Friday, July 14, 2017

Complaints about Retirement homes

This is the crux of the matter. Vulnerable residents, people with severe and chronic issues shouldn't be placed in a Retirement Home.

Public Register


Moment Manor Orleans

Orléans seniors' home inspected 28 times in last 3.5 years

Provincial agency 'watching' Moments Manor, where an elderly man wandered off and was later found dead

"since Moments Manor opened in November 2013, it has been visited 28 times by provincial inspectors."


Call 1·800·361·7254 to reach an experienced Information Officer.
Important Notice
Reporting requirements under the Retirement Homes Act, 2010 (the “Act”) came into force on May 17, 2011. Under the Act, there is an obligation to make a report to the Registrar of the Retirement Homes Regulatory Authority (the “RHRA”) if you suspect any harm or risk of harm to a resident resulting from improper care, abuse or neglect, or unlawful conduct. There is also an obligation to report suspicions of misuse or misappropriation of a resident’s money. Residents may make a report, but the Act does not require them to.
To make a report, call the CRIS line at 1-800-361-7254

Tuesday, July 4, 2017

Poison Ivy and contact dermatitis

Another bout: June, 2017

My history of poison ivy. It was July, 2011, the nurse identified the first infection in triage, but I didn't get strong enough salve to eradicate it. The ointments got it if it was an small infection.

2012-01-31 Lyderm ointment
2013-09-08 Prednisone. Bad bout: back for more: 6 tabs for four days; 5 tabs 2 days; 3 tabs @ 2 days, 2 tabs @ 2 days; etc. (54 x 5mg=  270mg ttl)
2014–08–01 Prednisone, 5mgs/5 days, didn't work.
2014–08–05 Prednisone  Dosage: 8 tabs for three days; 6 tabs for three days; 4 tabs for three days, 3 tabs @ 3 days; etc. (63 x 5 mg = 315mg total) 
2015-08-19 Prednisone, 5mg. Take  8 tabs for two days; 6 tabs 2 days; 4 tabs for 2 days, 2 tabs @ 2 days (40 x 5mg = 200mg total)
2017-06-20 Betaderm ointment didn't work.
2017-01-01 Prednisone, 50 mgs  @ 7 days = 350mg. Feeling pretty woozy.


Treatment of Severe Poison Ivy: A Randomized, Controlled Trial of Long Versus Short Course Oral Prednisone . 2014 Dec; 6(6): 429–434.

Published online 2014 Sep 9. doi:  10.14740/jocmr1855w
PMCID: PMC4169084




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 system.
It spread where ever the blisters opened.
I used cremes to stop the itching, pain killers to sleep.
It spread from arm to arm, then to my stomach, up my arms, down my belly and so on.


The full story;


  • 3 ER visits, 
  • 2 GP visits, 
  • 1 dermatologist, 
  • total 6 doctors, 
  • 3 nurses, (the first one, triage nurse, said poison ivy, but no one listened!)
  • 1 student Phys. Assistant-Ben Affleck-look-alike to do the biopsy, 
  • 2 cremes, 
  • 4 pain Rx. 
The worst is over. But it took months to hibernate in my system.

Delightfully spreading ivy; poison ivy patch
I mistakenly used the same gloves to stack wood, a month after the plants had died and I had touched some to remove them.
Here are the healthy plants close up!


Lesson learned!
biopsy on my belly,
where it spread

Saturday, June 24, 2017

US Healthcare ACA vs. Trumpcare



Friday, June 16, 2017

Canadian VIirtual Hospice Medication Resources: e.g., Fentanyl


ENEWS -- June 2017
 
SPOTLIGHT 
MEDICATIONS: FENTANYL AND MORE

Medications play a key role in managing symptoms of people receiving palliative care. Their proper use helps ensure the safety of those administering the medications and best outcomes for people receiving care. The misuse of fentanyl is creating headlines in Canada and fear in patients who are being prescribed the opioid, and their families. To help you navigate this important issue, we’ve developed a new Asked and Answered for the public and two Quick Consults for health providers.

Our thoughts are with those who mourn the deaths of people they care about from fentanyl overdoses.
 

FOR EVERYONE
ASKED & ANSWERED - FENTANYL
I’m concerned about what I hear in the media about fentanyl. Is fentanyl safe to use? How do I use my patch safely? Read our Asked & Answered.

FOR PROFESSIONALS
QUICK CONSULT - SAFE FENTANYL PRACTICES
This Quick Consult describes how to safely handle a transdermal fentanyl patch as well as liquid preparation of fentanyl.

FOR PROFESSIONALS
QUICK CONSULT – SAFE USE OF OPIOIDS WITH PALLIATIVE CARE PATIENTS
This Quick Consult provides information about the current opioid issues in Canada and suggests ways for health care providers to address the concerns of patients and families.

FOR PROFESSIONALS
VIDEO - PRESCRIBING MEDICATIONS IN PALLIATIVE CARE: PRACTICAL CONSIDERATIONS (08:55)
Dr. Amber Hartman, clinical pharmacy specialist with the Division of Palliative Medicine at Ohio State University, discusses the benefits and challenges of prescribing medications in palliative care. She also explores prescribing for patients with multiple co-morbidities. See also: Prescribing Medications in Palliative Care: Evaluating the Patient’s Goals of Care (01:38), What is Polypharmacy? (01:44) and The Pharmacists Role in Palliative Care (03:28).

FOR EVERYONE
TOPICS ARTICLE - HELP WITH MEDICATIONS
This article provides tips for caregivers about managing and the safe use of medications. Giving medications safely, using a symptom diary to keep track of medications, washing your hands before and after touching medication are some of the topics covered.

FOR PROFESSIONALS
MORE MEDICATION RESOURCES
 

FOR EVERYONE
MORE MEDICATION RESOURCES
 

NEW ON VIRTUAL HOSPICE


FOR PROFESSIONALS
 RESOURCE: PAN-CANADIAN FRAMEWORK FOR PALLIATIVE AND END-OF-LIFE CARE RESEARCH
This document outlines current gaps in palliative care research and provides a road map for the direction for future research efforts in the area of palliative care.

FOR EVERYONE
VIDEO - 100 MINUTES WITH AARON
In this video (13:43), a couple shares the story of their experience with perinatal hospice and the short time they spent with their son Aaron after he was born. 

FOR PROFESSIONALS
 
RESOURCE - LGBTQ-INCLUSIVE HOSPICE AND PALLIATIVE CARE: A PRACTICAL GUIDE TO TRANSFORMING PROFESSIONAL PRACTICE
This book written by Kimberly D. Acquaviva provides information for health care providers to support and enhance their palliative care practice with the LGBTQ community. Practical information and guidance is offered, along with strategies for care and intervention.

FOR PROFESSIONALS
RESOURCE - SUPPORTING LESBIAN, GAY, BISEXUAL AND TRANS PEOPLE WITH CANCER
This document by Dr. Julie Fish and Dr. Perlita Harris; De Montfort University, the ESRC and MacMillan Cancer Support uses case study examples from the perspective of an LGBT person, to highlight some of the unique needs and considerations of LGBT people when facing a cancer diagnosis.

FOR EVERYONE
‘YOUR STORIES’ - LOVE IS THE GREATEST HEALER
“This is my first significant loss through death of a loved one. My heart feels the pain and sorrow that, inevitably, we all must encounter at some point.” A woman shares insights about the death of her beloved uncle.

FOR EVERYONE
COURSES – FUNDAMENTALS OF SPIRITUAL CARE IN PALLIATIVE CARE
This course provided by the HealthCare Chaplaincy Network is for those who wish to improve their delivery of spiritual care in health care. Learn how to become effective administrators of spiritual care programs in palliative care and hospice settings, develop an approach to communicate palliative care clearly as an option to patients, family members, and friends, and create and sustain programs that meet both human and institutional needs. See also Online Certificate Course 2: Advanced Practice Spiritual Care in Palliative Care

NEWS


NATIONAL ABORIGINAL DAY
On June 21, we celebrate the heritage, diverse cultures and outstanding achievements of First Nations, Inuit and MĂ©tis! Here are some resources to check out:

Wednesday, June 7, 2017

Family Caregivers of British Columbia: June caregiving news



June caregiving news


June can be a demanding month for many as we head into summer. As a busy caregiver who may be juggling work, kids, and other family members, we hope you are able to also take some time for yourself this summer.


June 6th is What Matters Most To You Day! Providing patient and family centred care is important because it results in better outcomes for patients and greater satisfaction with care. “What Matters to You?” Day supports this by putting the patient and family voice at the centre of care, by focusing on what matters to them. Family Caregivers of BC did an informational survey in honour of What Matters Most To You Day and put together an infographic with your answers. Read more to find out what they were!


Our first webinar  in June is about a visit to acute care. It will cover topics from what to have ready to take with you to the ED; how to interact with health care providers, who to talk to and when; how to advocate for your care recipient without being labelled a pest, and how to work with acute care staff for the best discharge possible.


Our second webinar is about self-compassion. Self-compassion is an essential skill to have when you’re facing the challenges of caregiving. Tune in to find out how self-compassionate you are and how you can turn the caring and compassion you feel for others towards yourself when you need it most.


Wishing you all the best, and we hope to see you on an upcoming online webinar session!


Your friends at Family Caregivers of BC


PS. Caregivers cope with pain too. Visit Pain BC or call them toll-free at 1-844-430-0818 to get help with chronic pain. 
Need help now? Call our toll-free caregiver support line at 1-877-520-3267 

We're available 8:30 - 4 Mon-Fri

Free webinar June 8: Acute Care for Caregivers

In today’s world we hear a lot about disaster planning and preparing for events we hope will never happen.  A visit to Acute Care can feel like a disaster but with a bit of a road map and groundwork, it doesn’t have to.  This webinar will help you think about a possible visit to the Emergency Department and/or an admission into Acute Care.  It will explore some of the difficulties commonly experienced and how they might be addressed.  Join us at Noon PST on June 8th for this informative webinar

Register now!


Free Webinar June 29:
Self-compassion

Perhaps you have had people tell you "Look after yourself or you will burn-out" and you aren't even sure what that would look like.  An important way to start is with self-compassion.  Join Jodie McDonald, a consultant with Family Caregivers of BC and an integrative body psychotherapist, in this webinar on self-compassion.  Learn what it is, what it is not, and how you can develop it. In the words of Dr. Kristen Neff, ground breaking researcher in the field "With self-compassion, we give ourselves the same kindness and care we'd give to a good friend”.  Join us on June 29th at 6:30 pm PST.


Register today!



Balancing Work and Caregiving

"Balancing caregiving and work situations vary tremendously and no single action plan works for everyone."
In the June 2017 edition of INSPIRED Senior Living, on page 32, Wendy Johnstone outlines a few strategies to help lighten your load and reduce stress.


Read Here



News

Caring for aging parents costs Canadians $33 billion annually, according to CIBC. And women are still bearing the brunt of the caregiving work in this country, a number of Canadian studies report.

Read more here


Resources



FindSupport BC is a central access point for locating programs and activities in your region from assistive technology, recreation, and housing options to funding, financial security, and programs of the Ministry of Children and Family Development (MCFD), and Community Living British Columbia (CLBC), Ministry of Social Development and Social Innovation (MSDSI) and many other supports and services. The first of its kind, this searchable database is easy to use with information written in plain language.

Visit FindSupport BC

The Spark video series

The Caregiver Network recently produced a web documentary video series called The Spark. The series reveals the powerful journey of caregivers from all walks of live who find the courage to overcome one of life's most daunting challenges - helping family and friends in need of care.
The pilot episode tells the story of Jonathan Collin, a caregiver to his wife dying of breast cancer. In the hopes of brining a spark to his family, Jonathan decides to walk 4,000 km from Montreal, Quebec to Banff.


Watch Here

Get Involved

Family caregivers have insight and experience to share that might help to  improve services delivered at the end of life. Janet Dunnett wants to gather this important knowledge. Can you help her? She wants to talk to you. Connect through her website.



Connect here

Upcoming Events
What Matters Most Day
Tuesday, June 6th
 

Taking part is easy! Sign up to show your commitment to patient and family-centred care, then on June 6th 2017, have a conversation about what matters.

If you are a family caregiver, take time before your visit to reflect on what matters most to you, and share with your and your care recipient’s health care providers.

Find out more





#6 - 3318 Oak Street, Victoria, BC V8X 1R1 
Victoria: (250) 384-0408   Mon-fri: 8:30 — 4:00 
 
Caregiver Support Line: 1-877-520-3267  familycaregiversbc.ca