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Emergency Department

Camp Bridges, Love Builds Bridges Where There Are None

November 16th is Children’s Grief Awareness Day, a day dedicated to helping people learn about the ways they can support a grieving child.  In Canada, over 203,000 children will experience the death of someone in their extended family; with 1 in 14 experiencing the death of a parent or sibling. In recognition of Children’s Grief Awareness Day, the Prairie Mountain Health Palliative Care Program would like to share information about Camp Bridges.

What brought together the 40 children and youth who attended Camp Bridges 2023?  It may have been sitting around the fire eating smores, staying up late into the night giggling, coming up with a cabin cheer or participating in fun activities like ziplining and horseback riding.   But – more likely – it was the shared knowledge that each of them has experienced the death of someone they love.

Camp Bridges is a children’s bereavement camp organized by the Palliative Care Program at Prairie Mountain Health.  It is open to any child in Manitoba, aged 7-15 years old, who is grieving the death of someone significant in their life. Camp Bridges provides a safe environment where campers have the opportunity to interact and share their feelings with other children who are in similar circumstances.  While the camp is not designed to provide grief therapy, Campers learn to understand their grief as a normal experience, recognize they are not alone and have the chance to “just be a kid again”.

In 2023, Camp Bridges was hosted at Circle Square Ranch, a beautiful Western-inspired space with ample sunshine and a variety of fun activities.  Upon arrival, Campers were welcomed by smiling volunteers and had the opportunity to choose from an assortment of donated comfort items, including: a hand-made blanket/stuffy from Project Linus, a knitted hug scarf from Palliative Manitoba and a bag of camping goodies from Shine Through The Rain Foundation.  Campers said goodbye to parents and caregivers, who were sent home with a resource package to help them understand and support their child’s grief.

After checking in, Campers head to their cabins to unpack and get to know their cabin mates.  It is astonishing how quickly the children form bonds with each other by sharing their name and the reason they have come to this special camp.  Campers are invited to create a picture frame and display a photo of their person on the Wall of Memories.  This activity provides children with an opportunity to talk about the person who died, share favorite memories and form connections with other grieving children.  As they look upon the wall, filled with photos of parents, siblings, grandparents, friends and other important people, they know they are not alone in the experience of losing someone special.

Camp Bridges offers all the things expected from a summer camp, including: ziplining, archery, mess hall meals, horseback riding, outdoor games and lots of laughter and fun.  Sprinkled in alongside are memorial activities that teach children about grief, allow them to acknowledge their loss and find support in one another and camp volunteers.  Memorial activities include: creating a memory box, writing on HOPE stones and sewing a pillow made from their loved one’s clothing.  As an annual Camp Bridges tradition, a memorial service was held where children could light a candle for their special person in a space of shared reflection, empathy and support.  These activities help children maintain a continued connection with the person who died and lets them know that death ‘ends life, but not love’.

Campers had the opportunity participate in sessions of art therapy, with Pipestone Art Therapy and music therapy, with Satori Counselling & Expressive Arts Therapy. These activities help children connect to their emotions and express them through creative outlets and physical movement.  Children learn that grief is a natural and normal response to loss, and that expressing their feelings can help.  Finally, it was time to close out Camp Bridges with a butterfly release ceremony.  Campers and their families gathered in a large circle to release Monarch butterflies.  It was in that moment of watching the butterflies take flight, that one could grasp the profound impact Camp Bridges had on these young grievers and their families.   

Camp Bridges is facilitated by a dedicated group of volunteers who give their time, energy and heart to create the warm and fun-filled atmosphere. Cabin leaders are responsible for ensuring Campers get to scheduled activities and provide care and guidance throughout the weekend. A second crew of volunteers help children sew memory pillows, a treasured keepsake that will comfort them for years to come. Volunteers are trained in recognizing and supporting the unique ways that children grieve. Finally, Camp Coordinators, made up of staff from PMH Palliative Care, provide camp oversight and nursing duties for the weekend. If you are interested in volunteering with Camp Bridges 2024 please contact Carla Mitchell at 204-578-2310 or [email protected]

 Camp Bridges is thankful to all of the special people who make this camp possible!  Due to the generous donations received, we are able to offer Camp Bridges free of charge for 40 campers each year.  In 2023, the amount of applications received well exceeded the available spots; highlighting the continued need for children’s bereavement support services.  We are grateful to the individuals, organizations, community service groups and palliative care volunteer committees who contributed financially.  We would also like to thank Kuiper’s Family Bakery and Co-op for donations of food and snacks.  If you would like to donate to Camp Bridges, please contact Melissa Peters at 204-578-2340 or [email protected] .  Income tax receipts are issued for donations.

To learn more about Camp Bridges, or find additional resources to support grieving children, visit our website.  Please note: Camp Bridges 2024 applications will be available in January 2024.

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Walking Alongside Grief…. Reaching Out to a Grieving Heart

On November 21st, the Canadian Hospice Palliative Care Association acknowledges National Grief and Bereavement Day 2023.  It is a day to take action, be present and support those around you who are on a grief journey.

Grief is the natural and normal response human beings have to loss, especially when someone significant dies (also referred to as bereavement).  Grief is complex and can have significant impacts on all aspects of self, including physical, emotional, behavioral, intellectual and spiritual reactions.  Grief does not follow a predicable timeline and every person grieves in their own unique way.   

Despite the fact that grief is a universal human experience, we often don’t know how to respond when someone we love is grieving.  It is difficult to bear witness to the intense feelings, thoughts and behaviors that accompany grief.  In society, talking about death or grief is taboo and this can leave us feeling uncomfortable, never knowing quite what to say or uncertain about how we can be helpful.

But here’s the truth – we all have the power to make sure that people do not face their grief journey alone.  For many reasons, grief can be a deeply isolating and lonely experience.  Reaching out with simple gestures of kindness can make a profound impact and let the grieving person know they are not alone in navigating grief and loss. 

A good place to start is understanding that grief is an important healing process, one that cannot be rushed or fixed.  As a support person, it is not your job to fix the grief, but rather to walk alongside it and offer acknowledgement, compassion and support.  Even when it feels like there is nothing you can say to make things better; your actions can speak volumes and provide solace to a grieving heart.

Some small, but impactful ideas, to support a grieving person:

  1. Just reach out.
  2. Show up and listen, listen, listen.
  3. Bring food that is ready to eat, or easy to prepare. 
  4. Offer concrete help (mow the lawn, do laundry, grocery shop, take out garbage)
  5. Ask about the person who died or share a favorite memory/photo
  6. Avoid platitudes or clichés
  7. Send a card or care package (grief journal, art supplies or book)
  8. Go for a walk together
  9. Offer to help sort though or pack up the loved one’s belongings
  10.  Invite them to social events (and be accepting if they decline) 
  11.  Arrange to babysit or take children to activities
  12.  Offer to attend a grief support group with them
  13.  Acknowledge important dates, such as the holidays or death anniversaries
  14.  Keep checking in regularly
  15.  Expand your own knowledge about grief (www.mygrief.ca or www.kidsgrief.ca )

While grief is a lonely journey, it is one that we needn’t walk alone.  Every member of a compassionate community can reach out with small acts of kindness and connection.  There are also community resources to help grievers connect with others who are experiencing a similar circumstance.  The Palliative Care Program offers a listing of grief supports available in Prairie Mountain Health.  To access the available supports please visit our website.  

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October 2023 Donations for PMH

L-R: Greg Thompson, Chairperson of the Dauphin Hospital Foundation and Norma Johnson, Dauphin Poppy Fund Chair

Dauphin Hospital Foundation receives donation from Legion

Ahead of Remembrance Day, the Dauphin Hospital Foundation recently received a generous donation from the Royal Canadian Legion Dauphin Branch #20 Poppy Fund.  The donation, in the amount of $8,965 will be used to purchase blood pressure monitors for the Dauphin Regional Health Centre’s Palliative Care Unit.

Pictured are Greg Thompson, Chairperson of the Dauphin Hospital Foundation and Norma Johnson, Dauphin Poppy Fund Chair.

Johnson says the donation was a result of ongoing contributions received through their  collections of poppy sales and wreath rentals.  Johnson urges Parkland residents to consider donating through purchases of poppies again this year.

Both the Dauphin Hospital Foundation and Prairie Mountain Health sincerely thank the Dauphin Legion Branch #20 for their heartfelt contribution.


L-R: Bell/MTS retirees Darlene North, Sharon Shannon, and Ruth Albertson with BRHC Auxiliary members Brenda Burgess and Eileen Mosson.

Bell Giving Program

On September 25, 2023 the Brandon Regional Health Centre Auxiliary was honored to receive a $3000.00 donation from the “Bell Giving Program.”

Bell/MTS retirees are able to accumulate volunteer hours which they in turn can convert into grants for charities of their choice.  The BRHC Auxiliary was the recipient of this years grant.

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Russell Health Centre addition for expanded cancer care unit taking shape

Construction is well underway on the building addition to expand the cancer care unit at Russell Health Centre. Work on the $2.5 million project began in late spring and is anticipated to be completed in the spring of 2024.

The Expanding Community Cancer Care (ECCC) committee raised $1.8 million toward construction and equipment costs related to the expansion. The committee includes membership from the communities of Angusville, Beulah, Binscarth, Birtle, Foxwarren, Inglis, Langenburg, Sask., Roblin, Rossburn, Russell, St. Lazare, Shellmouth, Silverton, Solsgirth and Waywayseecappo.  The Manitoba government committed  $700,000 to support the remaining costs of the project.

Once complete, the project will add another 3,300 sq.-ft. to the health centre’s existing CancerCare Manitoba chemotherapy treatment space and include:

  • replacement of the existing nursing station and medication storage area;
  • creation of a dedicated patient washroom, nourishment area, and a small waiting area;
  • improved patient privacy.

PMH has collaborated with health partners and stakeholders for the necessary building planning, construction costs and associated timelines for this important capital project. The regional health authority will contribute annual operating costs for the expansion, including staffing and supplies.

Watch for updates over the next few months related to the Expanding Community Cancer Care project.

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Sardines

Canned sardines are a quick, easy, economical protein choice. These small fish are rich in omega-3 oils, calcium, iron, potassium, vitamin D and selenium. They are, as grandma said, brain food and many of these nutrients are important in brain function and heart health. There are more than 20 species of fish that can be classed as sardines. New Brunswick is home to Canada’s only sardine canning facility. Sardines come packed in oil, tomato sauce and water. If you are looking for milder fish taste go for the ones packed in water.  There are many ways to enjoy sardines including the classic sardine on toast. Try mixing up flavours like onion and mustard or tomato and cucumber. If you don’t like to look at the fish while you eat it, smash it up and add to your tuna salad. They’re great in stir-fry’s or pastas. Try this sardine pasta casserole BRUNSWICK® QUICK AND EASY SARDINE PASTA CASSEROLE – Brunswick® Seafood

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A day in the life of a Respiratory Therapist

A day in the life of… Taylor. Taylor has an important, life-saving job, but their profession is one that most people would not be able to describe. They are a registered respiratory therapist (RRT). Here is a snapshot of how Taylor spends their day.

Their shift starts in the hospital report room at 7:30 AM – coffee in hand, they are prepared for the 12-hour shift ahead of them. With their ever-present stethoscope around their neck and a pen in their pocket, Taylor learns from their co-worker, who is finishing the night shift, about the patient requirements for the day – six ventilated patients in ICU need assessments; two patients with tracheostomy tubes need care; three patients on the ward are on heated high flow oxygen devices; a breathing test has been ordered for a patient; and arterial blood gas needs to be drawn before a patient is sent home on oxygen.

At 7:45 AM, just as the report is finished, a “Code Blue” is called in the emergency department. Taylor rushes to the ED. They proceed to intubate and ventilate the patient to keep her airway open. They help the team administer life-saving respirations during the resuscitation. After 40 minutes of constant efforts to resuscitate the patient, the team is unsuccessful. Her grieving family arrives and as Taylor holds back tears they say “thank you for trying to save her”.

It’s now 8:35 AM. Taylor heads off to begin assessments of their patients and attend interdisciplinary rounds with the team in ICU. As they are about to enter the ICU, their pager goes off. They are needed in the NICU for a premature infant. The baby is born at just 32 weeks but is moaning and grunting and showing signs of increased work of breathing. Taylor starts the baby on nasal CPAP to open up his tiny lungs. Although the baby is small, he is in good health and his lungs begin working well. Mom, Dad and Grandparents cry with joy at this tiny miracle.

Throughout the rest of Taylor’s shift, they educate a patient with COPD (Chronic Obstructive Pulmonary Disease) about his inhaled medications and discusses smoking cessation options. They take an arterial blood gas and set up a woman for oxygen at home to improve her shortness of breath with activities of daily living. Taylor assesses and manages patients in the intensive care unit on mechanical ventilators. Taylor discusses a plan for the tracheostomy patients with the physician to downsize or decannulate as part of the weaning process. They educate patients and other health care professionals about oxygen delivery devices.

You may wonder what type of health care professional gets to work in a variety of settings like Taylor. Taylor is a registered respiratory therapist. Not every respiratory therapist has a shift like Taylor’s. Among others, some work in the operating room as anesthesia assistants, others perform pulmonary function testing, research, work in home care or educate students. Respiratory therapists are important members of teams that provide care in hospitals, in clinics, in the community and in patients’ homes. The cycle of life and death is one of the profound and amazing things that a respiratory therapist gets to impact in the course of a day’s work. Whether it is in acute care, health prevention and promotion or diagnostic testing, the message is the same – respiratory therapists are dedicated to better breathing.

How does someone become a Respiratory Therapist?

Respiratory therapists graduate from three- or four-year programs (or equivalent) that include theory, lab and clinical components. In most jurisdictions, passing a credentialling exam and/or a license to practice is required following graduation.  Learn more about the Respiratory Therapy (BRT) program offered at the University of Manitoba.

Data from the federal government and the Canadian Society of Respiratory Therapists indicate a strong need for RTs in the next few years!  RTs can move from one province and work in another, but a provincial license to practice is required in most provinces.

For more information, contact the Canadian Society of Respiratory Therapists:
www.csrt.com
1-800-267-3422
[email protected]


October 22-28, 2023 is Respiratory Therapist Week

See some of the Respiratory Therapists from around Prairie Mountain Health.

Hi, my name is Tina Szewczyk and my colleague is Erin Forsyth. We are the Registered Respiratory Therapists at the Dauphin Regional Health Centre. I have been an RRT for 27 years, and worked with PMH at the DRHC in acute care for 18 years. I was born and raised in McCreary. Erin Forsyth is standing with the ventilator. Erin has been an RRT since 2002. Previously working in the OR at Seven Oaks in Winnipeg, she relocated with her children and spouse, who also works at DRHC. She began here at DRHC in the Respiratory Clinic in Nov 2020, and has recently begun a permanent position at the DRHC in acute care. We are thrilled to have her join our Team at DRHC. Working to support the Respiratory Health of our friends, family and the north PMH  communities at large brings great satisfaction to us both.

Happy RT Week from the Respiratory Therapists at Brandon Rregional Health Centre!

Pictured L-R: Teresa Chapin, Kelley Fingas, Jennifer Sambrook, Alyssa Elliott and Kortney Blosha
Missing from Photo: Stephanie Nicholls, Teagan Kinsley, Rachel Veitch, Makenzie Riess, Lana Minuk, and Leah Sumner

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What You Can Do Heading into Respiratory Virus Season

Respiratory viruses are common, and they tend to spread more easily during cooler weather when Manitobans spend more time indoors with others. Viruses including Influenza (Flu) and Covid are contagious, and can have similar and overlapping symptoms.

People who have a respiratory virus often feel some or all of these symptoms:

  • Fever or feeling feverish/chills
  • Cough
  • Sore throat
  • Runny or stuffy nose
  • Muscle or body aches
  • Headaches
  • Fatigue (tiredness)
  • Some may have vomiting and diarrhea (though more common in children)

Respiratory viruses can infect the nose, throat and lungs and cause mild to severe, and sometimes fatal illness. Most viruses are spread when people cough, sneeze or talk, and droplets land in the mouth or nose of nearby people. A person may also become infected by touching an object that has a virus on it and then touching their own mouth, nose or eyes. Young children, seniors, and people with certain health conditions are at a higher risk of respiratory illness complications.

The BEST ways to reduce your risk and potential complications:

  • Get vaccinated, stay home when sick, wash hands frequently, cover your cough/sneeze, and wear a mask in high-risk situations

This respiratory virus season, updated Covid and Flu vaccine doses are recommended for all Manitobans 6 months of age and older. It is especially important for individuals who are considered high risk, those over the age of 65, and children under 5 years of age.

Manitoba Health continues to offer Pneumococcal 23 and High-Dose (HD) Flu vaccines to people 65 years of age and older. Most adults over 65, without underlying health conditions, only require one lifetime dose of pneumococcal vaccine. The High Dose Flu vaccine contains more antigen that older adults need to build a strong immune response resulting in better protection against the Flu virus.

You can get your Flu, Covid and Pneumococcal vaccines at a local community clinic, pharmacy, or your Primary Care Provider. All vaccines can be given safely at the same visit. It is recommended to receive your Covid vaccine 6 months since your last dose. Talk to your health care provider to determine the best time for you to be vaccinated.

Prairie Mountain Health (PMH) Flu and Covid Vaccine Clinics will be starting October 23rd.  For clinic dates and locations continue to check the PMH website and our Social Media pages (FacebookInstagramTwitter). 

Once again, this year you will be able to book your vaccine appointment online or call toll free 1-844-626-8222.

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Mental Illness Awareness Week is October 1-7th 2023

Each Year the first week of October is Canada’s National Campaign to enhance the awareness of mental Illness. The Canadian Alliance on Mental Illness and Mental Health set out the theme this year as Awareness, Access and Parity for Mental Health and Substance use Care in Canada. It is important to take time this week to educate yourself on mental illness. With greater understanding we strive to reduce stigma related to mental illness and substance use, along with breaking down barriers to seeking support around these issues. We want to encourage individuals with lived experiences or for those who have been affected to share their stories to break down barriers so people don’t feel alone in their struggles and to identify gaps in the need for services.

A mental illness is characterized by a clinically significant disturbance in an individual’s cognition, emotional regulation or behavior. It is usually associated with distress or impairment in important areas of functioning. It should be stated that because you have a mental illness does not mean you have poor mental health, and vice versa, you may not have a mental illness but you can still have poor mental health. It is important for each one of us to look after our mental health as we would care for our physical health.

At any one time many factors such as stress, family, community, or environmental factors can combine to protect or undermines one’s mental health. The World Who Organization states that although many people are resilient to life’s adversities, there are circumstances that could put individuals at higher risk such as poverty, violence, disability and inequality. Protective factors and risk factors can include individual psychological and biological factors such as emotional skills and coping and as well as genetics.  Many of the risk and protective factors are influence through changes in brain structure or function.

Facts:

  • Each year 1 out of 5 Canadians experience a mental Health illness each year. – Mental Health Commission of Canada
  • More than 1 in 2 of struggling Canadians are not getting the mental health help they need. – Mental Health Research Canada
  • Untreated mental illness costs the Canadian economy around $50 billion every year. – Canadian Mental Health Association
  • Over 20% of Canadians in any given year will experience mental health concerns, only a third of those people will seek help or treatment. – Statistics Canada
  • In Canada, an average of 20 deaths per day are because of opioid overdose. – Statistics Canada

Please take time to educate yourself on mental health/illness. It is important we are all working together to raise awareness, fight stigma and provide support to those in need.

Should you or a loved one need support please do not hesitate to reach out for help. You can contact the Manitoba Suicide Prevention and Support Line at 1-877-435-7170, a crisis line available 24 hours per day. A trained crisis worker will listen to you and direct you to the resources you need. Locally you can contact Westman Crisis Services at 204-725-4411 or 1-888-379-7699 in Brandon Area, or 1-866-332-3030 for PMH-North- In an emergency call 911 or contact a local hospital or health office.

COMING SOON:   On Nov. 30 2023 the 988-suicide crisis line will be available to all Canadians in English and French, 24 hours a day and seven days a week. It will offer trauma-informed and culturally appropriate services by trained crisis responders by phone or text.

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September 2023 Donations for PMH

6th Annual Memorial Ride raises funds for DRHC

Pictured from left: Tony Shewchuk (Tony’s Auto Electric), Chandel Bailey-Morrison (DRHC Care Team Manager) and John Dulewich (JDS Laundromat).

Nearly 50 motorcyclists took part in the 6th Annual Memorial Ride in late August 2023 and through their support, helped contribute towards identified needs at the Dauphin Regional Health Centre (DRHC). This year, the Memorial Ride, spearheaded by Tony’s Auto Electric and JDS Laundromat in Dauphin, made its way through Parkland-area communities along Highway 5 and Mountain Road and reached its final destination in Erickson. The 300 kilometre return trip raised a total of $2,200 that was donated to the health centre, through the Dauphin Hospital Foundation.

The Memorial Ride is held in loving memory for those lost over the past year. It aims to bring people together in celebrating and recognizing the lives of those lost and doesn’t matter if people rode a motorcycle or just purchased tickets. The goal was to enjoy the day, visit with people, share memories and contribute to a worthy cause!

Organizers were very pleased with the support of communities and individuals along the way. The Dauphin Hospital Foundation and Dauphin Regional Health Centre sincerely thank the organizers, participants and all who contributed to this worthy cause.

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Do you say to-MAH-to or to-MAY-to?

Whichever way you pronounce the name of this heat-loving plant, summer is their time to shine! This flavorful ingredient is chalked full of vitamins and minerals, such as vitamin C & K, potassium and folate; as well as antioxidants like lycopene and beta-carotene. Not only are they a great source of nutrition, but tomatoes are extremely versatile, ranging in size, color and flavor profile. While there exist many different varietals of tomatoes in this article we’ll cover some of the more popular ones as well as some delicious recipe ideas.

Starting out with one of the smallest varieties, we have cherry tomatoes. Like the name indicates, these little guys are the size of cherries, are typically sweet, have a thicker skin than larger tomatoes and come in a variety of colors: orange, yellow, bright red and slightly mauve.  Although their size makes them perfect for snacking on their own, they are also great for adding a pop of color and a touch of sweetness to any dish. Try chopping them up with cucumbers, red onion, feta, olives and bell pepper to create a fiber rich salad that stores well in the fridge (Greek Salad Recipe – Love and Lemons). Pair it with some quinoa and chickpeas to create a balanced meal or have it as a side to your next BBQ.

Next, we have a popular tomato, well-known to Italian cuisine: the roma tomato. These medium-sized, oval shaped fruits are bursting with a rich tangy tomato flavor. Due to their strong taste, they work great in any dish to which you want to impart a slightly acidic and sweet tomato taste. For that reason, they are typically used in sauces, stews and even concentrated into tomato paste.  To intensify the tomato flavor and bring out it’s natural sweetness, try roasting the tomatoes beforehand. This recipe: Roasted Roma Tomato Sauce | The Frayed Apron is perfect for your next pasta night, if you’re looking for a sweet and zippy tomato sauce!

Lastly, one of the largest tomatoes are called beefsteak tomatoes; big, round, and mild in flavor. Compared to their smaller counterparts, they are a lot meatier and juicier; making them ideal for fresh sauces and salsas.  Try making this quick and simple salsa (Homemade salsa with fresh tomatoes – Chatelaine) for your next ‘Taco Tuesday’. Or make a show-stopping appetizer to impress your guest with these ‘Burrata stuffed tomatoes’ (Creamy Burrata Cheese-Stuffed Tomatoes Recipe – La Cucina Italiana). Both recipes are no-cook dishes, ideal for any hot night where you simply don’t want to turn on the oven! 

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