In my last post Working Through Loss, I touched on the concept of Trauma Informed Practice (TIP). This topic has got me passionate about sharing the trauma and loss that nurses face shift-to-shift and how this impacts us as human beings. If we as nurses are not aware of trauma and its effects then it could lead to devastating consequences for ourselves and our profession. In rural health it’s imperative that employers acknowledge this fact and incorporate healthy workplace policy to support nurses. If you don’t keep your rural nurses healthy it will affect an entire community’s health.
Prior to becoming a nurse I worked at a rehab centre for women. I was an Executive Assistant, when off for the semester of college, and during classes I was privileged to work in the research department. This job was one of the greatest opportunities of my life, in so many ways. I worked along side an amazing leader who taught me all I know about leadership and capacity building (I will save that for another post).
I would spend countless hours after nursing school locked away in a little office in the skeleton of an old hospital in Vancouver. And through my data entry and analysis a window opened to the trauma that thousands of women face. I inputted data on sexual abuse, physical abuse, and emotional abuse. I typed thousands of horror stories. I collected stats and as the data flowed a picture of a female addict emerged. I remember typing on the computer and I would have tears rolling down my cheeks. I was a silent invisible bystander to these women’s suffering and it changed how I view trauma and life. It made me an advocate, it humbled my struggles in my personal life, and it built upon my empathy. It would be safe to say I learned more in those four walls of that tiny office than I did in all my years prior.
I can see her now, her hair black as night, boobs out and ready for action, make-up on and a stiff upper lip painted blood red. She was a goddess, a beautiful soul that had been raped at the age of five by her one of her mom’s boyfriends. She struggled with relationships, she struggled to get close to people because of the trauma she suffered. This led to many bad relationships with men, she got raped again at 18, she got beat-up, and she became a closed off shell. She hated her life and she hated herself. She would come into the ED drunk and belligerent. She would swear and call us all bitches. She lied, she cheated, and she rebelled. She was one of my favorite people – this mess of a woman was one of the most resilient and authentic humans I have ever met.
Malcolm cleans patient rooms and offices in the large medical center where we both work as pediatric doctors.
After finishing our respective rounds one afternoon, we noticed that Malcolm was deep in conversation with the parents of one of our very sick patients. We met him later in the hall, and the three of us began to talk. After Malcolm told us a bit about the concerns of our patient’s family, he mentioned the ways he often supports and cares for the children being treated on our ward.
“I don’t call myself a housekeeper,” said Malcolm, who has been with the hospital for 10 years. “I am the keeper of the house.”
Malcolm’s description of what he does knocked us back on our heels. It made us realize that we pass dozens of housekeepers in the corridors and elevators every day and — like most other physicians — pay little attention to what they really do and had little appreciation of their contributions to patient care.
Tuesday, January 28, 2020
The Province has selected Morneau Shepell to develop a free mental health counselling and referral service for post-secondary students throughout British Columbia.
After a rigorous procurement process, Morneau Shepell was chosen to create and operate a 24/7 mental health counselling and referral service for post-secondary students at all public and private post-secondary institutions in B.C. The company will provide on-demand, immediate counselling and referral support to almost half a million students in B.C.’s public and private post-secondary institutions.
“Mental health is an issue our government takes seriously,” said Melanie Mark, Minister of Advanced Education, Skills and Training. “Post-secondary students have told me there is a gap in mental heath support services. The stress students feel at university or college can be significant, and can lead to serious isolation and potentially deadly outcomes. I am proud our government is responding to this call to action by creating a place for students to reach out for help 24/7.”
This mental health service will mean for the first time in B.C., every student – whether rural, urban, domestic, international, public, private, full-time or part-time – will have access to 24/7 services to supplement services on campus and in the community. As this provincewide program is a new service, the ministry will take the time to engage with students and post-secondary institutions on the design of the service before launch in spring 2020.
“Many students don’t come forward and ask for the help they need because of the stigma that still surrounds mental health issues,” said Judy Darcy, Minister of Mental Health and Addictions. “This service will meet young people where they are at and provide them immediate access to someone to talk to, without shame or judgement.”
Click on the Pdf to access the Newsletter. BCRHN Newsletter – December Pdf
While Canada seems on cusp of embracing two-tier health care, Ireland is struggling to limit it
This column is an opinion by Steve Thomas, director of the Centre for Health Policy and Management at Trinity College in Dublin, Ireland. He has been studying the issue of privatization in Canada, is the author of a chapter on Canadian health care in the book ‘Is Two-Tier Health Care the Future?,’ and has collaborated with the University of Toronto and University of Ottawa. For more information about CBC’s Opinion section, please see the FAQ.
Be careful what you wish for, Canada.
One way or the other, Canadian courts are about to make some key decisions about the role of private financing and practice in the health care system; the Cambie case in British Columbia is just the latest attempt to overturn fundamental components of publicly funded medicare.
Closing arguments were made last week and the decision in this legal case, which is expected to be appealed to the Supreme Court, will have ramifications for decades and for millions of people. Continue reading
‘We’ve got to be open and willing to try things that are working for other nations,’ says Siksika councillor
CBC News · Posted: Nov 15, 2019 10:23 AM MT
Rebecca Many Grey Horses is a health analyst with the Blood Tribe department of health. She was hired to develop an action plan after two local states of emergency were declared in 2015 and 2018 due to the opioid crisis. (Rebecca Kelly/CBC)
Following dozens of opioid related overdoses and two states of emergency, the Blood Tribe’s chief and council have started looking for answers in their own backyard, and are now sharing their solutions with the broader Indigenous community.
Doctors and health care practitioners from across Canada gathered at a first-of-its-kind forum in Calgary focused on Indigenous harm reduction, to discuss the different strategies at work to combat addictions.
Rebecca Many Grey Horses, a health analyst with Blood Tribe Health, was there on Thursday to share where her nation is finding success.
Many Grey Horses spoke with users and recovering addicts, family members and health care staff to arrive at 24 recommendations, some of which are already at work on the Blood Tribe reserve.
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.
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.
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