Showing posts with label good idea. Show all posts
Showing posts with label good idea. Show all posts

Monday, March 01, 2010

most expensive healthcare system

U.S. healthcare most expensive, not best
PARIS (UPI) -- The United States spends more on healthcare -- $7,290 per capita in 2007 -- than any other country, an international ranking found.

The fifth edition of Health at a Glance provides the latest comparable data on different aspects of the performance of health systems in Organisation for Economic Co-operation and Development countries.

The more than $7,000 spent by the United States on healthcare -- 16 percent of gross domestic product -- is almost two-and-a-half times greater than the OECD average of $2,984, or an average of 8.9 percent adjusted for purchasing power parity. France follows the United States in healthcare spending at 11 percent of GDP, Switzerland at 10.8 percent and Germany 10.4 percent.

Japan has higher survival rates for people with cancer than most countries. The United States and Canada have good cancer care, screening more people than most other countries, the report said. However, the United States suffers from worse primary care and preventable hospital admissions for asthma and diabetes are twice what they are, on average, in the OECD, the report said.

Angel Gurria, secretary-general of the OCED in Paris, said the Netherlands, Italy, Switzerland and Germany provide good primary care, but no one OECD country provides high quality care in all areas.

"There are opportunities for all countries to improve the performance of their healthcare care system, and making such improvements does not necessarily require higher spending," Gurria said.


Copyright 2009 by United Press International

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Fwd: 2009 Canada Consumer Healthcare Index - Frontier Online

Dave
On an objective basis, Congratulations are due - Ontario and BC are the best performers in Canada on health care. Well done    Sieg

---------- Forwarded message ----------
From: Frontier Centre <no-reply@fcpp.org>
Date: Mon, Dec 21, 2009 at 8:32 AM
Subject: 2009 Canada Consumer Healthcare Index - Frontier Online
To: siegholle@gmail.com


     

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December 21, 2009 (EM416)

If you always do what you've always done, you'll always get what you've always got . . .

2009 Canada Consumer Healthcare Index


PUBLICATIONS

Media Release - Canada Health Consumer Index 2009
How good is your provincial health care? Frontier's annual Canada Health Consumer Index evaluates healthcare-system performance in the ten provinces from the perspective of the consumer. For the second straight year, Ontario and British Columbia finish with the top scores in the CHCI's overall rankings. The Frontier Centre's new Canada-wide comparison of health care is out. You can watch a re-broadcast of Ben Eisen's media conference remarks at www.fcpp.org/livestream.php. (15 minutes)

Canada Health Consumer Index 2009
How good is your provincial health care? Frontier's annual Canada Health Consumer Index evaluates healthcare-system performance in the ten provinces from the perspective of the consumer. For the second straight year, Ontario and British Columbia finish with the top scores in the CHCI's overall rankings. The Frontier Centre's new Canada-wide comparison of health care is out.

Saskatchewan's Surgical Wait Times Rated The Worst In Canada
Frontier Centre in the Media - Ben Eisen is interviewed by the Regina Leader-Post regarding Frontier's release of our 2009 Canada Health Consumer Index. Front page coverage from December 16, 2009.

The Henry Ford of Heart Surgery
Dr. Shetty, who entered the limelight in the early 1990s as Mother Teresa's cardiac surgeon, offers cutting-edge medical care in India at a fraction of what it costs elsewhere in the world. The approach has transformed health care in India through a simple premise that works in other industries: economies of scale. Geeta Anand writes that the Narayana Hrudayalaya Hospital models high volume patient care which keeps their operating costs down. Worth a look from the Wall Street Journal.


FRONTIER MEDIA

Frontier Media Appearances

Ben Eisen on Saskatchewan: 2009 Healthcare Consumer Index (CBC) - December 16, 2009
Frontier policy analyst Ben Eisen was interviewed by Garth Materie on CBC Saskatchewan`s Blue Sky about Saskatchewan`s results in the 2009 Healthcare Consumer Index. (9 mins)

Frontier Radio Commentary

Copenhagen Leaves Unanswered Questions - December 18, 2009
If there is anything close to a consensus on climate change treaties, it's that Canadians don't want one. From the Frontier Centre's weekly radio commentary that runs in 3 prairie provinces.

Frontier Channel - Video

Healthcare Consumer Index Coverage (CBC SK) - December 18, 2009
CBC Saskatchewan`s News at Six delves into the findings of the Frontier Centre`s Canada Health Consumer Index. Tuesday, December 16th, 2009 (3 mins)




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Back to Eden communities
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"Building elder peer communities that are cozy,caring and comfortable" -quality 24/7 care

Tuesday, December 15, 2009

Hospital Readmission Epidemic

Hospital Readmission Epidemic

The last thing anyone wants after spending time in the hospital is a return trip... yet almost one in five Medicare patients who are discharged from a hospital will be back within the month, according to a recent New England Journal of Medicine (NEJM) study. For patients with heart failure, it's even higher -- the readmission rate is about one in four.

Why are these numbers so high, and is there anything patients and family members can do to prevent this from happening? I called Eric Howell, MD, associate professor of medicine at Johns Hopkins University School of Medicine and chief, division of hospital medicine at Johns Hopkins Bayview Medical Center, to ask for advice. Dr. Howell is himself a hospitalist (a physician who specializes in the care of hospital patients), so he has much to say about this problem and how to prevent it from happening.

First of all, he pointed out that some repeat visits are inevitable simply because some patients are quite sick. "Patients with chronic diseases, such as heart failure, diabetes, renal failure or chronic obstructive pulmonary disease (COPD), are vulnerable to emergency situations which, in turn, can lead to readmission even with the best care," he noted.
Preventable Causes of ReAdmission

Dr. Howell identified several reasons why readmissions often happen and shared advice on what patients (and their loved ones) can do to reduce the likelihood of landing back in the hospital...

Transition plan. A key contributor to the problem of frequent readmissions, in Dr. Howell's opinion, is inadequate preparation for the patient's transition from hospital to home. "Patients typically spend about a half-hour with a doctor on the day of discharge," says Dr. Howell. "But it takes much longer than that for patients to learn how to take care of themselves after a complicated hospital stay, particularly one that is shorter than it used to be, as is the case with many hospitalizations."

What to do: Patients being discharged should understand their medical condition, the related test results, and what they need to do to manage their illness or recovery. Make sure you clearly understand how to take a new prescription, including how to adjust dosages if necessary. Get detailed written instructions on how to carefully monitor aspects of your condition -- for instance, heart failure patients are told to weigh themselves daily and to call the doctor if there is a significant change, because this is a sign of trouble.
Confusion at home. With limited guidance before leaving the hospital, it's common for patients to feel overwhelmed once they get home, most especially those who live independently without others around to remind them what to do. This can lead to mixing up or missing doses of medicines... forgetting specific instructions... problems caring for surgical wounds... and difficulty in performing the prescribed exercises to prevent pneumonia or to speed healing. Also, patients may not recognize early symptoms that should trigger a call to the doctor, so that minor problems don't become major ones.

What to do: If possible, someone else (a friend or family member) should be with you during the discharge discussion to take notes and help you remember the instructions.
Who's in charge? Another issue is that patients don't always know which doctor should be called if a problem arises when they are at home. Since many hospital patients are admitted through the emergency room, it's not unusual that your primary-care physician (and not everyone even has one) wouldn't know you were in the hospital at all. Then, given the increasing reliance upon hospitalists to oversee in-patient care, your personal doctor may or may not have been involved during your hospital stay. So, Dr. Howell says, you can't just assume that your doctor has been updated with your latest information or discharge instructions.

What to do: When you return home, call your doctor, at minimum. Better yet, schedule a visit so he/she can take over your care. Dr. Howell strongly suggests asking your hospitalist to contact your doctor when you are discharged to open up communication and share information about your condition and treatment. "When doctors communicate, there are fewer errors and less likelihood the patient will need to be readmitted to the hospital," notes Dr. Howell.

The Empowered Patient: Take Responsibility
It is less likely that you will have to head back to the hospital if you take steps at the time of discharge to learn how to manage your own care. Dr. Howell provided this checklist of proactive patient steps to facilitate a safe and healthy transition from hospital to home...
From your discharging doctor (or nurse)...

Get a clear and complete explanation of what is wrong... a list of medications you need to take and their dosage instructions, along with information on why each one is important... and details of all other aspects of your care at home, including what you should eat, how wounds should be dressed and so on.
Ask the hospitalist whether he/she has spoken to your primary-care physician -- if not, request that this be done.

Ask about signs and symptoms you should be on the lookout for... learn which ones require a call to the doctor... and find out which doctor you should call (the hospitalist or your personal physician) if a problem does arise.

Make sure you get copies of your discharge summary and your medical records, both of which you then can take to your own doctor at your next visit. (While the hospital will send the discharge summary to your doctor, this can take 30 days -- which can be too long.)
Once home, make an appointment with your own doctor to follow up. Bring all related paperwork, along with the name of the hospitalist who discharged you who can provide more information on your condition and treatment, if that turns out to be necessary. The more information everyone (including you) on your health-care team has, the better off you will be.
Source(s):

Eric Howell, MD, associate professor of medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, chief, division of hospital medicine at Johns Hopkins Bayview Medical Center.

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Thursday, December 10, 2009

New Technology to Monitor Health and Safety

New Technology to Monitor Health and Safety
I'm impressed by some new technologies I am seeing and reading about that have the potential to improve the quality of life for people with chronic health problems -- and most particularly for elderly men and women who want to continue to live independently. I'm talking about devices that measure and track data, such as weight and blood pressure, over time, others that nudge people to take medications or perform physical therapy exercises, and yet others that send an alert to a designated recipient if something seems amiss -- for instance, on a morning when the monitored person doesn't get out of bed or there is a precipitous rise or drop in his/her blood pressure. In worst-case scenarios, a call is placed to 911 so that life-saving help comes quickly.
"Chronic health issues are driving this market and the development of these devices," says Susan Ayers Walker, managing director of the SmartSilvers Alliance and the Digital Health Summit at the annual Consumer Electronics Show, the world's largest annual consumer-technology trade show, where such products are typically introduced.
The field itself is new, but the technology isn't, I was told by Jeffrey Kaye, MD, director of the Layton Aging & Alzheimer's Disease Center at Oregon Health & Science University. He said the real breakthroughs are in the adaptations. For example, products like Life Alert -- worn as a pendant or wristwatch -- already enable seniors to call for help if they fall and can't get up or if another emergency occurs. Now a new product from Grandcare uses motion sensors to get the same result without the need to push a button or wear a device. Another product monitors heart failure patients to measure water retention through weight gain. "Now you can instrument a standard bathroom scale to send a signal to a health professional with simple software that charts a patient's weight within certain parameters," he explains.

Here are some of the technologies currently in use or being developed...
Home monitoring:
Grandcare systems (www.grandcare.com) offers a customizable combination of motion sensors, weight monitoring, prescription reminders, general messages from family and more. The system also gives seniors other reasons to want to interact with it... a TV interface can provide users with updates of photos, local weather, news and more.
Prescription monitoring:
For patients taking several medications but who are not sick enough to require full-time care, MedSignals (www.medsignals.com) monitors up to four prescriptions at a time, records when the pills are taken, and sends information to a designated party (a family member, doctor or other caregiver) to monitor use.
GlowCaps (www.rxvitality.com) are special prescription bottle tops that flash and play music when it's time to take a pill... order refills for you... and send a weekly report on use (caps can monitor when and how often they are opened) to physicians and family members.
Assisted living:
Elite Care (www.elitecare.com), an assisted-living facility in Oregon, uses monitoring technology to help care for its residents, assuming that the patient has granted permission to be monitored. Behavior and cognitive function are monitored unobtrusively to track changes that can signal decline or the onset of disease.
We're Not There Yet...
These products are available but expensive, and at present, few are covered by insurance. Also, standards for devices still are being developed. Add in concerns about privacy (who gets to see this electronic medical information and what can be done with it)... liability (if the system makes a mistake, who is to blame?)... and physician participation (do doctors have the capability to handle all this data?), and it becomes clear that there are still some kinks to be worked out with these systems.
Even so, their time is surely coming. Major companies, such as Microsoft (www.healthvault.com), Google (www.google.com/health), GE, Philips and Intel, are already hard at work on their own plans and products. Industry standards and design guidelines are being developed (www.continuaalliance.org).
Source(s):


Jeffrey Kaye, professor of neurology and biomedical engineering, director, NIA - Layton Aging & Alzheimer's Disease Center and NIA-ORCATECH -Oregon Center for Aging & Technology, Oregon Health & Science University and Portland Veterans Affairs Medical Center, Portland.
Susan Ayers Walker, managing director, SmartSilvers, www.smartsilvers.com/.

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Tuesday, December 01, 2009

Money is no problem if you are connected

?ui=2&view=att&th=1254b3520e47126c&attid=0.1&disp=attd&realattid=ii_1254b3520e47126c&zwThe Highly Profitable Business of Vaccines

Exactly how the swine flu story will play out remains to be seen, but there is one business sector that may secretly be hoping for the worst -- vaccine manufacturers, that are more than $1 billion richer, a number that will soar far higher if, in fact, the winter outbreak is as bad as many fear.

Halo-worthy as vaccine makers may seem, the truth is that Big Pharma is motivated by more than a desire to save humankind, given the enormous profit potential from a successful vaccine. New blockbuster products and manufacturer-friendly legislation have combined to make the global vaccine market even larger and more lucrative than ever. In fact, the vaccine market is growing even faster than the market for regular pharmaceutical drugs, bringing in as much as $20 billion or more, by some estimates. That's because the markup on vaccines is larger than on pharmaceutical drugs, making them especially profitable. However, as the use of vaccines has expanded exponentially in recent years, so have concerns regarding their safety and efficacy.

Vaccine Risks
Vaccines have enabled us to take major steps forward in public health, virtually eradicating devastating diseases, such as polio and smallpox, says Larry Sasich, PharmD, MPH, an assistant professor of pharmacy practice at the Lake Erie College of Osteopathic Medicine (LECOM) School of Pharmacy in Erie, Pennsylvania. But vaccines are drugs, he points out, and all drugs carry some risks. Though rare, vaccines have been known to cause seizures, brain damage and even death.
In the early 1980s, consumers deluged manufacturers with lawsuits, most especially parents whose children had suffered complications after inoculation with the problematic DTP vaccine (immunization against diphtheria, tetanus and pertussis, or whooping cough). Fearing the public health consequences if vaccine makers responded by reducing production or pulling out of the market altogether, the federal government passed the National Childhood Vaccine Injury Act of 1986 to shield manufacturers from liability.
 
Legislated Protection from Liability
The 1986 act created the National Vaccine Injury Compensation Program (VICP), which protected vaccine manufacturers from lawsuits and set compensation standards for people injured by their products. For example, compensation for vaccine-related deaths is limited to $250,000 -- a fraction of what might be awarded by a jury in a civil trial if, say, a child had a fatal vaccine reaction. In truth, this amount of money is like pocket change to drug companies, and they aren't even the ones who must pay up -- the federal government writes the check. This protection may help get important vaccines to market faster, but it doesn't do much to ensure safety, because vaccine manufacturers are shielded from consequences for products that turn out to be problematic or even dangerous.
Also, vaccines are genetically engineered and competitors are forbidden by law from duplicating them. This gives manufacturers a virtual monopoly on their products. Since they never have to face competition, biologic-based vaccines continue to generate big profits for years and years and years.

Gardasil: A Cautionary Tale
Protecting manufacturers this way puts consumers at risk. In 2006, for example, despite sparse data to support its safety and effectiveness, Merck introduced and aggressively marketed Gardasil, a new vaccine designed to protect girls and young women from cancer-causing strains of the human papillomavirus (HPV). Among their questionable marketing tactics, the firm gave hundreds of thousands of dollars in "grants" to medical associations to develop educational materials promoting the vaccine. Even worse, Merck made substantial campaign contributions to state legislators -- as it lobbied them to make Gardasil mandatory for girls attending public schools.
Yet, this vaccine doesn't vanquish a deadly disease such as polio or smallpox. Rather it protects against four viruses that comprise 70% of the HPV strains that cause cervical cancer -- and even if they've received the vaccine, women still require regular screening for the disease. While study results published in the August 2009 issue of Journal of the American Medical Association (JAMA) note that Gardasil has a safety record in line with that of other vaccines, serious complications (including an increased risk for potentially fatal blood clots) have been reported. Gardasil is also painful and painfully expensive. The three-shot series costs $400 to $1,000, which is only sometimes covered by insurance, and last year brought in $1.4 billion in sales for Merck... amazing, given that there's no evidence yet how long immunity will even last or whether booster shots will prove necessary. Thus far, the vaccine has been successful in preventing HPV infections that precede cervical cancer, but since this type of cancer takes years to develop, only time will tell whether Gardasil protects against cervical cancer itself.

Moving Forward: The Debate Continues
Even in the face of a pandemic, it remains impossible to reach a consensus regarding vaccines and whether they should be mandatory. Consumer advocates argue for greater regulation and higher standards (e.g., for new vaccines and other drugs, medical devices and procedures), while industry insists that government should keep its hands off. As for the vaccine shield protecting Big Pharma from liability, some legislators talk of getting rid of it while others say it should be strengthened.

Dr. Sasich told me that he personally believes that vaccines have the potential to do enormous good for society and that the vaccine shield enables science and technology to move forward faster and more efficiently. While I agree that many immunizations save lives, I am skeptical about some of the more recent entries into the vaccination arena, such as Gardasil. Perhaps manufacturers need a stick as well as a carrot -- financial responsibility for failures as well as windfall profits for success -- to motivate them to ensure that vaccines are safe, necessary and effective before introducing them on a large-scale basis to the American public, much less making them mandatory.
Source(s):

Larry Sasich, PharmD, MPH, pharmacist and assistant professor of pharmacy practice, Lake Erie College of Osteopathic Medicine (LECOM) School of Pharmacy, Erie, PA.

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Back to Eden communities
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Sunday, November 22, 2009

useful natural remedy information

Helping to Fight Influenza Naturally


Woodson C. Merrell, MD
Beth Israel Medical Center

 ublic health officials are scrambling to prepare for what may be one of the most challenging flu seasons ever. Seasonal influenza, combined with the continuing presence and possible winter worsening of H1N1, is a daunting prospect. Vaccines for both have been developed, but as of this date, the H1N1 vaccine is still in short supply.
If past experience is a guide, as the seasonal flu peaks in January or February, an estimated 50 million Americans will be infected by it, with an average of 36,000 deaths -- and this is not counting the new H1N1 threat.
Prevention is critical. This includes frequent hand washing and avoidance of crowded spaces. The only FDA-approved remedies available for either classic influenza or H1N1 are vaccines and Tamiflu-class medications. Nevertheless, there are principles and practices that can offer immune support and symptom control. The supplements in this article (available online, from health-food stores and pharmacies) may warrant a place in our medicine chest this year as we seek to be as healthy, and flu and cold-free as possible. (Caveat: None of these have been specifically studied for H1N1 flu.)
OSCILLOCOCCINUM
Taken at the first sign of symptoms, this over-the-counter homeopathic remedy has been shown to reduce both the duration and severity of flu.
In a study published in British Journal of Clinical Pharmacology, researchers found that 17.1% of patients with flulike symptoms who took Oscillococcinum (pronounced o-sill-cox-SEE-num) recovered within 48 hours, compared with 10.3% of those taking placebos. Another published study from the venerable Cochrane Database of Systematic Reviews 2009 confirmed Oscillo's effectiveness in combating the flu.
Particularly for people sensitive to the Tamiflu-class of medications, this is one of the only substances with published effectiveness against influenza.
Important: Oscillococcinum works only when taken within three days of symptom onset.
Dose: One vial of pellets under the tongue, three times daily, for no more than three days. If it hasn't worked by then, it won't.
CHINESE HERBAL FORMULAS
These are important aids to help the immune system as it struggles to fight flu as well as colds. Few Western clinical studies have looked at these formulas, but the experience of practitioners in the US as well as a history of successful use for hundreds of years in Asia indicate that Chinese herbals can be both safe and effective at relieving cold and flu symptoms and can shorten the duration of illness.
These products typically contain six to 10 different ingredients, including herbs such as forsythia, isatis, andrographis and astragalus. Some of the components have antiviral effects... others increase immunity... and others address specific symptoms, such as congestion or fever.
Important: Use only formulations that have been produced in the US, which has the highest quality-control standards. Some herbal products imported from China have been found to contain toxic levels of lead or mercury. Good brands include Wellness Formula by Source Naturals and Cold Away by Health Concerns.
Dose: Follow the label instructions. A typical dose is three tablets taken three times daily, as needed.
ECHINACEA
I recommend echinacea for general immune support. The herb fell out of favor when it was reported in a 2005 study in The New England Journal of Medicine that it was no better than a placebo for treating and preventing colds.
However, in 2007, The Lancet published a meta-analysis of studies comparing echinacea with a placebo for preventing or shortening the duration of the common cold. Echinacea was found to be effective. The researchers also discovered that echinacea seemed to reduce the severity of cold symptoms.
A randomized, double-blind, placebo-controlled study that was published in Journal of Clinical Pharmacy & Therapeutics stated that echinacea significantly reduced symptoms when it was taken soon after the onset of symptoms. This finding has been replicated by many other studies.
Echinacea appears to be most effective when combined with other herbs that synergistically strengthen immunity and relieve upper-respiratory infections.
Dose: Follow label directions. I recommend taking echinacea in combination with other herbs, such as black elderberry. Good brands include Esberitox, Insure and Immunotone.
Caution: Don't take echinacea if you have an autoimmune disorder, such as rheumatoid arthritis, Crohn's or lupus. It increases levels of TNF-alpha, an inflammatory substance that needs to be lowered in patients with these conditions.
ESSENTIAL OIL INHALATION THERAPY
Inhalation therapy is one of the fastest ways to relieve symptoms of colds or flu. It also can help prevent illness because it kills viruses in the upper-respiratory tract.
When you're in a crowded place (such as a movie theater or an airplane), remove the cap from a bottle of essential oil, such as tea tree oil. Take several sniffs with each nostril. Do this every one to two hours. Tea tree oil's compounds have been shown to have both antiviral and antibacterial effects.
For symptom relief: Pour steaming water into a bowl, along with a few drops of tea tree oil, or any of a number of essential oils (rosemary, oregano or combination products such as Thieves Oil Blend, or even Vicks VapoRub -- a blend of camphor, eucalyptus oil and menthol). Drape a towel around your head to trap the steam. Then lean forward, close your eyes and breathe in the vaporized oils. It's the fastest way to relieve congestion and sinus pressure, as well as provide an excellent germicidal effect.
MEDICINAL MUSHROOMS
Medicinal mushrooms, including shiitake, maitake and reishi, have been shown to have significant immune-stimulating properties, and people who maintain a strong immune system are far less likely to get colds or flu. Mushrooms are used both preventively and during an illness that challenges the immune system. Unlike many immune-boosting herbs, mushrooms do not seem to lose their effectiveness with prolonged use.
Dose: Eat one or more of these mushroom varieties a few times a week throughout the cold and flu season. Or take a supplement that includes a mushroom blend, such as New Chapter Host Defense.
VITAMIN C AND ZINC
Vitamin C has been shown to be somewhat effective at preventing and treating upper-respiratory infections. A study published in Advances in Therapy in 2002 found that people taking vitamin C had significantly fewer colds than those taking placebos. They also had a shorter duration of severe symptoms -- 1.8 days, compared with 3.1 days for those in the control group.
Zinc oral lozenges often are used to reduce symptoms, including cough, nasal discharge and sore throat.
Caution: Recently the nasal form of zinc in one form of Zicam was shown to inhibit the sense of smell.
Dose: Up to three zinc lozenges daily for maximum of three or four days. For vitamin C, a typical dose is 1,000 milligrams (mg) daily, divided into two or three doses to avoid stomach upset or diarrhea.

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Back to Eden communities
Sunridge -261 Oakhill Drive, Brantford
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"Building elder peer communities that are cozy,caring and comfortable" -quality 24/7 care

Monday, November 16, 2009

Stop fanatic political agendas and correctness actions



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Back to Eden communities
Sunridge -261 Oakhill Drive, Brantford
backtoeden.ontario@gmail.com
www.backtoeden.bravehost.com
"Building elder peer communities that are cozy,caring and comfortable" -quality 24/7 care

Wednesday, April 01, 2009

SOS targets trustees - Chatham Daily News - Ontario, CA

SOS targets trustees - Chatham Daily News - Ontario, CA


Volunteer hospital board of trustee members were put on the hot seat during last night's Chatham-Kent Health Alliance Tri-Board meeting.

Conrad Noel, vice-chairman of the Save Our Sydenham committee, asked trustees to vacate their seats so they can be replaced with people who are interested in representing the interests of the community.

He was one of three local residents to address hospital trustees about community concerns over the Hay report to the Erie St. Clair Local Health Integration Network, recommending the closure of the Sydenham District Hospital emergency department.

Wallaceburg Coun. Sheldon Parsons served notice there are 220 applications for membership with the SDH corporation and the number is growing.

He hopes to see that number grow to 1,000 to have voting power to elect representatives to fill what he understands is three of seven positions on the SDH board, which will be up for consideration at its annual meeting on June 22.

SOS chairman, Jeff Wesley, told the tri-board it seems like every five years Wallaceburg has to fight to keep services at SDH.

Another tool in the accountabiiity arsenal - target the public directors and trustees - So far the SoS group is adding pressure to all the right points- to be continued- QJ
"Now we're at the point where a lot of people are fed up," Wesley said.

Tuesday, January 27, 2009

Weeky respite program a good idea

We have heard of artificial bed gridlock ,cutting nurses in the "supposed golden age " of Canadian medicine in what appears to be a badly mismanaged misaligned care system in constant crisis that alway sneeds more money to provide less community or customer services. It is encouraging to see occasional light in the darkness with programs that work for the customers in need - PR

John Noble Home pilot project offers weekly respite for seniors dealing with early stages of memory loss Posted By HEATHER IBBOTSON, EXPOSITOR STAFF

Thursdays are days to remember for a group of seniors coping with the early stages of memory loss. The 11 current participants in the John Noble Home Day & Stay program enjoy informal chats, games, outings and activities that encourage them to stay engaged with a world that is slowly slipping away.
"If you're alone, you're in a cocoon," said group member John Stulen.
"A group like this is a real lifesaver. It gives you confidence."
The participants are outpatients in the early stages of memory loss due to Alzheimer's disease or related dementia.
The Day & Stay program is a pilot project that began last July. It has already piqued the interest of other facilities across the province, said program co-ordinator Carol Howarth.
"It's unique. There's not one like it in Ontario," she said.
Each Thursday, a John Noble Home van picks up participants at their homes and delivers them to the facility for an afternoon of friendship, recreation, entertainment, activities and dinner.
The program's purpose is to improve the quality of life for people in the early stages of memory loss by providing resources, support and socialization opportunities.
"It gives them back some control," Howarth said.
It's also "the highlight of the week," according to Stulen.

"We learn from each other," he said. "Being together makes you feel better."
Norma Wilson, a former nurse who once worked with dementia patients, said she has learned a lot from the program after being diagnosed herself last year.
There is also the all-important sense of camaraderie, said Mary Pongrac.
A diagnosis of dementia carries with it a huge stigma and participants need to learn that it is OK to talk about the condition and its impact on their lives, Howarth said.
The idea used to be to hide the condition and "put it in the closet," she said.
The group's focus is to speak out and put a spotlight on the importance of early diagnosis, treatment and cialization, she said.
Memory loss is "not contagious," said group member Bruce Kyle.
Members talk with each other and with program counsellors about the frustration and loss of control over one's life that comes with memory loss.
"It's a shock to find out there's something wrong that can't be repaired," Stulen said.
Robert Nelles, a volunteer at John Noble Home, said his wife has termed the experience "frightening and overwhelming."
Nelles had already been volunteering at the John Noble Home for two years, spending time with patients in more acute stages, when his wife Marion was diagnosed last fall with a type of advancing memory loss.
Nelles, who lives near Waterford, said that both he and his wife had started to notice something was off.
He said the clincher came when an ordinary shopping trip turned frightening. Marion, who also suffers from the pain and exhaustion of polymyalgia, had driven to Simcoe alone to buy groceries. When she trundled the cart to her car, she found herself unable to unload the bags and she had to ask a stranger for help.
Tired and stressed, she finally settled in the driver's seat and put the key in the ignition, only to realize she had no idea how to get home.
"She sat there for 10 or 15 minutes before it dawned on her," her husband said.
Marion is now also a member of the Thursday Day & Stay group and Robert has added Thursdays to his volunteer rotation.
"I think the group has gelled, like a ball team," he said, adding that members seem at ease talking with each other and sharing their stories.
"When they do that, everyone learns," he said.
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MORE INFORMATION
If you are looking for more information, call the Day & Stay program at 519-754-4065 or the Alzheimer Society of Brant at 519-759-7692.

more information - backtoeden.ontario@gmail.com