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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5 on 5 – Hypertension

We’ve gathered the 5 free resources below to mark Hypertension Month.

1) 2020 – 2022 Hypertension Hightlights:A Practical Guide informed by the Hypertension Canada Guidelines for the Prevention, Diagnosis, Risk Assessment, and Treatment of Hypertension

“This booklet highlights the most critical and widely relevant aspects of the Hypertension Canada Guidelines. Beginning with proper measurement techniques for diagnosis and advancing through treatment and follow up, this booklet serves as a practical guide for health care professionals.”

2) Your Guide to Lowering Your Blood Pressure With DASH

“This booklet, based on the DASH research findings, tells how to follow the DASH eating plan and reduce the amount of sodium you consume. It offers tips on how to start and stay on the eating plan, as well as a week of menus and some recipes”

3) Pescatello, LS and colleagues for the 2018 Physical Activity Guidelines Advisory Committee. Physical Activity to Prevent and Treat Hypertension: A Systematic Review. Medicine & Science in Sports & Exercise. 2019. 51(6): p 1314-1323.
doi: 10.1249/MSS.0000000000001943

“This systematic umbrella review examines and updates the evidence on the relationship between physical activity (PA) and blood pressure (BP) presented in the 2008 Physical Activity Guidelines Advisory Committee Scientific Report.”

4) Supporting smoking cessation: A guide for health professionals (2019)

The Royal Australian College of General Practitioners has published this  “practical, succinct and evidence-based resource for use by a wide range of healthcare professionals working in a variety of contexts. The recommendations are based on research evidence and informed by guidelines from other countries with similar populations.”

5) Hypertension Canada’s Recommended Blood Pressure Monitoring Devices Listing 

Hypertension Canada’s Recommended BPM Devices List identifies home blood pressure monitoring devices that have been validated for accuracy.

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 – Oral Health

1. Canadian Association of Public Health Dentistry – Resources for professionals

2. The Canadian Dental Hygienists Association – Position papers, Statements & Guidelines

3. Canada Communicable Disease Report – Oral Health in Canada Issue (Nov/Dec 2020)

4. World Health Organization – Oral Health

5. US Department of Health and Human Statistics – Oral health resources for families

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5 on 5 – World TB Day

March 24th is World TB Day – here are a few of the free resources related to tuberculosis that are available to you.

1.  Manitoba Health, Seniors and Active Living – Tuberculosis

Manitoba Health Senior’s and Active living’s website provides information about tuberculosis in general, as well as the Manitoba Tuberculosis Program, the Manitoba Tuberculosis Protocol, and forms for treatment prescriptions.

2.  Nursing guide for managing side effects to drug-resistant TB treatment (2018)

This guide from the Curry International Tuberculosis Center  at the University of California, San Francisco & the International Council of Nurses  “is designed as a reference and job aid, so nurses can quickly:

  1. Identify symptoms that may indicate a side effect related to DR-TB treatment or antiretroviral medication;
  2. Assess for severity as well as other potential contributors; and
  3. Intervene appropriately in order to minimize patient discomfort, reduce side effect progression, and ultimately support successful treatment completion.”

The guide has been translated into various languages, including French.

3. Recommendations for TB Management among Populations Experiencing Homelessness (2020)

This document from Fraser Health “is intended to provide guidance on promising practice for local public health practitioners who are managing or preventing outbreaks in homeless/under housed populations”

4. Ending Stigma as Part of Patient-Centered Tuberculosis Care

This page from the Rutgers Global Tuberculosis Institute (New Jersey Medical School) features a webinar recorded in 2020 and links to related resources.

5.  Effective Interviewing for Tuberculosis Contact Investigation Video and Checklist

This page from the Rutgers Global Tuberculosis Institute (New Jersey Medical School) features a training video and checklist for interviewing patients that are newly diagnosed with TB.

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5 on 5 Cardiac Health

February’s 5 on 5 features Cardiac resources.

  1. Canadian Cardiovascular Society – Guideline Resources

“Our programs include a variety of activities, resources and tools that help Canadian cardiovascular health professionals integrate the guidelines into patient care. Our programs focus on awareness and education as well as handy reference tools and resources. Current guideline activities and resources include regional workshops, online webinars, pocket reference guides, educational slide decks, calculators, worksheets and our very popular smart phone apps.”

2. Canadian Women’s Heart Health Centre – Women’s Heart Health Resources

“Vetted by the Canadian Women’s Heart Health Alliance, these credible resources on women’s heart health address different types of heart disease, prevention, treatment, and communication with health providers.”

3. Nutrition.gov –  Heart Health

Patient resources for reducing risk of heart disease.

4.  Mayo Clinic – Medical Professionals Cardiovascular Diseases – Videos

A collection of free videos on cardiovascular disease including surgical procedures, interviews, grand rounds, and guidelines.

5. CIHI – Cardiac Care Quality Indicators Report

This report “examines the results of 6 comparable pan-Canadian indicators on mortality and readmission outcomes following percutaneous coronary intervention, coronary artery bypass graft and aortic valve replacement.”

 

March’s 5 on 5 features Tuberculosis resources!  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 – Alzheimer’s Disease and Dementia Resources

Happy New Year! For January we’ve selected 5 online resources relevant to Alzheimer’s Awareness Month.

  1. How to Handle Challenging Behaviours in People with Dementia: A guide for caregivers and family members

This tool from Toronto’s Mount Sinai Hospital Reitman Centre for Alzheimer Support and Training outlines many causes and potential solutions for challenging behaviours.

2. Alzheimer’s Training for Health Care Providers

The University of Kentucky Sanders-Brown Center on Aging has made eight free CE webcasts available online:

        • Non-AD Dementias: Dementia with Lewy Bodies, Frontotemporal Dementia and Vascular Dementia, Diagnosis, Treatment, and Research Advances
        • End Stage Dementia and End-of-Life Care
        • Safety Precautions in Older Patients: Medications, Driving Risks, and Home Environment
        • Confidentiality and Privacy of Health Information
        • Recognizing Medical Conditions that Mimic Dementia
        • The Docs Talk About Memory Loss: Is it Normal Aging or Alzheimer’s Disease?
        • Breaking News On the Horizon: How Close Are We to Curing Alzheimer’s?
        • Supporting Family Caregivers and Underserved Populations in Providing Care for Patients with Alzheimer’s

3. Evaluating Dementia Services and Supports: Instrument Resource List (2018)

This document provides a detailed list of validated evaluation instruments for community-based dementia programs that are available at nominal or no cost (permissions maybe required). Prepared for Administration for Community Living, U.S. Department of Health and Human Services.

4. Risk reduction of cognitive decline and dementia: WHO guidelines (2019)

The “WHO guidelines provide the knowledge base for health care providers, governments, policy-makers and other stakeholders to reduce the risks of cognitive decline and dementia through a public health approach.”

5. Delirium, Dementia, and Depression in Older Adults: Assessment and Care (2016)

“This nursing Best Practice Guideline … is to be used by nurses and other members of the interprofessional health-care team to enhance the quality of their practice pertaining to delirium, dementia, and depression in older adults, ultimately optimizing clinical outcomes through the use of evidence-based practices”.

 

February’s 5 on 5 features Heart Health!  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: Violence Against Women

This month MHIKNET’s 5 on 5 features resources related to violence against women.

December 6 is the National Day of Remembrance and Action on Violence Against Women.

  1. Responding to intimate partner violence and sexual violence against women: WHO clinical and policy guidelines (2013)

These guidelines provide guidance for healthcare providers and policy makers on responding to intimate partner violence and sexual violence against women.

  1. Violence against women publications WHO

A list of various resources on violence against women.

  1. Domestic violence and the workplace.

Contains an overview of the impact of domestic violence on workers and workplaces using Canadian research data.

  1. Tools guidance, and promising practices to help you prevent and respond to family violence.

A resource from the Public Health Agency of Canada including information on family violence, intimate partner violence, child maltreatment, elder abuses, and violence against Indigenous peoples.

  1. You are not alone: a toolkit for Indigenous women, girls and gender diverse people escaping domestic violence.

A patient resource written by the Native Women’s Association of Canada and includes: Are you in an abusive relationship?, Planning to leave, and After you leave.

 

NEXT MONTH: 5 on 5 will feature Alzheimer’s Disease and Dementia Resources. Is there a topic you want us to explore in a future 5on5? Let the MHIKNET staff know!

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5 on 5: Fall Prevention

November is Fall Prevention Month, here are a few resources you may want to check out.

1.  Stopping Elderly Accidents, Deaths & Injuries (STEADI) Functional Assessment Tools

The Centers for Disease Control & Prevention provides forms and accompanying videos on how to conduct the 30-Second Chair Stand test, the 4-Stage Balance test, and Timed Up and Go test.

2. Rate My Treads Slip Resistance Ratings – Our top picks 

Rate my Treads is a website that provides ratings for various types of winter footwear for their slip resistance in different winter conditions. It is a product of iDAPT, the research arm of the Toronto Rehabilitation Institute – University Health Network .

3. Falls Prevention Discussion guide (2016)

“The Centre for Effective Practice (CEP) developed a discussion guide and caregiver supplement to help providers and care staff assess fall risks and manage residents in long-term care to prevent falls and associated co-morbidities.  This guide integrates best-practice evidence, clinical experience, and makes reference to relevant existing tools and services where possible. “

4. Preventing Fall-Related Injuries in Children: An Environmental Scan of Resources and Evidence-Informed Best Practices (2019)

This document was “developed for Loop Junior, an on-line, interdisciplinary
community of practice to initiate knowledge mobilization that will further advance the field of fall prevention in children (age 0-9)”.

5. Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care (2013)

This toolkit from the Agency for Healthcare Research and Quality (AHRQ) focuses on overcoming the challenges associated with developing, implementing, and sustaining a fall prevention program.

NEXT MONTH: 5 on 5 will feature Preventing Violence Against Women. Is there a topic you want us to explore in a future 5on5? Let the MHIKNET staff know!

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5 on 5: Climate Change and Public Health

This month MHIKNET’s 5 on 5 features Climate Change and Public Health resources:

  1. Climate Information and Public Health Action 

“This book is based on the premise that climate knowledge and information can help protect the public from climate-sensitive health risks. With a focus on infectious disease, hydro-meteorological disasters and nutrition, the book explores why, when and how data on the historical, current and future (from days to decades) climate can be incorporated into health decision-making.”

2. Centre for Climate, Health, and the Global Environment – Resources

From Harvard School of Public Health contains key reports, child health information, videos, infographics, and articles.

3.  World Health Organization – Climate Change and Human Health

A report that contains information on weather climate, challenges for scientists, health impact of climate extremes, climate change and infectious diseases, stratospheric ozone depletion, ultraviolet radiation and health, national assessments, monitoring health effects, adaptation to lessen health impacts, policy to respond to climate change.

4. How Extreme Weather Events Affect Mental Health

A web resource from the American Psychiatric Association with resources on mental health and climate change.

5. The New England Journal of Medicine – Climate Crisis and Health

“A collection of articles and other resources describing effects of climate change on physical and psychological health and on the function of health care systems, including resources to support action by physicians and other health care professionals.”

NEXT MONTH: November’s 5 on 5 will feature Fall Prevention.

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5 on 5 for September: Harm Reduction

This month MHIKNET’s 5 on 5 features Harm Reduction Resources:

 

  1. Best Practice Recommendations for Canadian Harm Reduction Programs: Part 1 & Part 2

“The goal of the Best Practice Recommendations is to improve the effectiveness of harm reduction programs that deliver prevention services to people who use drugs and are at risk for human  immunodeficiency virus (HIV), hepatitis C (HCV), hepatitis B (HBV), and other harms.”

 

2. Equity-Oriented Opiate Treatment Agreements 

“… many of the standard agreements convey judgement and stigma, even when it’s unintended. In response, we offer an example of how to take a more equity-oriented approach to such agreements, should you choose to use them. “

 

3. Indigenizing Harm Reduction (UBC Learning Circle recording)

The First Nations Health Authority (BC) Indigenous Wellness Team discusses the BC opioid crisis, an indigenous perspective of harm reduction and the root causes of addiction and substance misuse.

** note that slides do not appear in the recording, you must access the pdf version of the slides to follow along, located below the video, above the speaker biographies.

 

4. Creating Cultures of Wellness [for Health professionals]

The Pacific Aids Network has gathered several online videos that address staff burnout, vicarious trauma, and psychological health and safety.

 

5. Winnipeg Regional Health Authority Harm Reduction Web Page

The WRHA resources list provides additional “links to resources, strategies and tools intended to support health care providers and other staff to better meet the needs of people who use drugs.”

 

NEXT MONTH: October’s 5 on 5 will feature climate change and public health

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