5 on 5 Cancer Care

  1. Improving Indigenous Cancer Journeys in BC: A Road Map

“Improving Indigenous Cancer Journeys: A Road Map is the result of a multi-year partnership between BC Cancer, First Nations Health Authority (FNHA), Métis Nation British Columbia (MNBC) and the BC Association of Aboriginal Friendship Centres (BCAAFC). Only the second of its kind in the country, its priorities are in line with the calls to action for health by the Truth and Reconciliation Commission of Canada.  The strategy addresses all aspects of cancer, from prevention through to survivorship with a focus on delivering culturally safe cancer care.”

  1. LGBTQI Inclusive Cancer Care: A Discourse Analytic Study of Health Care Professional, Patient and Carer Perspectives

Ussher, J. M., Power, R., Perz, J., Hawkey, A. J., & Allison, K. (2022). Frontiers in oncology12, 832657.

“This study examined oncology HCPs perspectives in relation to LGBTQI cancer care, and the implications of HCP perspectives and practices for LGBTQI patients and their caregivers.”

  1. Cancer Care: Advancing Health Equity

EQUIP Health Care’s cancer care project resources. “The main goal of the EQUIP cancer care project is to improve cancer care for people who are experiencing significant health and social inequities. As a first step, we will improve our understanding of the factors that impact the uptake of equity-oriented healthcare strategies within cancer care.”

  1. Rapid Synthesis: Identifying Educational Approaches and Resources to Support Seamless Transitions Between Cancer Programs and Primary Care. (2021).

“It is estimated that nearly one in two Canadians will develop some form of cancer over their lifetimes. In supporting the growing number of individuals transitioning to survivorship care, there is a need to improve the coordination between cancer care and the primary- and community-care sectors. The transition in care following treatment into survivorship requires survivors and their families to adjust how they interact with the healthcare system. Additional supports are required to meet the needs of cancer survivors in this transition, as well as to enhance the capacity of primary- and community-care sectors in providing optimal care during and beyond the care transition.”

  1. CDC Cancer Resource Library

Resources for both Healthcare Professionals and Patients.

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5 on 5 Nutrition

For January’s 5 on 5 we are featuring resources on nutrition.

1. Indigenous Nutritional Knowledge Information Network

“We have learned through time honored tradition, the role and responsibilities we carry in our connection to food and water. We know these to be medicines and therefore family to the generations that have come before and the faces that are yet to come to this world. When we think of food and water as family, we honour a kinship that can be shared with our clients and our personal and professional development.” This page also includes recipes and webinars on Indigenous nutrition.

2. Canada Malnutrition Task Force – Resources

Nutrition resources for hospital care, primary care, pediatrics, long term care, changing practice, and subjective global assessment (SGA) – Diagnosing malnutrition.

3. UnlockFood.ca

“UnlockFood.ca is a bilingual, award-winning website brought to you by Dietitians of Canada. UnlockFood.ca is here to help Canadians connect with a dietitian and find the nutrition and food information that they need when they need it.”

“On UnlockFood.ca, you will find information on nutrition, food and healthy eating, as well as recipesvideos and online tools. There is information on hundreds of topics from A-Z.”

4. Ontario Dieticians in Public Health – Resources

“ODPH members work together and with other experts to create helpful resources and position statements related to public health nutrition. These resources can be used as a basis for public health-related programs, policies and health promotion strategies.”

5. Canada’s dietary guidelines for health professionals and policy makers

“Canada’s Dietary Guidelines set out Health Canada’s guidelines and considerations on healthy eating. The objectives of the guidelines are to promote healthy eating and overall nutritional well-being, and support improvements to the Canadian food environment”

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5 on 5 Human Rights in Healthcare

For our December 5 on 5 we are highlighting human rights in healthcare and featuring resources in support of Human Rights Day on December 10th.

1.Survey on Experiences of Racism in the Manitoba Health Care System 2021. Southern Chiefs’ Organization.

“In Manitoba, the statistics are damning. Health disparities between First Nations and other Manitobans is wide and widening, resulting in lower life expectancies at birth, higher suicide attempts, and poorer access to health services, to name a few (Manitoba Centre for Health Policy and the First Nations Health and Social Secretariat of Manitoba, 2019). In a recent southern First Nation Health Director Forum, experiences of systemic racism were identified by southern communities.

Discussion of racism and attempts to reform First Nations’ health gave impetus to the creation of a survey to investigate the extent and type of racism being experienced and observed by participating First Nation citizens in Manitoba. This report shares the results from the SCO Survey on Racism in Health Care and summarizes a snapshot of how racism is experienced in Manitoba’s health care system. It provides examples of experiences that First Nation people have had when facing racism in health care and the range of effects that racism in health care has had on First Nation people.”

For more Anti-Racism resources from Southern Chiefs’ Organization.

2. Health and Human Rights Journal

Health and Human Rights focuses rigorous scholarly analysis on the conceptual foundations and challenges of rights discourse and action in relation to health. The journal is dedicated to empowering new voices from the field — highlighting the innovative work of groups and individuals in direct engagement with human rights struggles as they relate to health. We seek to foster engaged scholarship and reflective activism. In doing so, we invite informed action to realize the full spectrum of human rights.” Health and Human Rights Journal is an open access publication.

3. Privacy and Security Considerations for Virtual Health Care Visits: Guidelines for the Health Sector.  Information and Privacy Commissioner of Ontario.

“The delivery of virtual health care has become an integral part of Ontario’s health system. Virtual health care can include secure messaging, telephone consultation, and videoconferencing. These forms of digital communication offer significant convenience for health information custodians (custodians) and their patients where physical distance poses a challenge. However, virtual health care also raises unique privacy and security concerns because it depends on technologies, communication infrastructures, and remote environments. Virtual health care raises new kinds of cybersecurity risks that are not as prevalent in the analog world.”

4. Sexual Health, Human Rights and the Law. World Health Organization.

“Sexual health today is widely understood as a state of physical, emotional, mental and social wellbeing in relation to sexuality. It encompasses not only certain aspects of reproductive health – such as being able to control one’s fertility through access to contraception and abortion, and being free from sexually transmitted infections (STIs), sexual dysfunction and sequelae related to sexual violence or female genital mutilation – but also, the possibility of having pleasurable and safe sexual experiences, free of coercion, discrimination and violence. Indeed, it has become clear that human sexuality includes many different forms of behaviour and expression, and that the recognition of the diversity of sexual behaviour and expression contributes to people’s overall sense of well-being and health.”

5. A Human Rights Based Approach to the COVID-19 Pandemic: Principles and Actions. The Manitoba Human Rights Commission.

“As the COVID-19 pandemic sweeps across the globe, it has touched all Manitobans in some way and led to innovative and unprecedented responses from governments. Extensive public health campaigns, restrictions on social interaction and freedom of movement, and economic stimulus are just a few of the steps governments have taken in response to the virus. However, protecting public health can have implications for human rights, including the right to non-discrimination, education, employment and freedom of movement and assembly.”

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5 on 5 Pain Management

For our November 5 on 5 we are highlighting Pain Management resources in support of Pain Awareness Week November 6-12.

  1. CDC Clinical Practice Guideline for Prescribing Opioids for Pain —2022

“The 2022 CDC Clinical Practice Guideline for Prescribing Opioids for Pain (2022 Clinical Practice Guideline) is a clinical tool to help clinicians and patients work together to make informed, patient-centered decisions about pain care.

The 2022 Clinical Practice Guideline includes 12 recommendations for clinicians providing pain care for outpatients aged 18 years or older with acute pain (duration less than 1 month), subacute pain (duration of 1-3 months), or chronic pain (duration of more than 3 months).”

2. PEER simplified chronic pain guideline: Management of chronic low back, osteoarthritic, and neuropathic pain in primary care. Canadian Family Physician. 2022;68(3):179-190.

“This guideline for the management of chronic pain, including osteoarthritis, low back pain, and neuropathic pain, highlights best available evidence including both benefits and harms for a number of treatment interventions. A strong recommendation for exercise as the primary treatment for chronic osteoarthritic and low back pain is made based on demonstrated long-term evidence of benefit. This information is intended to assist with, not dictate, shared decision making with patients.”

3. CADTH Evidence on Pain Management

“You’ll find our best evidence on the management of pain. We’ll be updating this Evidence Bundle regularly with more evidence, including rapid evidence reviews (Rapid Response Reports), Environmental Scans, Horizon Scans, and our larger Optimal Use projects with expert recommendations, as they are completed.”

4. Emergency Medical Services for Children. Pediatric Education and Advocacy Kit (PEAK): Pain

“The majority of emergency department visits are related to pain. Untreated pain has short-term (pain and distress for the child, caregivers, and healthcare providers; prolonged procedure time; slower healing) and long-term consequences (increased sensitivity to pain; avoidance of healthcare settings; needle phobia, higher levels of anxiety before a procedure). Timely and effective multi-modal pain care improves procedure success rates, prevents the need for repeated attempts, improves patient flow, and improves patient and caregiver satisfaction. Repeated pain measures and consideration of each family’s unique situation, level of distress, and life experience can help guide appropriate therapy. PEAK: Pain was developed to provide resources for prehospital practitioners, hospital-based care providers, patients, and families to asses and manage pain in the pediatric patient.”

5. Pain Canada Resources.

“Continuing education for health care providers and other professionals, or pain self-management tools for community based programs or clinical resources for healthcare professionals and patients.”

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5 on 5 Mental Health

In honour of World Mental Health Day on October 10th, 2022 we are featuring 5 resources that support the mental health of Healthcare workers.

  1. Canadian Society for Medical Laboratory Science. Mental Health Toolkit.

“ARE YOU MENTALLY HEALTHY? By the time Canadians reach 40 years of age, 1 in 2 have—or have had—a mental illness. CSMLS has compiled a Mental Health Toolkit that empowers employees, employers, and organizations to take charge and make positive change within the medical laboratory profession.”

  1. Canadian Mental Health Association. Workplace Mental Health.

CMHA facilitates four national programs: Not Myself Today, Workplace Training, Psychological Health and Safety Training, Takeaways Toolkit.

  1. Mental Health Commission of Canada. Exploring two psychosocial factors for Health-Care workers: Support for psychological self-care and protection from moral distress in the workplace: Facilitators and Barriers. 2022.

“Psychological health and safety in the workplace is directly tied to our well-being. It is integral to our capacity to be effective, to feel significant, and to find meaning in our work. Those in health care face many challenges to being well at work, challenges that have increased exponentially during the COVID-19 pandemic. In this light, Canada’s health-care leaders and policy makers have an ethical responsibility to support health-care workers in their psychological self-care and protect them from moral distress.”

  1. World Health Organization (WHO). WHO guidelines on mental health at work. 2022.

“The recommendations cover organizational interventions, manager training and worker training, individual interventions, return to work, and gaining employment. The guidelines on mental health at work aim to improve the implementation of evidence-based interventions for mental health at work.”

  1. Registered Nursing Association of Ontario. Nursing Through Crisis: A Comparative Perspective. 2022.

“The surveys reveal that in the face of inordinate stress, with high work demands and little support from employers or government, nurses have been tested like never before. And, yet, they have continued – nursing through this crisis to give safe and compassionate care to patients, residents and clients. The majority of nurses have now reached their limit. A significant percentage of Canadian nurses across all nursing sectors and domains have experienced severe or extremely severe levels of depression, anxiety, and stress, with higher percentages among hospital nurses and front-line workers. Over 75 per cent of Canadian nurse respondents were classified as burnt out, with higher percentages among hospital nurses and frontline workers compared to other sectors or domains. Some nurses have already left the profession. In the Canadian survey 69 per cent of respondents planned to leave their positions within five years; 42 per cent of those planned to leave the profession either by retiring or by seeking employment in another field. Our findings confirm that the nursing profession is in crisis.”

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5 on 5 – ADHD

This month we’ve pulled together 5 online resources for ADHD:

  1. CADDAC – Centre for ADHD Awareness, Canada. https://www.caddra.ca/public-information/adults/resources-and-links/

“The Centre for ADHD Awareness, Canada (CADDAC) is a national not-for-profit organization providing leadership in education and advocacy for ADHD organizations and individuals with ADHD across Canada.”

  1. Attention Deficit Disorder Association (ADDA)

“ADDA is a worldwide inclusive community of supportive ADHD adults who make it possible to thrive with ADHD in today’s world. We are building a culture that celebrates ADHD and empowers our members to discover and reach their potential. We support adults with ADHD, provide a welcoming and safe environment, deliver reliable information, encourage innovative approaches and model ADHD best practices.”

  1. ADDitude

A magazine for parents and adults living with attention deficit hyperactivity disorder (ADHD).

  1. Children and Adults with Attention-Deficit/Hyperactivity Disorder (CHADD) – For Adults

Contains fact sheets, podcasts, and the ADHD information library.

5. National Institute of Mental Health. Attention-Deficit/Hyperactivity Disorder

Information sheet with links to brochures, multimedia, research and statistics.

Do you have a suggestion for future 5 on 5 topics? Let us know with an email to mhiknet@umanitoba.ca

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5 on 5 – Fetal Alcohol Spectrum Disorder (FASD)

By request! This month we’re featuring 5 free resources related to Fetal Alcohol Spectrum Disorder (FASD).

  1. Addictions Foundation of Manitoba Library 

Membership at the Addictions Foundation of Manitoba’s library is open to all Manitobans (18 years and over), free of charge.  Their William Potoroka Resource Collection is the largest collection of FASD resources in the province, focusing on FASD research, prevention and awareness, and parenting, caregiving and educational strategies. See their website for more information.

2. Fetal alcohol spectrum disorder: a guideline for diagnosis across the lifespan (2016)

This practice guideline, published in CMAJ, is an update to previous guidelines from 2005.

3. Foundations in FASD

Foundations in FASD is a basic training course offered online, for free, by the Canada FASD Research Network. It is “… intended for everyone that will come into contact with individuals with FASD including all sectors of work, families, individuals with FASD, spouses, and the general public. This foundational level training program provides the perspective of individuals who have FASD, is evidence-based, employs a culturally sensitive approach, and is presented in a way that is responsive to the learner’s needs”.  Additional courses from CanFASD are available for a fee.

4. Looking After Each Other: A Dignity Promotion Project

Looking after each other, affiliated with the Manitoba FASD Coalition, works towards creating a province where people with FASD and women who have used alcohol during pregnancy are fully accepted and their dignity is protected. Resources on their webpage include videos and mini documentaries about FASD, and a language guide for talking about FASD.

5.  Every Day is an Adventure: What Parents and Caregivers Need to Know About Fetal Alcohol Spectrum Disorder (FASD)

This resource from Healthy Child Manitoba provides information about FASD, and potential strategies for parents of children and teens with FASD. Some content from this document was used (with permission) in Fetal Alcohol Spectrum Disorder: an Australian toolkit for parents, caregivers and families, which also discusses FASD in adults.

Do you have a suggestion for future 5 on 5 topics? Let us know with an email to mhiknet@umanitoba.ca

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5 on 5 – Wound Care

August’s 5 on 5 features wound care resources.

  1. Oropallo A, et al. Guidelines for Point-of-Care Fluorescence Imaging for Detection of Wound Bacterial Burden Based on Delphi Consensus. (2021).

“Excessive levels of bacteria impede wound healing and can lead to infectious complications. Unfortunately, clinical signs and symptoms of elevated bacterial burden are often unreliable. As a result, point–of–care fluorescence imaging, used to detect critical bacterial burden in wounds, is becoming widely recognized and adopted by clinicians across the globe as an accepted and added component of wound assessment protocol. A Delphi method was employed to establish consensus guidelines describing fluorescence imaging use. A multidisciplinary panel of 32 wound experts (56% MD, 22% podiatrist, 12.5% nurses/nurse practitioners) representing multiple sites of service (e.g., hospital outpatient, inpatient, private office, long-term care) completed two rounds of online questionnaires. The Delphi included key topics, including competencies required to perform imaging, clinical indications for imaging (e.g., signs/symptoms present, procedures warranting imaging), frequency of imaging, and a clinical workflow algorithm. Describing their clinical experiences of imaging impact, >80% reported changes in treatment plans, 96% reported that imaging-informed treatment plans led to improved wound healing, 78% reported reduced rates of amputations, and 83% reported reduced rates of microbiological sampling. The guidelines provided here will help to standardize use of fluorescence imaging among wound care providers and enhance the quality of patient care.”

  1. Agency for Clinical Innovation. Organisational models of care for chronic wound. (2021).

An evidence review on “organisational models to deliver chronic wound care and prevention” and recommendations for “wound care organisations in preventing or managing chronic wounds.”

  1. Cochrane Reviews on Wound Care

Systematic reviews in the Cochrane Library on various topics related to wounds.

  1. Nurses Specialized in Wound, Ostomy and Continence Canada. Debridement: Canadian best practice recommendations for nurses. (2021).

“A core finding that emerged during the development of these best practice recommendations (BPR) was the inconsistent requirements for nurses to initiate and perform debridement across provinces/territories and health care settings. The apparent need for consistent and standardized debridement practices for nurses was identified as essential to facilitate optimal clinical outcomes and safety for patients and Canadian nurses. This document is intended for the three categories of nurses in Canada, registered nurse (RN), nurse practitioner (NP), and registered/licensed practical nurse (RPN/LPN).”

  1. Canadian Patient Safety Institute. Hospital harm improvement resource pressure ulcer. (2021).

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5 on 5 – Accessibility

For July we’re focusing on five free accessibility resources.

1) Dos and don’ts on designing for accessibility

This page, and its associated Dos and Don’ts posters, provide general guidelines and best design practices for making services accessible.

2) Maintaining Accessibility during COVID-19

This page from the Province of Manitoba outlines some service accessibility challenges during the pandemic and how they might be addressed.

3)  Accessibility Toolkit – 2nd Edition

The accessibility Toolkit by Amanda Coolidge, Sue Doner, Tara Robertson, and Josie Gray provides information on how to make online documents and videos more accessible.

4) Make your PowerPoint presentations accessible to people with disabilities

This page from Microsoft Support provides information on best practices for what to fix in your PowerPoint slides, how to find it, why to fix it, and how to fix it.  Information is relevant to PowerPoint for Windows, macOS, iOS, Android, Windows 10 app and the Web.

5) Otter.ai

Otter allows you to record and transcribe audio, which is useful for providing written transcripts for videos. There is a variety of pricing levels available, including a free version.

 

Do you have a suggestion for future 5 on 5 topics? Let us know with an email to mhiknet@umanitoba.ca

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5 on 5 – Trauma Informed Care

June’s 5 on 5 features Trauma Informed Care resources.

  1. Center for Health Care Strategies, Inc. Trauma Informed Care Implementation Resource Centre.

“Understanding and adopting a trauma-informed approach — at both the clinical and organization level —  can help organizations more effectively address the needs of patients.

The following resources can help guide health care organizations in adopting best practices for addressing trauma.”

  1. National Collaboration Centre for Aboriginal Health. Webinar: What’s new is really old: Trauma informed health practices through an understanding of historic trauma. (2017).

“Trauma informed health practices are the latest buzz words in the health field. The new is really the old. Teachings of the Elders and the practicing of these teachings have been the saving graces for many Indigenous Nations, amidst the adversity of historic trauma and the resultant complexities of grief and loss and lateral violence.

In this time of reconciliation, many Nations are slowly coming to terms (and actually starting to speak of historic trauma). These topics are not only complex, but at a community level, they’ve contributed to significant pain mentally, emotionally, spiritually and physically.

This webinar was presented by Dr. Patricia Makokis, of the University of Alberta, Faculty of Extension, and Dr. Margo Greenwood, of Northern Health and the National Collaborating Centre for Aboriginal Health (NCCAH). Dr. Makokis spoke from a community-based perspective, while Dr. Greenwood spoke to her work within the regional provincial health authority and the NCCAH. Both have worked in the field of community-based health for a number of years.”

  1. Government of Canada. Trauma and violence-informed approaches to policy and practice. (2018).

“Trauma and violence-informed approaches are policies and practices that recognize the connections between violence, trauma, negative health outcomes and behaviours. These approaches increase safety, control and resilience for people who are seeking services in relation to experiences of violence and/or have a history of experiencing violence.”

  1. Government of British Columbia. Healing Families, Helping Systems: A trauma-Informed practice guide for working with children, youth and families.  (2017).

This guide is concerned with advancing understanding and action about trauma-informed approaches that support program and service delivery for/with children, youth and families. A trauma-informed approach is a system-wide approach that is distinct from, yet linked to, the delivery of trauma-specific treatments and interventions.

  1. Alberta Health Services. Trauma Informed Care (TIC) For individuals who help those impacted by trauma provide patient centred care.

“Many of the people we interact with every day have been affected by overwhelming stress or traumatic experiences. Traumatic experiences change a person and can create turmoil within a person and in their life. This is especially true if events and/or conditions happen in childhood. The consequences of trauma are far reaching and can be directly or indirectly linked to mental illness, addictions, chronic disease, suicide, and overall, a failure to thrive.

The purpose of the Trauma Informed Care (TIC) Project is to increase knowledge about trauma and the impact it has by creating connection, sharing knowledge and resources. TIC offers resources for individuals who help those impacted by trauma provide patient centred care.”

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