CANADA: Funding for long-term care needed before second wave of COVID-19, advocates say - GuelphToday | Canada News Media
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CANADA: Funding for long-term care needed before second wave of COVID-19, advocates say – GuelphToday

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OTTAWA — With an uptick in new cases of COVID-19 in Canada sparking concerns about a second wave of the illness, advocates for seniors in long-term care say more federal support must start flowing immediately to ensure elders do not again become the primary casualties.

The Canadian Association for Long Term Care says the sector has long fallen through the cracks and that this lack of support helped create conditions that led to widespread COVID-19 outbreaks and deaths in nursing homes across Canada.

Now that the pandemic has laid bare the fragility of the long-term care system, association chair Jodi Hall says the Liberals have to dedicate more infrastructure dollars to nursing homes.

“Historically, the federal government has failed to support this sector … It is imperative they help the sector by providing access to existing federal infrastructure dollars,” she said Wednesday.

Long-term care homes were uniquely vulnerable to COVID-19, combining an already-sick patient base with a new coronavirus, to which nobody has immunity. Nursing homes in Canada are often older and feature shared bedrooms, bathrooms and dining rooms, which made containing COVID-19 a challenge in the early days of the pandemic when little was known of its ability to spread through asymptomatic people, Hall noted.

Ottawa could alleviate these pressures in the future by allowing nursing homes to access funds through the national housing strategy, she said. Homes could also be placed at the top of the list of “shovel-ready” projects likely to get federal and provincial stimulus dollars as part of economic recovery efforts.

“These are simple and readily available solutions that could have been and can still be implemented quickly to support provinces and operators in modernizing long-term care homes.”

Earlier this month, the Royal Society of Canada released a scathing report on the state of long-term care in Canada, accusing the country of failing in its duty to protect vulnerable elders.

It found the pandemic was a “shock wave” that exposed many long-standing deficiencies in the system and that, while the causes of this systemic failure are complex, they are rooted in what the authors called “systemic and deeply institutionalized implicit attitudes about age and gender.”

A whopping 81 per cent of Canada’s COVID-19 deaths happened in long-term care homes, far higher than what is reported in comparable countries, including 31 per cent in the United States, 28 per cent in Australia and 66 per cent in Spain.

The findings in this and other recent studies exposing the cracks in the system are nothing new to those on the front lines, Hall said.

Since 2017, the Canadian Association for Long Term Care has met with over 60 MPs, various cabinet ministers and dozens of federal policy advisers asking them to address the urgent needs of seniors housing and care, but she says their concerns have not been heard.

With Statistics Canada figures showing the number of seniors over 65 is expected to rise by 25 per cent by 2036 and the number of Canadians over 80 to double between 2011 and 2036, the association hopes governments will finally step in with help and stop arguing about jurisdictional issues.

“Seniors and their families do not care about who is, strictly speaking, responsible for what parts of senior-care delivery,” Hall said.

“The argument that the federal government distributes funds and provinces provide programs might have been a thoughtful argument in the past, in the 80s and 90s, but the demographics today are completely different,” she said.

“The federal government cannot ignore the aging crisis any longer.”

In addition to capital investments, the national body is also pushing for a pan-Canadian health human-resources strategy to address rising challenges with attracting and retaining workers in the seniors sector — another key stressor that has been blamed on the COVID-19 outbreaks.

The federal government has committed some emergency aid to help long-term care homes as part of the $19-billion “Safe Restart Agreement” reached with the provinces last week, including money for testing and personal protective equipment.

Daniel Pollak, a spokesman for Seniors Minister Deb Schulte, said $780 million of this total will support one-time costs over the next six to eight months for measures to control and prevent infections, which “could include addressing issues in long-term care.”

Pollak also pointed to other emergency assistance that has benefited care homes since the pandemic hit, including money for essential worker salary top-ups, ordering and distributing PPE and military troops deployed to over 50 long-term care facilities in Quebec and Ontario.

But Donna Duncan, CEO of the Ontario Long-Term Care Association, says the federal and provincial amounts committed and spent to date on nursing homes fall far short of the immediate emergency needs of homes across the country.

This money will also do nothing to address systemic and chronic underfunding of the sector, Duncan said.

“Significant infrastructure investments are going to be required as well as just the immediate response to COVID-19,” she said.

Last month, Prime Minister Justin Trudeau said deeper reforms of the long-term care system are likely needed, but he remained firm that it would be up to the provinces to lead those discussions.

This report by The Canadian Press was first published July 22, 2020.

Teresa Wright, The Canadian Press

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What’s the greatest holiday gift: lips, hair, skin? Give the gift of great skin this holiday season

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Give the gift of great skin this holiday season

Skinstitut Holiday Gift Kits take the stress out of gifting

Toronto, October 31, 2024 – Beauty gifts are at the top of holiday wish lists this year, and Laser Clinics Canada, a leader in advanced beauty treatments and skincare, is taking the pressure out of seasonal shopping. Today, Laser Clincs Canada announces the arrival of its 2024 Holiday Gift Kits, courtesy of Skinstitut, the exclusive skincare line of Laser Clinics Group.

In time for the busy shopping season, the limited-edition Holiday Gifts Kits are available in Laser Clinics locations in the GTA and Ottawa. Clinics are conveniently located in popular shopping centers, including Hillcrest Mall, Square One, CF Sherway Gardens, Scarborough Town Centre, Rideau Centre, Union Station and CF Markville. These limited-edition Kits are available on a first come, first served basis.

“These kits combine our best-selling products, bundled to address the most relevant skin concerns we’re seeing among our clients,” says Christina Ho, Senior Brand & LAM Manager at Laser Clinics Canada. “With several price points available, the kits offer excellent value and suit a variety of gift-giving needs, from those new to cosmeceuticals to those looking to level up their skincare routine. What’s more, these kits are priced with a savings of up to 33 per cent so gift givers can save during the holiday season.

There are two kits to select from, each designed to address key skin concerns and each with a unique theme — Brightening Basics and Hydration Heroes.

Brightening Basics is a mix of everyday essentials for glowing skin for all skin types. The bundle comes in a sleek pink, reusable case and includes three full-sized products: 200ml gentle cleanser, 50ml Moisture Defence (normal skin) and 30ml1% Hyaluronic Complex Serum. The Brightening Basics kit is available at $129, a saving of 33 per cent.

Hydration Heroes is a mix of hydration essentials and active heroes that cater to a wide variety of clients. A perfect stocking stuffer, this bundle includes four deluxe products: Moisture 15 15 ml Defence for normal skin, 10 ml 1% Hyaluronic Complex Serum, 10 ml Retinol Serum and 50 ml Expert Squalane Cleansing Oil. The kit retails at $59.

In addition to the 2024 Holiday Gifts Kits, gift givers can easily add a Laser Clinic Canada gift card to the mix. Offering flexibility, recipients can choose from a wide range of treatments offered by Laser Clinics Canada, or they can expand their collection of exclusive Skinstitut products.

 

Brightening Basics 2024 Holiday Gift Kit by Skinstitut, available exclusively at Laser Clincs Canada clinics and online at skinstitut.ca.

Hydration Heroes 2024 Holiday Gift Kit by Skinstitut – available exclusively at Laser Clincs Canada clinics and online at skinstitut.ca.

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Here is how to prepare your online accounts for when you die

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LONDON (AP) — Most people have accumulated a pile of data — selfies, emails, videos and more — on their social media and digital accounts over their lifetimes. What happens to it when we die?

It’s wise to draft a will spelling out who inherits your physical assets after you’re gone, but don’t forget to take care of your digital estate too. Friends and family might treasure files and posts you’ve left behind, but they could get lost in digital purgatory after you pass away unless you take some simple steps.

Here’s how you can prepare your digital life for your survivors:

Apple

The iPhone maker lets you nominate a “ legacy contact ” who can access your Apple account’s data after you die. The company says it’s a secure way to give trusted people access to photos, files and messages. To set it up you’ll need an Apple device with a fairly recent operating system — iPhones and iPads need iOS or iPadOS 15.2 and MacBooks needs macOS Monterey 12.1.

For iPhones, go to settings, tap Sign-in & Security and then Legacy Contact. You can name one or more people, and they don’t need an Apple ID or device.

You’ll have to share an access key with your contact. It can be a digital version sent electronically, or you can print a copy or save it as a screenshot or PDF.

Take note that there are some types of files you won’t be able to pass on — including digital rights-protected music, movies and passwords stored in Apple’s password manager. Legacy contacts can only access a deceased user’s account for three years before Apple deletes the account.

Google

Google takes a different approach with its Inactive Account Manager, which allows you to share your data with someone if it notices that you’ve stopped using your account.

When setting it up, you need to decide how long Google should wait — from three to 18 months — before considering your account inactive. Once that time is up, Google can notify up to 10 people.

You can write a message informing them you’ve stopped using the account, and, optionally, include a link to download your data. You can choose what types of data they can access — including emails, photos, calendar entries and YouTube videos.

There’s also an option to automatically delete your account after three months of inactivity, so your contacts will have to download any data before that deadline.

Facebook and Instagram

Some social media platforms can preserve accounts for people who have died so that friends and family can honor their memories.

When users of Facebook or Instagram die, parent company Meta says it can memorialize the account if it gets a “valid request” from a friend or family member. Requests can be submitted through an online form.

The social media company strongly recommends Facebook users add a legacy contact to look after their memorial accounts. Legacy contacts can do things like respond to new friend requests and update pinned posts, but they can’t read private messages or remove or alter previous posts. You can only choose one person, who also has to have a Facebook account.

You can also ask Facebook or Instagram to delete a deceased user’s account if you’re a close family member or an executor. You’ll need to send in documents like a death certificate.

TikTok

The video-sharing platform says that if a user has died, people can submit a request to memorialize the account through the settings menu. Go to the Report a Problem section, then Account and profile, then Manage account, where you can report a deceased user.

Once an account has been memorialized, it will be labeled “Remembering.” No one will be able to log into the account, which prevents anyone from editing the profile or using the account to post new content or send messages.

X

It’s not possible to nominate a legacy contact on Elon Musk’s social media site. But family members or an authorized person can submit a request to deactivate a deceased user’s account.

Passwords

Besides the major online services, you’ll probably have dozens if not hundreds of other digital accounts that your survivors might need to access. You could just write all your login credentials down in a notebook and put it somewhere safe. But making a physical copy presents its own vulnerabilities. What if you lose track of it? What if someone finds it?

Instead, consider a password manager that has an emergency access feature. Password managers are digital vaults that you can use to store all your credentials. Some, like Keeper,Bitwarden and NordPass, allow users to nominate one or more trusted contacts who can access their keys in case of an emergency such as a death.

But there are a few catches: Those contacts also need to use the same password manager and you might have to pay for the service.

___

Is there a tech challenge you need help figuring out? Write to us at onetechtip@ap.org with your questions.

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Pediatric group says doctors should regularly screen kids for reading difficulties

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The Canadian Paediatric Society says doctors should regularly screen children for reading difficulties and dyslexia, calling low literacy a “serious public health concern” that can increase the risk of other problems including anxiety, low self-esteem and behavioural issues, with lifelong consequences.

New guidance issued Wednesday says family doctors, nurses, pediatricians and other medical professionals who care for school-aged kids are in a unique position to help struggling readers access educational and specialty supports, noting that identifying problems early couldhelp kids sooner — when it’s more effective — as well as reveal other possible learning or developmental issues.

The 10 recommendations include regular screening for kids aged four to seven, especially if they belong to groups at higher risk of low literacy, including newcomers to Canada, racialized Canadians and Indigenous Peoples. The society says this can be done in a two-to-three-minute office-based assessment.

Other tips encourage doctors to look for conditions often seen among poor readers such as attention-deficit hyperactivity disorder; to advocate for early literacy training for pediatric and family medicine residents; to liaise with schools on behalf of families seeking help; and to push provincial and territorial education ministries to integrate evidence-based phonics instruction into curriculums, starting in kindergarten.

Dr. Scott McLeod, one of the authors and chair of the society’s mental health and developmental disabilities committee, said a key goal is to catch kids who may be falling through the cracks and to better connect families to resources, including quicker targeted help from schools.

“Collaboration in this area is so key because we need to move away from the silos of: everything educational must exist within the educational portfolio,” McLeod said in an interview from Calgary, where he is a developmental pediatrician at Alberta Children’s Hospital.

“Reading, yes, it’s education, but it’s also health because we know that literacy impacts health. So I think that a statement like this opens the window to say: Yes, parents can come to their health-care provider to get advice, get recommendations, hopefully start a collaboration with school teachers.”

McLeod noted that pediatricians already look for signs of low literacy in young children by way of a commonly used tool known as the Rourke Baby Record, which offers a checklist of key topics, such as nutrition and developmental benchmarks, to cover in a well-child appointment.

But he said questions about reading could be “a standing item” in checkups and he hoped the society’s statement to medical professionals who care for children “enhances their confidence in being a strong advocate for the child” while spurring partnerships with others involved in a child’s life such as teachers and psychologists.

The guidance said pediatricians also play a key role in detecting and monitoring conditions that often coexist with difficulty reading such as attention-deficit hyperactivity disorder, but McLeod noted that getting such specific diagnoses typically involves a referral to a specialist, during which time a child continues to struggle.

He also acknowledged that some schools can be slow to act without a specific diagnosis from a specialist, and even then a child may end up on a wait list for school interventions.

“Evidence-based reading instruction shouldn’t have to wait for some of that access to specialized assessments to occur,” he said.

“My hope is that (by) having an existing statement or document written by the Canadian Paediatric Society … we’re able to skip a few steps or have some of the early interventions present,” he said.

McLeod added that obtaining specific assessments from medical specialists is “definitely beneficial and advantageous” to know where a child is at, “but having that sort of clear, thorough assessment shouldn’t be a barrier to intervention starting.”

McLeod said the society was partly spurred to act by 2022’s “Right to Read Inquiry Report” from the Ontario Human Rights Commission, which made 157 recommendations to address inequities related to reading instruction in that province.

He called the new guidelines “a big reminder” to pediatric providers, family doctors, school teachers and psychologists of the importance of literacy.

“Early identification of reading difficulty can truly change the trajectory of a child’s life.”

This report by The Canadian Press was first published Oct. 23, 2024.

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