Healthier You Interior Health Winter 2016 by Glacier Specialty Publishing

Healthier You Winter

2016

easy

healthy recipes!

Page 9

the doctor is in: mental health clinics how primary care is changing

New Year Tips

better together

Teamwork enhances primary and community care Tips to consider for a happy and healthy 2016 â&#x20AC;&#x201C; p. 10

Volume 1, Issue 2

coverstory

better together

Winter

2016

Integrating care for patients with mental health issues

Working together, doctors and Interior Health are providing more seamless care for vulnerable patients who may not otherwise receive health services.

p.10

10 tips to consider for a happy and healthy 2016

inside Shifting focus – Primary and community care �� Page 6 We spoke to Interior Health’s primary care director about a shift in the system and what it means to patients like you. Recipes to make eating right a breeze �� Page 9 Simple recipes for a healthy new year, from one of our own registered dietitians.

NPs provide wide Range of Care �� Page 20 Nurse Practitioners throughout Interior Health play a vital role on care teams. Exercise, COPD Go Hand in Hand �� Page 24 For people with COPD exercise can be intimidating. But the rewards can be great, and we are here to help. Shared Care initiative doubles access to specialists in rural town �� Page 28 Patients in the Princeton area are benefitting from a new partnership in care.

Resolution or no resolution – Healthy eating tips for success �� Page 13 Whether you make resolutions or not, making healthy lifestyle changes is always good. By Registered Dietitian Rose Soneff

Winter 2016

Healthier You

WELCOMEmessage

Welcome from Interior Health Welcome to the winter issue of Healthier You – perfect reading for the start of a New Year when many people are reflecting on the past, making positive changes and considering healthier choices. It is not always easy to eat right and exercise. I fit in activity where I can by walking or cycling to work and practicing Tai Chi regularly. And as a firm believer in continuous Chris Mazurkewich, improvement – personally, President & CEO Interior Health professionally, and within our healthcare system – I value the opportunity each January for introspection and a fresh start. In this edition you will find information about how to make resolutions that stick when it comes to healthy eating. In addition, a new regular feature brings nutritious, family-friendly recipes from Interior Health’s registered public health dietitians. Many of the other stories featured in this issue focus on our own resolution of sorts – efforts to create a more sustainable health system by supporting innovation, championing change where and when it is needed, and addressing financial challenges. As we face an aging population, we need to ensure the services we deliver are meeting the increasing health-care needs of this population and others that we serve. This requires collaboration, innovation, and coordination. The programs and services featured in this magazine support these efforts. The role of nurse practitioners; primary care for mental health patients; resources for patients with chronic disease to get better in their homes and communities – these stories demonstrate a shift in health care from focussing on hospital or residential care, to putting more emphasis on at-home or community care. This shift not only benefits our patients but also the health-care system as a whole. Every person matters and to best serve our clients and patients, we must work together and be open to new approaches to integrating care. I have been at the helm here for just a few months and have spent much of that time meeting with staff and physicians and listening to our community leaders. I feel fortunate because I was with Interior Health at the beginning and have watched with interest how it has grown and matured over the last six years since I left. Coming back to Interior Health as President and CEO feels a lot like coming home. I know the organization well, and I care about the communities we serve. Stay warm and enjoy the read. I encourage you to share feedback and story ideas with our team at Healthier You. Send us a note at IHAcommunications@interiorhealth.ca. 4 Healthier You

winter 2016

Healthier You Volume 1, Issue 2 – Winter 2016

published by:

www.glaciermedia.ca

PUBLISHED BY interior HEALTH & GLACIER MEDIA

Interior Health

Contributors / Healthier You is produced by the Interior Health communications team with contributions from public health staff, in partnership with Glacier Media.

Glacier Media Group

Sales & Marketing Kevin Dergez Director of Special Projects kdergez@glaciermedia.ca Ellyn Schriber Newsmedia Features Manager BC eschriber@glaciermedia.ca Keshav Sharma Manager Specialty Publications ksharma@glaciermedia.ca

Advertising Sales The Daily Courier – Kelowna Kamloops This Week

Creative Director / Eric Pinfold

Advertisements in this magazine are coordinated by Glacier Media. Interior Health does not endorse products or services. Any errors, omissions or opinions found in this magazine should not be attributed to the publisher. The authors, the publisher and the collaborating organizations will not assume any responsibility for commercial loss due to business decisions made based on the information contained in this magazine. Speak with your doctor before acting on any health information contained in this magazine. No part of this publication may be reproduced or transmitted without crediting Interior Health and Glacier Media. Printed in Canada. Please recycle.

www.rihfoundation.ca Amanda is grateful for the excellent care her family received at Royal Inland Hospital after the birth of her daughter, Norah, last year. With the help of RIH Foundation, babies in our community have access to life-saving care, so they can celebrate their first birthday at home with their family.

Amanda is grateful for the excellent care her family received at Royal Inland Hospital the birth of herher daughter, Norah, last Amanda is grateful forafter the excellent care family received at year. With the help of RIH Foundation, babies in our community Royal Inland Hospital after the birth of her daughter, Norah, last have access to help life-saving so they babies can celebrate their first year. With the of RIHcare, Foundation, in our community birthday at home with their family. have access to life-saving care, so they can celebrate their first birthday at home with their family.

When you leave a gift in your Will to the Royal Inland Hospital Foundation, you are contributing to healthcare excellence at RIH for years to come. State-of-the-art equipment, patient comfort items and When leave a gift Willoftothe theways Royalthat Inland Hospital Foundation, you are contributing medicalyoueducation areinjustyoura few a future gift can have a lasting impact on patientto care in healthcare excellence at your RIH for years to Royal come.Inland State-of-the-art equipment,you patient comfort items When you leave a gift in Will to the Hospital Foundation, are contributing to and our hospital. medical education areat just a few of thetoways that a future gift canequipment, have a lasting impact on patient healthcare excellence RIH for years come. State-of-the-art patient comfort items care and in

our hospital. medical education are just a few of the ways that a future gift can have a lasting impact on patient care in our hospital. Everyone who makes a legacy gift to RIH Foundation is welcomed into our Legacy Circle Society. It’s our way of recognizing generosity andtocommitment to RIH. Everyone who your makes a legacy gift RIH Foundation is welcomed into our Legacy Circle Society. It’s our way of recognizing your generosity and commitment to RIH. Call Alisa Coquet at 250.314.2836 for more information on how to remember the hospital in your Will. Call Alisa Coquet at 250.314.2836 for more information on how to remember the hospital in your Will.

Everyone who makes a legacy gift to RIH Foundation is welcomed into our Legacy Circle Society. It’s our way of recognizing your generosity and commitment to RIH. Call Alisa Coquet at 250.314.2836 for more information on how to remember the hospital in your Will.

www.rihfoundation.ca www.rihfoundation.ca

Shifting focus

Primary and community care

left: Darlene

Arsenault, Director Primary Care.

Across the system, planning is under way to change how health care is delivered to best accommodate patients who have complex medical needs but also a strong desire to remain home as long as possible.

It is also helpful because those involved in the patient’s care are aware of the patient’s whole healthcare story. This means patients have improved clinical outcomes, the system realizes efficiencies, and the experience of those providing care is also better. Another benefit is that patients are empowered and educated to manage their own health, something we believe in and encourage.

Integrating community and primary care health services will ensure more people are cared for in community settings or at home, which will both ease the pressure on hospitals and respond to patient wishes. We spoke to Interior Health’s Director, Primary Care Darlene Arsenault about the current shift in health care, what it means to patients and providers, and how the move to more community-based care impacts the healthcare system in general.

Care providers are better connected to their patients, knowing they’re providing care to the right people at the right time. They have access to information about those in their care at all times, and know about other services the patients have received. Care providers report higher levels of professional satisfaction when patient care is collaborative and effectively integrated with other services.

What is primary care? Primary care is often considered a person’s first point of contact into the health system. For most people, this would be their family doctor, or a nurse practitioner. Interior Health operates some clinics that provide primary care service to those who otherwise may not access health care, like the clinics profiled in “Better Together” on page 14. Primary care is meant to be centered around a person’s basic individual needs over their whole life span. It also integrates care provided by other health-care providers, to ensure all care is coordinated.

We hear a lot in health care about a focus on community-based primary care. Why this focus? We know that ensuring strong primary care, centred around an individual’s needs, results in better health for that individual. Their conditions are addressed early and in an all-encompassing way through community-based services. Emergency room visits and hospital admissions are reduced. If a patient does need to be admitted to hospital, they know their primary care provider is aware of the admission and will continue to oversee their ongoing care.

6 Healthier You

winter 2016

What are the benefits to care providers?

Give us an example of how the system is changing. Within Interior Health, as in the rest of B.C., there is a focus on improving access to primary care. So that means we need to recruit more primary care providers to communities across the Interior Health region. We now have more than 45 nurse practitioners working in Interior Health. Many NPs work in remote and rural communities, with people who otherwise may not have access to health-care services. To learn more about the work of nurse practitioners, read “NPs provide wide range of care” on page 20. We are also working with primary care providers to define which team members are best-placed to contribute to the care of those needing targeted services. For example, a person with a lung disease might have a respiratory therapist as his or her main contact. This focus on primary care could not occur without the important partnerships between the patients, family doctors, the health authorities, the Divisions of Family Practice, and the community at large. continued on page 8 

Nursing Careers

Southern Interior of British Columbia

Come and join us in the Southern Interior of British Columbia, a world renowned vacation destination. We have what you are looking for; a challenging career and a balanced lifestyle in a four-season playground. Our positions come with a 100% employer paid, comprehensive health benefit package, a generous pension plan, excellent vacation entitlement and relocation assistance for eligible new employees. Come live, work and play... where others only vacation!

Apply Online Today! Jobs.InteriorHealth.ca/Nursing Email: careers@InteriorHealth.ca

What do these partnerships look like? In the Interior Health region, most family doctors are members of eight Divisions of Family Practice, which are community-based groups of physicians who focus on improving common health-care goals in their geographic areas. Across B.C., there are 35 Divisions of Family Practice. As a health authority, we partner with the divisions to work collaboratively to improve the system at the community level and often at the regional level. For example, over the years there has been focused work on improving health for children and youth with complex needs and people with diabetes. The current focus is on older adults with complex conditions and those with mental health and substance use conditions. Also the role of the patient as a partner cannot be underestimated. We have seen the importance of the patient voice over and over again. This is really vital in changing how services are provided. Patients provide their perspectives on system change formally through the Patient Voices Network. Increasingly patients are included in many of our discussions around health-care planning and delivery. Another partner is the community at large, whether through the efforts of a municipality and its role in recruiting primary care providers, or partnerships providing access to space, such as recreation centres. Healthy partnerships also

exist between societies and non-profit organizations who work to educate patients about their conditions and/or those who provide services to help patients stay at home.

What types of patients do we focus on? Why? Primary care focuses on all patients who enter the system, but there are efforts to link the services of the family practice with the health authority’s interdisciplinary primary care team. The groups that would benefit most from the work of a team are: • older adults with complex conditions, • persons of all ages with severe mental health conditions, • people with two or more chronic diseases. Patients with these conditions tend to use hospital services more often when they could get services in the community.

What is my role as a patient? As a patient or family member, it is important to understand what you can do to manage your own conditions. This is referred to as self-management. It is also important to understand your relationship with your primary care provider and team. We also encourage patients to be involved in improving the health-care system, such as participation in the Patient Voices Network. If you’re interested in becoming a patient partner, e-mail patientsaspartners@gov.bc.ca.

Support your Health

by living a healthy lifestyle with the help of

Red Tag & Rocky Mountain Fitness!

749A Notre Dame Dr., Kamloops, BC (250) 377-3177

130-1876 Cooper Rd., Kelowna, BC (250) 861-8868

www.rmﬁtness.com

redtag@rmﬁtness.com 8 Healthier You

winter 2016

info@rmﬁtness.com

BRING IN THIS AD TODAY AND RECEIVE

10% OFF

YOUR NEXT PURCHASE

Recipes to make eating right a breeze Happy New Year everyone! Need help with your New Year’s resolutions? These recipes are from the Low-Glycemic Meals in Minutes Cookbook, co-authored by Interior Health Registered Dietitian Laura Kalina and Cheryl Christian, and can help you put healthy eating into action for 2016. Their book and healthy lifestyle guide teaches a quick-prep method and also contains a menu plan, shopping lists, fridge and pantry makeovers and success stories. You can find out more at www.lowgimeals.com. For more information about healthy eating, visit www.healthyfamiliesbc.ca or call HealthLink BC at 8-1-1 (toll free) – registered dietitians are available Monday to Friday from 9 a.m. to 5 p.m. to answer your nutrition questions.

Laura Kalina is a registered dietitian with Interior Health. Photographs provided by Kelly Pape.

Quinoa and Black Bean Salad Makes eight to 10 servings.

Awesome Tofu Pizza Makes three servings.

• 12 oz (350 g) extra firm tofu • 2/3 cups (150 mL) chunky black bean salsa • ¼ cup (60 mL) black olives, pitted and coarsely chopped • 2 green onions, thinly sliced • ½ cup (125 mL) grated cheddar cheese • ¼ cup (60 mL) feta cheese, crumbled • ¼ tsp (1 mL) dried oregano

Directions 1) Place oven rack in top third of oven. Preheat to 400 F. Lightly grease a cookie sheet. 2) Turn tofu block on edge and slice into six thin slices. Place tofu slices on cookie sheet. 3) In a bowl, stir salsa with olives and green onion, then spoon over tofu and spread to edges. Sprinkle with cheddar, feta and oregano. 4) Turn oven to broil and cook until cheese melts, six to eight minutes. Calories 200 • carbs 8g • protein 16g • fat 11g • fibre 2g

• 1 cup (250 mL) quinoa • 1½ cups (375 mL) water • 2 tbsp (30 mL) olive oil • 1 tsp (5 mL) paprika • 1 large onion, finely chopped (2 cups/500 mL) • 2 cloves garlic, minced • 1 tsp (5 mL) ground cumin • 1 tsp (5 mL) ground coriander • 2 red bell peppers, diced • ¼ tsp (1 mL) hot pepper flakes • 1 tbsp (15 mL) cilantro, chopped • 1 can (12 oz/341 ml) corn, drained • 1 can (14 oz/398 ml) black beans, drained • 1 large tomato, diced • ½ cup (125 mL) feta cheese, crumbled • 1 small can black olives (optional) • ½ cup (125 mL) pine nuts, toasted (optional) • ¼ cup (60 mL) lemon juice, freshly squeezed (juice of one lemon) • Salt and pepper to taste

Directions 1) Rinse the quinoa in a sieve under running water and drain. 2) Heat one tbsp (15 mL) oil in a saucepan. Add paprika and stir constantly for one minute. Add quinoa and water. Cover and bring to a boil. Lower heat and simmer 15 to 20 minutes, or until the water is absorbed and quinoa is tender, yet a bit chewy. If you prefer quinoa with a firmer texture, use one cup (250 mL) of water. 3) Heat one tbsp (15 mL) oil in a frying pan. Sauté onion, garlic, cumin and coriander until onions are translucent. Stir in red bell peppers, hot pepper flakes and cilantro. Sauté another five minutes. 4) Add cooked quinoa to sautéed vegetables. Stir in the corn, black beans, tomato, feta, olives, pine nuts, lemon juice, salt and pepper. Transfer to a bowl and refrigerate until ready to serve. Calories 264 • carbs 40g • protein 10g • fat 8g • fibre 7g

Winter 2016

Healthier You

tips to consider for a happy and healthy 2016 January marks the start of the calendar year and for many of us it is both a time to reflect and to look ahead. If improving health and wellness is on your radar for 2016, consider these 10 little tips that can have a big impact:

Say good-bye to tobacco. Tobacco use continues to be the leading cause of preventable death and illness in Canada. Stopping smoking is the single best action you can take for your health. Benefits of quitting smoking begin almost immediately. For more information, visit www.quitnow.ca.

10 Healthier You

Take steps to prevent injuries. Injuries are a big deal. They claim lives, send people to hospital, and leave people disabled. Injuries are the leading cause of death in B.C. for those under the age of 44 and the fourth leading cause of death across all age groups. Approximately 90 per cent of injuries are predictable and preventable. Find out more at www.preventable.ca. winter 2016

If you drink, do so safely. Alcohol is the second leading risk factor for death, disease, and disability in Canada. If you choose to drink, visit Health Canada online (www.hc-sc.gc.ca) and review Canadaâ&#x20AC;&#x2122;s Low Risk Drinking Guidelines. The guidelines were developed to help Canadians reduce the risk of both short and long-term alcohol-related harm.

Practice stress management. Stress is a normal part of life but when it happens too often or lasts too long, it can cause problems. Stress is linked to headaches, nausea, back pain, and trouble sleeping. It can also weaken the immune system. Take steps to lower stress and reduce tension. Meditation, deep breathing, listening to music, time outdoors, and regular exercise have all been shown to help people reduce stress.

If you are having trouble coping, talk to someone. Stress is a normal part of life but when it happens too often or lasts too long, it can cause problems. Stress is linked to headaches, nausea, back pain, and trouble sleeping. It can also weaken the immune system. Take steps to lower stress and reduce tension. Meditation, deep breathing, listening to music, time outdoors, and regular exercise have all been shown to help people reduce stress.

Learn about your medications. Medicines work in a delicate balance with your body and with each other. Tell your doctor or pharmacist about all the medications you are taking, including supplements and herbal remedies. Educate yourself about side effects and possible interactions.

Wash your hands often. Germs can spread easily through contact with any surface. Once they get on your hands, they spread by simple acts like rubbing your nose or your eyes. Regular hand washing can help you avoid picking up and spreading colds, flu, and other viruses.

Eat a healthy diet. Choosing foods that are low in salt and saturated fat and reducing drinks that are high in sugar will help you maintain a healthy weight and reduce the risk of conditions such as high blood pressure. Fruits and vegetables are an essential part of a healthy diet and play an important role in preventing disease. For more information on healthy eating, contact HealthLink BC at www.healthlinkbc.ca, or phone 8-1-1.

Get your shots. Keeping you and your family up-to-date with vaccinations is a great way to help everyone stay healthy. Immunize your children, get your flu shot every year and a tetanus shot every 10 years. For more information, check www.immunizebc.ca.

Get moving. An active lifestyle can help prevent heart disease, stroke, high blood pressure, obesity, and more. Being active doesnâ&#x20AC;&#x2122;t have to mean joining a gym or fitness class. It can be as simple as playing with the kids or choosing to walk instead of drive. Check out www.participaction.ca for more ideas.

Winter 2016

Healthier You

First Aid & Safety Training First Aid & Emergency Preparedness Kits Online Training REGISTER TODAY

Kamloops Branch: 250.372.3853 | www.sja.ca

Don’t miss a Moment... Call us today!

Hearing can affect every aspect of your life from your social well being to your health and safety, but it is often the subtle sounds that you miss the most.

Welcome Home! Providing Independent Living, Assisted Living and Residential Care: Village at Mill Creek

Our Services Include:

• Hearing Testing • DVA TAPS Cards Accepted • Digital Hearing Aid Sales • First Canadian Health Provider • Hearing Aid Batteries • Hearing Aid Repairs • Part of the WorkSafeBC Hearing Aid Provider • Custom Noise Network Protection • Hearing Aid Accessories

1450 Sutherland Ave.

Sun Pointe Village 700 Rutland Rd.

Call for a tour

Village at Smith Creek

250.215.1500

2425 Orlin Rd. (Westside)

baptisthousing.org

Proof 1 NorthBaptist Kamloops Housing – Healthier You

Physiotherapy Prepared October 2015 1/8 Page: 3.667” w x 2.417” h, colour

Rob Covaceuszach | 250.470.0785 | robc@ok.bc.ca

Our clinic offers treatment to relieve pain and restore your body’s movements. dry needling/ims

radial shOCkwave therapy

www.canadianhearingcare.com Registered Under the Health Professions Act

Kelowna

Orchard Plaza Next to Nature’s Fare Market

250.762.7228 Ashcroft

301B Railway Ave.

250.453.9670

Penticton

110-2210 Main St

250.770.8111 Revelstoke

305 1st St. West

250.837.3011 Kamloops

Vernon

Discovery Plaza #4-3100 35th St

250.542.3564 Salmon Arm

301-251 Trans Can Hwy

250.832.3530

Kamloops

Northhills Mall

Downtown 208-321 Nicola St.

7-1257 Trans Can Hwy

Sorrento

250.376.4188

250.372.2683

250.675.2202

75-85% Success Rate

COnditiOns: Plantar Fasciitis - Achilles Tendinopathy Scar Tissue Treatment - Tennis Elbow - Jumpers Knee Calcific Rotator Cuff - Tendonitis - Frozen Shoulder Shoulder Tendonitis - Chronic Neck/Back Pain available evenings and saturdays

regd physiotherapists robin gill BPT, MPT • monica makar BSC, PT ricardina (rita) Jara BSC, PHYSIO 550 Tranquille Rd Kamloops • 250-376-1141 www.NorthKamloopsPhysioTherapy.com

Resolution or no resolution

Healthy eating tips for success By Registered Dietitian Rose Soneff

There are two types of people: those who make New Year’s resolutions and those who do not. For those who make resolutions, the first page on a new calendar symbolizes a fresh change in their life. Those who do not make resolutions may see every day as the first day of the rest of their life and another opportunity to make a healthy change. Whichever philosophy you follow, making healthy lifestyle changes is always good. The most common health resolutions are to eat healthy, be more active and reduce smoking or alcohol use. While the tips here focus on healthy eating, the suggestions can also apply to other postive changes. Before embarking on any lifestyle change, do a checkin. Ask yourself what factors contribute to your current lifestyle? Without addressing these, healthy changes are harder to maintain over the long haul. For example, if you lack time to prepare healthy food or rely on readymade entrees provided by a meal program, what will happen when you are pinched for time or when the program is over? Look for ways to include food you like with healthier options. If you like pizza, try one with a whole grain crust, lots of extra vegetables, and chicken or shrimp rather than deli sausages. Try a smaller size pizza and add a ready-made green salad or a hearty vegetable soup to complement the meal. Set S.M.A.R.T. goals - S.M.A.R.T. stands for specific, measureable, attainable, realistic and timely. Rephrase your goals from “lose weight” to “increase my vegetable and fruit intake to at least seven servings per day by the end of January.” This S.M.A.R.T. goal is positive, measureable and focuses on what you can do.

Consult with a professional. Registered dietitians are qualified specialists who can help ensure your meal plan is balanced and fits your lifestyle. Be cautious of meal plans that avoid food groups or are too low in calories. They are hard to stick to and can result in yo-yo dieting (taking off and regaining weight over and over again) which is detrimental to good health.

Making healthy choices also takes practice and trial and error, but it can be done – and you can do it!

– Rose Soneff

Have a friend or family member be your support person. Find someone who knows your goals and is willing to listen and encourage you with words and actions like joining you for a walk or celebrating with you. A good support person can help you reach your goals. Remember, our habits form over months, if not years, and expecting to overcome them quickly is not realistic. Change takes time. Thomas Edison was not successful with his first version of the light bulb; it took him over 100 tries but he used what he learned to keep improving. Making healthy choices also takes practice and trial and error, but it can be done – and you can do it! Rose Soneff is a registered dietitian with Interior Health.

Winter 2016

Healthier You

14 Healthier You

winter 2016

Better together Integrating care for patients with mental health issues Quinn Smith has not had an easy life. With a past history of drug use and an ongoing struggle with alcoholism, his life was made even more challenging last year when he was hit by a car. The accident landed the Kamloops man in a coma in the hospital’s intensive care unit and he now suffers from chronic pain.

left: Dr.

David Stoll and IH staff member Tannis at the Martin St. Outreach Centre.

Despite this setback, Quinn is putting his life back in order – thanks in part to the team at King Street. Located on the north shore of Kamloops, King Street is a homey feeling clinic that offers a team-based approach to health care. Mental health and substance use clients access a general practice doctor to discuss medications, side-effects, rehabilitation, chronic disease management, prevention strategies such as smoking cessation, and other health concerns. In addition to doctor appointments, the clinic offers a range of other services such as intake assessments, referrals to other resources, diabetes education, life skills including kitchen groups, counselling, assistance with disability applications, access to psychiatry, and pharmacist services. A Street Nurse Clinic runs weekly. “I am so proud of what I’ve done since working with King Street. I would tell everyone to go to King Street,” Quinn says adamantly. “They make your head come back together… I’m still working on it, but I’m proud of what I’ve done.” Winter 2016

Healthier You

Q&A

Ho-Young Chung, DDS

Implant and Surgical Dentistry 603-1801 Princeton-Kamloops Hwy (Hwy 5A South) Kamloops, British Columbia V2E 2J7 Phone: Fax:

Email: Web:

250-372-7177 250-372-7109 admin@kamloopsimplants.com www.kamloopsimplants.com

Kamloops Dental and Implant Solutions We understand that missing one tooth or all teeth can have a significant impact on your lifestyle. Missing teeth can cause a variety of health concerns, including issues related to speaking and eating and can affect your overall well-being. Dr. Ho-Young Chung, DDS, founder of Kamloops Dental and Implant Solutions provides innovative dental and implant solutions in a safe, gentle, and caring setting. With a model of patient-centred care, Dr. Chung and his dedicated implant and surgical team are committed to helping their patients regain their selfconfidence and quality of life. Q What innovative dental and implant solutions do you provide? A Whether it’s having wisdom teeth removed or dental implants placed, many of our patients have some level of dental anxiety. We understand that even the thought of having dental work done can be a challenge for many; this is why we offer several levels of sedation for our patients. Our goal is to provide same-day implant solutions to help minimize the number of procedures and visits. If you have a broken front tooth that cannot be saved, we can remove that tooth, place an implant, and attach a new tooth all in one appointment. This is an alternative to waiting many months for grafting to heal and wearing a partial denture that you have to take in and out. If you have a loose, floppy denture and want to be able to eat better, we can place implants and have your denture “clip on” all in one appointment. Patients who pursue this option at other clinics potentially wait 6-12 months before they have their denture securely fitted into their implants. We want our patients to heal as quickly as possible, and at the same time, provide affordable and predictable dental implant solutions. Q What makes your dental implant centre unique? 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 truly makes an impact. Whether it’s a 93-year-old widower who wants to eat better, the husband who wants his wife to have her smile back, or the young woman who is about to get married and has a broken front tooth — they all have a story to tell. We are here to listen to our patients and want them to feel at home. Q What makes you different from other dentists? A We are a referral-based centre with patients coming from Kelowna, Vernon, Penticton, Chilcotin Valley, and of course, Kamloops and its surrounding areas. We want to provide exceptional care by focusing our practice on implant dentistry. Q How do you share your passion for implant dentistry with other dentists? A I am a faculty instructor at the Bites Institute for Implant Training in Burnaby, BC, a dental implant educational centre dedicated to teaching other dentists incorporate implant dentistry into their everyday practice. As part of Bites Institute, I have the pleasure of lecturing across Canada to fellow dentists. I also am a mentor for a monthly dental study group at our clinic in which other local dentists meet and share ideas. sponsored content

A traditional system, where mental health and primary care services are provided in different places, in two separate ‘streams’, can leave vulnerable people with no access to important health services. “Issues like homelessness and drug addiction are barriers when it comes to making and keeping doctor appointments, but many people with chronic mental health issues have health-care needs that require consistent monitoring and management,” says Interior Health Practice Lead Tara Mochizuki. “By working together, the team helps ensure patients are able to access care they need so their illness isn’t exacerbated, helping them avoid emergency department visits, hospital admissions, or other health crises.” Family physician Dr. Kyle Stevens, who works with South Okanagan patients on the methadone program out of Penticton’s new Martin Street Outreach Centre, agrees. The centre houses programs such as the Intensive Case Management team, Community Crisis Response team, a Stop HIV nurse, and other service providers and partners as well as a range of services including intake assessments, referrals to other resources, counselling, and psychiatry. “The opening of this expanded clinic for patients with mental health and substance use issues allows those without family doctors to now become attached to primary care resources,” Kyle says. “In addition to intensive mental health and substance use therapies, we also have the chance to

Happy To Help

A Kamloops street outreach nurse and Mental Health/ Substance Use Practice Lead Tara Mochizuki discuss client care at King Street.

• All Requisitions Accepted • No Appointment Necessary • FREE Covered Parking • Open During Lunch Hour • Two X-Ray Machines • Minimal Wait Time

Community Outreach and Support Support, where and when you need it

Christie Lane, CSW & Owner Tel-250-819-4450

Email-christieklane@gmail.com | www.facebook.com/happytohelp84

We specialize in placing

skilled medical field personnel.

Open Monday to Saturday, 9am - 5pm

SPH ProvideS HealtH care workforce SolutionS from our domeStic and international databaSe. We are a placement agency with access to nurses, pharmacists, physical therapists and more in the field of health care. Request a sample profile from the database on our website. Or call our office directly to see how we can assist your business acquire workers with the knowledge and expertise you require.

18 Healthier You

winter 2016

sphpoweratwork.com sphpoweratwork@gmail.com Tel: 250.314.6555 TF: 1.855.CALLSPH

(1.855.522.5577)

390-546 St. Paul Street Kamloops, B.C. V2C 5T1

above:

Dr. David Stoll works on a patient consultation at Martin Street Outreach Centre.

Whether you are just starting out or an avid rider, District Bicycle Co. wants you to have a place where you will feel comfortable and assured that you and your bike are well taken care of. The moment you walk through our door we are committed to the friendliest and highest quality of service, anywhere. We bet our bike on it.

salEs sErvIcE

Ride 365

Kamloops nEwEst BIKE shop now opEn 3-2160 Flamingo Road Kamloops, B.C.

offer preventative and chronic disease treatment, such as diabetic care, which is a critical missing piece for this population.” Both King Street and the Martin Street Outreach Centre are the result of a partnership between local physicians (Divisions of Family Practice) and Interior Health. Similar team-based care, offering primary care for mental health and substance use clients, is also offered at Kelowna’s Outreach Urban Health and Rutland Aurora Health centres and Vernon’s Downtown Primary Care Centre, while some communities in the Kootenays have nurse practitioners offering primary care services in partnership with Interior Health Mental Health & Substance Use services. “King Street has been a huge asset to the community as a whole,” says Bob Hughes, Executive Director, ASK Wellness Centre in Kamloops. “Through the provision of a wide range of medical, therapeutic, and support services, many of our mutual clients are receiving appropriate and timely services that did not exist in our community before.”

More info: For more information about mental health and substance use services visit www.interiorhealth.ca > Your Care

districtbicyclecompany.com

proof #

final

media: size: colour: publication: client:

236.425.BIKE (2453)

jblanken@districtbicyclecompany.com

date completed: december 16, 2015

magazine 1/4 Vertical (3.667” x 4.917”) 4 colour Healthier You - interior Health district bikes

Kamloops’ Only Running & Walking Phitted Design – eric@phitted.com | www.phitted.com Specialty Shop! Amazing range of widths and sizes to look & feel good! • Kids Footwear • Sandals/Orthotic Adaptable • Crosstrainers • Dress/Casual • Trail • Court/Basketball • Track Spikes • Light Hikers

“PUTTING FEET FIRST”

250.377.4055 • www.runnerssole.com winter 2016

Healthier You

#74 - 1395 Hillside Drive, Kamloops, B.C. V2E 2R7

NPs provide wide Range of Care

First introduced in B.C. in 2005, nurse practitioners (NPs) have become a vital part of care teams across the province.

NPs work in partnership with physicians and other health-care professionals to provide quality care to people of all ages, families, groups and communities. They are registered nurses with additional education at the Masters level and are qualified to diagnose and treat illnesses, order tests, prescribe medications, and manage, monitor and review chronic health conditions. There are currently more than 45 NPs working throughout Interior Health in a variety of settings, including: caring for the elderly in residential care; partnering in care with First Nations communities; providing primary care in a number of rural communities; supporting patients while in hospital;

20 Healthier You

winter 2016

and caring for patients in the cardiac and thoracic programs. “We are really proud of our NPs in Interior Health and the range of care they provide,” says Donna Mendel, Interior Health Regional Practice Leader in the Professional Practice Office. “By integrating NPs in a variety of practice settings, from primary health care to acute and residential, we have contributed to improved access to primary health-care services for people who live in the Interior Health region.” The following provides a brief snapshot of some of Interior Health’s NPs and their widely varied roles throughout the region.

Nurse Practitioner

Kim Hayter

Sandra Lachapelle

Navy Sahota

Kim Hayter has been an NP for two years and plays an important role supporting patients with diabetes.

Sandra Lachapelle has been an NP for five years and currently works out of the Thompson Rivers University (TRU) campus in Williams Lake, a primary health centre that operates as a partnership between the university and Interior Health, with support from local community agencies.

Navy Sahota has been an NP since 2012, and has a special interest in the geriatric population living in the community or in care homes. She provides primary care to Kamloops patients over 65 years old who have complex health-care needs but do not have a family doctor or nurse practitioner.

Kelowna

She works in Interior Health’s Diabetes Program in Kelowna as part of a team that includes dietitians, registered nurses and social workers. They help patients with diabetes who have complex care needs, often due to complications from their diabetes or other illness. Kim also sees patients who are living with diabetes and do not have a family doctor, and provides support for complex hospital patients by working with the Inpatient Diabetes Nurse. In addition, she does outreach to members of the Westbank First Nation every second week. “My role provides to care My role provides access that patients may access to care that not otherwise patients may not take part in and I provide a broader otherwise take perspective to the part in. team – I can look at health issues beyond diabetes to help support patients in their health journey. I am able to refer them to specialists and order diagnostic tests if needed.” Kim loves the team environment at work. Most importantly, she says, it is a pleasure to work with people living with diabetes and help them work through the many challenges posed by chronic disease. “It humbles me each day to realize how lucky I am that I am healthy and do not face many of the challenges faced by our patients.”

Williams Lake

Sandra’s role and the unique partnership with TRU addresses gaps in the community’s current health-care services; Williams Lake is one of few communities without a walk-in clinic or a youth sexual health clinic, both of which were identified as significant needs in a community survey.

“I love the autonomy and the challenge of my role.

“Our students from out-of-town had no access to health care aside from the hospital emergency department,” says Sandra. With the recent departure of several local physicians, the health centre is busier than ever helping to meet the needs of patients. “I love the autonomy and the challenge of my role. My days are never boring, and I’m always looking things up, which is fantastic. I love the detective work of diagnosing a condition, and the feeling of filling such a big need. It’s great. TRU is absolutely amazing to work with, and I feel very fortunate that they are so supportive,” says Sandra.

Kamloops

In her role she works closely with patients, families, and allied health professionals such as physiotherapists and respiratory therapists. “Attaching the seniors to a primary Attaching the care provider supports continuity seniors to a of care and helps primary care us monitor the provider supports complex healthcare needs of continuity of care. these patients,” explains Navy. “More time is spent on one-to-one appointments, which allows for more comprehensive health-care assessment and action planning. It’s better for the patients and has been shown to be effective in reducing emergency room visits.” Appointments are provided as home visits, nursing home visits and clinic visits. Patients are part of the healthcare team and their care plan is developed jointly with their input. Providing these types of medical appointments also offers seniors convenience and comfort. “The focus is on patient-centered care,” says Navy.

Winter 2016

Healthier You

AD VER TO RI A L

SITTING IS NOT THE NEW SMOKING. BUT WE SHOULD STILL DO LESS OF IT.

housing and legal issues, social isolation, Grace Nakano divides her time between issues or you Nelson and Trail providing primary care, takes creativity. Forpsychiatric example, ifand yousubstance work a jobuse that requires The most over-used dramatization currently used in workplace even having a phone.” mainly to Imental health andtosubstance wellness is “sitting is the new smoking”. I disagree. am sitting sit day in and day out not all day without the opportunity for patients who do not have a family Grace saystobeing right now to write this article and I hardlyuse believe it is having breaks, you may not be able request walk breaks from your doctor. situated within

employer but you may however be able to slightly modify your the harmful affects that smoking a cigarette would have on Interior Antherapy. NP for seven sheworkstation works closely to allow you toHealth’s sit and standIin rapidhaving succession my body. I do not require sitting-cessation Sittingyears, is enjoy an Mental Health with the Intensive Case Management (also known as a squat) you can do this movement at intervals necessary. We just need to do less of it. and Substance ongoing professional team who provide servicesthroughout to the mostthe day to break up the time spent sitting. Research Use program vulnerable mental health and substance relationship with my has shown us that encourages movement at a work can result in increased Have you ever summed up all of your use hours of sitting and patients. patients. productivity and job satisfaction and decreased absenteeism team approach to laying down in the day (24 hours)? Does the Shetime also spent runs ainclinic at thedue hightoschool the health improvements movement can have on the providing mental inactivity outweigh your physical activity? volumes of Trail every second inLarge both Nelson and health care and body. physical inactivity in the day may put you at risk for a chronic week, seeing students for various

medical care for

Nurse Practitioner disease. In 2013 The University of Texas School Pubic Health issuesof including health counselling, this vulnerable population. It provides Grace sexually transmitted As is always theenhanced case, speak to your or Nurse recorded the Nakano training time and inactivity contraception, time for 218 distance access to Physician care in a setting disease The screening, health if you are runners (marathon half marathon distance). medianand mental Practitioner not patients currentlyare active and will be increasing where comfortable because Nelson and and Trail issues. In addition, she hasyour a clinic at theactivity they already come there to see other care physical dramatically. training time was 6.5 hours/week. Median total sitting time was Salvation Army in Nelson for an hour each providers. 8 – 10.75 hours per day. This study suggests that recreational distance runners can be highly sedentaryweek. and highly active at “I enjoy working with patient Sitting is a necessary part of living. Wethis need to sit for at least “Many mental health the same time! Just because you go to the gym, go running or and substance population I feel a small amount of time every because day. We do notI’m andfilling haveinnot patients may receive psychiatric or a gap in the system and really helping walk daily, you are not safe from the risksuse of excessive sitting. ever needed smoking. Therefore, sitting is not now nor has it counselling services, but may not be some of the most vulnerable patients,” ever been smoking.says Movement however medicine. Take your attached to a family doctor,” Grace says. Grace. “Iis enjoy having an ongoing and ENJOY! Movement is medicine. A medication “Often that wetheir should take healthmedicine physical needs are professional relationship with my patients as often as possible. There are many reasons that webecause may sit of forvarious barriers to neglected and helping them improve their physical extended periods. To change the sitting situation and mental health.” receivingsometimes health care, including poverty,

Jennifer Edgecombe Exercise Specialist Coordinator with the City of Kamloops, Parks and Recreation BSc. HK, American College of Sports Medicine Certified Clinical Exercise Physiologist jedgecombe@kamloops.ca 250.828.3742

SENSATIONAL SURVIVORS 250-828-3742

Mission

A goal-oriented exercise program dedicated to working with women in all stages of cancer to improve physical strength, rehabilitation and support.

By Physician/Nurse Physician/Nurse Practitioner Practitioner Referral By Referral Referral forms at www.keeponmoving.ca/physicians forms at www.keeponmoving.ca/physicians or or call call 250-828-3742 250-828-3742 22 Healthier You

winter 2016

Should thin? Should all kids be thin? Shouldall allkids kidsbe be thin?

FrequentlyAsked Asked Frequently

Questions Questions

oes

work?

ss Studies have shown that when work? ES. families participate work? , there improvement in weight, that when families . Studies Studieshave haveshown shown thatis when familiesparticipate participate f-esteem, depression, dietisis and exercise habits. However, ,,there improvement ininweight, there improvement weight, ogress depending on how open and committed teem, varies depression, diet exercise habits. However, steem, depression, dietand and exercise habits. However, e child anddepending family areon tohow change. The Shapedown ess varies open and committed ress varies depending on how open and committed ilosophy isfamily that are parents should not of their child hild The Shapedown hildand andfamily areto tochange. change. Theask Shapedown ything they are not willing to do themselves. ophy is that parents should not ask of their child

sophy is that parents should not ask of their child ing they are willing do hing they arenot notparents willingto tocan’t dothemselves. themselves. What if both attend?

oth parents should make every effort to participate. at ififboth at bothparents parentscan’t can’tattend? attend? one parent is more removed from a child, their

parents should make every effort to participate.

parents should make every effort to participate. esence may be even more important. Research has isismore removed aachild, eparent parent more removed from child, their own repeatedly that a familyfrom approach is their most nce may be more Research has ence may beeven even moreimportant. important. Research has ective in order to achieve lifestyle changes. It is only nnbuilding repeatedly that aafamily repeatedly that family approach ismost most on the strength of approach the family is that child ive ininprograms order lifestyle ItItisisonly tive ordertotoachieve achieve lifestyle changes. only esity have their long changes. lasting, beneficial ilding of family child uilding onthe thestrength strength ofthe the familythat that child ect onon weight. Step-parents, extended family and/ yfriends programs have their long lasting, ty programs havewho theirhas long lasting,beneficial beneficial or anyone a parenting role, are couraged to Step-parents, participate. ton onweight. weight. Step-parents,extended extendedfamily familyand/ and/

ends iendsor oranyone anyonewho whohas hasaaparenting parentingrole, role,are are

What after group? ragedhappens to uraged toparticipate. participate.

ter your family has completed the program, you will be couraged to continue to participate in the on-going weekat after group? athappens happens after group? Come Surg-Med dyour family fun has fitness sessionsvisit at theprogram, YMCA oryou Rec. Centre. family the will be your family hascompleted completed the program, you will be Kamloops/Vernon for ditionally, we offer family raged totocontinue uraged continueto toparticipate participateininthe theon-going on-goingweekweekemberships and family your consultation and mily fun amily funfitness fitnesssessions sessionsatatthe theYMCA YMCAor orRec. Rec.Centre. Centre. aching for our graduates. expert installation. onally, ionally,we weoffer offerfamily family u will receive monthly erships and berships andfamily family wsletters to help keep you ng for hing forour ourgraduates. graduates. track.

ill receive will receivemonthly monthly www.pgsurgmed.com etters you etterstotohelp helpkeep keep you ck. ack.

personal

proof # care

Kamloops KamloopsHealthy Weights Weights for Children forHealthy Children

NO. Children come in all sizes and shapes that are NO. NO.Children Childrencome comeininall allsizes sizesand andshapes shapesthat thatare are perfectly normal. Rapid weight loss or strict diets can perfectly perfectlynormal. normal.Rapid Rapidweight weightloss lossor orstrict strictdiets dietscan can affect the growth and development, promote binge affect and promote binge affectthe thegrowth growth anddevelopment, development, promote binge eating, slow metabolism and result in weight gain. eating, result eating,slow slowmetabolism metabolism and resultinin weightgain. gain. is safe. Itand encourages aweight gradual, isismaintenance safe. aagradual, safe.ItItencourages encourages gradual, safe weight loss or the of weight as the safe loss or safeweight weightThe loss orthe themaintenance maintenanceofofweight weight asthe the child grows. goal in is for as the child The goal isisfor childorgrows. grows. The goalininattain their healthy weight. forthe the child teen to gradually

stairlift

child childor orteen teentotogradually graduallyattain attaintheir theirhealthy healthyweight. weight.

Is There A Diet?

NO. Diets typically causestraight children to feel deprived Is AADiet? IsThere There Diet? Elite indoor and, a result, to overeat. NO. Diets typically cause children NO.as Diets typically causeInstead, childrento tofeel feeldeprived deprived supports balanced approach to food intake based model 2010 and, aaaresult, totoovereat. Instead, and,as assre result, overeat. Instead,

on Canada’s Food Guide to Healthy Eating. Families supports aabalanced approach to based supports balanced approach tofood foodintake intake based learn how to select on Food Guide Healthy onCanada’s Canada’s Foodhealthier Guideto tofoods. HealthyEating. Eating.Families Families

When you want a high-quality stairlift learn learnhow howto toselect selecthealthier healthierfoods. foods. combined with aExercise? stylized appearance, What About you want Bruno Elite. The Elitefitness, straight stresses overall What Exercise? WhatAbout About Exercise?Children including endurance, flexibility and strength. and parents chairlift offers worry-free access to all stresses stressesoverall overallfitness, fitness,including including develop a morehome active lifestyle andpremium replace television levels of your and the endurance, flexibility and strength. Children and parents endurance, flexibility and strength. Children viewingblends and other inactive pursuits with familyand and parents design in with your home’s develop aamore active lifestyle and replace television develop more active lifestyle and replace television peer activities, sports, projects and other interests. environment. Consider options such viewing viewingand andother otherinactive inactivepursuits pursuitswith withfamily familyand and as custom upholstery, powerand swivel peer sports, other peeractivities, activities, sports,projects projectsand otherinterests. interests. CONTACT INFORMATION seat and power folding footrest to Centre for Healthy Weights: customize your Bruno Elite stair lift to CONTACT INFORMATION BC Children’s Hospital CONTACT INFORMATION fit Clinical your lifestyle needs. Bruno stairlifts Support Building V2-207 Centre for Healthy Weights: Centre Healthy Weights: Westfor 28th Avenue are948 recognized for their exceptional. BC Children’s Hospital BC Children’s Hospital Vancouver, BC V5Z 4H4 Clinical Support Building Clinical Support Building V2-207 engineering, innovative design and Phone: 604 875-2345 Ext.V2-207 5950 948 West 28th 948604 West 28thAvenue Avenue Fax: 875-2388 smooth, stable ride. Vancouver, Vancouver,BC BC V5Z V5Z4H4 4H4 Phone: Phone:604 604875-2345 875-2345Ext. Ext.5950 5950 Fax: 604 Fax: 604875-2388 875-2388 Unit #9-111 Oriole Rd, Kamloops, BC

Program

Shapedown BC Shapedown BC: A FREE program for children and teens (aged 6-17) and their families SHAPEDOWN BC is a family based group program that helps children and teens, and their families, achieve a healthier lifestyle. HOW DOES IT WORK? Through aged based group programs and individualized support, the Kamloops Shapedown team of a Registered Dietitian, Fitness Instructor, Registered Social Worker and Pediatrician, Forin more helps families to make positive changes eating habits, information about this activity level, parenting skills and self-esteem. FREE, FUN, FAMILY PROGRAM HOW DO I JOIN? Ask your family Doctor, Pediatrician, or contact: Nurse Practitioner to send us a referral. Or contact us for Kamloops Healthy Weights more information. for Children Program: Shapedown BC Health Kamloops Healthy Weights for Public Children

PH: 236-425-1235 FAX: 236-425-1238 TF: 1-844-259-8576

Shapedown BC

Public Health 519 Columbia Street, Kamloops, BC V2C 2T8 PH: 250.851.7300 | FAX: 250.851.7301 www.interiorhealth.ca/Shapedown

4206 – 25th Avenue Vernon, BC

PH: 250-549-7288 To learn more, download our brochure at: FAX: 250-549-7281 www.bcchildrens.ca/healthyweights TF: 1-866-942-7288

home

ToTolearn learnmore, more,download downloadour ourbrochure brochureat: at: www.bcchildrens.ca/healthyweights www.bcchildrens.ca/healthyweights

companion

date completed: december 15, 2015nursing services final making

www.bcchildrens.ca/ healthyweights

live-in care

Helping you. Live your life. es that are pes that are media: size: colour: publication: client:

magazine 1/4 Vertical (3.667” x 4.917”) 4 colour Healthier You - Winter 2016 pG surg-med

Get the support your loved ones need and the peace of mind you need. Services include Personal Care, Phitted Design – eric@phitted.com | www.phitted.com Home Making, Companion Services, Nursing, Accompanied Visits, Caregiver Relief, Help Out With Meds. We’re specially trained to help with Alzheimer’s and dementia, diabetes, acquired brain injury and end of life care. We’ve been helping families just like yours since 1984.

ict diets rict dietscan can mote binge omote binge eight gain. weight gain. aagradual, gradual, ight asasthe eight the 250.861.8315

We Care Kelowna #240-1715 Dickson Ave. Kelowna, BC • www.wecare.ca

519 Columbia Street Kamloops, BC V2C 2T8 Phone: 250-851-7300 Fax: 250-851-7301

caregiver relief

accompanied visits

Exercise, COPD Go hand in hand

When Tom Lund of 100 Mile House was diagnosed with a lung disease, he was determined to find the best way to keep on living well.

A Lung Health Program participant has her oxygen levels tested.

24 Healthier You

winter 2016

He lobbied for community supports for people with chronic obstructive pulmonary disease (COPD) and was first on the list to join Interior Health’s Lung Health community program. The exercise portion of the program is not as intensive as the men’s hockey he was playing, but it’s incredibly important for his current health status. “I was devastated when my doctor told me I couldn’t go into the arena

anymore,” Tom recalls. However, rather than feeling sorry for himself, he looked for education and exercise that would help him expand his lung capacity. He found success with Interior Health’s Lung Health community program, first in Williams Lake and then in 100 Mile House. Now he wants to make sure everyone else in his position takes advantage of an exercise program that is crucial for COPD patients.

Exercise, COPD Go Hand in Hand

Videos Move Patients into Health The creators of a progressive series of exercise videos for patients with COPD are thrilled with the end product that offers evidencebased support to professionals working with older populations with compromised health conditions.

“Exercise should be like a religion for us. We must do our exercises every day,” Tom says. His own useable lung capacity has increased with exercise and medication. He describes the community program as invaluable, and he also likes the online support now available across Interior Health with a video series offering a clinically informed home exercise program. The Move into Health video series was developed by Interior Health’s Chronic Disease Management program and the UBC Okanagan Centre for Heart, Lung & Vascular Health to offer safe exercise options for people with COPD. Wendy Cameron, a new participant to the class, was also impressed with the videos. “They are a great place to start for someone newly diagnosed with COPD or too sick to leave the house.” Professional Practice Lead Dora Foote of Williams Lake says her Allied Health team members, including respiratory therapists, physio and occupational therapists, will inform their homebound clients about the videos and help them work through the daily exercise and physical activity log that accompanies the videos. She says clients are encouraged to join the group pulmonary rehabilitation program in the community, but they will also benefit from the researchbased exercise videos for the other days of the week. As well, some people not comfortable in group sessions will have the option of following a safe, wellresearched exercise program at home. In 100 Mile House, the class of four men and five women are all enthusiastic participants in the Lung Health program. The session, held each Wednesday over 11 weeks, begins with an educational discussion. On the day we visit, Respiratory Therapist Barb Liness is talking about the Anxiety-Breathlessness Cycle for people with COPD and how to break the cycle.

The exercises seem simple to the average viewer, but the Interior Health clinicians who worked with Dr. Neil Eves and his team from the UBC Okanagan Centre for Heart, Lung & Vascular Health know how carefully each activity was studied to ensure it was the safest and most effective movement for a vulnerable patient. The series of eight videos, called Move into Health, were initially developed to assist people who are housebound after an exacerbation of their COPD, but IH Chronic Disease Management Practice Lead Cory Bendall says they are also suitable for people with other chronic illnesses and seniors, who might benefit from a safe and effective exercise program developed with a clinical, evidence-based perspective. Ideally, patients can work with physiotherapists, respiratory therapists, or family physicians to build a return to activity plan that will assist their strength, endurance, and confidence so they can successfully join pulmonary rehabilitation programs in communities across Interior Health. However, the videos, which feature actual clients from Interior Health, also provide detailed instructions to allow people to work individually through the eight videos. They are also accompanied by a daily exercise and activity log. Cory says the videos are also a valuable resource for our rural and remote communities where there are no formal pulmonary rehab programs. These resources will build confidence and strength so that people can successfully participate in community or municipal activity programming. Move into Health exercise videos can be accessed on the Interior Health YouTube Channel. A variety of exercises are demonstrated in the new series of videos to help those with COPD stay active.

Winter 2016

Healthier You

Respiratory Therapist Tammy Holland, centre, is a big part of the success being experienced by COPD clients Wendy Cameron and Tom Lund at the Lung Health program.

Twenty The videos are a great place minutes of strengthening to start for someone newly and stretching diagnosed with COPD or too exercises with sick to leave the house. Physiotherapist – Wendy Cameron, class participant Arjay Legua follow, and the class ends with a 12-minute walk around the warm halls of the 100 Mile District General Hospital. Oxygen levels, blood pressure, and pulse are monitored by Barb and her colleague Respiratory Therapist Tammy Holland. “These two gals are worth a million bucks to us,” says Tom, to a chorus of “yes, they are,” from the class. “We all feel the same way.” Tammy says there are times when people in the Cariboo community aren’t able to make the weekly class because of weather and she is pleased to have the Move into Health video series to offer as an option. All the older adults in the Lung Health program are eager to improve their health with the support of experts. Like Tom, they have partners, children and grandchildren to live for, as well as their own personal enjoyment of life. “I hope all our family physicians are referring their patients with COPD to the community programs and now those videos,” says Tom. “It’s just so imperative that we do the right kind of exercises.”

Stay

independent

in your own home! In home care offers practIcal assIstance In everyday lIfe and offers a means of lIvIng Independently In your own home as long as possIble. SPH provides fully screened and qualified in-home caregivers for seniors and persons with disabilities as well as childcare nannies. They have a dynamic team with experience and sensitivity to match the needs of clients with the experience and skills of workers. Federal and Provincial credentials guarantee placements to be effective and safe in their practice. Visit our website or call our office for more details on how we can provide help with a individual needs assessment for our services.

SPH in Home care ServiceS are for SeniorS, PerSonS witH diSabilitieS and cHildren.

sphpoweratwork.com sphpoweratwork@gmail.com Tel: 250.314.6555 TF: 1.855.callsph

(1.855.522.5577)

390-546 St. Paul Street Kamloops, B.C. V2C 5T1

26 Healthier You

winter 2016

Medical | Dental | Optical OKANAGAN SPACE FOR LEASE We have the perfect medical space for you.

Callahan Property Group has potential medical spaces in West Kelowna, Lake Country and Downtown Kelowna. Contact us today to discuss joining the neighbouring pharmacies in these ideal locations.

250.717.3000 leasing@callahanpg.ca callahanpg.ca

Kiss lousy dentures goodbye!Kiss lousy dentures goodbye!

Slipping, sliding, loose or painful dentures? Come see Dr. Chambers, Board Certified Dental Specialist. He has over 20 years of Call now and get a experience creating comfortable dentures, stabilizing dentures FREE INITIAL with dental implants and CONSULTATION! making fixed dentures that ($150 value) never need to be removed.

Duncan Chambers, DDS, FRCD(C) CertiďŹ ed Dental Specialist

Also in Penticton

Suite 201 - 550 West Ave. Kelowna, BC V1Y 4Z4 Phone: 250-862-2483 or Toll Free: 1-855-862-2483 www.kelownaprosthodontics.ca Call now and get a

FREE INITIAL

Shared care initiative

doubles access to specialists in rural town Patients in Princeton and the surrounding area are benefiting from a partnership that increases access to specialty care for rural patients.

Princeton has a small local hospital serving a surrounding area of approximately 5,400 people. As is the case for many rural communities, specialist care can be difficult to access â&#x20AC;&#x201C; a challenge which also impacts the recruitment and retention of family physicians in the region. In 2013, the working group, supported by Shared Care/ South Okanagan Similkameen Division of Family Practice project (a partnership of Doctors of BC and the B.C. government), came together to brainstorm solutions to increase access to specialists in Princeton and the surrounding area. Their solution was to make it easier for specialists to visit Princeton by creating a structure for continued on page 30 ď&#x192;&#x2019;

Shared Care Project team including family physicians, specialists, Interior Health staff, and others, have been working together to expand specialty outreach clinics in the small town of Princeton. For Princeton patients, accessing specialist care has required at least three hours of travel through mountainous terrain to Penticton and other larger centres. As a result of the project, access to specialists almost doubled over a one-year period and now spans 11 specialty areas.

Dr. Shannon Walker

Penticton Respirologist Dr. Shannon Walker is among several specialists now conducting outreach clinics in the small town of Princeton.

28 Healthier You

winter 2016

2169PANDOSY.COM PRESCRIPTIONS

HEALTH CARE

LONG-TERM CARE

Specialty Compounding, Injection Services, Medication Reviews, Free Delivery within City limits.

Ostomy, mastectomy, stocking and wound care supplies. Certiﬁed Mastectomy and Stocking ﬁtters.

Facility and Group home services. Strip packaging and electronic MAR’s.

HOME • OFFICE • BUSINESS • INVEST

273 VICTORIA STREET | (250) 372-2531 | WWW.KIPPMALLERY.CA

Kamloops’ Dental Hygiene SPA

Maximise your lifestyle and optimise your health and well being with the latest in innovative technology and design. Located in the heart of Kelowna’s hospital district, 2169 Pandosy is just steps away from where you want to be.

LOVE WHERE YOU LIVE LOVE WHERE YOU LEASE

Visit our Licensed Professional Staff in our Relaxing Spa-like Atmosphere We offer:

• Scaling, Polishing and Fluoride • Affordable in-ofﬁce and take home whitening kits • A Variety of Dental Hygiene Products • Custom Sports Guards

Walk-ins Welcome! Contact us Today: (236) 425-0503 #102 -755 McGill Rd. Kamloops, BC V2C 0B6 Smile Spa

2169pandosy.com | 1-877-773-7071 | Collett Manor 2169 Pandosy Street, Kelowna BC

DR. D. CIRIANI

“I think e “

“ I think everyone should participate in this program. It is so useful. We are so grateful for having gone through it as a family. ” –Susan Forster, Parent

Mind,

should pa

MEND is a fun, free 10 week program I think everyone program. for families with children ages should participate in this 7-13 who are working together to We are so become healthier and more active. for having program. It is so useful. The program We are sofacilitates grateful safe, effective and lasting lifestyle for having gone through changes by improving children’s physical it as activity a family. levels, nutrition —Susan Forster, Parent and self-esteem.

it as a fam

”

Mind, Exercise, Nutrit

For local contacts please visit: Location: Cranbrook, Kamloops, MEND: where familiesit! get fit and health Exercise, Nutrition...Do Kelowna, Penticton

MEND: where families get

MEND is a fun, free 10 week program for families with children ages 7-13 who are fitworking and healthy together. together to become healthier and more active. The program facilitates safe, effective and lasting lifestyle changes by improving children’s physical activity levels, nutrition Information and registration andAbbotsford, self-esteem. Agassiz, Burnaby,

Mind, Exercise, Nutrition...Do it! MEND is a fun, free 10 week program for families with children ages 7-13 who are working together to become healthier and more active.

Chilliwack, Coquiltam, Langley, MEND: where families get fit and healthy together. ForMaple local contacts please visit: Surrey, Information and registration Ridge, Richmond, Abbotsford, Agassiz, Burnaby, Chilliwack, Coquiltam, Langley, Information and Registration: Maple Ridge, Richmond, Surrey, Cranbrook: 250-489-0220 Squamish, Vancouver Kamloops: 250-571-4136 Kelowna: 250-491-9622 ext. 234 Penticton: 250-490-2426

BChealthykids.ca Squamish, Vancouver

The program facilita and lasting lifestyle ch children’s physical acti and self-esteem.

For local contacts pl BChealthykids.ca

specialty outreach clinics and to support access to funding for doctors to travel. Many specialists came on board and the clinics made an immediate impact. In the first year, 46 outreach clinics were held with 450 patients receiving specialty care. “I couldn’t travel because I was paralyzed. I had to rely on everyone else, my friends and my son, but they have jobs,” says patient Don Burnstad. “These outreach clinics have made it so much easier for me to access the care I need.”

Having specialist outreach clinics has improved my ability to provide patient care tremendously.

– Dr. Colleen Black

Respirologist Dr. Shannon Walker says “I’ve had a couple of patients where the family doctor had indicated this person was unable to drive to Penticton to come and see me. For me to be able to travel to them, and reach a few of these lives – we can make a difference.” Local doctors are enthusiastic about the opportunity to build relationships and learn from their specialist colleagues through

30 Healthier You

winter 2016

Continuing Medical Education events organized through the project. They feel well supported and connected. “Having specialist outreach clinics has improved my ability to provide patient care tremendously,” says Dr. Colleen Black, a family doctor in Princeton. “The clinics are really valuable and I am very grateful for their existence.” “We recognized the challenge for patients to travel to Penticton for appointments, and also the concern of isolation from colleagues for family physicians practicing in rural communities. The specialty outreach clinics address both issues. It’s been a great success,” says Susan Brown, community health administrator for the South Okanagan in Interior Health. After just one year, the range of specialties grew from four to 11, providing specialist expertise on respirology, orthopedics, rheumatology, general surgery, and urology, among others. A recent one-year evaluation that surveyed 184 patients indicated that up to 31 per cent of patients received specialist care who would not have otherwise received it. Also, significantly, 53 per cent were over 70 years of age, and 10 per cent were more than 90 years old. Don, who was one of the patients seen in the first year, says “When you have people like Dr. Walker coming to town, it makes it 10 times easier to say ‘yes, I’ll go’. It takes one big part right out of the equation.”

Flaman is First in Physio Bikes

For the Best In Physio Equipment See Us First

Stability Balls

Foam Rollers

Exercise Mats

Resistance Bands Tread Climbers

Pilates Balls

MAGIC MIKE

To contact one of our real estate professionals, visit TheRightAgents.com.