07:40:00.001-08:00

Caregiving- some good reads

2012-01-22T06:48:00.000-08:00

The importance of taking stock and taking care of yourself as caregiver, no matter the health issue, caregivers must look after themselves. When Injuries to the Brain Tear at Hearts It had been one year since a shooting at a Tucson supermarket killed six people, injured 12 others and left her with a severe brain injury. Ms. Giffords’s appearance was greeted by an enthusiastic crowd that

Too many Canadians dismissing early Alzheimer’s symptoms

2012-01-21T16:50:00.000-08:00

Too many Canadians dismissing early Alzheimer’s symptoms: Society Wednesday January 18, 2012The Alzheimer Society of Canada says too many Canadians are dismissing early signs of Alzheimer’s disease. A recent survey of 1,000 caregivers of people affected by Alzheimer’s disease found that 44 per cent waited at least a year before reporting their symptoms to a doctor, and about 16 per cent waited

U.S. to Force Drug Firms to Report Money Paid to Doctors

2012-01-17T16:37:00.000-08:00

U.S. to Force Drug Firms to Report Money Paid to DoctorsBy ROBERT PEAR To head off medical conflicts of interest, the companies would be required to disclose what they pay doctors for research, consulting, speaking, travel and entertainment. In an introduction to the proposed rules, the Obama administration says that patients can benefit when doctors and the industry work together to develop

Early Arthritis Symptoms

2012-01-16T10:43:00.000-08:00

Early arthritis symptoms can be vague and confusing, but they are important to recognize. Newly diagnosed arthritis patients quickly realize that early symptoms are just the first layer to be uncovered before a definitive diagnosis and treatment plan can be established. Early symptoms linked to arthritis usually include: Joint pain Joint stiffness Tenderness in and around the joint Limited range

Cheery paintings in long-term care

2012-01-09T13:10:00.001-08:00

STAY ON YOUR FEET (SOYF) preventing falls in seniors

2012-01-03T07:08:00.000-08:00

Healthcare does more research and ignores most of it as well. This is a statement I used to make about education, when I wrote about those issues. As editor of a couple of teacher publications, I found that much research was done in the field, but these research papers were buried in a raft of publications. Individual teachers should be held accountable by their principals to ensure that they

How well is Canada's healthcare system working for you?

2012-01-01T15:05:00.000-08:00

This is an interesting dilemma. I think that each province has its own pluses and minuses. Dr. Brian Goldman hosted CBC's Cross Country Checkup phone-in, and with various guests and callers examined this question. I think there were few answers, as each caller reflected his or her individual province, or city's healthcare resources. Few see the Canada-wide picture, as few patients have a

Violence in our twilight years

2011-12-29T16:24:00.000-08:00

In a horrible story of husbands and wives facing health issues. Police continue to search for details in stabbing death of woman, 82 Ottawa man charged with killing wife at seniors' home Ian Flann wheeled into hospital room to hear charges CBC News Posted: Dec 28, 2011 2:48 PM ET Ian Flann (82) was took his wife back and forth between doctors' appointments over the years and neighbours

It's flu season!

2011-12-28T12:22:00.000-08:00

It's funny, but on Facebook groups, people still debate flu vaccines. Some claim being ill following the vaccine. Is the vaccine safe? This is the eleventh year that the seasonal flu vaccine is being offered to Ontarians as part of the Universal Influenza Immunization Program. Every year, the vaccine is manufactured in the same way. The World Health Organization (WHO) determines which three

Local Health Integration Network (LHIN) model

2011-12-28T12:19:00.000-08:00

An excellent examination of the Local Health Integration Network (LHIN) model. 2007 Aging at Home: LHIN Community Engagement This is a good read, you can judge by these snippets. Below are two other articles he has written. LHINs at Five years – What Now? John Ronson About the Author John Ronson is a founding partner of Courtyard Group, a global company with offices in Canada, the

The prescription for long-term care (WindsorStar)

2011-12-27T09:59:00.000-08:00

Seriously, one writer purports to have the answer? This is the kid of fearmongering and bad press that keeps misinforming the public and creating the notion that our system is 'broken'. Most facilities are for-profit, 500/600 or so, at one point in my research, but many are doing a wonderful job. The media tarnish the image of those who work hard in such facilities. Individual citizens who

Canadian healthcare vs. US citizens who fight for care

2011-12-27T06:14:00.000-08:00

The difference between Canadian and US healthcare. Canadians all put money into the healthcare pot. Patients Want To Read Doctors' Notes, But Many Doctors Balk : NPR npr.org - Patients have the legal right to see their doctor's notes, but actually getting them can be slow and expensive. Two new surveys say patients overwhelmingly want to read the notes. But doctors are much more dubious

We've come a long way!

2011-12-20T18:43:00.000-08:00

Ontario healthcare is not broken, managers are ignorant

2011-12-13T03:19:00.000-08:00

These are the kinds of stories that convince some that Ontario healthcare is broken. Fortunately, this is not the case. This is illegal, and through Ontario Health Insurance Plan (OHIP) they cannot charge fees to this woman. The MPP, NDP Michael Prue, intervened, and the hospital admitted their mistake. The manager who sent the letter, demanding payment, Hospital apologizes after ‘blackmailing’

Senior LGBT couples as caregivers

2011-12-04T05:17:00.000-08:00

This is a beautiful story of care, love and a 54-year relationship. Senior caregivers show much devotion to one another. This is a beautiful love story.

Excellent advice for Alzheimer patient's caregivers

2011-12-02T09:23:00.000-08:00

Here is a great resource: Dealing with Dementia: 10 tips to help caregivers cope In summary: Become an information sponge Don't take changes personally Plan ahead Listen to your loved one Acknowledge your grief Take people up on their offers of help Connect with other caregivers Watch your own health Speak out Find your joy Giver yourself permission to take it easy. As I volunteer in PCCC, with

Medicare fault is a terribly misunderstood idea in Canada

2011-12-01T05:52:00.000-08:00

For the most part, each province and territory runs things in their own way, with the federal government contributing money. Currently, the provinces and territories are renegotiating We are at a crossroads, with a Prime Minister PM, who is determined to thrust legislation through parliament, despite many objecting to, for example, the new Crime Bill. Crime is down, legislation up. It's all

Self-governing regulating bodies pretty lax

2011-12-01T03:57:00.000-08:00

Why is it that the College of Physicians and Surgeons of Ontario (CPSO) cannot do a simple Google search when renewing a licence for a physician? In September 2008, Dr. Joyce Buckley had her New York State medical licence revoked for "gross negligence." Gynecologist faces allegations of unprofessional conduct November 28, 2011Ontario's governing body for doctors alleges Buckley misled the

Caregiving, bereavement and grief during the holiday season

2011-11-29T09:00:00.000-08:00

The 5 questions While the Globe and Mail published an article: Why are we afraid of talking about death? I believe that people are changing. The comments on this post tell the real story. National Advance Care Planning Day is one of the signs. End-of-life care has become to be more accepted as North Americans have begun to understand that dying is a part of life, and life is a part of death.

Breast cancer screening

2011-11-29T05:51:00.000-08:00

This is an excellent article. It puts it all into perspective. No more pre-cancer mastectomies. Be aware that there are many non-cancerous lumps. Screening tests do not screen well. 1. Breast cancer reality check: Be aware, not frightenedhttp://www.theglobeandmail.com/life/heal...'Yes, breast cancer is a major killer. An estimated 5,100 Canadian women (and 55 men) will die of breast cancer this

Caregiver Leave

2011-11-28T05:19:00.000-08:00

Employment Insurance Compassionate Care Benefits are available to people who have to be away from work temporarily to provide care or support to a family member who is gravely ill with a significant risk of death. With a palliative diagnosis, a family member in Canada can qualify for a Compassionate Care Benefit (CCB), as long as the doctor is willing to make this diagnosis. Also, there are

For-profit healthcare

2011-11-26T05:57:00.000-08:00

After my radio interview, I've had several e-mail asking for help. The issue with Canada is that each province handles healthcare differently. In the US, each state has its own laws. There are two areas in which Canada is vastly different from the US: education and healthcare. With a 25-year career in education, I have seen many US-based initiatives creep north, with their low pay inequities,

$1500 tax break for seniors doing renos? Big whoop

2011-11-25T08:56:00.000-08:00

Living conditions for some seniors McGuinty Government's Tax Credit Would Boost Economy, Create Jobs Ontario is proposing a new tax credit that would help seniors stay in their homes longer and help create jobs. THE FACTS The Credit, Up To $1,500 Each Year, Would Be Available To Senior Homeowners And Tenants, And People Who Share A Home With A Senior Relative. The Credit Would Be Effective

Overtesting in North America

2011-11-24T03:39:00.000-08:00

With all the research I have done, screening tests are, at best, iffy. Far better to self-examine, know your own body, and if you in a high-risk category, talk to your doctor. If you have symptoms it is a different story. But in these cases you want a more expensive, diagnostic test that is beyond screening. We don't know how many people have had mastectomies that were contra-indicated, and truly

Nutrition – an important part of easing into retirement

2011-11-22T17:54:00.000-08:00

As your lifestyle changes, and you enter into a slower pace of life, it is important to pay attention to portion control. I found this was a very slippery slope. Not only did I retire suddenly, but was suffering caregiver issues as I tried to look after my father's health. As a teacher, I knew the importance of working out, and taking time to relax, refresh, spend time with family and friends.

Gag orders, for-profit contracts, TPAs, PSWs, LHINs, elder abuse

2011-11-19T02:52:00.000-08:00

The beauty of the healthcare system in Ontario, is the ability of each LHIN Board of Directors to create policy, advocate and create initiatives for a particular region. Unfortunately, individual cases of inequities are only coming to light when the media becomes involved. The beauty of Ontario's patient-centred healthcare includes the SMILE program(PDF), the Aging at Home initiatives,

What is your physician's medical batting average?

2011-11-17T05:46:00.000-08:00

TEDxToronto - Dr. Brian Goldman - Redefining the Practice of Medicine  ‬ He admits his mistakes, speaks truth to power. A respected medical journalist for CBC Radio, and Emergency Room (ER) Physician in Toronto's Mount Sinai. This physician is an amazing person. If anyone can improve the healthcare system in this province, in this country, it is Toronto, Ontario, Canada's Dr. Brian. His premise?

Parliamentary Committee On Palliative and Compassionate Care

2011-11-17T04:49:00.001-08:00

Parliamentary Committee On Palliative and Compassionate Care

The history of Canadian healthcare in this era

2011-11-17T04:02:00.000-08:00

I am woman, hear me roar. When the men went off to war in 1945, the women worked in the factories: it was the War Effort. Some women did their part in their homes; some women provided childcare for their sister's children. Other women took their place in the work world. The men returned from the war, and the women were sent home. Women built war ammunition, and flew planes from factories to

Alternate Level of Care–where are the stakeholders?

2011-11-16T03:05:00.000-08:00

First they ask for a phone interview, the ubiquitous intern or producer, and I spend an hour on the phone trying to explain the healthcare system to a journalist. I talk to them about the differences between long-term care, hospitals and retirement homes. I explain that with so-called 'nursing homes' (you can find yourself hard-pressed to find a nurse in one some days) they are now called

Stakeholders in Long-Term Care

2011-11-16T02:36:00.000-08:00

In doing research for my book, I began to be concerned about the various stakeholders in long-term care, and the responsibility they may take for improving the healthcare system in Canada. I have recommendations in my book. Taxpayers seek lower taxes with more efficient services: financial and physical resources for residents and LTC homes unrealistic expectations of a system that is being

Perth Community Care Centre

2011-11-12T11:50:00.000-08:00

Perth Community Care Centre (PCCC) where I volunteer. The PCCC site is 100 years old. PCCC It has changed ownership over the years... PCCC - I volunteer, friendly visits every Thursday! Lanark County's House of Industry - 1902 Wiseman's Chronic Hospital - 1948 Tayview Nursing Home -1967 PCCC - 1985 Meet Kay Devlin, 94-years, who writes poetry and paints. She is a resident of PCCC. Susan

2011-11-10T04:25:00.000-08:00

Can you, or your loved ones, answer these questions? Caregivers understand that we treat all patients with respect, whether awake, experiencing dementia, aphasic or in coma. Unfortunately, with the furor around right to die, and end-of-life issues, there are those who may want proof that a patient's brain is still functioning. That said, the prefrontal cortex, which controls higher level brain

Radio show - White Coat, Black Art

2011-11-09T14:36:00.000-08:00

I'm going to be on CBC's White Coat, Black Art on November 19th – talking about caregiving. You might find some useful info! Br. Brian Goldman, medical journalist for CBC, visited and recorded us in our home and on a Meals on Wheels delivery. My husband delivers and dispatches Meals on Wheels in our community. I do hospice work, as a respite worker. I am a strong advocate. I truly believe the

Poison Ivy and contact dermatitis

2011-11-06T08:08:00.001-08:00

biopsy on my belly, where it spread I need a nurse to clip a single suture from a biopsy. Do I want to spend an hour in emergency for this? Haven't the guts to do it myself. I ended up doing so. Verdict is in... poison ivy. Put the citiot in the country and see what happens! First bout in the summer: July, 2011. poison ivy rash = contact dermatitis It took two months to percolate in my

CCEL: Elder Abuse and Neglect: What volunteers need to know

2011-11-04T17:25:00.000-07:00

The Canadian Centre for Elder Law (CCEL) is a national, non-profit body dedicated to exploring the particular legal issues which affect older Canadians. Elder Abuse and Neglect: What Volunteers Need to Know Elder Abuse and Neglect: What Volunteers Need to Know is an introductory elder abuse workshop. This workshop has been created for volunteers who work with older people and Boards of Directors

Home First Program: ALC

2011-11-02T16:08:00.000-07:00

The pejorative term 'bed blockers' is still used in the media, as if seniors are not entitled to be in hospital. The correct terminology is alternate level of care (ALC), someone who requires less than a hospital bed, but has serious health issues that cannot be met at home in their current situation. We do not call them 'nursing homes', either. They are long-term care. A recent Global TV show

Adult support

2011-11-02T15:43:00.000-07:00

Parental Support: The Obligation to Support a Parent in CanadaParental support is the obligation an adult child may have to support his or her parent. To some, it is a complete reversal of the child support obligation. To others, it is just the other gentle slope of a lifelong family moral obligation.B.C. man sued by 73-yr.old mother for parental support -http://bit.ly/qKzXLg It seems bizarre

10 ways to be a great PSW

2011-10-29T07:12:00.000-07:00

This is an open letter to those who work as personal support workers (PSW). I love you all! Some of you have more integrity than others. (Integrity means doing a great job even when no one is looking!) There are no horrible jobs, but there are some who do a horrible job at their job. I love it when someone is happy doing their work. Working with children or seniors, I have found a great reward in

PSW wages in Ontario

2011-10-20T04:45:00.000-07:00

Wages for PSWs range from $12.00 - $21.00 per hour, between several variables. They vary within cities and towns, vary rural to urban, and they vary depending upon your employer. Transfer Payment Agencies, especially the non-profits (e.g., VON, Red Cross), pay lower for PSWs who do Home Care. Long hours, I talked to one who did a shift starting at noon and he didn't finish until 10:30 p.m.

case study

2011-10-19T18:35:00.000-07:00

I have an interesting new client. The son lives upstairs, mother downstairs with stroke, paralysis, vascular dementia. He's been getting three CCAC people in per day, 7/week, an emergency situation and emergency funding, with the agreement that he place her on a LTC wait list. He declined to do so. I cannot imagine leaving her at home, in the reclining chair, all day while he works with strangers

Institutional Food

2011-10-19T18:34:00.001-07:00

Hospitals try to overcome bad food reputation by going localJuly 25, 2011 some Ontario hospitals are trying to change that by serving fresh, locally produced food. On Wednesday for the first time St. Michael’s Hospital will feature Ontario-grown produce on its patient menus. Dessert will be a fruit crisp made with blueberries from the Cedar Lane Blueberry Farm in Simcoe. Local food advocates

Malpractice fears drive US system

2011-10-19T18:34:00.000-07:00

I wonder if this is the case in Canada? I recently read the book, A Bitter Pill; How the medical system is failing the elderly, by Dr. John Sloan. (US) Docs admit malpractice fears lead to overly aggressive care By Dina Overland Doctors admit to being part of the healthcare problem, confessing that they provide too much medical care in a US survey published in the Archives of Internal

Mammograms

2011-10-19T18:33:00.000-07:00

Mammography screening reduces mortality rate: study "For every 1,000 to 1,500 mammograms, 1 breast cancer death is prevented" The Swedish trial followed more than133,000 women, with researchers dividing them into two groups -- those who received an invitation to a mammography screening, and those who received usual care. After three decades of study, the researchers found that among the women

Barriers to a good death

2011-10-19T17:12:00.000-07:00

Yes, I've seen a few. And while the system isn't 'broken', there are barriers to having a good death. The primary one being having money, and a patient navigator. The next is that healthcare only works well five days a week. Truly. This barrier is a brick wall on weekends. What makes a good death? Communication between agencies, continuity of care, PSWs who smile, comfort measure, compassion,

Palliative home care; shameful lack of care plans

2011-10-11T06:41:00.000-07:00

hoarding is a difficult mental health issue Yes, home care works for many, especially if you are used to delegating, supervising employees, and understand the basics of personal care. That leaves out many of us. many do not have the wherewithal to take control fecal-stained mattress For those, unfamiliar with ADLS, living in poverty, it is a different story. For those unable to

Celebration of life: Michele, Ma Belle!

2011-10-07T06:26:00.000-07:00

My friend requested that I create a movie for her funeral from photos she had taken. She has not yet passed over, and wanted to talk about her life. This is an important part of end-of-life care. We talked about her life, and did a life review, which is an important part of palliative care. Michele is in LTC. I felt badly moving far away from her where she lives in LTC in Muskoka. I would

Depression in seniors

2011-10-05T18:10:00.000-07:00

One of the most insidious mental health issues is depression. Unseen, untreated, unidentified, it can make a life not worth living. It is For some of us seniors, we are able to retire. Many of us are able to do so, and volunteer in order to give back to our communities. We find health and happiness, a purpose in life. Approximately one-fifth of Canadian men and women aged 55 to 64 and 65 to 74

Fearmongering - now it's B12

2011-10-04T11:37:00.000-07:00

Yes, seniors are being warned to ensure that they have enough B12. I worry that this is another bandwagon, and that we ought, simply, to be focusing on healthy eating. Brain Takes Multiple Hits from Low B12 Levels Low levels of vitamin B12 may contribute to cognitive problems for older adults in more than one way, according to a cross-sectional study. Markers of B12 insufficiency all

Physicians and healthcare pros to watch out for

2011-10-02T08:44:00.000-07:00

Manotick chiropractor fined over treatment of female patient Ottawa Citizen - 1 day ago A Manotick chiropractor was ordered to attend a gender sensitivity course and to pay a $5000 fine in a disciplinary ruling made by the College. Tell me that this is way more that being insensitive, and a sexual violation of this patient. Putting his hand down her underwear. She left the office feeling ashamed,

How to live with dementia

2011-10-01T08:57:00.000-07:00

This ia a fabulous article, by Carol. She has lived this and understands what it takes. As a family caregiver, as I have been, she understands that you do what you have to do to get through the day. Volunteering with those who have dementia, I have learned to transfer my experiences to share with others. We have to live in the care recipient's world, as we all know, those of us who successfully

Ontario's Retirement Homes - a profitable mess

2011-09-30T06:17:00.000-07:00

The newest Retirement Homes Act, July 2010, was designed by the provincial government. A response to complaints about retirement homes, it has been a PR move in my humble opinion. For those who read my blog posts, you know that I know that the system isn't 'broken', but it does require must work and vigilance. Established in 1977, the Ontario Retirement Communities Association (ORCA) is a

OLTCA Association no longer non-partisan

2011-09-28T07:26:00.000-07:00

I am shocked at the lobbying for the PCs by OLTCA. PCs promise to redevelopment homes, add beds OLTCA applauding announcement Friday September 23, 2011 The Ontario Long Term Care Association (OLTCA) is applauding Progressive Conservative leader Tim Hudak for promising to redevelop 35,000 long-term care beds and add new 5,000 beds where they are most needed if his party is elected to lead the

How to have fun in LTC

2011-09-27T18:15:00.000-07:00

Have a 50's celebration. Milkshakes, pop floats, and fabulous decorations. Some even had seconds while the CD played 50s songs! On a day with the smell of fall in the air, and the sounds of leaves falling... a good time was had by all.

The Importance of Cancer Networks

2011-09-27T15:09:00.000-07:00

This is a guest post by David Haas Many cancer patients admit that being diagnosed with cancer was the most trying time of their lives. However, there is always hope for cancer patients, even patients with a rare and aggressive type of cancer -- like mesothelioma. Hope for many cancer patients comes in the form of a cancer network or a survivor network. Any doctor would always recommend his

Prostate Biopsy Increases Risk of Hospitalization

2011-09-23T06:40:00.000-07:00

Men who underwent prostate biopsy were more than twice as likely to be hospitalized within 30 days compared with men who did not undergo the procedure, a study of Medicare beneficiaries showed. Procedural complications, such as infection and bleeding, as well as exacerbations of comorbid conditions contributed to a hospitalization rate of 6.9% following prostate biopsy versus a 2.9%

What does universal healthcare do for seniors in Ontario?

2011-09-23T06:35:00.000-07:00

This is what CCAC does for Ontarians. They attempt to ensure that seniors have food, medications, clean homes, transportation to primary healthcare. Health Care Options in OntarioThe Ontario Government has popped a flyer into our mail. As well as 211ontario.ca, we have other sources of health information. ontario.ca/healthcareoptions In addition, each LHIN (regional CCAC system) now has a Pain

MU Researchers Use New Video Gaming Technology to Detect Illness, Prevent Falls in Older Adults

2011-09-20T05:20:00.000-07:00

Is this not brilliant?! Many older adults lose their independence as their health declines and they are compelled to move into assisted care facilities. Researchers at the University of Missouri and TigerPlace, an independent living community, have been using motion-sensing technology to monitor changes in residents’ health for several years. Now, researchers have found that two devices commonly

Delirium - we ignore it, or remain ignorant

2011-09-19T08:52:00.000-07:00

One of my big complaints about my father's visit to the ER on the day of my mother's funeral - was not that he didn't receive great care. However, often the ER isn't always the place where adequate or accurate diagnoses are made. Especially for seniors with increasingly complex comorbidities. Dad had delirium, which was masked by his dementia. Family members must be aware. I could research the

Food safety in retirement homes 2

2011-09-16T06:32:00.000-07:00

Ottawa Retirement Homes and LTC are inspected regularly. Rideau Place On-the-river (Retirement home: 550 Wilbrod Street) was found with a critical food safety deficiency on Sep. 13 Inspection: Sept 13, 2011Overall Result: Not In Compliance Compliance CategoryDescriptionFinding CriticalFood SafetyFood is held at 4°C (40°F) or lessCorrected During Inspection Non-criticalSanitation, Design and

Violence, yes, but joy and love in LTC

2011-09-14T05:35:00.000-07:00

Violent attacks at Canada's long-term care facilities are not isolated incidents. A study from Laval University published in 2005 found that more than one in five older residents at long-term care facilities act aggressively. For the PDF file, click here. From a PSW's post: You could study the problem out the ying yang and pay consultants and committees. But the problem is simply lack of hands

Reducing healthcare costs: cutting readmissions

2011-09-13T12:03:00.000-07:00

Many studies have looked at this. This study estimates that 15% return to hospital before 30 days. This is an expensive and costly mistake. "A report released today says the cost of patients returning to hospitals within 30 days of a stay—known as readmissions—is costing the state (New York) $3.7 billion each year." - read the Morning Call article Reducing Hospital Readmissions in New York

What is the difference between a PSW and HCA?

2011-09-12T16:01:00.000-07:00

In short: training, education, scope of practice. It does vary province to province, too. PSWs are going to have a registry in Ontario. A Health Care Aide (HCA) is the classification name that came before Personal Support Worker (PSW). Now, the upgraded course for PSW is what is required to work as a caregiver, by some employers. Some employers are training their own staff. Other for-profits

Complaints about retirement homes

2011-09-12T16:00:00.000-07:00

I phoned them. Since the family was aware of the extreme needs of my palliative client, they felt there was no neglect. This home has a bad reputation in the community. I did the best I could. I brought in Ensure for a man who wasn't eating but complained about being hungry. Unfortunately, their position is that if PSWs are 'trained' to deliver care, including meds, it is perfectly OK for a

LTC in the US, vs. Canada

2011-09-09T07:05:00.000-07:00

The difference between LTC in the US and Canada... Americans must pay insurance to qualify for it. In Canada we have waiting lists, but for those who cannot pay, it is paid for by the government.

Disparity between poor and rich; positive healthcare outcomes

2011-09-09T06:08:00.000-07:00

If not you, who? If not now, when? I've been having some discussions regarding healthcare, two-tier, and Private vs. publicly funded healthcare: two-tier?What with the numerous Barriers to health care having elite physicians, Concierge Healthcare and these doctors limiting their practice, this cannot be good for Canadians.Initiatives such as putting videocams in LTC miss the point. We must

Book about dealing with brain tumours

2011-09-09T05:12:00.000-07:00

I am getting this newsletter from the International Brain Tumour Alliance... IBTA E NEWS AUGUST-SEPTEMBER 2011 the Web version They offer a great page of literature on brain tumour books. I find it helpful to read about others who face particular health issues. There was little when my late parents were dealing with cancer (2005 - 2007). Navigating Through a Strange Land: The IBTA continually

Pharmaceutical trials - elderly often excluded

2011-09-07T06:18:00.000-07:00

I wrote about this in my book, but 'Elderly Often Excluded From Clinical Trials' speaks of the severe limitations of drug testing. Pharmaceuticals determine which population they may exclude (seniors), and do not test those with comorbidities. Most of us are fighting more than one disease, rather than less. The drug trial results would be different on 45-year-olds than those over 70. Morbidity

Dementia boot camp

2011-09-05T16:17:00.000-07:00

September marks world awareness of Alzheimer’s diseasePosted 09/01 Comments (0) I have a new client with dementia. It is a hard go. I visited and made her laugh, however. This is a fabulous idea for caregivers. I love Carol Bursack's writing, and the work she does. She kindly reviewed my book for me. A Review, by Carol Burstack, author, health care educator Dementia Boot Camp: Training to Be

Hospital uniforms and superbugs

2011-09-05T07:09:00.000-07:00

This is a familiar story. Research has shown that superbugs live on pet therapy animals, gowns, hospital curtains, and thrive in institutions. Patients must be proactive, demand that staff wash their hands, be mindful of the risks in institutions. Hospital Uniforms Teeming With Germs, Study Finds More than 60% of physicians’ coats and nurses’ uniforms sampled in a major Israeli hospital tested

Hope: framing it

2011-09-04T06:05:00.000-07:00

As we age, the things we hope for change. Cancer changes the frame around your life. Hope changes, too. No longer do you hope for a cure, once you are palliative. One must hope for different things: hope for a good day hope for visitors hope for the small things that make life good to live hoep to go outdoors hope to be pain-free. Once all hope is gone, yes, you are ready to die. My

Palliative care survival scale

2011-09-04T05:16:00.000-07:00

Researchers recently developed a "survival scale" that predicts whether cancer patients in palliative care have days, weeks, or months to live. The tool predicts whether a patient has days, weeks or months to live. Medical News: New Tool Predicts How Long Cancer Patients 25 Aug 2011 ... A cancer survival scale based on readily available clinical and laboratory variables reliably predicted

Integrated care, house calls

2011-09-03T05:37:00.000-07:00

What is the key to improving healthcare? I do find that individual doctors are more than reluctant to provide care for failing seniors. Many are doing a fine job. But there are those, particularly attached to an institution, either long-term care (LTC) or a retirement facility, who pop in, do not see the resident for more than a few minutes, refrain from truly listening to the patient, and write

Home care vs. hospital vs. LTC

2011-09-01T04:59:00.000-07:00

The media blitz continues. Here is a Metroland article... Read more here Ontario’s long-term care system is paralysed, and failing its most vulnerable residents. More than 600 government-funded homes are supposed to provide high quality, around-the-clock care to the frail elderly. But a Metroland Special Report shows seniors stuck on record wait lists, entangled in bureaucracy and subject to

CHARLOTTE and a story of community, caring and healthcare

2011-08-30T15:46:00.000-07:00

How tragic. A seriously ill newborn, a home broken into. My mother's child was born this way, but it died. Hence, the reason for us to be adopted. Many years ago, the technology was not there for treatment and recovery. I am very thankful to live in Ontario. What speaks to me is how this marvellous family has taken the time to write and speak of the fabulous treatment by all of the staff members

New inspection process in LTC

2011-08-30T05:31:00.000-07:00

New inspection process will see residents, families and staff interviewed -- August 29, 2011 -- OLTCwww.oltca.comA key feature of the Ministry of Health and Long-Term Care’s Long-Term Care Home Quality Inspection Program, which is being phased in during 2010 and 2011, will include in-depth interviews with residents, family members and staff. I like this idea (new inspection strategies).

Breakthrough pain

2011-08-28T15:17:00.000-07:00

Dear fellow healthcare professionals, On behalf of the Canadian Hospice Palliative Care Association, you are cordially invited to participate in the following online interactive eCHE programs and eLearning programs:Caring for Patients With Breakthrough Cancer Pain - A Multidisciplinary Team's Perspective Caring for Patients With Breakthrough Cancer Pain - A Physician's Perspective Caring for

Slacktivism

2011-08-28T05:48:00.000-07:00

Slacktivism (sometimes slactivism or clicktivism) is a portmanteau formed out of the words slacker and activism. The word is usually considered a pejorative term that describes "feel-good" measures, in support of an issue or social cause, that have little or no practical effect other than to make the person doing it feel satisfaction. The acts tend to require minimal personal effort from the

Good news for hospices in Ottawa

2011-08-27T10:33:00.000-07:00

Hospice funding is an important part of our systemic approach to healthcare in Ontario. I cannot help but be cynical, in this an Ontario provincial election year. That said, these are excellent facilities in eastern Ontario. Hospices to get $450,000Added funds provide 'much-needed stability'OTTAWA CITIZEN AUGUST 27, 2011 Ontario government announced Friday that it's increasing funding to two

CCSVI MS treatment study

2011-08-24T11:32:00.000-07:00

Thankfully, the Canadian government has sponsored studies of these treatments. The shame is the huge costs, and the marketing done by international private healthcare firms, that prey on MS patients. Using language, such as 'liberation therapy', has sucked in many who now suffer complications. Last year, an Ontario man died after undergoing the treatment in Costa Rica. Mahir Mostic had surgery

Caregiver Leave

2011-08-22T05:19:00.000-07:00

Helping Caregivers Spend More Time With Sick Family Membersnews.ontario.caThe Ontario government is proposing to expand protected leave from work by allowing caregivers to spend more time with family members who cannot care for themselves because of serious injury or illness including cancer or stroke. [For more information, read my previous post.] Yes, it is a good idea, as all the Ontario

Family Medical Leave in Ontario

2011-08-20T06:29:00.000-07:00

Family Medical Leave FAQs This leave has been in place for several years. Unfortunately, the barrier for me was not knowing how ill my mother was with cancer. No doctor would have issued a certificate stating her death within 26 weeks. My late father's brain tumour was the same. Not knowing when end-of-life would occur, we bravely faced his increasing dementia week after week, as I continued to

GRIEVING: A GROUP CAN HELP

2011-08-19T09:32:00.000-07:00

Mentor and child - Expressive Arts Therapy Group It is hard to imagine how sitting with others who have lost loved ones can help in dealing with one’s own grief. But the experience of those who have participated in groups indicates that the group experience is deeply meaningful. In grieving, the sense of isolation and fear can be profound. Not only is a loved one lost, but often

A poem for my late father

2011-08-18T14:44:00.000-07:00