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Needle phobias are preventing some people from getting COVID-19 vaccines. These interventions could help – CBC.ca

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A blade of grass and a lot of patience.

That was how Paul Friedlander finally got his dose of a COVID-19 vaccine in September. 

The 12-year-old has a needle phobia, and while he desperately wants to receive his second dose, his fears are proving hard to overcome. 

“My brain and my body just do not let me get this injection,” he said.  

His mom, Anna Eberhardt Friedlander, is looking for the Vancouver nurse who poked a stalk of grass into her son’s arm to mimic the pressure of a needle and spent over an hour comforting him before he got the jab at a pop up clinic at the University of British Columbia. 

She’s hoping the nurse could again help her son overcome his fear so he could get a second dose of the vaccine but has so far not had luck finding the nurse, whom she only knows by her first name, Rosa.

The family tried to get Paul vaccinated a second time, but he said the experience was traumatizing, and they’re unsure when they’ll try again.

Paul and his mother, Anna Eberhardt Friedlander, are trying to track down the nurse who comforted Paul during his first vaccine dose so she might be able to help him get his second. (Andrew Lee / CBC News )

Provinces could do more to address fears

About 4.5 per cent of adults in Canada have a severe phobia of needles, according to the Canadian Psychological Association. It’s characterized by a persistent fear of needles and intense anxiety or distress around having blood work done or receiving injections.

Anna Taddio investigates needle phobias, particularly in children, at the University of Toronto’s Leslie Dan Faculty of Pharmacy.

She says while most nurses receive training in how to make people feel more relaxed around getting needles, there are a myriad easy and often free ways to put people with intense needle phobia at ease.

Offering longer appointments with lots of time to talk the procedure through or letting people walk outside for fresh air can make a big difference, she says. 

As provinces expand their vaccination programs to school-age children and unvaccinated adults, Taddio says, it makes sense for health providers to embed more accommodating practices in their vaccine rollout.

Some provinces, such as B.C., offer information on how to manage a needle phobia, but researchers say more concrete steps, such as dedicated spaces for those with phobias, could be beneficial. 

“If you actually have a fear of needles, that can be the only reason that’s preventing you from getting vaccinated,” Taddio said. 

Erin Ledrew runs a special clinic in Toronto at the Centre for Addiction and Mental Health offering COVID-19 vaccines and flu shots to people with needle phobia. She says they see about a dozen people a day with needle fears. (Simon Dingley / CBC News)

Play their cards right 

Taddio and other needle phobia experts say it’s important to not dismiss a person’s phobia but to empower them by giving them choices. 

One strategy is called the CARD system. 

Patients are shown cards labelled with letters and told to choose their preferred intervention, Taddio says: “c” for comfort, “a” for asking questions, “r” for relax and “d” for distract. 

If someone chooses distraction, they might be given a basket of fidgeting toys to divert their attention.

Using the CARD system means staff can customize patients’ experiences have better outcomes, Taddio says.

“It can reduce the vaccine side-effects that people who are afraid or anxious of needles have,” she said. “It decreases what we call immunization stress-related responses. So this includes fear, pain, dizziness and even fainting.” 

Amrita Nayak says her fear of needles increased as she got older. She is now fully vaccinated and shares her experiences getting the COVID vaccine with other needle-phobic people online in a bid to encourage them to get the jab. (Submitted by Amrita Nayak)

It’s a system employed by Erin Ledrew at a special clinic offering COVID-19 vaccines and flu shots to needle-phobic people at the Centre for Addiction and Mental Health in Toronto. 

About a dozen needle-phobic people come in each day, Ledrew says.  

She says it’s important to try to get someone’s experience right the first time because the stress and anxiety from the visit can compound and make people unwilling to try to get a needle again.  

“We really need to pay attention to the fears that people have and trying to help support them in whatever capacity,” she said. 

Facing your fears

At the age of 31, Amrita Nayak cannot stand the sight of needles, even in a sewing kit. 

In May, Amrita lined up for 40 minutes at a large vaccination clinic in Calgary and got her first dose of the COVID-19 vaccine.

Standing in line for 40 minutes as people talked about needles and receiving the jab while surrounded by other people also getting needles was an experience that left her upset and shaking.

“I could not look away from it, and I knew I was going to embarrass myself in front of everyone. So that made me really uncomfortable,” she said. 

Her second dose was much better. 

At her request, her husband made an appointment for her to receive the shot in a private cubicle and kept it a secret until the last minute. Having less time to become anxious about the needle and getting jabbed in private, she says, helped her control her anxiety. 

She is now fully vaccinated and shares her story of getting the shot in an online needle-phobia community to encourage more people to get the vaccine as soon as they can. 

“There are very, very few people out there who understand what it feels like to be really scared of something that you cannot avoid,” she said. 

If you have a phobia, Public Health experts recommend that before you get vaccinated, you:

  • Communicate with nurses about your fears.
  • Ask to go outside for some fresh air.
  • Practice breathing techniques.
  • Ask if there’s a private place where the vaccine can be administered. 

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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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