Saskatchewan wants better care for seniors

Saskatchewan Health will be exploring the grey matter of many groups to create a seniors' care strategy.

Health Minister Don McMorris wants to identify and address problems in current community-based care programs, from home care to facility care.

"The goal is to keep seniors at home as long as possible but we hear that there are some gaps in that process, so we want to ensure that those gaps are filled," he said.

"We'll be starting to work with the regional health authorities because they play a major role and also senior groups and all the parties that are involved to identify where are the breakdowns."

Dr. William Klassen, a retired physician and senior, applauds keeping seniors at home as long as possible. But he said the elderly often have special needs such as mobility problems, which require supports such as paratransit to be expanded to improve access to health-care services.

"Those who use paratransit say the services are very good but hard to get," he said.

"Timely access to physicians is important for all residents, but seniors often have chronic and acute diseases so they are more vulnerable," Klassen said.

"The health care and the independence of seniors face one issue that is unique to them and that is the changes that come with old age, that makes their health problems more difficult to diagnose and sometimes more difficult to manage," Klassen said.

"That's an area that geriatricians, a physician who is a specialist in dealing with old age, play a special part. Unfortunately our province has only one geriatrician and only one geriatric unit and that's in Saskatoon."

Read the full story here

Insufficient warning dangerous drugs by Health Canada

Despite evidence indicating seniors are being prescribed potentially dangerous drugs, Health Canada says it can't do anything more to make its warnings about these medications more effective.

The department is responding to an investigation in December revealing that doctors continue to prescribe anti-psychotic drugs to seniors, despite Health Canada warnings in 2005 that the drugs increased the risk of heart attack, stroke and death.

The analyzed sales data for the drugs indicated that prescriptions increased from seven to 40 percent for a 24-month period after the warnings.

Dr. Marc Berthiaume, director of the Marketed Pharmaceuticals Division at Health Canada, said the department warns doctors and their patients about dangerous drugs through an increasing number of safety alerts such as letters, e-mails and its website.

"We have developed over the years different ways to increase our outreach of that safety information," he said.

But he acknowledges it is up to physicians to read the mailed material. "We cannot open the letter for them. We cannot make them read them."

He said that's because the department doesn't have the legal power to do anything more than publish warnings.

Terence Young, whose 15-year-old daughter Vanessa died seven years ago after taking the drug Prepulsid, said that is nonsense. "Health Canada claims their responsibility stops when the information gets into doctors' hands. I find that disingenuous on several levels.

"The safety warnings sent out to doctors simply don't work, and this was well established at the inquest into Vanessa's death."

Young said Health Canada is wrong to claim it has no legal authority to beef up health warnings, because the law makes it clear the minister's ultimate duty is to protect the safety of Canadians.

Michèle Brill-Edwards, a pediatrician and clinical pharmacologist and one of Health Canada's fiercest critics, agrees. "The minister has in the enabling legislation called the National Department of Health Act very broad powers for the protection of the public."

"I think Dr. Berthiaume is voicing the standard views of the department that seek to limit the department's responsibility for safety."

Although Health Canada refers to its drug alerts as risk communication, Brill-Edwards said that it's hard to call it communication when no one seems to be paying attention.

Source: CBC News

Related article:

Dangerous drugs still prescribed to seniors

Tailor-made food supplements disputed by Science

From A to zinc, the choice is endless.
Should you choose single vitamins or a multivitamin? Or how about a special formula for stress, fitness, women, men or seniors?

Wouldn't it be great to know exactly which supplements are right for you?
That's what laboratories that specialize in 'body chemistry balancing' promise.
For several hundred dollars, they claim to identify vitamin and mineral deficiencies from a simple blood and urine test.

For David and Cheryl Solomon of Dollard des Ormeaux, nutritional testing takes the guesswork out of the perennial question of whether they're getting the proper vitamins.

Six months ago, the couple and their three sons, age 6 to 11, underwent testing by NutriChem, an Ottawa company founded by pharmacist Kent MacLeod that sells personalized nutritional supplements.

"The beauty of it is he'll customize the vitamin for the individual," said David Solomon, 38, who takes 20 capsules a day, containing vitamins, minerals, fish oils and amino acids.

Cheryl and the boys each take between seven and 10 capsules a day of custom-made supplements.

"This is not a jack-of-all-vitamins," said Solomon, an advertising manager for the Suburban newspaper.
"Until you get tested, you don't know what's right and what's wrong."

The family spends $1,000 a month on supplements. The initial test cost $600 per person.

"In the last few months I've been taking it, I feel fabulous," said Solomon, who used to suffer from chronic indigestion.

"Several doctors said, 'You're getting older. Your body is changing.' "

Solomon, who also takes prescription medication for his digestive problems, said the nutritional supplements have helped him digest food better and boosted his energy.

MacLeod provides personalized care that is sorely lacking in the health care system, according to Solomon, who regards the cost of the vitamins as a long-term investment in his health.

"It's about get in, get out as fast as possible," he said of mainstream medicine. "We wait until we break down before we take care of something."

"This is the future," said pharmacist MacLeod, who founded NutriChem in 1981 and now provides nutritional testing and supplements to 20,000 families around the world.
The company mails out kits for blood and urine samples, which customers return to Ottawa for testing.

Many people are vitamin-deficient because of poor diet or problems absorbing nutrients from food, said MacLeod, whose customers range from middle-aged women with depression to professional hockey players.

They hear about NutriChem from the Internet, referrals by alternative health practitioners and word of mouth.

"Ninety percent of the Canadian population is not getting one or more essential micronutrients," he said.
"There are people running around with no gas in the tank."

MacLeod got into the nutritional-supplement business 27 years ago by creating vitamin cocktails for children with Down syndrome.
He later expanded his practice to include children and adults with conditions from autism to depression, high-performance athletes and people simply seeking optimum health.

But experts dispute the claims of companies that perform nutritional testing......................

Read the full story here

Political Action Award 2007 for two Mississauga nurses

Two Mississauga nurses, whose efforts helped bring about an increase in the food allotment for residents of Ontario's seniors' homes, have won an award for their efforts.
They have been friends since attending Credit Valley School of Nursing together more than three decades ago.

When they began speaking to their congregation at St. Christopher parish last April, Curitti and Shaw had no idea of the campaign they'd soon be embarking upon: collecting thousands of signatures on petitions, visiting Queen’s Park, enlisting the assistance of the RNAO and the Dietitians of Canada and, ultimately, changing the policy of the provincial government.

While those advocacy groups had been trying to get the $5.46 daily, per resident, allowance hiked for several years, the homegrown campaign started by the nurses in the run-up to the provincial election struck a chord with the public, and politicians.

In August, Health Minister George Smitherman announced he was allocating $23.1 million to increase the daily "raw food allowance" to $7 per day.
That covers the costs of three meals (with two choices at each one), three snacks and all beverages.
When Shaw and Curitti, who are co-chairs of the family council at Cawthra Gardens long-term care facility, spoke to managers of seniors' homes, they found many were struggling to provide the required nutrition within the budget limitations.

The fact that the allowance is raised will be making a big difference to the quality of life of senior residents.”
Linda Dietrich, regional director for the Dietitians of Canada, told The News the nurses' efforts are very much appreciated.
“I think their work has been significant to help persuade the government to take the action they did.”

Angela Shaw and Julie Curitti will receive the Political Action Award for 2007 from the Registered Nurses Association of Ontario (RNAO), at Queen's Park on January 24th.

Source: The Mississauga News

Drug industry used too much as source for Doctors' prescription

Following my earlier article of today about drug use among seniors:

Dr. John Haggie, a Canadian Medical Association board member who chairs its ad hoc working group on pharmaceutical issues, said government warnings often get lost in the stack of documents physicians routinely receive.

Haggie warns that there is a lack of impartial information available to doctors.

"Most of the information the physician would receive in the general course of a week on medication by and large tends to come from material from drug companies," he said.

Drug companies have a very active sales and marketing team, he said, and they follow Health Canada warnings by issuing their own.

Health Canada warnings are sent out to physicians by fax, e-mail and mail, but are often one among many documents received.

Haggie said the CMA is trying to work with the academic community to provide doctors with unbiased education material to replace documents received from drug companies.

The association is also trying to get tools on its website so doctors can quickly access the latest peer-reviewed information on what drugs are safe and which need to be used with caution.

Source: CBC

Related article:

Dangerous drugs still prescribed to seniors

editor's opinion:

"Just as I thought...............the power of marketing"

Dangerous drugs still prescribed to seniors

Doctors are still prescribing dangerous drugs to seniors, despite government warnings.

Over two years ago was reported, that more than a million seniors were prescribed atypical antipsychotics. Atypical antipsychotics are specific kinds of antipsychotic drugs. They are considered by many experts to be ineffective or even dangerous for elderly patients.

Health Canada followed up with warnings pointing to the drugs' side effects according to 13 scientific studies, which included a 60 percent greater risk of death in seniors who were taking the drugs than in patients taking placebos.
It also warned that elderly patients taking atypical antipsychotics were almost twice as likely to die from side effects such as heart failure.

In its advisory, Health Canada requested that the drugs' manufacturers include a warning describing the risk in the safety information sheet provided along with the drugs, and that health care providers refrain from relying too much on the drugs to treat dementia.

Atypical antipsychotics are drugs such as Risperidone (Risperdal), Quetiapine (Seroquel), Olanzapine (Zyprexa) and Clozapine (Clozaril).
Many of these types of drugs have never been tested on seniors.
They are intended to treat severe mood disorders, symptoms of schizophrenia and bipolar disorder in adults under 65.

A new investigation has revealed that the number of prescriptions of these drugs for seniors actually increased in spite of and after the Health Canada warnings.
They shot up in six provinces, including in Ontario and Quebec.

In some cases, they increased by 40 percent, according to sales data provided by IMS Health, a business intelligence and strategic pharmaceutical and health-care consulting firm.

Read the rest of CBC's story here

Editor's opinion:

"Hmm, I wonder if the drug industry with its incentive programs has anything to do with it..................."

In Newfoundland and Labrador an initiative for drug use among seniors has just been announced last week:

New program to help seniors taking medication in a safer way

New program to help seniors taking medication in a safer way

In Newfoundland and Labrador, a new program designed to ensure senior citizens are safely taking their medications will be introduced to the Corner Brook area early in the new year.

The program will be led by Elaine Fost and Bernice Buckle, who both recently participated in a facilitators' course called Safe Medicine for Seniors.

The course, designed by Health Canada, was offered at the Victorian Order of Nurses national headquarters in Halifax.

Fost and Buckle plan to deliver presentations to seniors and caregivers, teaching them tips on mixing combinations of prescribed and over-the-counter medications, safely storing and discarding medications and preparing for visits with doctors and pharmacies.

The Western Star