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With Pharmacare, the cure is worse than the disease
National Post Jul 6, 2011
By Mark Rovere

There has been much discussion in the past 10 years about whether Canada needs a national Pharmacare plan. Unfortunately, the plan is driven by ideology as opposed to common sense. While reform of provincial drug plans is necessary, a national government plan will only exacerbate the current situation, where millions of Canadians cannot access the medicines they need.
[Read more in the National Post]
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Couple failed by health system
Wife left on own to care for disabled husband
By Dave Brown, The Ottawa Citizen
July 3, 2011


On several walls in the Elmvale Acres home of Suzanne Logue Harrison and Rick Harrison is one word, carved out of wood or in colourful large letters.
“Believe.”

Asked what she believed, Suzy didn’t have a ready answer. One thing for certain, she believes in wedding vows, particularly the one that covers “in sickness and in health.”

When she found her own answer, it was: “I believe we can get through this.”

In March, 1999, Rick, a coach, was driving his sons to a hockey game when he suffered a dizzy spell so unexpected and severe that he was forced to pull over. Moments later he was vomiting blood.
[Read more in the Ottawa Citizen]
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Area hospitals failing seniors: report
Health authority recommends key investments to get elderly patients back on their feet
By Pauline Tam, Ottawa Citizen, June 24, 2011

Eastern Ontario hospitals should invest in more physical therapy services to get frail seniors back on their feet, provide better dementia care and establish programs that would identify elderly patients who are at high risk of returning as part of a drive to make their facilities more "senior friendly," says a scathing report from the health authority that oversees them.
[Read more in the Ottawa Citizen]
Elderly woman stages “lie-in” at hospital
THERESA BOYLE, HEALTH REPORTER
healthzone.ca, June 18, 2011


Ontario’s long waiting list for nursing homes has led to an unusual standoff at the William Osler Health Centre.

For the last six months, a 75-year-old Brampton woman has refused to vacate a hospital bed even though she no longer requires hospital care. Ivy Chand is waiting for a bed to become available in the long-term care facility of her choice. It’s her legal right.
[Read more at healthzone.ca]
Area seniors have longest nursing home wait time
Delay of nearly seven months a slight improvement from last year
BY PAULINE TAM, OTTAWA CITIZEN JUNE 3, 2011

Eastern Ontario seniors still wait the longest of any in the province to be admitted to a nursing home, but that delay has been cut slightly over the past year.

[Read more in the Ottawa Citizen]
There is hope for health care
A major change is already underway in how we treat patients, below the radar of the familiar debate, writes Alex Munter
By Alex Munter, Ottawa Citizen

I was driving back to my office from a visit to the Almonte Hospital a few weeks ago, listening to a radio debate about the financing of health care.

The hopeless tone of the discussion struck me as quite remote from what I've been witnessing in my first 100 days as chief executive officer of the Champlain Local Health Integration Network (LHIN).

[Read more in the Ottawa Citizen]
Improve long-term care
[Letter to the Editor, Ottawa Citizen, by District 27 RTO/ERO Member John Dorner]
OTTAWA APRIL 22, 2011

Re: Couples won't have to pay extra to stay together at care facilities, April 19.

On the one hand I am pleased to see that the government of Ontario has made a positive move, as indicated in the article. We also need to improve the possibility of married couples entering long-term care together. For couples to enter together would be a miracle.

[Read entire Ottawa Citizen letter]
(NOTE: Read original article below)
Couples won’t have to pay extra to stay together in long-term care facilities
BY LEE GREENBERG, OTTAWA APRIL 19, 2011
 
TORONTO — Elderly couples will no longer have to pay extra to live together in Ontario’s long-term care facilities.

Health Minister Deb Matthews said Monday she will change the rules after learning of the glitch in the system through the media.
[Read entire Ottawa Citizen article]
Ontario gives married nursing home residents a break
BY ANTONELLA ARTUSO ,QUEEN'S PARK BUREAU CHIEF
FIRST POSTED: MONDAY, APRIL 18, 2011 7:30:20 EDT PM


TORONTO - Ontario’s married nursing home residents will no longer pay a premium just to be together.

Health Minister Deb Matthews, responding to a Sun Media column by Christina Blizzard that documented the plight of the Springers, said spouses deserve to share a room without paying the higher semi-private rate.
[See full story in the Toronto Sun]
OHF starts campaign to buy Da Vinci robot
Posted Apr 7, 2011 (English only)
BY JANICE THIESSEN

News EMC - Ottawa Hospital is starting an important $5 million fundraising campaign to bring the Da Vinci robot to revolutionize surgery for cancer patients.

"There is a computer interface between the doc and the patient which provides a better outcome for the patient," said Dr. Rodney Breau.

There are three components to the Da Vinci robot. The Da Vinci robot consists of a surgeon's console, a patient side robotic cart with four arms and a 3D vision system.
[More in EMC - Your Community Newspaper]
Physical and Brain Fitness
by Norbert Boudreau

Are brain puzzles or brain-training games IQ boosters? Probably not, but there’s no doubt that an active mind will help keep dementia at bay.

NeuroActive “complete brain training” including mind games such as crossword puzzles and Sudoku certainly help in delaying the onset of Alzheimer’s disease. Doesn’t it make sense, though, that if you do Sudoku often enough for example, you will get better at this game? Can these fun and easy to use mind stimulating exercises improve memory enough to justify spending hours away from loved ones? I don’t think so!

Remember that it’s the big picture that counts. To start with, to maximize our chances of staying healthy with an active sharp mind we should first of all stay physically fit and eat a variety of good healthy food while at the same time minimizing the intake of junk food or food that may be harmful to the brain. Secondly, brain games are effective ways of keeping the brain fit, but there are other ways to stay sharp. We could challenge our brain by learning a new language or a new skill. We could get involved in the affairs of an association, or even join a social or sports club. These are all examples of keeping one’s mind active. Most important, though, you have to stay socially active with family and friends.

There are of course no guarantees, but with a combination of physical exercises that pushes you beyond your comfort zone, optimal nutrition, challenging brain games and social contacts there’s a good chance that you will stay fit and keep your brain youthful, vibrant and healthy.

Revised: January 4, 2011
Simple Strategies for Aging Successfully
by Norbert Boudreau

Wouldn’t we all like to continue to think straight as we age? It’s not always the case, unfortunately. How can we prevent memory loss and serious decline in our ability to think and plan, as we grow older? Is there anything that can be done? Of course, but it may not be easy. Do not be mistaken, it’s never too late to make the necessary changes to improve your brain health.

To live to the ripe old age of a 100 or more is without any doubt an accomplishment, but being bed ridden and not able to recognize your loved ones, we would all agree, isn’t much of a future to celebrate. There are however simple strategies to boost brain functions. You must choose a healthy lifestyle which includes healthy food choices and regular exercises. You also have to challenge your brain and remain socially active. Avoiding smoking and excessive alcohol, getting adequate sleep and sunlight are also very important.

To start with, a diet rich in fish, seafood, nuts, dark coloured fruits and vegetables will help bring a steady supply of fuel to the brain. Omega-3 fat intake, blueberries and spinach and staying off high-fat animal foods, are important for optimal brain function.

Maintaining cardiovascular health by regularly exercising will boost your brain function. Moderate exercises like walking a few times a day may also avoid risks of heart attacks, strokes and diabetes. You don’t have to pump iron for hours in a sweaty gym as an exercise of your choice will do the trick.

Dehydration and a lack of adequate vitamin D can cause low mental energy. There is a link according to researchers between the lack of exposure to sunlight and cognitive decline. Sleep deprivation can also cause a rapid deterioration of brain function.

Many seniors do crossword puzzles, Sudoku, play computer games and other brain training exercises in an effort to stay sharp and protect them against dementia. The mind can be exercised just like any other muscle. It may not increase our intelligence, but it will undoubtedly improve our quality of life as we grow older. Learning a new skill will help strengthen our cognitive abilities as well.

Stimulate your brain by remaining socially active with family and friends. Performing interactive activities with other people has a protective effect against Alzheimer’s disease. Even though you can’t control your genetic makeup and age, there are ways to maintain and improve brain health that may slow down the onset or even reduce the risk of getting Alzheimer’s disease.

Maximize your chances of remaining physically and brain fit for the longest time possible. For more information go to www.alzheimer.org

Revised: January 4, 2011
The Battle of the Buldges
by Norbert Boudreau

Are you a little overweight or even obese? If you examine Stats Canada’s latest estimates, you will realize that you are not alone. 37% of the population from 20 to 69 years old is overweight and another 24% is obese. That makes a little over 13 million individuals in that age bracket who sometimes have a tendency to eat too much.

Something has to be done to change our behaviour! Are we going to rush to the gym and spend an enormous amount of time and money to lose these extra pounds? And, while we’re at it, why not go on a strict diet, one of many on the market these days?

There is no doubt that regular exercise of any kind is highly beneficial to our health. Physical activity can reduce the risk of over twenty-five chronic conditions such as coronary heart disease, high blood pressure, stroke, diabetes, breast and colon cancer and osteoporosis. We know that exercise gives us a better metabolic rate, stamina and energy level. Exercise also improves memory, muscular strength and bone density. As well, it lowers cholesterol and blood pressure and reduces mild anxiety and depression. So get started. What are you waiting for?

Many of us like to ride a bike during the summer. For my weight, when I cycle at an average moderate rate of about 15 km / hour, I can expect to lose about 500 calories per hour. After a couple of hours on the bike path, especially when it’s hot, a beer or two looks pretty appealing, wouldn’t you think? After all, a pint is about 150 calories compared to a 500 ml carton of one-percent chocolate milk which contains 332 calories! Further, exercise makes me eat more. After all, don’t I deserve to reward myself for doing so much exercise?

Many of us have tried different diets. We have starved ourselves over a few months, and most of us have been successful at losing a few pounds. Statistically speaking, about 95% of people on deprivation diets gain more weight than they have lost over a period of five years.

Let’s face it. The amount of food/calories that I consume is excessive to say the least. I am constantly munching even though I’m not hungry. Like most of us at dinner, I often take a second helping just because the food is delicious.

Calories burned through exercise are far less important than the number of calories consumed. If you want to lose weight, you do not have to go on a stringent diet. Avoid junk food, and gradually start eating much less. Perhaps using a smaller plate at dinner time may be helpful to bring your daily caloric intake to the recommended 2,400 level. Finally, continue to exercise in order to maintain a healthy lifestyle. It is not going to be easy but it is worth it. That’s what I’m going to do.
Loneliness
by Vern Phillips

“From the beginning of life to its end, love is the only emotion which matters.”
June Callwood.

The phenomenon of loneliness has reached epidemic proportions. Recent studies suggest that one in four Canadians suffers from it. All ages are affected. It seems the world has become a lonelier place. Researchers discovered that in North America and Britain there has been a sharp decline in socializing. This is surprising in an age of instant communication.

Loneliness is a state of being solitary and detached. It often includes feelings of emptiness, depression, and the absence of love.

Being alone and being lonely are not the same things. People may sometimes choose to be alone. On such occasions, being alone can actually be a positive and enjoyable experience. It may also be emotionally refreshing if it is controlled by the individual.

Loneliness, on the other hand, is unwanted solitude. Often, it is beyond the control of the individual. Being alone is not a prerequisite for loneliness. It can be experienced even in crowded places.

Loneliness has many causes. Technology may be one of them and the computer is a prime example. Increasingly, people spend countless hours working and playing on computers without socializing. Recently, the so called ‘social networking’ phenomenon has taken over. Unfortunately, these are ‘disembodied’ forms of socializing.

Other causes of loneliness are abuse (physical, mental, or emotional), rejection, and the lack of social support or friends, especially in childhood.

Being a social misfit and not ‘fitting in’ can lead to loneliness. Many highly intelligent people fall into this category.

Lastly, we all try to keep special people close to us. When these special people are torn away from us, we may develop intense feelings of loneliness.

Loneliness, then, is a real social problem. So how do we deal with it? What follows are some methods used by others to successfully overcome loneliness:

1. Engage in proactive behaviours such as reading, writing, arts and crafts, or playing/listening to music. These are healthy behaviours since they divert the mind to more positive and creative thoughts.
2. Going out shopping can be beneficial for some. It gets people out of their homes and provides opportunities for meeting others.
3. Reach out to make social contacts. Call up old friends or visit someone you haven’t seen in a while. Get involved in a hobby, a sport; join a club, or volunteer. Most volunteers find that in helping others, they also help themselves. These activities put people in direct contact with others.

There are also many negative ways of handling loneliness. They include: self-pity; lethargy; over-indulgence in sleep, food, or television; and the abuse of drugs and alcohol. Obviously, none of these is recommended. They only exacerbate, rather than remedy the situation. Sometimes, the services of a medical professional may be necessary.

Finally, occasional loneliness may be acceptable. But frequent and prolonged loneliness is not. When feelings of loneliness occur, engage in some of the positive behaviors mentioned above. Take one step at a time; one day at a time, and reach out to others.

“If you find it in your heart to care for somebody else, you will have succeeded.”
Maya Angelou
Alzheimer Warning Signs

Alzheimer's disease is a progressive, degenerative disease. Symptoms include loss of memory, difficulty with day-to-day tasks, and changes in mood and behaviour. People may think these symptoms are part of normal aging but they aren't. It is important to see a doctor when you notice any of these symptoms as they may be due to other conditions such as depression, drug interactions or an infection. If the diagnosis is Alzheimer's disease, your local Alzheimer Society can help. To help you know what warning signs to look for, the Alzheimer Society has developed the following list:

[Read more - PDF)
Globe and Mail- New Tools allow for early detection of Alzheimer

New diagnostic tests will soon be available to anyone who wants to know if their brains have tell-tale signs of Alzheimer's disease.

The tests include brain scans and spinal-fluid analysis that can detect signs of the distinctive plaques and tangles that are characteristic of Alzheimer's, the most common cause of dementia. There is evidence this damage starts long before people experience memory loss.

[Read more - PDF]
Early-onset Alzheimer’s can be ‘heartbreaking’

At the age of 51, Tom Hall was in his prime. A devoted husband and father, he was project
supervisor on some of downtown Toronto’s biggest construction sites.

“Tom was a workaholic, always cool as a cucumber and he loved his job,” says his wife Jennifer.

But then he started complaining to her that the designers were making so many changes he
couldn’t keep up with them. “I should’ve known then,” she says ruefully, referring to his illness. “He would lose his tools. He’d leave the keys in the truck, and leave the truck running. Once, he was working on the second floor of a building and went to the bathroom and couldn’t find his way back.”

[Read more - PDF]
Elder Abuse in Canada
by Norbert Boudreau

Did you know that thousands of seniors are being repeatedly abused or neglected in Canada? What’s most chocking is that they are being mistreated by someone close to them? Can you imagine a relative, a caregiver or any persons in a position of trust maltreating citizens unable to help themselves! What’s most interesting as well is that this exploitation often goes on unnoticed and regrettably unreported.

There are many ways of physically or emotionally mistreating elders, but the most common form of elder abuse is of a financial nature. What can be easier than misusing bank accounts, credit or debit cards when one has a Power of Attorney over the affairs of a parent. Having a joint account with a loved one is a rather simple way to abuse too. Trusted unscrupulous individuals can steal from a vulnerable senior almost at will. This is not to say that all trusted persons are crooks. In most cases having free reign over the affairs of a parent, for example is a necessity and is quite beneficial to the elderly person who is unable to pay their bills for example.

Fortunately, there are often signs of elder abuse. Unexplained bruises, ongoing tension on the part of elderly seniors, including loss of weight, untreated rashes and sores should be investigated. An elderly person dressed in dirty clothes, especially when you know that this person would never want to be seen in public in such a state needs to be checked. Being withdrawn or even depressed are often signs of elder abuse.

Preventing and protecting our loved ones against senior abuse is of prime importance. Seniors are urged to get their financial affairs in order with a trusted lawyer while they are still of sound mind. This includes preparing a will and naming an honest and trusted individual with appropriate Power of Attorney.

Relatives and friends can help as well by visiting regularly loved ones in private or public senior residences. It doesn’t have to be a long visit but it should be done at different times of the day.

Finally, it is important to recognize elder abuse and to know what you can do to protect the dignity and the safety of citizens that can’t help themselves. If you suspect abuse, a simple call to the police is in order.

Show the world you care about ending elder abuse and neglect by wearing something purple on June 15, 2011 as we observe the 6th annual World Elder Abuse Awareness Day (WEAAD).

Revised: January 4, 2011
Ontario Drug Benefit Program (ODB)
by Roger Lalonde

What should you know about the Ontario Drug Benefit Program?

The Ontario Drug Benefit (ODB) Program is one of the most generous drug benefit programs in Canada, providing coverage for over 3,200 medications. With funding provided by the Ministry of Health and Long-Term Care and the Ministry of Community and Social Services, the ODB Program covers most of the costs of prescription drugs listed in the Ontario Drug Benefit (ODB) Formulary, as well as the costs of some medications for exceptional cases.

Who is eligible for drug coverage under the ODB Program?

If you belong to one of the following groups of Ontario residents, and you have a valid Ontario health card, you are eligible for drug coverage under the ODB Program: people 65 years of age and older; residents of long-term care homes; residents of homes for special care; people receiving professional services under the Home Care Program; and registrants of the Trillium Drug Program. In addition, if you are receiving social assistance (Ontario Works or Ontario Disability Support Program Assistance), you are eligible for ODB coverage.

What drugs are covered under the ODB Program?

As long as the medications are prescribed by an authorized Ontario prescriber, the ODB Program covers prescription drugs listed in the Ontario Drug Benefit Formulary/Comparative Drug Index (Formulary), including some nutrition products and diabetic testing agents. In addition, medications that are not listed on the Formulary are also considered for coverage through the ministry's Exceptional Access Program (EAP) on a case-by-case basis following a written request by a patient’s physician.

Where can the drugs be purchased?

The ODB Program automatically pays for the above-listed drugs for people eligible for ODB coverage if these are purchased in an accredited Ontario pharmacy that is on-line with the Ministry of Health Network Systems or if purchased from an Ontario doctor licensed to sell prescription drugs.

What is the maximum supply of medication allowed under the ODB Program?

For short-term drug prescriptions and first-time prescriptions for longer-term "maintenance" drugs, coverage is limited to a maximum 30-day supply. When you refill a prescription for a drug intended for longer-term use, coverage is limited to a 100-day supply.

Short-term medications include antibiotics, sedatives, sleeping pills and barbiturates. Maintenance drugs include those used for chronic conditions such as diabetes and Parkinson's disease.

What are the costs?

Under the ODB program, ODB eligible recipients may be asked to pay some portion of their prescription drug product costs.

Single seniors (people aged 65 or older) who have an annual net income of $16,018 or more and senior couples with a combined annual net income of $24,175 or more pay a $100 deductible per senior per year in ODB eligible prescription charges. After the $100 deductible is paid, they pay up to $6.11 toward the dispensing fee each time they fill an ODB eligible prescription.

Seniors who have an annual net income under the above-mentioned levels may be asked to pay up to $2 each time they fill a prescription for an ODB eligible drug product. The benefit year for all ODB recipients starts on August 1 and ends on July 31 of the following year.

What is the policy for ODB recipients travelling out of the province for an extended absence?

If you are an ODB recipient travelling outside the province for between 100 and 200 days, the ministry will pay for a second supply of medication, of up to 100 days, before you leave Ontario (provided that your prescription allows for the additional 100-day supply).

What effect does this have on me?

Before you leave the province, in order to obtain an early refill for a second supply of up to 100 days of medication, you must provide the pharmacist with a letter (which you have written yourself) confirming that you are leaving the province for more than 100 days, or a copy of your travel insurance confirming that you are leaving the province for between 100 and 200 days. Your normal co-payment will also apply to the second 100-day supply.
Long Term Care

Long term care is more than just medical care or nursing care. It includes a wide range of services to assist you if you ever develop a chronic illness or disability that leaves you unable to care for yourself for an extended period of time.

Long term care may be provided in your own home or in a nursing home in the form of help with activities of daily living such as bathing and dressing.

Long term care is not just for the elderly. A person of any age might require long term care if he or she has been in an accident or has suffered a debilitating illness.

The Long Term Care Plan is designed to bridge the gap between the services provided by the government and your actual needs when you require substantial assistance with two or more of the following activities of daily living:

a. Eating
b. Bathing
c. Dressing
d. Continence
e. Toileting
f. Transferring positions.

Also, if you suffer from a severe cognitive impairment such as Alzheimer’s disease, you will likely need Long Term Care.


What will the RTO/ERO Long Term Care Plan do for you?

If you require substantial assistance with two or more activities of daily living or suffer from a severe cognitive impairment, the Long Term Care Plan will provide you with an assessment of your needs and a Plan of Care, as well as referrals to appropriate caregivers.

Once you have received services in accordance with your Plan of Care for 30 days, the Long Term Care Plan will reimburse 80% of your in-home care, adult day care or nursing home care expenses (including government co-payments) up to your selected maximum daily benefit. (All payments for in-home care and nursing home care are subject to a combined lifetime maximum benefit amount.)

When you apply for the Long Term Care Plan, you choose the plan with the maximum daily benefit and lifetime maximum, based on what you think you will need and what monthly premium is most affordable.

a. Plan A: $50 per day and $50,000 lifetime maximum
b. Plan B: $75 per day and $100,000 lifetime maximum
c. Plan C: $100 per day and $200,000 lifetime maximum

When considering which lifetime maximum to purchase, keep in mind your present circumstances, your support structure, your family history and the monthly premium level.

Some added benefits include:

a. Caregiver training
b. Durable medical equipment
c. Emergency response system
d. Inflation protection.

Who can apply for the RTO /ERO Long Term Care Plan?

The Long Term Care Plan is available to RTO/ERO members, spouses, parents and children.

If you, your spouse, child and/or parent apply and are approved for coverage, you will each be entitled to a 10% reduction in your monthly premium rates, if you are residing together.

Eligible educational staff may also apply for this important coverage by becoming an associate member of RTO/ERO.

If you apply for the Long Term Care Plan, and you are currently an actively-at-work teacher and under age 65, you may automatically qualify without completing a medical questionnaire.

How do you apply for the RTO /ERO Long Term Care Plan?

Please contact Johnson Inc. Long Term Care Service at the number provided below for a Long Term Care Plan information kit. Complete the application for the Long Term Care Plan as well as the medical questionnaire. Separate applications and medical questionnaires are required for you, your spouse, your children and your parents. No medical exam is required.

You will, however, receive a telephone call from an underwriter for a telephone interview. Depending on your medical history and your age, your medical records may be requested before your application is considered. Medical records will be requested for all applicants 75 years of age and older.

Please call Johnson Inc. Long Term Care Service at 905.764.4959 (Toronto area) or 1-800-461-4155 (toll free) and request your information kit for the RTO/ERO Long Term Care Plan.

For more information on Long Term Care Facilities, see Fact Sheet C-10 in the Member's Centre section of the RTO/ERO website or ask your District Health representative for a hard copy.

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