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<strong>Healthier</strong> <strong>You</strong><br />

2016<br />

Spring<br />

easy<br />

camping<br />

recipes!<br />

Page 30<br />

Divisions<br />

of Family<br />

Practice<br />

Grassroots healthcare<br />

change in<br />

your community<br />

Surgical<br />

initiative<br />

Puts patients at the<br />

centre of their care<br />

paving<br />

the way<br />

Telehealth clinics<br />

for post-transplant<br />

follow-up<br />

Page 26<br />

Better information, better care: Aboriginal Self Identification – p. 10


Volume 2, Issue 1<br />

coverstory<br />

paving<br />

the way<br />

Spring<br />

2016<br />

Telehealth clinics for<br />

post-transplant follow-up<br />

p.26<br />

Technology is helping patients in rural<br />

communities who otherwise must travel<br />

long distances to attend appointments.<br />

p.30<br />

Spring is here and many families are anxious<br />

to go camping. Here are some healthy, easyprep<br />

meal ideas for your next trip.<br />

inside<br />

Divisions of Family Practice Page 6<br />

Formed to encourage doctors to work in family practice,<br />

this grassroots approach has spread to 230<br />

B.C. communities.<br />

Quick and nutritious recipes Page 8<br />

Healthy recipes from Interior Health Registered Dietitian<br />

Laura Kalina and Cheryl Christian.<br />

Teamwork ACTs to help those<br />

at riskPage 14<br />

Assertive Community Treatment teams in Kelowna<br />

and Kamloops reach out to help people with significant<br />

mental health and substance use issues.<br />

Early Recovery After SurgerYPage 22<br />

Surgical initiative puts patients at the centre of their<br />

care – where they belong.<br />

Right care keeps seniors homePage 24<br />

A project in Kamloops this winter helped frail seniors<br />

recover at home instead of in hospital.<br />

Better information, better carePage 10<br />

Aboriginal Self Identification helps Interior Health meet<br />

human resources needs while supporting the health-care<br />

needs of our communities.<br />

spring 2016 <strong>Healthier</strong> <strong>You</strong> 3


WELCOMEmessage<br />

Chris Mazurkewich,<br />

President & CEO Interior Health<br />

Welcome from<br />

Interior Health<br />

I love spring. As things green up all<br />

around us and the days lengthen and<br />

brighten, I am excited to get my bicycle<br />

back on the road. Fellow cyclists will<br />

understand the clarity of thought that<br />

comes through a long ride.<br />

At Interior Health, we greet this<br />

spring with a clear focus. An aging<br />

population, growing rates of chronic<br />

disease, new treatments and technology,<br />

and competing demands for healthcare<br />

dollars make it important we<br />

allocate our time, resources, and energy<br />

strategically.<br />

There are five strategies that will be our top priority, guiding much of our<br />

work for the next three years:<br />

1. Enhance access to appropriate primary<br />

health care.<br />

2. Improve primary and community care<br />

outcomes and delivery for frail seniors<br />

living with complex chronic conditions.<br />

3. Improve primary and community<br />

care outcomes for mental health<br />

and substance use clients.<br />

4. Improve timely access to elective<br />

surgery.<br />

5. Implement a renewed system of care<br />

to improve access and service quality<br />

across rural and remote communities,<br />

including continuing to build relationships<br />

with Aboriginal partners to ensure health care<br />

RURAL AND<br />

ABORIGINAL<br />

HEALTH<br />

PRIMARY<br />

HEALTH CARE<br />

SURGICAL ACCESS<br />

SENIORS CARE<br />

MENTAL<br />

HEALTH AND<br />

SUBSTANCE<br />

USE<br />

is provided in a culturally safe and sensitive way.<br />

Our goal over the next three years is to reduce the growth in demand at<br />

hospitals and emergency departments, to free up the facilities to care for the<br />

acutely ill while people recovering from illness, coping with chronic medical<br />

conditions, or at the end of life, are primarily supported through communitybased<br />

programs.<br />

These strategies are demonstrated throughout our latest issue of <strong>Healthier</strong><br />

<strong>You</strong>. Stories highlight our efforts to build relationships with our physician<br />

partners around primary care; help mental health and substance use clients<br />

get out of hospital and into new homes; enhance surgical services; increase<br />

the number of Aboriginal staff in our work-force; and leverage technology<br />

to support patients in rural communities. Watch for icons that represent our<br />

strategic areas in the stories throughout the magazine.<br />

Enjoy the read, and whether you are on a bike, a hiking path, or out in the<br />

garden, I hope you have an opportunity to celebrate the arrival of spring and<br />

reflect on how you can further support your own healthy living.<br />

<strong>Healthier</strong> <strong>You</strong><br />

Volume 2, Issue 1 – Spring 2016<br />

Interior Health<br />

Published by:<br />

PUBLISHED BY interior HEALTH & GLACIER MEDIA<br />

Copyright ©2016. All rights reserved. Reproduction<br />

of articles permitted with credit.<br />

Contributors MENTAL / <strong>Healthier</strong> <strong>You</strong> is produced<br />

HEALTH<br />

HEALTH AND<br />

by the SUBSTANCE Interior Health communications team<br />

USE<br />

with contributions from public health staff, in<br />

partnership with Glacier Media.<br />

SENIORS<br />

CARE<br />

SURGICAL<br />

ACCESS<br />

Glacier Media Group<br />

PRIMARY<br />

Sales & Marketing<br />

HEALTH CARE<br />

Kevin Dergez<br />

Director RURAL AND<br />

ABORIGINAL<br />

of<br />

HEALTH<br />

Special Projects<br />

kdergez@glaciermedia.ca<br />

SURGICAL ACCESS<br />

Ellyn Schriber<br />

Newsmedia MENTAL HEALTH Features Manager BC<br />

AND SUBSTANCE USE<br />

eschriber@glaciermedia.ca<br />

Keshav Sharma<br />

Manager Specialty Publications<br />

ksharma@glaciermedia.ca<br />

Advertising Sales<br />

The Daily Courier – Kelowna<br />

Kamloops This Week<br />

Creative Director / Eric Pinfold<br />

eric@phitted.com | www.phitted.com<br />

www.glaciermedia.ca<br />

SENIORS CARE<br />

RURAL AND<br />

ABORIGINAL<br />

PRIMARY<br />

HEALTH<br />

CARE<br />

Advertisements in this magazine are coordinated by Glacier Media.<br />

Interior Health does not endorse products or services. Any errors,<br />

omissions or opinions found in this magazine should not be attributed<br />

to the publisher. The authors, the publisher and the collaborating<br />

organizations will not assume any responsibility for commercial loss<br />

due to business decisions made based on the information contained<br />

in this magazine. Speak with your doctor before acting on any health<br />

information contained in this magazine. No part of this publication<br />

may be reproduced or transmitted without crediting Interior Health<br />

and Glacier Media. Printed in Canada. Please recycle.<br />

4 <strong>Healthier</strong> <strong>You</strong> spring 2016


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Tread<br />

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SUBSTANCE<br />

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MENTAL<br />

HEALTH AND<br />

SUBSTANCE<br />

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PRIMARY<br />

HEALTH CARE<br />

SENIORS CARE<br />

SURGICAL ACCESS<br />

MENTAL HEALTH<br />

AND SUBSTANCE USE<br />

SURGICAL ACCESS<br />

RURAL CARE<br />

Divisions<br />

of Family<br />

Practice:<br />

Grassroots<br />

health-care<br />

change in your<br />

community<br />

Family doctors across B.C. are<br />

working with community and<br />

health-care partners—including<br />

health authorities—to enhance<br />

local patient care, achieve<br />

common health-care goals, and<br />

improve professional satisfaction<br />

for doctors. This work is being<br />

done by community-based groups<br />

of family doctors called divisions<br />

of family practice.<br />

above: South Okanagan Similkameen<br />

Division of Family Practice Executive<br />

Director Terrie Crawford with Board Chair<br />

Dr. Tim Phillips.<br />

Divisions of family practice were formed as part of an<br />

effort to encourage doctors to work in family practice.<br />

In 2002, many medical students were opting out of<br />

family medicine. So Doctors of BC and the provincial<br />

government began looking for new ways of empowering<br />

doctors to build relationships in their communities,<br />

promote leadership, and inspire health-care change. A<br />

grassroots approach was needed to kickstart this change,<br />

and the Divisions of Family Practice initiative, funded by<br />

Doctors of BC and the provincial government, provided<br />

this. The initiative began in 2009 with three local divisions,<br />

and there are now 35 divisions of family practice serving<br />

more than 230 B.C. communities. More than 4,700 family<br />

doctors are members of their local division. Today, health<br />

authorities play a critical role in partnering with Divisions<br />

of Family Practice at the local level.<br />

6 <strong>Healthier</strong> <strong>You</strong> spring 2016


There are seven divisions of family practice<br />

within Interior Health:<br />

1 Central Interior Rural, covering the towns of 100<br />

Mile House, Williams Lake, and Tatla Lake<br />

2 Central Okanagan, covering Kelowna, Westbank,<br />

Lake Country, and Peachland<br />

3 East Kootenay, covering Cranbrook, Creston,<br />

Fernie, Golden, Invermere, and Kimberley<br />

4 Kootenay Boundary, covering Castlegar, Christina<br />

Lake, Fruitvale, Grand Forks, Greenwood, Kaslo,<br />

Midway, Nakusp, Nelson, New Denver, Rock<br />

Creek, Rossland, Salmo, and Trail<br />

5 South Okanagan Similkameen, covering<br />

Keremeos, Oliver, Osoyoos, Penticton, Naramata,<br />

Summerland, and Princeton<br />

6 Shuswap North Okanagan, covering Armstrong,<br />

Enderby, Lumby, Salmon Arm, Sicamous,<br />

Sorrento, and Vernon<br />

7 Thompson Region, covering the Kamloops area<br />

Family doctors in local divisions meet with<br />

community partners and health-care stakeholders<br />

through committees called Collaborative Services<br />

Committees (CSCs). CSCs include representatives<br />

from the division, the local health authority, Doctors<br />

of BC, and the Ministry of Health. These partners<br />

work with other health-care stakeholders (e.g.,<br />

representatives from municipalities, other nonprofits,<br />

local First Nations, and patients) to identify and address<br />

local health-care challenges. “The CSC structure<br />

enables family doctors and their partners to identify<br />

shared goals and determine where and how to focus<br />

collective efforts to meet local health-care needs,” says<br />

Andrew Earnshaw, Executive Director of the Kootenay<br />

Boundary Division. “In Kootenay Boundary, the CSC<br />

includes Interior Health’s local leadership from all<br />

portfolios: Community, Mental Health and Substance<br />

Use, Acute, Residential Care and Allied Health.”<br />

One goal of divisions is to increase access to<br />

primary care for local residents. This is done in a<br />

number of different ways, including recruiting new<br />

doctors to communities; creating health-care teams<br />

by incorporating allied health care providers such<br />

as nurse practitioners, dietitians, and social workers<br />

into group practices; supporting doctors to practice<br />

more efficiently so they can take on more patients;<br />

and providing access to telehealth technology in rural<br />

communities to connect patients with follow-up care.<br />

One example of how divisions are working to improve<br />

access to primary care is the Martin Street Outreach<br />

Centre in Penticton, a partnership of the South<br />

Okanagan Similkameen Division of Family Practice and<br />

Interior Health. The centre opened in May 2015, and is<br />

now providing primary care to 350 patients with mental<br />

health and substance use issues. Care for these patients is<br />

provided by a team that includes doctors, Interior Health<br />

Mental Health and Substance Use counsellors, a social<br />

worker, and a STOP HIV nurse.<br />

Team-based care projects in East Kootenay, Kootenay<br />

Boundary, and Thompson regions are also underway,<br />

to help patients access the care and social supports<br />

they need. These projects focus on the integration<br />

of registered nurses, social workers, and life skills<br />

workers into practices. “The broad health authority<br />

representation on the Kootenay Boundary CSC is<br />

particularly important as we expand team-based care<br />

in our region,” says Earnshaw. “With perspectives from<br />

across the spectrum of care, family doctors and their<br />

health-care partners are well positioned to identify<br />

approaches to best suit the health-care needs of their<br />

communities.”<br />

Divisions are also working in communities around<br />

the province to improve care for seniors living in<br />

residential care facilities, through the Residential Care<br />

initiative. Changes implemented by the initiative<br />

will ensure that facility residents are provided with<br />

24/7 access to a doctor, proactive doctor visits, and<br />

medication reviews to identify harmful interactions and<br />

eliminate unnecessary medications.<br />

To learn more about projects being worked on by the<br />

division of family practice in your community, visit<br />

www.divisionsbc.ca.<br />

right: Division representatives regularly meet with<br />

Interior Health staff and others involved in local<br />

health-care planning.<br />

spring 2016 <strong>Healthier</strong> <strong>You</strong> 7


Quick and nutritious<br />

recipes to make<br />

healthy eating a breeze<br />

These recipes are from the Low-Glycemic Meals in Minutes cookbook,<br />

co-authored by Interior Health Registered Dietitian Laura Kalina and<br />

Cheryl Christian. Learn more at www.lowgimeals.com.<br />

For more information about healthy eating, visit www.healthyfamiliesbc.ca<br />

or call HealthLink BC at 8-1-1 (toll-free). Registered dietitians are available<br />

Monday to Friday from 9 a.m. to 5 p.m. to answer your nutrition questions.<br />

Homemade Sweet<br />

Potato Fries<br />

This recipe makes six servings.<br />

• 3 medium sweet potatoes<br />

or yams<br />

• 2 tbsp (30 mL) olive oil<br />

• 1 tbsp (15 mL) paprika<br />

• Seasonings of choice (for<br />

example, oregano and basil)<br />

• Salt and pepper to taste<br />

Directions<br />

1) Preheat the oven to 400 F.<br />

2) Wash and peel sweet potato (or<br />

leave skin on if desired).<br />

3) Cut each sweet potato into oneinch<br />

strips or wedges, and put<br />

into a large bowl.<br />

4) Add the olive oil, paprika and<br />

spices to the bowl and toss<br />

sweet potato to coat.<br />

5) Place sweet potato strips on a<br />

foil covered baking sheet.<br />

6) Bake for 15 minutes on one side<br />

and turn them over. Bake 15<br />

minutes on the other side. If you<br />

want to crisp further, put under<br />

broiler for two to three minutes.<br />

Calories 112; carbs 16g; protein 1g;<br />

fat 5g; fibre 2g<br />

Amazing Quiche<br />

Makes four to six servings.<br />

• 4 large eggs<br />

• 1 ½ cups 1% milk<br />

• ¼ cup whole wheat flour<br />

• 3 tbsp cornmeal<br />

• 3 green onions, chopped<br />

• ½ red bell pepper, finely chopped<br />

• 1 cup low-fat cheddar cheese, grated<br />

• ½ tsp salt<br />

• ½ tsp pepper<br />

Directions<br />

1. Preheat oven to 400 F. Spray a 9-inch<br />

pie plate with vegetable oil.<br />

2. In a blender or food processor, combine<br />

eggs, milk, flour, and cornmeal. Blend<br />

for 30 seconds, until well blended.<br />

3. In the prepared pie plate, gently toss green onions, red pepper, grated<br />

cheese, salt and pepper. Pour the milk and egg mixture over the cheese<br />

mixture.<br />

4. Bake 30 minutes, or until a knife inserted in the centre comes out clean.<br />

Calories 168; carbs 14g; protein 14g; fat 6g; fibre 2g<br />

Nutrition tip: Adequate intake of both calcium and vitamin D can<br />

reduce the risk of developing osteoporosis. Both children and adults need<br />

1,000 to 1,500 mg of calcium daily, depending on age. In terms of food, that<br />

means consuming at least three servings of milk products every day. One<br />

serving includes one cup of milk or enriched soy milk, ¾ cup of yogurt, or<br />

1 ½ oz of cheese. Most people can’t get enough calcium and vitamin D in<br />

their diets, so we recommend a pharmaceutical grade calcium supplement<br />

containing magnesium and vitamin D. From the Low-Glycemic Meals in<br />

Minutes cookbook.<br />

8 <strong>Healthier</strong> <strong>You</strong> spring 2016


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Better<br />

information,<br />

better care:<br />

Aboriginal Self Identification<br />

Growing up in the Nuxalk<br />

Nation on B.C.’s remote<br />

north coast, Kirsten Tallio<br />

was always taught to<br />

honour her elders.<br />

“In our culture you give high regard to<br />

the elderly,” she says. “I was raised by my<br />

grandparents and was taught that from a very<br />

young age.”<br />

Now, in her work as an LPN with Home Health<br />

in Kamloops, the teachings of her grandparents<br />

are at the forefront as Kirsten provides care and<br />

support for frail elders in their homes.<br />

Kirsten is one of more than 700 employees who<br />

have self-identified as Aboriginal since June<br />

2011 when Interior Health’s Aboriginal Self<br />

Identification initiative was launched for staff.<br />

continued on page 12 <br />

above: Home Health Team Leader Kirsten<br />

Tallio is one of more than 700 Interior<br />

Health employees to self-identify as<br />

Aboriginal so far under the Aboriginal Self<br />

Identification initiative.<br />

10 <strong>Healthier</strong> <strong>You</strong> spring 2016


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continued from page 10<br />

“I really enjoy community care. I feel I can<br />

provide care in a very personal way. I enjoy<br />

getting to know our clients well and spending<br />

that one-on-one time with them.”<br />

“I think it’s really important for our Aboriginal<br />

patients and clients to have Aboriginal people<br />

working here and providing care,” says Kirsten.<br />

“If you look at something like pain level, or<br />

other issues that are bothering them, sometimes<br />

people may not tell the truth. They may view it<br />

as complaining, which is not their custom. But if<br />

I start talking to<br />

them about what<br />

band they are<br />

from, their family<br />

relations and<br />

cultural practices,<br />

they feel more<br />

comfortable and<br />

open up more.”<br />

“The information<br />

helps us develop<br />

and implement<br />

Aboriginal human resource strategies that<br />

encourage Aboriginal people to pursue healthcare<br />

careers,” says Brad Anderson, Director<br />

of Aboriginal Health in Interior Health. “We<br />

know the availability of Aboriginal health-care<br />

professionals is linked to improved health<br />

outcomes for Aboriginal people. There is a great<br />

opportunity to meet the human resource needs<br />

of our organization while also supporting the<br />

health-care needs of our communities.”<br />

“From a staff perspective, I<br />

think it’s important to see other<br />

Aboriginal staff and to hear<br />

their stories.<br />

<br />

The Aboriginal Self Identification initiative<br />

supports various elements of Interior Health’s<br />

Aboriginal Health and Wellness Strategy, as well<br />

as its Aboriginal Human Resources Strategy.<br />

“From a staff perspective, I think it’s important<br />

to see other Aboriginal staff and to hear their<br />

stories. I find it inspiring. I’d love to eventually<br />

become an RN, and knowing others have been<br />

on that journey and accomplished their goals is<br />

inspiring,” says Kirsten.<br />

Another important part of the Aboriginal Self<br />

Identification<br />

program is<br />

patient and client<br />

– Kirsten Tallio<br />

self-identifying.<br />

At registration,<br />

patients and<br />

clients are asked<br />

whether they<br />

self-identify as<br />

Aboriginal or<br />

Métis. Like the<br />

staff program,<br />

participation is voluntary. If they answer<br />

“yes”, there are additional questions, including<br />

whether or not they would like to be put in<br />

touch with unique programs and services<br />

such as Interior Health’s Aboriginal Patient<br />

Navigators.<br />

“It’s important to us that we provide culturally<br />

sensitive care,” says Brad. “Ultimately, the<br />

information helps us develop, implement and<br />

assess services that support those receiving care.”<br />

More info:<br />

Visit Interior Health at www.interiorhealth.ca to learn more<br />

about the Aboriginal Self Identification initiative.<br />

12 <strong>Healthier</strong> <strong>You</strong> spring 2016


Public transit...<br />

It’s good for your health!<br />

Health Connections – Regional Transit Service<br />

Health Connections provides you with accessible transportation options to<br />

non-emergency medical appointments. Although medical appointments have<br />

priority, everyone is eligible to use this service if space is available.<br />

Chase to Kamloops 1·888·376·7525<br />

Creston to Cranbrook 1·877·843·2877<br />

Elk Valley to Cranbrook 1·855·417·4636<br />

Golden to Cranbrook 1·250·344·5237<br />

Kaslo to Nelson/Trail 1·855·993·3100<br />

Kimberley to Cranbrook 250·427·7400<br />

Lillooet/Lytton to Kamloops 1·855·359·3935<br />

Logan Lake to<br />

1·866·376·7525<br />

Kamloops/Kelowna<br />

Merritt to<br />

1·888·376·7525<br />

Kamloops/Kelowna<br />

Nakusp to Nelson/Trail 1·855·993·3100<br />

Nelson/Slocan to Trail 1·855·993·3100<br />

100 Mile House to<br />

250·395·2834<br />

Williams Lake<br />

Princeton to Penticton 1·800·291·0911<br />

Revelstoke to<br />

1·866·618·8294<br />

Kamloops/Kelowna<br />

Salmo to Nelson 1·855·993·3100<br />

Williams Lake to Kamloops 1·866·933·7812<br />

5224<br />

www.bctransit.com


RURAL CARE<br />

MENTAL<br />

HEALTH AND<br />

SUBSTANCE<br />

USE<br />

PRIMARY<br />

HEALTH CARE<br />

SENIORS CARE<br />

SURGICAL ACCESS<br />

MENTAL HEALTH<br />

AND SUBSTANCE USE<br />

SURGICAL ACCESS RURAL CARE<br />

Teamwork<br />

ACTs<br />

to help those at risk<br />

above: Kelowna ACT Team<br />

Lead Lisa Wensink.<br />

Jeanette Judson, 54, has a powerful voice. Even<br />

when speaking about her struggles with mental<br />

illness, poverty and abuse, she is unabashed.<br />

“We need to talk about these things,” she<br />

says passionately. “We need to talk about<br />

mental health, affordable housing, and<br />

poverty. Our lives are not set in stone. I<br />

really want people to know that anyone<br />

could end up like I was.”<br />

Jeanette was found by an Assertive<br />

Community Treatment (ACT) team<br />

member living on the streets in Kamloops<br />

last summer, deep in crisis. She had been<br />

in and out of shelters for years, struggling<br />

to manage her mental health and make<br />

ends meet.<br />

Interior Health’s ACT team helped<br />

Jeanette stabilize and connected her with<br />

important social and health-care supports.<br />

continued on page 18 <br />

14 <strong>Healthier</strong> <strong>You</strong> spring 2016


ACT client Jeanette<br />

credits members of the<br />

ACT team for being an<br />

important part of her<br />

current well-being. “I<br />

know they want me to<br />

be healthy,” she says.<br />

spring 2016 <strong>Healthier</strong> <strong>You</strong> 15


Q&A<br />

Ho-<strong>You</strong>ng Chung, DDS<br />

Implant and Surgical Dentistry<br />

603-1801 Princeton-Kamloops<br />

Hwy (Hwy 5A South)<br />

Kamloops, British Columbia V2E 2J7<br />

Phone: 250-372-7177<br />

Fax: 250-372-7109<br />

Email: admin@kamloopsimplants.com<br />

Web: www.kamloopsimplants.com


Kamloops Dental<br />

and Implant Solutions<br />

We understand that missing one tooth or all<br />

teeth can have a significant impact on your<br />

lifestyle. Missing teeth can cause a variety of<br />

health concerns, including issues related to<br />

speaking and eating and can affect your overall<br />

well-being.<br />

Dr. Ho-<strong>You</strong>ng Chung, DDS, founder of Kamloops Dental and Implant Solutions<br />

provides innovative dental and implant solutions in a safe, gentle, and caring<br />

setting. With a model of patient-centred care, Dr. Chung and his dedicated implant<br />

and surgical team are committed to helping their patients regain their selfconfidence<br />

and quality of life.<br />

Q What innovative dental and implant solutions do you provide?<br />

A Whether it’s having wisdom teeth removed or dental implants placed, many of our patients have some level of<br />

dental anxiety. We understand that even the thought of having dental work done can be a challenge for many; this is<br />

why we offer several levels of sedation for our patients.<br />

Our goal is to provide same-day implant solutions to help minimize the number of procedures and visits. If you have a<br />

broken front tooth that cannot be saved, we can remove that tooth, place an implant, and attach a new tooth all in one<br />

appointment. This is an alternative to waiting many months for grafting to heal and wearing a partial denture that you<br />

have to take in and out.<br />

If you have a loose, floppy denture and want to be able to eat better, we can place implants and have your denture<br />

“clip on” all in one appointment. Patients who pursue this option at other clinics potentially wait 6-12 months before<br />

they have their denture securely fitted into their implants. We want our patients to heal as quickly as possible, and at<br />

the same time, provide affordable and predictable dental implant solutions.<br />

Q What makes your dental implant centre unique?<br />

A We want our patients to eat better, smile more, and feel younger. It’s the story of our patients who come to us that<br />

truly makes an impact. Whether it’s a 93-year-old widower who wants to eat better, the husband who wants his wife to<br />

have her smile back, or the young woman who is about to get married and has a broken front tooth — they all have a<br />

story to tell. We are here to listen to our patients and want them to feel at home.<br />

Q What makes you different from other dentists?<br />

A We are a referral-based centre with patients coming from Kelowna, Vernon, Penticton, Chilcotin Valley, and of<br />

course, Kamloops and its surrounding areas. We want to provide exceptional care by focusing our practice on implant<br />

dentistry.<br />

Q How do you share your passion for implant dentistry with other dentists?<br />

A I am a faculty instructor at the Bites Institute for Implant Training in Burnaby, BC, a dental implant educational<br />

centre dedicated to teaching other dentists incorporate implant dentistry into their everyday practice. As part of Bites<br />

Institute, I have the pleasure of lecturing across Canada to fellow dentists. I also am a mentor for a monthly dental<br />

study group at our clinic in which other local dentists meet and share ideas.<br />

sponsored content


Kelowna committee brings partners<br />

together to help vulnerable clients<br />

In Kelowna, a new Community Advisory Committee<br />

has been established to advise around social issues<br />

that impact ACT clients. This year, housing has been<br />

the Committee’s focus. The group now includes close<br />

to 20 members including: RCMP; Canadian Mental<br />

Health Association; John Howard Society; Kelowna<br />

General Hospital; Ministry of Justice; Outreach Urban<br />

Health/Rutland Aurora Health Centre; Gospel Mission;<br />

Métis Commission; Ki-Low-Na Friendship Society;<br />

Alexandra Gardner; City of Kelowna; a person with<br />

lived experience; a family member; Ministry of Social<br />

Development; BC Housing; and the ACT team.<br />

The Committee serves as an advisory body to the<br />

clinical and support staff and management of the ACT<br />

teams and provides valuable input into the planning and<br />

delivery of ACT team services in the Kelowna area.<br />

An individual with personal experience sits on the<br />

advisory committee along with a family member to<br />

ensure the client voice is present at the table during<br />

discussions. This unique committee meets quarterly<br />

and provides community input.<br />

continued from page 14<br />

Now she has a safe place to lay her head and access to<br />

a health-care team. Most of all, she has the ACT team –<br />

members of which she considers friends.<br />

“I was isolated. For years, I had no family, I had no<br />

friends. I was outside. It was cold and it was terrifying,” she<br />

says. “I am so thankful for the ACT team. I know they want<br />

me to be healthy and we are working together to the same<br />

goal. If it weren’t for them I honestly don’t know where I<br />

would be.”<br />

Jeanette is one of approximately 30 ACT clients in<br />

Kamloops, while a similar team in Kelowna also has about<br />

30 clients registered. After launching in mid-April 2015, the<br />

teams are actively reaching out to those in Kamloops and<br />

Kelowna with severe and persistent mental illness. They will<br />

eventually serve 80 clients in each community.<br />

ACT teams are actively involved in outreach and are on<br />

hand to stabilize crises whenever they occur. The team has<br />

on-call coverage 24/7.<br />

“These are individuals who frequently have substance use<br />

issues. They are homeless or at risk of homelessness, and<br />

18 <strong>Healthier</strong> <strong>You</strong> spring 2016


they are high users of hospital and police services. Their<br />

care needs are complex and they have not benefitted from<br />

our traditional mental health and substance use programs,”<br />

explains Lisa Wensink, ACT team leader in Kelowna.<br />

“Many are referred to the team from Interior Health’s<br />

Mental Health programs but we also hear from our<br />

partners, such as local police.”<br />

It is these partnerships and the multidisciplinary team<br />

behind ACT that makes the program so unique.<br />

The ACT team consists of: a team leader; occupational<br />

therapist; four nurses; a social worker; two community<br />

mental health workers; vocational rehab specialist;<br />

substance use specialist; peer support worker;<br />

administrative support; and a psychiatrist.<br />

“The team approach is powerful and that extends to<br />

our partners,” says Lisa. “A big part of our work is liaising<br />

with them to provide a really comprehensive service. We<br />

frequently are in contact with police, the Canadian Mental<br />

Health Association, and probation services, because many<br />

of our clients have had legal issues. We also work with the<br />

hospital to ensure the transition from hospital to home is<br />

seamless. We work with the Ministry of Social Development<br />

around financial support, and also with agencies such as<br />

food banks and shelters.”<br />

“The Kelowna RCMP work very closely with street<br />

entrenched individuals who reside in the city’s downtown<br />

core, and who are often prime candidates for the ACT<br />

team,” says Corporal Carrie Seale, a regular member of<br />

the RCMP for 18 years and currently working in the<br />

detachment’s Downtown Enforcement Unit (DEU).<br />

“Having worked in this area of policing for over half my<br />

service, I have personally noted that more and more of our<br />

clients who end up homeless on the streets, often also suffer<br />

from persistent mental health concerns, as well as various<br />

substance abuse and addiction issues.”<br />

“The ACT team liaises directly with the RCMP on a<br />

regular basis for referrals and will then follow-up with these<br />

Kamloops team helps house homeless<br />

Since May 2015, ASK Wellness Rapid Rehousing team<br />

and the ACT team have worked together to provide<br />

safe and affordable housing and community supports<br />

to mutual clients in Kamloops. This working partnership<br />

is already proving to be beneficial to landlords and<br />

tenants.<br />

Called the Rapid Rehousing team, they secure housing<br />

throughout the community in ASK’s name with the<br />

intention that clients will take over tenancy when<br />

deemed ready. ASK provides necessary support to the<br />

tenant/ landlord relationship, which is imperative to<br />

securing and maintaining housing.<br />

The ACT team provides the necessary clinical services,<br />

which reassures participating landlords that each tenant<br />

is adequately supported and available to them as<br />

needed.<br />

“ACT team members are always easy to get a hold<br />

of for assistance and consultation. Their service is<br />

24 hours each day, whether it be in person or by<br />

telephone, which reassures landlords that they have a<br />

support team to turn to if they need guidance,” says<br />

ASK Wellness Social Worker Kim Galloway. “One<br />

landlord in the program reported a 15 minute response<br />

time from the time she called for assistance. An<br />

ACT member along with a Rapid Rehousing member<br />

addressed her concern immediately and tenancy was<br />

maintained.”<br />

“As part of the Rapid Rehousing team, I have seen the<br />

success of this program grow very quickly. The roles of<br />

ASK and ACT are distinct; however, we work together<br />

to ensure the success of the program. Landlord<br />

response is very positive and there is a recognised<br />

appreciation for the level of commitment to both<br />

housing support and clinical services. We are excited<br />

for continued work with the ACT team and further<br />

expansion and development of our program.”<br />

We specialize in placing<br />

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Request a sample profile from the database on our<br />

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spring 2016 <strong>Healthier</strong> <strong>You</strong> 19


left: Kelowna ACT Team<br />

Lead Lisa Wensink (centre<br />

back) cites teamwork,<br />

partnerships and peer<br />

support as keys to the<br />

program’s success.<br />

target clients countless times a day. ACT has often<br />

been the light at the end of the tunnel for officers<br />

who deal with the repetitive calls for service<br />

directly related to these troubled individuals,”<br />

explains Cpl. Seale. “As a result, the Kelowna<br />

RCMP has noted a decrease in calls for service<br />

with these specific clients. When circumstances<br />

arise that require police to intervene, ACT is<br />

usually just a quick call away,” adds Cpl. Seale.<br />

“When called upon, the ACT team provides a<br />

varied and comprehensive response, which ranges<br />

from attending the detachment’s cell block, to<br />

providing assistance in navigating a burdensome<br />

system, to taking over the care of clients at the<br />

hospital. ACT has been a valued partner of the<br />

RCMP, as the variety of services provided by this<br />

team is a recipe for success.”<br />

A lot of healing, hope and<br />

validation take place when<br />

peers come together.<br />

<br />

– Davina Kula, ACT Team<br />

Peer support is another key aspect of the ACT<br />

approach. The team includes a person with lived<br />

experience - someone who has been in the clients’<br />

shoes and is able to advocate and ensure their<br />

voices are heard during planning and discussions.<br />

Peer support puts the person first. It is not a<br />

replacement for clinical services, rather, a powerful<br />

complement to it.<br />

“We are the experts on ourselves and we can<br />

learn to self-advocate and use our voices. I<br />

would not be here without my vast peer support<br />

network. Peer supporters sit shoulder-toshoulder,<br />

holding each person in unconditional<br />

high regard, by role modeling wellness and<br />

empowerment, and reminding us that recovery<br />

is possible. We are the evidence,” states Davina<br />

Kula, peer support specialist with the Kelowna<br />

ACT team. “I am so grateful and blessed to bear<br />

witness to my peers living outside the illness<br />

during group outings, while we explore activities<br />

and practices for our wellness toolbox. A lot of<br />

healing, hope and validation take place when peers<br />

come together. Peer support in action!”<br />

“The peer support role is absolutely vital,”<br />

agrees Lisa. “They are often the voice of hope for<br />

the client. They are there to show that people can<br />

be well and healthy and that recovery is possible.<br />

They do a lot of engaging with people to make<br />

them feel less alone. They are often seen by the<br />

client as a safe person to be with, since clients may<br />

not have a positive view of health care.”<br />

Clients with the ACT program may be seen<br />

three times a week, or twice a day. They may be<br />

part of the program for two years, or indefinitely.<br />

The supports are driven by the client’s needs, and<br />

it is a long-term commitment.<br />

Although relatively new and still growing its<br />

client base, the program is working.<br />

“This is a really well–researched approach with<br />

a lot of supporting data in terms of decreasing<br />

homeless, decreasing hospital visits, decreasing<br />

legal issues,” says Lisa. “We have clients who have<br />

had a lot of challenges. They are able to start<br />

school, do some work, get housing – and start to<br />

trust our health system. They are able to live an<br />

optimum life in the community.”<br />

To learn more about the Assertive Community<br />

Treatment approach and how these teams are making<br />

a difference for some of the most vulnerable clients<br />

in Kamloops and Kelowna, visit www.act-bc.com.<br />

20 <strong>Healthier</strong> <strong>You</strong> spring 2016


For over thirty years, the Royal Inland Hospital Foundaon has existed to<br />

build long-lasng relaonships and inspire donors to support life-saving<br />

medical care at the one and only hospital in our community. With limited<br />

hospital funding and resources, the RIH Foundaon relies on the generosity<br />

of our supporters to fund crical health care iniaves that contribute<br />

to compassionate, high-quality care and the well-being of paents<br />

and their families.<br />

When you leave a legacy gi to the Royal Inland Hospital, you are having<br />

a direct impact on healthcare excellence at RIH for years to come. Legacy<br />

giving is a wonderful way to support the things you care about most,<br />

today and far into the future. Legacy gis provide life-saving care, stateof-the-art<br />

equipment and medical educaon opportunies that ensure<br />

the medical team at our hospital has the tools they need to care for our<br />

community.<br />

“It is impossible for the government to<br />

meet all of our needs. Therefore,<br />

those who are capable of contribung,<br />

no maer the amount, should<br />

consider supporng RIH. Our hospital<br />

is a great community resource and we<br />

need to support the talented doctors,<br />

nurses and other staff so they are able<br />

to properly care for each one of us.”<br />

Robbie Dunn, RIH Foundaon Legacy<br />

Circle Member<br />

A legacy gi can take many forms including a bequest in your Will, a gi of life insurance or beneciary designa-<br />

on of your RRSP/RRIF. Everyone who makes a legacy gi to RIH Foundaon is welcomed into our Legacy Circle<br />

Society. It’s our way of recognizing your generosity and commitment to RIH. Call the RIH Foundaon at<br />

250.314.2836 for more informaon on how to create your own legacy at Royal Inland Hospital.<br />

www.rihfoundaon.ca


USE<br />

PRIMARY<br />

HEALTH CARE<br />

SENIORS CARE<br />

SURGICAL ACCESS<br />

MENTAL HEALTH<br />

AND SUBSTANCE USE<br />

SURGICAL ACCESS<br />

RURAL CARE<br />

Surgical<br />

initiative:<br />

Putting patients at the<br />

centre of their care<br />

Most of us regard surgery as something that is done to patients by<br />

physicians and nurses. But that thinking is going by the wayside at<br />

Interior Health hospitals, thanks to a quality initiative called Enhanced<br />

Recovery after Surgery (ERAS).<br />

“Enhanced Recovery is about doing WITH patients, and not TO<br />

patients,” says Garth Vatkin, Interior Health’s Quality Improvement<br />

Consultant for surgical initiatives. “When patients are partners in their<br />

care, it results in better outcomes.”<br />

Enhanced Recovery is designed to help patients recover from major<br />

surgery more safely and easily than ever before. It’s a multidisciplinary<br />

approach – every health-care professional who touches the patient<br />

is included and involved along the way, from initial consultation in<br />

the surgeon’s office, to pre-surgical screening, to the anesthesiologist<br />

and operating room staff, to the post-operative recovery team which<br />

includes nurses, pharmacists, physiotherapists, occupational therapists,<br />

and dietitians.<br />

above: Kelowna anesthesiologist<br />

Dr. Ron Collins is an advocate for<br />

Enhanced Recovery, an approach that<br />

puts more control in patients’ hands<br />

and results in fewer complications<br />

post-surgery.<br />

credit: Photo courtesy of the Royal<br />

College of Physicians and<br />

Surgeons of Canada.<br />

22 <strong>Healthier</strong> <strong>You</strong> spring 2016


“This team approach has a<br />

huge benefit – everyone works in<br />

conjunction, with the goal of best<br />

patient care in mind,” Garth says.<br />

“Patients themselves take a larger role<br />

and responsibility in their care. They<br />

are given more information than ever<br />

before about what to expect with their<br />

surgery, before, during and after. They<br />

are really willing partners in their<br />

treatment and recovery.”<br />

Enhanced Recovery was introduced<br />

within Interior Health in 2011,<br />

through a pilot project at Kelowna<br />

General Hospital led by Dr. Ron<br />

Collins, which focused on colorectal<br />

surgery. Colorectal was chosen because<br />

research is strong in this area and<br />

indicated that patient outcomes can<br />

be improved by implementing an<br />

Enhanced Recovery program.<br />

It was a groundbreaking initiative<br />

because the actions associated with<br />

Enhanced Recovery challenged<br />

traditional practices, such as:<br />

carbohydrate loading before surgery, as<br />

opposed to starving patients; chewing<br />

gum in post-op, and feeding people<br />

earlier, to stimulate bowels; speeding<br />

up mobility by encouraging patients<br />

to walk from the stretcher to his or her<br />

bed; and removing the catheter earlier.<br />

Dr. Collins and his team began<br />

seeing positive outcomes from the<br />

work. Length of stay for patients<br />

started to decrease and patients<br />

expressed higher level of satisfaction by<br />

being more involved and accountable<br />

in their care.<br />

“I think the real success of ERAS<br />

is that it demonstrates how a<br />

multidisciplinary team of committed<br />

front-line providers can positively<br />

impact the health-care system,” Dr.<br />

Collins says. “This initiative very<br />

deliberately mobilized patients to<br />

participate more actively in their own<br />

recovery, and they prove to be willing<br />

and capable partners. We also now<br />

clearly understand that many, if not<br />

most, complications can be avoided by<br />

changing the way we provide care.”<br />

Others in Interior Health took notice<br />

of KGH’s results. By October 2013,<br />

through the sponsorship of Doctors<br />

of BC’s Special Services Committee,<br />

ERAS had spread to six other hospitals:<br />

Royal Inland Hospital in Kamloops;<br />

Penticton Regional Hospital; Vernon<br />

Jubilee Hospital; Kootenay Boundary<br />

Regional Hospital in Trail; East<br />

Kootenay Regional Hospital in<br />

Cranbrook; and Cariboo Memorial<br />

Hospital in Williams Lake. Each site<br />

has introduced ERAS in varying ways,<br />

depending on what best suited their<br />

individual hospital and patient needs.<br />

Royal Inland in particular was an<br />

enthusiastic participant and has shown<br />

great gains. For example surgical site<br />

infections have dropped by nearly 65<br />

per cent, and the average length of<br />

patient stay has dropped to 5.2 days,<br />

from 7.6 days before ERAS.<br />

One reason Royal Inland has<br />

been able to excel is that it has<br />

coupled its Enhanced Recovery<br />

program with its National Surgical<br />

Quality Improvement Program<br />

(NSQIP). NSQIP is a data-driven,<br />

outcomes-based surgical quality<br />

improvement program that enables<br />

hospitals to identify opportunities<br />

for improvement for patient care and<br />

outcomes. The program follows the<br />

entire surgical patient’s journey from<br />

pre-operative, through intra-operative,<br />

to 30 days after their surgery.<br />

Donna Lineker, Royal Inland’s<br />

manager of post-anesthetic recovery,<br />

day care surgery and pre-surgical<br />

screening, says the key to the<br />

Kamloops hospital’s success has been<br />

the teamwork of the care providers,<br />

championed by surgeon Dr. Tom<br />

Wallace.<br />

“It’s a group effort. The entire team<br />

is doing what’s best for the patient,<br />

based on good, scientific research and<br />

best practice,” Donna says. “It makes it<br />

easy. Everyone knows the expectations<br />

and can see the results. Patients are<br />

going home in two-and-a-half, three<br />

days, and they aren’t coming back.<br />

This is excellent quality patient care<br />

that is patient-centred.”<br />

The proof is in the patient<br />

feedback. Consider these<br />

follow-up comments from<br />

patients:<br />

“Excellent personalized care. Had<br />

great follow up by surgeon, surgical<br />

resident, anesthetist, recovery room<br />

nurse and nurse in charge.”<br />

“Excellent nursing care. They really<br />

helped me mobilize which sped my<br />

recovery.”<br />

“(Enhanced Recovery) was pivotal in<br />

my recovery and it should be used<br />

in all surgeries it is applicable to.<br />

It provided me and my family with<br />

all the information we needed to<br />

be comfortable and ‘in the know’<br />

with my recovery and all the steps<br />

along the way. This was a ‘top<br />

notch’ experience and I fully credit<br />

(Enhanced Recovery) with my great<br />

outcome and surgical experience.”<br />

Interior Health’s success with<br />

Enhanced Recovery has made it a<br />

provincial leader in the initiative. In<br />

November 2014, Royal Inland and<br />

Kelowna General joined the Provincial<br />

ERAS Collaborative, which is cochaired<br />

by Garth and Dr. Collins,<br />

along with Dr. Ahmer Karimuddin,<br />

general surgeon at St. Paul’s Hospital<br />

in Vancouver. The Collaborative’s<br />

goal is that every patient undergoing<br />

surgery in B.C. will be part of an ERAS<br />

pathway as part of his or her surgical<br />

experience.<br />

“People know this is the best way<br />

to practice,” Garth says. “We know<br />

that complications are avoidable,<br />

and improved ‘processes of care’<br />

equate to improved results. We are all<br />

accountable for our patients’ outcomes<br />

– and the multidisciplinary approach<br />

of Enhanced Recovery has shown to<br />

result in positive outcomes.”<br />

More info:<br />

Please visit<br />

www.enhancedrecoverybc.ca<br />

spring 2016 <strong>Healthier</strong> <strong>You</strong> 23


HEALTH AND<br />

SUBSTANCE<br />

USE<br />

SURGICAL<br />

ACCESS<br />

PRIMARY<br />

HEALTH<br />

CARE<br />

RURAL CARE<br />

MENTAL<br />

HEALTH AND<br />

SUBSTANCE<br />

USE<br />

PRIMARY<br />

HEALTH CARE<br />

SENIORS CARE<br />

SURGICAL ACCESS<br />

MENTAL HEALTH<br />

AND SUBSTANCE USE<br />

SURGICAL ACCESS<br />

RURAL CARE<br />

Right<br />

care<br />

keeps<br />

seniors<br />

home<br />

below: Standing outside the door to<br />

the ER at Royal Inland Hospital, Allied<br />

Health Social Worker Wendy Sims<br />

works to provide a quick response to<br />

frail elderly who find themselves in the<br />

ER but could go home with supports.<br />

Staff in Kamloops took an active role in a project to help ease the<br />

pressure on hospitals this winter by focusing on frail seniors who<br />

could get well at home with proper supports.<br />

Karen Cooper, director of Allied Health, IH West, oversees the<br />

six disciplines that provide services – primarily to older adults –<br />

designed to either prevent an admission to hospital or hasten their<br />

recovery so they can go home more quickly.<br />

Physical and occupational therapists from Community Allied<br />

Health and a registered dietitian, respiratory therapist, and speech<br />

language pathologist from Royal Inland Hospital were on the Winter<br />

Surge team for 2016.<br />

As well, Social Worker Wendy Sims, also based at Royal Inland, was<br />

the first point of contact by emergency department or Home Health<br />

staff to recommend services for a senior who doesn’t need to be in an<br />

acute care setting.<br />

“Wrapping the right service around the patient results in higher<br />

success rates,” Karen explains.<br />

As an example, she highlights the speech-language pathologist who<br />

might discover a patient with recurring pneumonia has a swallowing<br />

issue that is causing aspiration of food particles into the lungs.<br />

“We are excited to be able to show the value of bringing in the<br />

Allied Health disciplines through a project like this.”<br />

“Winter Surge provides an opportunity to demonstrate what Allied<br />

Health professionals can do at any time of the year to help patients<br />

reduce their stay in hospital or avert an admission altogether.”


ADVERTORIAL<br />

SITTING IS NOT THE NEW SMOKING.<br />

BUT WE SHOULD STILL DO LESS OF IT.<br />

The most over-used dramatization currently used in workplace<br />

wellness is “sitting is the new smoking”. I disagree. I am sitting<br />

right now to write this article and I hardly believe it is having<br />

the harmful affects that smoking a cigarette would have on<br />

my body. I do not require sitting-cessation therapy. Sitting is<br />

necessary. We just need to do less of it.<br />

Have you ever summed up all of your hours of sitting and<br />

laying down in the day (24 hours)? Does the time spent in<br />

inactivity outweigh your physical activity? Large volumes of<br />

physical inactivity in the day may put you at risk for a chronic<br />

disease. In 2013 The University of Texas School of Pubic Health<br />

recorded the training time and inactivity time for 218 distance<br />

runners (marathon and half marathon distance). The median<br />

training time was 6.5 hours/week. Median total sitting time was<br />

8 – 10.75 hours per day. This study suggests that recreational<br />

distance runners can be highly sedentary and highly active at<br />

the same time! Just because you go to the gym, go running or<br />

walk daily, you are not safe from the risks of excessive sitting.<br />

Movement is medicine. A medication that we should take<br />

as often as possible. There are many reasons that we may sit for<br />

extended periods. To change the sitting situation sometimes<br />

takes creativity. For example, if you work a job that requires you<br />

to sit day in and day out all day without the opportunity for<br />

breaks, you may not be able to request walk breaks from your<br />

employer but you may however be able to slightly modify your<br />

workstation to allow you to sit and stand in rapid succession<br />

(also known as a squat) you can do this movement at intervals<br />

throughout the day to break up the time spent sitting. Research<br />

has shown us that movement at work can result in increased<br />

productivity and job satisfaction and decreased absenteeism<br />

due to the health improvements movement can have on the<br />

body.<br />

As is always the case, speak to your Physician or Nurse<br />

Practitioner if you are not currently active and will be increasing<br />

your physical activity dramatically.<br />

Sitting is a necessary part of living. We need to sit for at least<br />

a small amount of time every day. We do not and have not<br />

ever needed smoking. Therefore, sitting is not now nor has it<br />

ever been smoking. Movement is however medicine. Take your<br />

medicine and ENJOY!<br />

Jennifer Edgecombe<br />

Exercise Specialist Coordinator with the City of Kamloops, Parks and Recreation<br />

BSc. HK, American College of Sports Medicine Certified Clinical Exercise Physiologist<br />

jedgecombe@kamloops.ca<br />

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CARE<br />

ACCESS<br />

CARE<br />

PRIMARY<br />

HEALTH CARE<br />

SENIORS CARE<br />

PRIMARY<br />

HEALTH CARE<br />

SENIORS CARE<br />

RURAL AND<br />

ABORIGINAL<br />

HEALTH<br />

MENTAL<br />

HEALTH AND<br />

SUBSTANCE<br />

USE<br />

RURAL AND<br />

ABORIGINAL HEALTH<br />

SURGICAL ACCESS<br />

MENTAL HEALTH<br />

AND SUBSTANCE USE<br />

SURGICAL ACCESS<br />

Paving the way:<br />

Telehealth clinics for<br />

post-transplant follow-up<br />

Transplant patients living in rural communities<br />

can be faced with a number of challenges when<br />

travelling long distances to attend an appointment.<br />

But for Cranbrook resident<br />

Paula Smith, a new telehealth<br />

service for post-kidney<br />

transplant patients has<br />

eliminated all of these.<br />

Paula’s kidney function<br />

first started to decline more<br />

than 10 years ago. Then, in<br />

2010, while Paula’s kidney was<br />

functioning at only 15 per<br />

cent, the worst happened – her<br />

husband passed away.<br />

“Just five weeks after<br />

my husband died, I had a<br />

peritoneal dialysis catheter implanted in my<br />

abdomen and was getting prepped for dialysis,”<br />

recalls Paula.<br />

For three and a half years, Paula was on<br />

dialysis waiting for a kidney transplant and in<br />

January 2014 her brother, a<br />

perfect match, volunteered<br />

one of his.<br />

“Everything just fell into<br />

place and then moved really<br />

quickly. I had my transplant<br />

in February 2014,” says<br />

Paula. “There were no<br />

complications for either of<br />

us – I have never felt this<br />

happy, healthy, and alive in<br />

my entire life.”<br />

For surgery, Interior<br />

Health transplant patients<br />

travel to Vancouver, but routine follow-up<br />

appointments occur in clinics across Interior<br />

Health. Still, the closest post-transplant clinic to<br />

Paula is more than 200 kilometres away in Trail,<br />

meaning a drive of three hours each way.<br />

continued on page 28 <br />

above: Paula with her brother, who<br />

donated a kidney to her in 2014. The<br />

transplant was a great success.<br />

26 <strong>Healthier</strong> <strong>You</strong> spring 2016


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HOW DOES IT WORK? Through aged based group<br />

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continued from page 26<br />

Kim McDuff, transplant redesign project coordinator, along<br />

with her colleagues at the Kootenay Boundary Regional Hospital<br />

Kidney Transplant Clinic in Trail, recognized the need to find<br />

other options for patients who have to drive long distances for<br />

follow-up appointments. They decided to develop a pilot project<br />

where post-transplant patients were given the option to attend<br />

their clinic appointment in Cranbrook and connect to Trail via<br />

telehealth.<br />

“Telehealth offers a way to provide adequate and continuous<br />

care for our post-transplant patients not living in Trail,” says Kim.<br />

In collaboration with BC Transplant, telehealth appointments<br />

were offered for the first time for post-transplant patients. The<br />

pilot ran from November 2014 to May 2015 with 12 patients using<br />

the service.<br />

Georgi Winger is the renal nurse at Cranbrook Wellness Centre<br />

who facilitates the appointment between the patient and the Trail<br />

Kidney Transplant Clinic.<br />

“Although we’ve only been doing telehealth with post-transplant<br />

patients for a short time, the feedback has been nothing but<br />

positive,” says Georgi. “They are so grateful to be able to meet with<br />

the transplant team and receive the care they need without having<br />

to take the time to travel to Trail. Prior to telehealth, Paula would<br />

have to take a day off work for her appointments in Trail, plus<br />

spend money on gas and meals. I believe telehealth has reduced<br />

the emotional and financial stress of many of our patients which,<br />

I’m sure, has a positive impact on their health and well-being.”<br />

During the follow-up appointment, Georgi records Paula’s<br />

blood pressure, weight, and pulse; checks for edema (excess of<br />

fluid); and relays the information via telehealth videoconferencing<br />

to the team in Trail. On the receiving end is Teresa Buckley,<br />

transplant clinic nurse, and a transplant nephrologist, social<br />

worker, and dietitian.<br />

“It’s expensive for people to take an unpaid day off work and<br />

stressful to drive the mountain pass to Trail,” says Teresa. “With<br />

telehealth, this health-care service is more accessible and increases<br />

the continuity of care.”<br />

Through telehealth, Paula is able to connect with each of the<br />

care providers involved in her post-recovery care plan without<br />

having to drive to Trail each time.<br />

“To me, there is no difference in the service provided,” says<br />

Paula. “I’m just glad I don’t have to make the drive… It’s such a<br />

benefit for patients who would otherwise have to travel.”<br />

Telehealth for transplant patients is expected to expand to other<br />

areas of Interior Health.<br />

“Right now we are looking at other rural sites in Interior Health<br />

with renal nurses who can facilitate these appointments,” says<br />

Teresa. “We have also just begun to facilitate appointments for<br />

pre-transplant patients, before they go to Vancouver for surgery.”<br />

The first pre-transplant appointment took place in early January<br />

and more are expected throughout 2016.<br />

Did you know…<br />

One organ donor can save eight<br />

lives. Visit www.transplant.bc.ca<br />

to learn more.<br />

above: Paula Smith (R), standing<br />

with renal nurse Georgi Winger and<br />

the telehealth unit in Cranbrook, no<br />

longer has to drive to Trail for her<br />

appointments.<br />

below: Transplant clinic nurse Teresa<br />

Buckley is part of the transplant team<br />

at the other end of the telehealth<br />

video ready to review Paula’s postrecovery<br />

progress.<br />

28 <strong>Healthier</strong> <strong>You</strong> spring 2016


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Healthy eats for<br />

family camping trips<br />

With spring weather upon us, the itch to get outdoors<br />

enjoying nature becomes difficult to ignore. Here are<br />

some meal tips from one family who loves to camp.<br />

By Interior Health Registered Dietitian Simone Jennings<br />

Since we have a toddler, I make sure we are<br />

organized with food. Kids need good nutrition<br />

to keep their behaviour in check (i.e. allow us<br />

parents to have a good time). Plus little ones require<br />

a lot of attention, which means less time to spend<br />

cooking and washing dishes.<br />

For this reason I plan for simple meals and make and<br />

freeze food before we go. I start by planning each<br />

breakfast, lunch and dinner. I also plan to use certain<br />

foods in multiple meals and snacks, such as cheese,<br />

yogurt, and bread, to save space in the cooler.<br />

Of course we also pack less healthy snacks for around<br />

the fire, whether it’s making S’mores or passing around<br />

a bag of chips. Having a family favourite camping treat<br />

is a fun part of creating traditions. But, like at home, it<br />

is important that most of our food be nutritious.<br />

30 <strong>Healthier</strong> <strong>You</strong> spring 2016


Here are some foods that are<br />

often found in our cooler:<br />

Things to prepare before you go<br />

• Make and freeze whole grain muffins, pancakes,<br />

or loaves<br />

• Pre-measure bags of rolled oats with nuts, seeds and<br />

dried fruit to cook on the camp stove<br />

• Hard boil eggs for protein at breakfast or lunch<br />

• Cook rice, quinoa or pasta the night before you<br />

leave and have it in the first couple of days<br />

• Make and freeze chili and/or pasta sauce. It will act<br />

as ice in the cooler and keep for a couple of days<br />

• Freeze lean meats or fish with marinade in Ziploc<br />

bags so they are ready for the BBQ<br />

• Make and freeze hamburger patties. Use ground<br />

chicken, turkey or lean grass-fed beef<br />

Breakfast<br />

• Eggs and toast<br />

• Greek yogurt with fruit and granola<br />

• Cold cereal (choose something low in sugar) with<br />

milk or yogurt<br />

• Peanut butter and jam sandwich with sliced apples<br />

and oranges<br />

• Oatmeal (as described above) or packages of plain<br />

instant oats (just add hot water)<br />

Lunch<br />

• Whole grain pitas with hummus and cut up veggies<br />

• Sandwiches: egg or tuna salad, or veggies and cheese<br />

on whole grain bread<br />

• Use leftover chili with grated cheese in wraps to<br />

make burritos<br />

• Hot dog alternative: chicken or turkey sausage on a<br />

whole grain bun (choose sausages that are lower in<br />

sodium and free of preservatives)<br />

Dinner<br />

• Chili and buns<br />

• Pasta sauce with whole grain noodles<br />

• Lean meat of your choice with a variety<br />

of vegetables<br />

• Grilled veggies: toss a variety of chopped veggies in<br />

olive oil with fresh herbs and wrap in tin foil and<br />

grill. Try carrots, potatoes, yams, beets<br />

and/or onions<br />

• Lean hamburger patties on a whole grain bun<br />

Snacks<br />

• Trail mix: nuts, seeds, dried fruit, chocolate chips<br />

• Whole grain crackers and cheese<br />

• Apple slices and peanut butter<br />

• Muffin, yogurt and fruit<br />

• Campfire cones: sugar cones, chocolate chips, mini<br />

marshmallows, chopped strawberries and banana.<br />

Wrap in tin foil and grill over the fire<br />

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spring 2016 <strong>Healthier</strong> <strong>You</strong> 31


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©2016 RE/MAX, LLC. All rights reserved. Each RE/MAX office is independently owned and operated. 15_60814

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