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November 11, 2019

BC Rural Health Newsletter – October-November 2019

Learning to forget: From Alzheimer’s to acceptance

October 30, 2019

 

Tony Wanless in his Vancouver home on October 22, 2019

Tony Wanless in his Vancouver home on October 22, 2019

He might find himself standing in front of a door, holding a key in his hand and wondering what the heck it’s for. If he takes his time, he can figure things out.

Wanless tries to be patient with himself — something that doesn’t come naturally. “I have to be very, very …”

He searches for the word, but nothing comes. He smiles and shrugs it off.

Words were Wanless’s stock in trade — they made him money, built his reputation and provided for his family.

They are still his refuge. “I love to read,” says Wanless. Then he cracks: “I just can’t remember what I read.”

Wanless, 70, along with his wife, author June Hutton, has just finished writing a memoir entitled Four Umbrellas about dealing with his dementia. The project was conceived during a walk on the beach in 2017, shortly before Wanless was diagnosed with Alzheimer’s, but after his cognitive impairment was becoming clear.

“We wanted this to be from Tony’s perspective, while he still had insight into the experience,” says Hutton.

Read more »

October 1, 2019

https://www.cascadeclinic.ca/locums-recruitment

We are actively seeking locums who are a part of the Rural GP Locum Program for clinic and ER vacation coverage. We are an “A” community under the RGPLP and each ER shift is eligible for REEF and MOCAP as rural incentives. A billing clerk is available during a locum assignment as well as the use of locum housing.

Screen Shot 2019-10-01 at 11.33.24 AM

To show our appreciation for locums, members of our community have put together a Love a Locum” campaign to give visiting locums a warm welcome and celebrate their role in ensuring sustainable healthcare in Princeton. A gift basket with local gift certificates, healthy fruits and home baked goods provided by members of the community is presented to the locum on their first day of clinic.

To learn more about locum opportunities available here at Cascade Medical Centre you can call the clinic at 250.295.4482 or check the Locums for Rural BC website to see when we have locum assignments available.

The town of Princeton is nestled at the foothills of the Cascade Mountains and is the Southern Gateway to BC’s interior. A small town rich in history and beauty with four seasons of activities and opportunity for adventure at every turn!

We are currently staffed with five GP’s and 1 Nurse Practitioner as well as a full complement of medical office assistants. Our clinic offers a wide range of primary care services and is supported by an updated EMR (MedAccess). Cascade Medical Centre is conveniently attached to the hospital, which is a 6 bed inpatient hospital with a 24 hour emergency room and attached long term care facility.

At this time, we are not recruiting for another physician.

Video courtesy of SimilkameenValley.com

Check out Similkameen Valley’s Road trip video above to see why physicians are choosing Princeton as the place they
come to work and play!

SOS Primary Care Network Report – Vulnerabilities and Solutions –

September 21, 2019

September 2019
South Okanagan Similkameen Primary Care Network
The first five months of Primary Care Network funding have been full of great progress, allowing our region to address vulnerabilities and to strengthen our existing network of care, as we continue our shift towards team-based primary care delivery.

Vulnerabilities and Solutions
For context we have highlighted each of our networks of care, their vulnerabilities, and solutions to address those vulnerabilities. Some of these solutions pre-date Primary Care Network funding, some are being shored up by Primary Care Network funding, while still others are being introduced as a result of Primary Care Network funding.

We have also highlighted some process issues and proposed solutions in order to increase the success of Primary Care Network implementation, which began in Penticton, Summerland and Okanagan Falls, with service plan deveopment underway with the communities of Oliver, Osoyoos, Osoyoos Indian Band, Keremeos, Lower Similkameen Indian Band, Upper Similkameen Indian Band, Hedley and Princeton.

To access the report, click on the link  #1 SOS PCN report – Sept 2019

South Okanagan Similkameen Primary Care Network Issues Paper 

September 21, 2019

The South Okanagan Similkameen (SOS) Primary Care Network (PCN) encompasses the entire SOS region. It serves approximately 90,000 residents in 8 communities.
The following paper contains an environmental scan of issues that have surfaced in our region. Input was given by physicians, Nurse Practitioners, Interior Health, indigenous partners, local government, and patient voices. 
Similar concerns were echoed by other Wave 1 communities.

  • There has been no interest in GP contracts.
  • Expectations around NPs overheads shifted after our funding was approved, without consultation or additional funds..
  • Allied Health professional (AH) and Registered Nurse (RN) and Pharmacist overhead is not adequate to cover overhead costs.
  • In our experience, NPs need support to transition into full-service family practice.
  • Data infra structure is not being co-designed with local PCNs.
  • At steady state, access to 11 sources of data is required for PCN reporting.
    There is an overall lack of a standardized approach in operationalizing data infra structure PCNs from various sources.
    Read more »

Summary on the Health Sciences Association Conference – April 2018

August 27, 2019

Ed Staples

Summary on the Health Sciences Association Conference – April 2018

Edward Staples
President of SOHC (Support Our Health Care) and
BC Rural Health Network Lead.

Vancouver Hyatt Regency April 13, 2018

Achieving High-Performing Primary and Community Care: the Critical Role of Health Science Professions

The conference opened with a welcome from Val Avery, Health Sciences Association (HSA) President and a First Nations Welcome from Coast Salish Elder Roberta Price.

The keynote speaker was the Honourable Judy Darcy, BC Minister of Mental Health and Addictions. She gave a brief overview of her first 9 months in office and made the following points:

Judy Darcy

• collaboration and team building on the “front lines” is critically important to address the opioid crisis

• addressing the crisis will require “all hands on deck”

• the focus of the Ministry is on child and youth prevention, First Nations, and the high rate of death associated with substance use

▪ most people who die from opioid overdose die alone

▪ 3 out of 4 are male between the age of 30 and 59

▪ 1 in 10 are indigenous

• problems with the current system:

• “no coordination of services”

• gaps in the service – fragmentation  lack of a team approach

• the goal is to develop an “ask once” system that will take you where you need to go

• addressing the problem by building a better system; funding for:

• training

• naloxone dispersal

• establishing overdose prevention sites

• establishing designated teams in each Health Authority

• recognizing that parents are often the “first responders”

• province wide coverage by “robust, interdisciplinary teams”

• addressing the social determinants of health

• making connections

Minister Darcy closed her remarks by recognizing the valuable work being done by the HSA and asked for advice and direction from HSA members on how to “close the gaps”. Read more »

How these Canadians got hooked on opioids

August 20, 2019

This is the first story in a four-part series about the pharmaceutical industry and the hold it has on Canada’s health-care system — swaying doctors’ opinions, funding medical schools and, ultimately, affecting the type of drugs we are prescribed.

Steve Angst’s 11-year opioid addiction started with a workplace injury.

Angst was working at a Cami Automotive assembly plant in Ontario when he injured his right shoulder in 1991. The 56-year-old, then 28, needed reconstructive surgery.

After working on his shoulder, doctors prescribed Demerol to help with the pain. A few years later, in 1993, Angst needed more surgery to repair damage resulting from a fall. Then in 1996, he needed another operation on his left shoulder.

He went to his doctor for the pain — working at the plant required repetitive motion — and was prescribed Percocet. From there, his troubles with opioids got out of control.

“I got to the point where I couldn’t do anything unless I took a Percocet,” he said.

“And then, of course, the Percocet didn’t work anymore, so I go to the doctor and they just prescribe more Percocet.”

Read more at https://globalnews.ca/news/5664978/opioid-addiction-from-prescriptions/

 

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SOHC Discussion Paper

Developing an Improved and Sustainable Health Care Model for Princeton, B.C
Support Our Health Care has released a discussion paper in order to get feedback from the community, politicians and professionals about the state of local healthcare and what the long term solutions should be.
Download PDF Here