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Emergency Department

Barley

Barley is a yummy and affordable high-fibre grain with a great texture. It has been cultivated for thousands of years and is Canada’s third largest crop.  Barley was pictured on early currency in ancient Egypt and was eaten for endurance and strength by gladiators in ancient Rome.

We tend to think of it as an ingredient in soups and stews but it is also great in salad, casseroles and as a side dish. There are different types of barley you can buy at the store. The most common are pot and pearl barley. Pearl barley has been polished so the bran layer has been removed. For this reason, pot barley is considered a whole grain and pearl barley is not. Pot barley offers us a little more vitamins, minerals and phytonutrients. All types are good choices because the soluble fibre in barley is in the entire grain. Pot barley and pearl barley can be used interchangeably in recipes as they take about the same amount of time to cook. Barley can be cooked in a rice cooker just like brown rice, or on the stove by bringing barley and water to a boil then cover and simmer for at least 30 minutes. Check it often and stop cooking when it has reached your preferred level of chewiness. Extra can be frozen then added to soups or salads later.

Here are some things to do with barley:

  • Try using barley instead of rice to increase variety.
  • Enjoy it as a hot cereal
  • Bake with it by replacing about ½ wheat flour with barley flour in recipes
  • Eat it as a side dish! It’s great with slivered almonds and dried apricots; lemon, parmesan and sautéed greens, or parsley and mushrooms. Here is one of my fav’s Spanish Barley | GoBarley

Chantal Morais RD, MPH

From Unlockfood.ca and GoBarley.com

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Mobile food cart cues up better choices within personal care homes

Prairie Mountain Health (PMH) is excited to try new approaches to enhancing dining experiences within its long-term care homes. One such improvement was the introduction of a “Suzy Q Cart” within Birtle Personal Care Home (PCH) in late 2022. This mobile cart keeps food hot (or cold for cold meals) and allows Nutrition services staff to bring the food to the table. Residents can see and smell the food and are offered a choice of which food items to have and how much they wish to eat. The food is served at the right temperature right from the cart.

Before Suzy Q, staff prepared meals for residents based on previously communicated preferences. One dining room received meals on trays. Nutrition services maintained lists of likes/dislikes and tried hard to ensure the food met the residents’ wishes. However, food was often wasted as, like all of us, residents may not feel like eating the option or the amount provided. Sometimes food was cold by the time residents arrived to eat.

A lot of work went into the transition to this style of dining. Maintenance staff installed the correct electrical work. Nutrition services revised workflows and experimented with different cart setups and forecasts of resident choices. Staff also stopped closing the dining room and offered beverage choices as residents arrived. Health Care Aide staff also changed their flow assist with meal set up in the dining room.

Staff at Birtle PCH already knew their residents well, but this dining style encourages staff and resident communication. The first week, staff were surprised to see residents’ choices. One resident said, “Suzy Q cart is a great idea.” One resident who always had hot cereal chose cold cereal, and one who never ate vegetables chose vegetables. One resident who could not communicate verbally could choose the soup when staff wrote down the two choices.

The meal service doesn’t take long, which is one worry staff had prior. However, staff are far more interactive with the residents when they are in the dining room. Already, staff notice they have less food waste. Food leftovers are safely cooled and used as a second option the next day, just like at home. The site has been going through a lot of tomato juice, a popular beverage choice.

Ultimately, Suzy Q style dining is not so much about the cart but is about respect and dignity, honouring the residents’ choices and building relationships with the residents. 

 Within PMH, four more PCHs will be introducing Suzy Q carts later this year, and several others are introducing additional options, such as cold beverage choices.

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Suicide Awareness

Suicide is tragic and distressing. Families, friends and communities are deeply affected following a death by suicide. This reinforces the urgency for a better understanding and prevention of suicide. In 2022, Statistics Canada reported that approximately 4,500 people die by suicide every year.  We also know that for every 1 suicide death, there are 7–10 people profoundly affected by suicide loss.

Dr. James Bolton, Medical Director of Shared Health Crisis Response Services and Health Sciences Centre Emergency Psychiatry, said it best, “As difficult as these statistics are to read, they serve to highlight the magnitude of the impacts of suicide in our community and why it’s imperative to remember that, however uncomfortable it can be to discuss suicide, it’s a conversation we need to have.”

People at risk of suicide are often seen in healthcare settings – we want to have that conversation.  We want to connect with you and will ask about your mental and physical health.

If you are experiencing suicidal thoughts, reach out.  We are here to listen and help.

If you or your loved ones need help, please reach out to the below suicide prevention resources.

  • PMH Crisis Line (over age of 18) – 1-888-379-7699
  • PMH Crisis Line (under age of 18) – 1-866-403-5459
  • Manitoba Suicide Line 1-877-435-7170
  • Sexual Assault Crisis Line 1-888-292-7565
  • Klinic Crisis Line 1-888-322-3019
  • Farm & Rural Stress Line 1-866-367-3276
  • Reason to Live –reasontolive.ca

Help is available; you are not alone. 

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PRACTICAL NURSING PROGRAM ANNOUNCED FOR NEEPAWA

Prairie Mountain Health was excited to learn of the province’s investment in a one-time, 25-student cohort for its practical nursing diploma program in Neepawa. The Manitoba government is providing $2.1 million in combined capital and operating funding to Assiniboine Community College (ACC) to offer the practical nursing program in Neepawa.

Advanced Education and Training Minister Sarah Guillemard and Health Minister Audrey Gordon say the one-time offering in Neepawa will provide students with training close to home, allowing them to study, work and strengthen health care in the region.

“Nurses from rural communities are more likely to stay or return to rural health settings and graduates of this program will be eligible to fill positions at the new hospital under construction in Neepawa scheduled for completion in 2025, “ Gordon stated.

“We are pleased to be able to contribute to training people for careers in health care throughout the province. Nursing is Assiniboine’s largest single program and our graduates have a track record of getting jobs and staying in Manitoba.” said Mark Frison, president, ACC. “This welcome investment by the Manitoba government allows us to respond to needs in Neepawa and we look forward to working with the community to expand access in this growing region of the province.”

At nearly four times the size of the existing Neepawa Health Centre, the new hospital will include:

  • 63 acute care inpatient beds, an increase from 38 at the current site;
  • an expanded emergency department designed to best practice standards that includes assessment and treatment rooms, a trauma room, stretcher bay and ambulance bay; and
  • enhanced space for a number of programs such as surgery, diagnostics and palliative care, as well as various outpatient services including chemotherapy, ambulatory care and an eight-station dialysis unit.

Prairie Mountain Health (PMH) CEO Brian Schoonbaert says the region continues collaborative efforts with the province and education institutions like Assiniboine to further strengthen the health-care workforce in the region.

“Training nurses close to home allows them to learn in a familiar environment and have the opportunity to learn about and apply for jobs in their community upon graduation,” said Brian Schoonbaert CEO of Prairie Mountain Health. “It also helps meet the high demand for nurses in PMH. We are pleased to work with Assiniboine and our stakeholders to offer learners in the health region this opportunity.”

The investment in Neepawa further aligns with the provincial Health Human Resource Action Plan, which launched in November 2022 with a commitment to add 2,000 health-care providers, invest $200 million to retain, train and recruit health-care staff across Manitoba, and eliminate mandated overtime.

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CancerCare Closing the Care Gap

World Cancer Day is recognized globally every February 4 to raise awareness about cancer, improve access to cancer education, and promote personal, collective and government action for cancer control. World Cancer Day is a worldwide positive movement for people to connect and come together in support of accessible and equitable cancer care for all (www.worldcancerday.org).

In 2023, the World Cancer Day theme was “Closing the Care Gap”. Watch these videos, presented on World Cancer Day by CancerCare Manitoba, to learn about Nurse Navigators and what to expect on a cancer journey.

CancerCare Nurse Navigators

A video highlighting the role of Nurse Navigators, and a patient’s perspective on being supported by a Navigator.

Webinar: Closing the Care Gap – What to expect on your cancer journey

This webinar touches on cancer surgery, radiation and systemic therapy, what care looks like for pediatric patients, and psychosocial supports such as counselling which is available to patients and their loved ones.

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Neepawa Eats Healthy – Meal In 30 Project

The Neepawa Eats Healthy Committee is excited to be introducing the Meal in 30 Project – A partnership with local community groups, agencies, Prairie Mountain Health and the Neepawa Gladstone Co-op and Neepawa Safeway Grocery stores.

March is Nutrition Month and Neepawa Eats Healthy is launching “Meal in 30” kits on March 1st, 2023 at the participating grocery stores. Shoppers can look for the featured “Meal in 30” recipe, try it at home, tell the committee what they think by answering a short questionnaire and have a chance to win a grocery prize pack at the end of each month. The project will also run during the months of April and May.

Neepawa Eats Healthy is a group of dedicated partners representing local organizations and community members working together to improve healthy eating outcomes in the community.

“The goals of this project are to encourage local community members to cook and prepare healthy, budget friendly meals at home, build food skills, eat healthy and shop local” commented, Amanda Naughton Gale, committee member of the Neepawa Eats Healthy group.
During the next 3 months, shoppers in Neepawa can look for a recipe of the month that is quick and easy, includes vegetables and/or fruit, has easy substitutions (based on some basic shelf ingredients) and is budget friendly!

Brittney Bartecki, Registered Dietitian from Prairie Mountain Health is also part of the Neepawa Eats Healthy committee and is also excited about the project. “We are encouraging our community to find ways to cook more at home, experiment with new recipes and have some fun in the kitchen! Hopefully helping to take some guess work out of meal planning by helping to add a few new meal ideas into your week.”

Here is how everyone can get involved:

  • Pick up the monthly featured recipe at Safeway or the Neepawa Gladstone Co-op
  • Look for the Tagged food Items with the Neepawa Eats Healthy Logo on the grocer shelves
  • Take home and cook up your tasty meals / once you are done….
  • Scan the recipe QR code to complete a short survey for a chance to win a free grocery pack drawn each month.

By picking up the Meal In 30 recipe card and purchasing at least 3 of the featured items, people will also receive a Neepawa Eats Healthy Reusable Grocery Bag (while supplies last!)

The committee is excited to have the participation of the Neepawa Titans supporting this project.  Players from the local hockey club spent a day in the kitchen acting as guest cooks for the 3 recipes that will be featured on the local Access 12 station, helping to create awareness and encourage everyone to get involved. “Their participation has been lots of fun and we hope the community will get behind the project and will try the featured recipe over the next 3 months,” commented Bartecki.

For any questions about this project please contact Sherrill-Lee Hyra, Health Promotion Coordinator, Prairie Mountain Health at [email protected] or call 204-578-2192.

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March is Nutrition Month

The theme for 2023 is Unlock the Potential of Food: Find a Dietitian. Many people are confused about food and nutrition; daily, they are bombarded with conflicting messages about this topic. Dietitians are here to help people unpack the research around nutrition, make sustainable changes in their eating behaviours, and understand their relationship with food. However, many people also don’t know where to find a Dietitian or how to schedule an appointment.

Dietitians work in many roles, including managing food service operations, media and journalism, clinical roles in hospitals or long-term care facilities, public health and health promotion, cancer care, grocery stores and pharmacies, primary care clinics, sports teams, etc.

Some Dietitian services are covered through Manitoba Health, while others have a cost to them and are only covered by private insurance like an employee benefits plan. Unfortunately, not all employee benefit plans cover Dietitian services, however, Dietitians of Canada is advocating for more coverage for Canadians, and you can too! Whether you are an employee or an employer, you can advocate for Dietitian coverage on your insurance plan; for more information, go to Dietitians of Canada – Coverage and Access to RD Services.

If you are struggling with a chronic health condition, food allergies, your relationship with food, or any other aspect of your nutrition, make an appointment with a dietitian today!

Book an appointment with a Dietitian:

Prairie Mountain Health Central Intake 1-877-509-7852.

Learn more about the roles of Dietitians in Prairie Mountain Health by visiting here.

Private Practice | College of Dietitians of Manitoba

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Sweet Potato or Yam?

Did you know? Sweet Potatoes and yams are completely different vegetables.

The orange tapered potatoes commonly called yams are in fact sweet potatoes, while many people have probably never tried a yam before. Yams are brown with a bark-like skin and are not very common in North America. Yams can also grow to be much bigger than sweet potatoes. There are a couple different varieties of sweet potatoes which vary in colour such as rose coloured skin with orange flesh, pale copper/tan skin with white flesh, red skin with dry white flesh, as well as purple skin and flesh.

The nutrition profiles of yams and sweet potatoes are similar, however yams are starchier, while sweet potatoes are sweeter. Sweet potatoes have more Vitamin A while yams have more Vitamin C and potassium. Yams and sweet potatoes can both be prepared by roasting, steaming, boiling or frying. Substituting yams in a sweet potato dish would be like using potatoes instead of sweet potatoes in the recipe—it would work, but the end result would taste very different.

Check out these tasty sweet potato recipes

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Cancer Unit expansion at Russell Health Centre nears

Construction on a $2.5 million building addition to Russell Health Centre for an expanded cancer care unit is set to begin this April. General Contractor Jacobson Commercial has been awarded the construction tender, and if all goes well, construction on the expanded facility should be completed by the end of 2023.

Through dedication, commitment and passion for the project, the Expanding Community Cancer Committee, represented by 15 area communities surrounding the Russell-Binscarth area, raised over $1.8 million of the $2.5 million needed to move ahead with construction. In May 2022, the province announced that it would contribute the remaining $700,000 so the expansion could proceed.

Once completed, the expanded cancer unit will be nearly four times the size of the current area, with a separate entrance to the facility, seven treatment bays, and a waiting room and physician’s office.

Prairie Mountain Health (PMH) CEO Brian Schoonbaert says the region has collaborated with health partners and stakeholders to plan for the necessary building parameters, construction costs and associated timelines for this important capital project. PMH will contribute annual operating costs for the expansion, including staffing and supplies.

“We are grateful for the hard work, dedication and commitment of the Expanding Community Cancer Committee and local support from the entire area,” said Brian Schoonbaert, CEO of PMH. “With the support of Manitoba Health, this much-needed new building addition will better serve patients in this part of our health region and provide a better physical environment for our staff to provide care.”

Expanding Community Care Committee President Gloria Tibbatts can’t wait for construction to begin, and adds that fundraising efforts will continue to contribute to additional equipment and other possibilities.

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Shoal Lake Yellowhead Clinic secures Nurse Practitioner services

Nurse Practitioner (NP) Cathy Scofield-Singh

The Yellowhead Community Clinic in Shoal Lake welcomes Nurse Practitioner (NP) Cathy Scofield-Singh, who will begin seeing patients on March 13. Scofield-Singh will be joining the Shoal Lake Medical Team on a permanent basis. Cathy will also provide coverage to the personal care home while NP Tanya Radford is on maternity leave. Once Tanya returns from maternity leave, the two NPs will work in Shoal Lake.

The Clinic will also be served by Hamiota physician Dr. Chris Brenneman, who will work some itinerant shifts starting in May to continue to provide services to Shoal Lake and area residents. Dr. Heather Gooden, who practices full-time in Hamiota, will remain to oversee patients within the Shoal Lake Transitional Care Unit.

Nurse Practitioners work independently and can provide many services, including:

  • Completing assessments and physical exams, including pap tests and pre-natal exams;
  • Diagnosing and managing common issues and chronic conditions;
  • Prescribing medications and therapies;
  • Ordering diagnostic tests like blood work, x-rays, ultrasounds, CT scans and MRIs;
  • Performing minor procedures like suturing, biopsies, wart and mole removal; and
  • Referring to other health providers, including specialists.

Schofield-Singh comes to the Shoal Lake Clinic after working at the Ste. Rose Primary Health Care Centre, where she started with Prairie Mountain Health (PMH) in 2018.
Cathy did a short locum in Shoal Lake in the fall of 2022, and the clinic staff and board were so happy with her services they approached her about a move to Shoal Lake. This worked for Cathy personally, so it is a positive move for both the community and Cathy. She will be a welcomed addition to the medical services team in Shoal Lake.

Yellowhead Clinic, Shoal Lake

As an NP since 2013, Cathy has over 30 years of experience as a Registered Nurse (RN) with a diverse nursing career. She graduated from the University of Manitoba’s Masters of Nursing NP program in October 2013. Before becoming an NP, she also had an opportunity to work in remote northern communities as a Primary Care Nurse for over ten years.

PMH Primary Health Care Manager Diane Ciprick says the Region was pleased to facilitate conversations with Scofield-Singh, allowing her to move into the opportunity in Shoal Lake.
The health region continues to be very active in Nurse Practitioner recruitment and retention efforts. To date, 23 NPs provide service within 27 communities, which include shifts on the Mobile Clinic, services at medical clinics and in the 7th Street Health Access Centre.

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