Download Issue 41 - Ontario Lung Association

Respiratory Health
Educators Interest Group
“I look forward to seeing
everyone at our 30th
Anniversary Better
Breathing Conference and
the 2nd annual Breathe
gala in support of lung
research in January!
Cathy Relf
Chair, ORCS
W I N T E R
2 0 1 1
Features
In this Issue
Travelling with Oxygen
Careful planning is the key to
success . . . . . . . . . . . . . . . . . .1
Executive Team
Message . . . . . . . . . . . . . . .2
Eye On: The Stratford
Family Health Team
A Respiratory Clinic provides
treatment and education . . . . .3
Tool Box: COPD
Toolkit Update
Resources for healthcare
professionals . . . . . . . . . . . . . .5
Lung Association News
World COPD Day 2010
Media Tour . . . . . . . . . . . . . . .7
Better Breathing 2011
Register today . . . . . . . . . . . .8
Continuing Education
Opportunities . . . . . . . . . .8
www.on.lung.ca
Read the OTS/ORCS
2010 Research Review
at www.on.lung.ca/
orcs-publications
I S S U E
4 1
Travelling with Oxygen
Mario Aquilina, RRT, Manager, Lambton ProResp, Sarnia
to complete various forms that are
Primary Objective
required by the insurance company
The primary clinical objective of home
before coverage can be obtained.
oxygen therapy is to improve
It is recommended that any oxygen
oxygenation and/or to relieve
clients travelling out of province or out
shortness of breath and dyspnea. The
of country ensure that they have
more subjective but equally important
adequate health insurance coverage
objective is to improve or maintain the
prior to travelling. Airlines also require
client’s quality of life. Having the
completion by a physician of a fitness
ability to travel is an important
MARIO AQUILINA
to travel form.
component of a client’s quality of life
and the majority of home oxygen
clients will travel - be it to the local grocery store, Planning, planning, planning......
physician’s office or on an extended out-of-town Thoughtful planning is the key to successfully
trip. Most will experience few problems making travelling with oxygen. Provided the appropriate
short daily or weekly routine trips when they preparations occur, there are few reasons why the
become familiar with the use of the portable oxygen dependent client cannot travel. How
system supplied by the oxygen vendor. The involved the planning becomes depends on a
focus of this article will be on factors to consider number of variables (i.e., destination including
the altitude of the destination, length of time
when travelling on an extended trip.
away, mode of travel). A weekend trip to the
cottage may simply involve a call to the oxygen
Assess Medical Condition
Before departing on an extended trip, the client’s provider, but travelling to a foreign tourist
medical condition should be assessed to ensure destination requires significantly more advanced
that he or she is medically stable and physically planning and preparation. Travelling to and from
capable of travelling. This is best done by the a major medical facility for medical treatment
client’s health care provider. It is always a may also require more advanced planning to
good idea to recommend that clients see their ensure that an adequate supply of oxygen is
physician prior to planning an extended trip. always available. Once it has been determined
This is especially true if it involves travelling that the client is well enough to travel, he/she
by air and/or to a foreign country (including should contact the oxygen provider well in
the United States). The physician may choose advance of the trip. The vendor’s health care
to review medications and provide refills as professional will assist the client in making the
needed or make changes, depending on the travel arrangements. There are many variables
trip being planned and the destination. The that can complicate travel with oxygen, but
physician may also advise the client on the regardless of the trip being planned it is crucial to
Continued on page 5
need for health insurance or may be required
The RHEIG
Executive Team
Executive Team Message
Ann Bartlett, RN, MSc, BScN, CRE
Firestone Institute for Respiratory Health,
St. Joseph’s Healthcare, Hamilton
(905) 522-1155 ext. 33726
Lorelei Samis, BScPT, Physiotherapist, COPD Educator, Providence Care
– St. Mary’s of the Lake Site, Kingston
Debbie Coutts, RRT, CRE
Credit Valley Hospital, Mississauga
(905) 813-1100 ext. 6720
Donna Cousineau, RN, MScN
Queensway Carleton Hospital, Ottawa
613-721-2000 ext. 2008
Diane Feldman, RRT, CRE
The Lung Association, Toronto
(416) 864-9911 ext. 274
Jane Lindsay, BScPT, CRE
Conestoga College Polytechnic,
Kitchener
(519) 748-5220 ext. 3443
Ana MacPherson, RRT, CRE, MASc
The Lung Association, Toronto
(416) 864-9911 ext. 258
Shelley Prevost, RRT, MASc
St. Joseph’s Care Group, Thunder Bay
(807) 343-2412
Once again we are pleased to
t’s not too late! Registration is still
present our latest edition of
open for Better Breathing 2011! We
Connections. The feature article on
hope you can join us, and your fellow
Travelling with Oxygen provides great
respiratory health care professionals, at
information on how to assist and
the Toronto Marriott Downtown Eaton
direct our clients when they are
Centre Hotel from January 27 to
preparing to travel. The Tool Box
January 29, 2011. A wide variety of
highlights the great resources
topics are being covered during this
available, when setting up a
three day event, but we are particularly
LORELEI SAMIS
respiratory rehabilitation program,
excited about the RHEIG sponsored
through the Lung Association of
afternoon workshop on Thursday,
January 27, 2011 which focuses specifically on Saskatchewan’s COPD Toolkit. The Stratford
the needs of respiratory health educators. This Family Health Team is the focus of the Eye On
year’s RHEIG workshop topics include: Lessons section and once again shows us the great work
Learned from the H1N1 Experience, The New being done in Ontario to help those with
Asthma Continuum, Learning Differences in respiratory issues. The Lung Association News
Child Patient Education, The Use of COPD column features exciting awareness-raising
Action Plans in Patient Self-Management and events on last fall’s World COPD Day.
We hope you enjoy Connections Winter 2011
Culturally Sensitive Patient Education. For more
information on Better Breathing 2011 and to and we look forward to seeing everyone soon at
register, please go to www.on.lung.ca/bbc, where Better Breathing 2011.
you will find on-line and off-line registration
Sincerely,
The RHEIG Executive Team
available.
I
Lorelei Samis, BScPT
Providence Care – St. Mary’s of the
Lake Site, Kingston
(613) 544-5220 ext. 2245
Maria Savelle, RN, CRE
Stratford Family Health Team, Stratford
519-273-7017 ext. 224
Connie Sivyer, RRT, MASc, CAE
Windsor Regional Hospital, Windsor
(519) 254-5577 ext. 52810
ORCS staff:
Sheila Gordon-Dillane, Director
(416) 864-9911 x236;
[email protected]
Heather Wood, Administrator
(416) 864-9911 x256;
[email protected]
www.on.lung.ca/orcs
RHEIG Connections is the newsletter of
the Respiratory Health Educators Interest
Group of the Ontario Respiratory Care
Society, a section of The Lung Association,
573 King St. E., Toronto ON, M5A 4L3.
Opinions expressed do not necessarily
represent the views of The Lung
Association.
2
ORCS and RHEIG
Membership
2011 Courses
COURSE
www.resptrec.org
CITY
DEADLINE
Windsor
Toronto
January 5
February 4
SpiroTrec (1day, Saturday)
February 5
March 5
AsthmaTrec (4 days, Thursday to Sunday)
March 24-27
April 7-10
September 22-25
Toronto
Ottawa
Toronto
January 14
January 27
July 15
Asthma Management (2 days, Friday to Saturday)
April 8-9
Toronto
January 26
COPDTrec (4 days, Thursday to Sunday)
May 12-15
Toronto
March 4
COPD Management (2 days, Friday to Saturday)
September 16-17
Ottawa
July 8
To become a member of the
Respiratory Health Educators
Interest Group (RHEIG) and
receive this publication three times
each year, join the Ontario
Respiratory Care Society, a
section of The Lung Association
for health care professionals,
and select the optional RHEIG
membership. ORCS membership
for the year 2011-2012 costs $40
and the RHEIG supplementary
fee is $15 (total $55). Two year
memberships are available.
Visit www.on.lung.ca/orcs
for details.
C ONNECTIONS W INTER 2011
EYE ON:
The Stratford Family Health
Team Respiratory Clinic
Maria Savelle, RN, CRE, Nurse Educator, Stratford Family Health Team Respiratory Clinic, Stratford
n 2007, the Stratford Family Health Team
was presented with the opportunity to
participate in the Ontario Telehomecare
Strategy. Following the Chronic Disease
Management Care Model, patients who
qualified were enrolled in the program.
Criteria included a recent ER visit or
hospital stay for the reason of CHF or
COPD. The patients were monitored from
data sent from their home, and follow up
education regarding self-management of
their disease process was then provided. The
goal was to teach patients effective chronic
disease management skills, with the hope
that this ability would help prevent further
physician office, ER and hospital visits for
exacerbation of symptoms due to their
disease.
Being one of two Registered Nurses
involved in this Program, intensive and
thorough training was provided by The
Lung Association by way of COPDTrec© to
learn about the disease of COPD, as well as
how to educate patients with regard to
effective self-management skills. To further
complete the training process, AsthmaTrec©
and SpiroTrec© training was completed, and
upon successfully writing the national
certification exam, the title of Certified
Respiratory Educator was obtained.
The Telehomecare Program funding did
not continue, but a need was identified for
assessment, proper treatment and education
of patients with respiratory symptoms. The
idea of a Respiratory Clinic including
spirometry for screening and diagnosis of
respiratory patients was presented, and in
June of 2010, the first patients were seen in
the newly organized Stratford Family
Health Team Respiratory Clinic. What
began as an interest and an idea was built
from the ground up into a full assessment
and educational nurse-led program. With
spirometry being a very under-utilized
screening and diagnostic procedure, the
Stratford Family Health Team (SFHT) is
fortunate to be able to provide this service
to its rostered patients.
The thirteen physicians involved with the
SFHT are able to refer patients (children
and adults) for assessment and spirometry
I
W INTER 2011 C ONNECTIONS
Maria Savelle encourages a patient to perform spirometry
testing for patients either having new
respiratory symptoms, or, having already
been diagnosed with respiratory problems,
to confirm an exacerbation. A full
assessment is completed that includes a
history of symptoms, current symptoms,
history of allergies, family history of
breathing problems, possible triggers to
increased respiratory symptoms, any known
co-morbidities, current treatment and
medications used, and present knowledge of
how to self-manage symptoms (action
plans, etc.). Office spirometry testing is
performed using the computer laptop based
program CardioPerfect. This allows our
three champion physicians who have been
futher trained to interpret the spirometry
results, to access the database from their
homes or offices.
Once tests have been interpreted,
treatment is considered according to
recommendations of the Canadian
Respiratory Guidelines for either asthma or
COPD. Patients are referred to our Family
Health Team pharmacist for teaching
regarding the use and care of their new
inhaled medications. Follow up spirometry
is often performed, to assess the effect of
new inhalers. All patients return to the
Respiratory Clinic for follow up
educational sessions and reassessment of
symptom management. Asthma teaching is
done one-on-one, and patients diagnosed
with COPD are invited to a group education
session. A variety of educational resources
are used to provide information to the
patients about self-management of their
chronic respiratory condition. The Lung
Association has fantastic resources for
asthma, and their BreathWorks™ materials
for COPD patients are very complete and
comprehensive. The ‘Living Well with
COPD’ set of educational modules is also
used. Some of the education that is provided
includes coughing and breathing exercises,
management of stress and anxiety, how to
properly take medications and the
importance of maintaining them, triggers
and how to avoid them in order to avoid
increased respiratory symptoms, nutrition,
regular exercise, and how to prevent and
treat flares. Everyone leaves with an action
plan, and are taught to know what their
“usual” symptoms are and what treatment
they should be maintaining, to recognize
when their symptoms are changing and how
they should adjust their medications and
treatment, to realize when their breathing is
progressing to unwell, and to know what to do.
The goal of the very important
educational portion of the SFHT
Continued on page 4
3
Eye On: Stratford... Continued from page 3
Respiratory Clinic is to teach patients that
they play a role in monitoring and selfmanaging their symptoms, and what is
necessary to prevent an exacerbation of
symptoms.
Equally
important
is
recognizing when the present treatment is
not enough and needs to be adjusted before
becoming very unwell requiring a
physician office visit or worse yet, an ER
visit or hospital stay.
An obvious next step was to include
smoking cessation counselling, as many
patients with COPD either currently
smoke or have smoked in the past.
Training and certification was completed
by attending the TEACH (Training
Enhancement in Applied Cessation
Counselling and Health) program in
association with CAMH (Centre for
Addiction and Mental Health). Smoking
cessation counselling is offered to every
patient who smokes, both as an educational
resource and support through the quitting
process.
Patients seen in the Respiratory Clinic
are offered the opportunity for
collaborative and comprehensive care with
other allied professionals within the
Stratford Family Health Team. This can
include cross referrals to diabetes
education, hypertension clinic, CHF clinic,
occupational therapy clinic, dietitian,
pharmacist and chiropody specialists.
Next goals for the Respiratory Clinic
include
completing
the
Quality
Improvement and Innovation Partnership
(QIIP) initiative for COPD that involves
screening patients over the age of 40, with
a 10 year smoking history, using the
Canadian Lung Health Test and further
referral for spirometry testing as required.
Beginning in January, 2011, we are also
beginning referrals with Respirologists
associated with the Chest Clinic at St.
Mary’s Hospital in Kitchener by way of
videoconferencing.
Physicians report being pleased with the
assessment and learning opportunities that
are provided to their patients and patients
appreciate the individual time spent with
them to address needs. With a close liaison
between the physician, nurse educator and
patient, the goal is to continue to provide
optimum assessment, treatment and
education and collaborative care for the
patients of the Stratford Family Health
Team.
4
LUNG ASSOCIATION NEWS
WORLD COPD DAY 2010
Carole Madeley, RRT, MASc, CRE, Director, Respiratory Health Services,
Ontario Lung Association
ary Walsh joined forces with The Lung
Association to help to raise
awareness of COPD and to stress the
importance of early diagnosis and
spirometry testing.
M
World COPD Day, November 17th, 2010
started off as a very early morning for Mary
Walsh (celebrated for her work on This
Hour has 22 Minutes, and a spokesperson
for The Lung Association) and our very own
Carole Madeley, as they made their way to
CP24 for 6:10 AM to raise awareness for
world COPD Day and a spirometry
demonstration for the TV audience.
Following the TV interview, they were
quickly whisked off and headed to the John
Moore Show – CFRB 1010 radio for a 7:40
AM on air interview with John Moore.
Later that morning they proceeded to the Carole Madeley (left) and Mary Walsh
Primary Care Lung Clinic, where Dr. Tony
D’Urzo welcomed them and had the chance
to speak to Mary. Live, from the clinic, Mary did an interview for CBC on COPD for
national coverage.
Mary and Carole had a full day of interviews that were recorded for print and
broadcast. In print, watch for Mary’s interview in Zoomer’s magazine and Canadian
Living; on the web, you can read Mary and Carole’s interview with Healthzone.ca and
Women’s Post.
Mary Walsh knows first-hand how devastating COPD can be; three of her family
members are affected by the potentially life-threatening disease.
BreathWorks Fact Sheets
The Lung Association has useful resources for patients on topics related to COPD:
Booklet:
• BreathWorks Plan Guide
Fact Sheets:
• Oxygen
• Medications
• Exercise
• Managing COPD (includes an action plan)
• Energy Management
• Breathlessness
• Pulmonary Rehabilitation
To order these resources for your patients, call The Lung Association’s
BreathWorks Helpline at 1-888-344-LUNG (5864).
C ONNECTIONS W INTER 2011
Travelling with Oxygen... Continued from page 1
plan in advance. The more complex the
trip, the more planning and time is required.
Planning should be a collaborative process
between the client and/or family, the
physician and the vendor’s health care
professional. Ultimately, however, it is the
client’s responsibility to ensure that the
necessary arrangements are made and that
he/she is medically stable enough to travel.
Getting there!
The most complicated part of planning most
trips is ensuring that there is an adequate
supply of oxygen while travelling from one
point to the next. It is usually not too
difficult to arrange a supply of oxygen at
the final destination. The larger challenge
is to provide oxygen while getting there and
back. Again, how this is accomplished is
determined by many variable factors.
Oxygen clients must rely on one of three
types of portable system: compressed gas
cylinders, liquid oxygen strollers and
portable oxygen concentrators. Currently,
the two most commonly systems used are
compressed gas cylinders and portable
oxygen concentrators (POC).
Compressed gas cylinders are available
in several sizes and can be used with a
continuous flow regulator or a pulse dose
regulator, which provides oxygen on
demand. This type of regulator is referred
to as an oxygen conserving device (OCD).
When negative pressure is created by an
inspiratory effort from the client, the
regulator is triggered and will deliver a predetermined “dose” of oxygen. The dose
delivered depends on the client’s flow
setting. The advantage to using an OCD
regulator is that oxygen is delivered only
during inspiration, thus, the oxygen will last
considerably longer than if a continuous
flow regulator is used. The client can travel
further and use fewer cylinders.
Portable oxygen concentrators are
battery operated concentrators that provide
oxygen at various flow settings utilizing the
same pulse dose technology as OCD
regulators. There are some models that will
also provide continuous oxygen up to a flow
rate of 3 litres per minute. Portable oxygen
concentrators differ from compressed gas
cylinders or liquid oxygen strollers in that
they generate their own supply of oxygen.
They do not need to be refilled. A POC
uses the same technology to generate
oxygen that is found in the larger
W INTER 2011 C ONNECTIONS
electrically operated oxygen concentrators
used in the client’s home as their “base” unit
(these units do not utilize pulse dose
technology). The fact that a POC produces
its own oxygen is an obvious advantage
over cylinders or liquid oxygen portable
devices.
Determining which portable system best
fits the needs of the travelling oxygen client
is a critical part of the planning process.
Again, this can be influenced by various
factors but the most important one to
consider is the client’s oxygenation
requirements. Regardless of the system
used, it must adequately maintain the
client’s oxygen saturation while at rest and
with exertion. Pulse dose technology (either
by cylinder or POC) offers significant
advantages. However, not all oxygen
dependent clients can be properly
oxygenated by on-demand delivery systems
as many require continuous flow. In that
case a POC or OCD oxygen regulator is not
suitable. Other factors that determine the
type of portable system to be used include
mode of travel (i.e., car, air, train, bus, boat),
duration, availability of electricity,
proximity of the closest supplier at the
destination and many others. Sometimes
the carrier will place restrictions on what
type of system can be used. For example,
the majority of airlines now insist that
passengers travelling with oxygen only use
an approved portable oxygen concentrator.
Clients travelling by air, train, bus or ship
should contact the carrier ahead of time to
ensure that the system they plan to use is
permitted.
There are advantages and disadvantages
to each portable delivery system available.
The oxygen vendor’s health care
professional will work with the client and
the family to ensure the system meets the
clinical needs of the client and is
appropriate for the trip being planned.
Special Considerations for Air Travel
Each airline has requirements for travel
with oxygen. All require the following:
• A Fitness for Air Travel form must be
completed by the client’s physician
(normally valid for one year);
• Reservations, including a request to
operate portable oxygen, must be made at
least 48 hours in advance;
• Only specified Portable Oxygen
Concentrators are permitted (each airline
has their own list) and equipment must
meet specified dimension requirements in
order to fit under the seat;
• Passengers must carry sufficient batteries
to cover travel, ground time and any
unexpected delays – connection to the
airplane’s electrical system is not
permitted. Extra batteries must be
packed in carry-on luggage with the
terminals taped or otherwise protected;
• Individuals requiring portable oxygen
must be able to manage it independently
or must have a companion to assist them.
WestJet permits only two people requiring
oxygen on each flight and a maximum of
two pieces of oxygen equipment per guest.
Oxygen is permitted on domestic flights
only. Air Canada sells “Medipaks” of
oxygen if they are ordered 48 – 72 hours in
advance (depending on destination). For
domestic flights only, Air Canada will
provide reimbursement for oxygen required
on the ground.
For specific guidelines, clients should
consult the website of each airline:
www.aircanada.com, www.flyporter.com
or www.westjet.com and look for sections
addressing special needs or oxygen.
Summary
Travelling to the local store, doctor, dentist,
bank, church, work or any number of other
destinations is a necessity for everyone,
including those who are oxygen dependent.
With today’s technology and equipment
available, there are few limits on where and
for how long oxygen dependent clients can
Continued on page 6
5
Travelling with Oxygen... Continued from page 5
travel. All that is required is careful
planning and preparation. With the
assistance of their health care professional,
physician and family, most clients can plan
an extended trip and travel by any mode
necessary or desired. Most limitations are
determined by the client’s health, flow-rate
and final destination. When planning to
travel on vacation or an out-of-town
excursion, the client should always be
encouraged to do the following well in
advance:
• See their physician and discuss their
travel plans with the doctor. Obtain a
copy of the oxygen prescription and keep
it with them throughout the trip;
• Pick an appropriate destination (if going
on vacation) that has access to good
medical care if needed;
• Contact their oxygen provider (in
advance) and health care professional for
assistance in planning the trip;
• Buy health insurance if travelling out of
province or out of country;
• Check the supply of medications and
ensure there is enough to last the trip.
Store and pack medications carefully and
keep them in the carry-on luggage or with
you at all times;
• Be able to safely use and operate all
oxygen equipment;
• Contact the carrier (airline, rail, boat) at
least 6 weeks in advance to determine
what type of portable system is permitted.
The ability to travel safely and conveniently
with oxygen is instrumental in achieving
and maintaining a satisfactory quality of
life. By providing support and advice,
health care professionals can encourage
their clients to travel and as such contribute
significantly to their quality of life.
Ontario Lung Association
Once Again “Teams Up” with
GoodLife Fitness to Offer Unique
Smoking Cessation Support
T
FYI:
obacco is a powerful addiction and the leading
cause of preventable death in Ontario. Quit & Get
Fit is an innovative program developed by the Ontario
Lung Association (OLA) that incorporates physical
activity as a support to help those who are attempting
to quit smoking. Physical activity can play an
important role in the quitting process by helping to reduce cravings, manage body weight
and relive stress, all of which contribute to a general feeling of well-being. Whether a
person works out in a gym, joins a running group, or simply incorporates regular walking
into their daily routine – even moderate physical activity can help manage withdrawal
symptoms when making a quit attempt.
Run as a pilot program at 10 GoodLife Fitness locations during the winter of 2010,
Quit & Get Fit offered participants 12 sessions with Personal Trainers who had completed
workshops on how to integrate brief cessation support within personal training plans. The
cessation and participant satisfaction rates were impressive, and the Ministry of Health
Promotion and Sport has agreed to fund the OLA to run an expanded Quit & Get Fit
program for 2011 that will include a broader social marketing campaign and will increase
the number of GoodLife Fitness locations offering the Quit & Get Fit personal training
programs.
2011 Q&GF program details and locations coming soon. Please visit www.quitandgetfit.ca in late
February 2011 to learn about new program supports and how to sign up for Quit & Get Fit.
(Programs will be available at select participating GoodLife Fitness locations; limited space is
available.)
Application Deadline: February 1, 2011
Through the ORCS, the Ontario Lung Association offers funding for
Research Grants, Fellowships and Education Awards for Advanced
Respiratory Practice to current members of the ORCS. Guidelines for
Applicants and Application Forms are available at www.on.lung.ca/orcs.
Tulip Day
Breath of Spring
For more information on Tulip Day in your area please visit www.tulipday.ca
REGISTER TODAY
JANUARY 27, 2011
EGLINTON GRAND, TORONTO
6
C ONNECTIONS W INTER 2011
TOOL BOX:
COPD Toolkit Update:
www.copdtoolkit.ca
©
Bernie Bolley, BScN, RN, CRE, Respiratory Nurse Educator, Lung Association of Saskatchewan
lthough pulmonary rehabilitation is the standard of
• Correspondence Tools:
care for chronic obstructive pulmonary disease
Physician Letters & Fax Forms
(COPD) management1, just over 1% of Canadians
Partner Letters
affected by this devastating disease have access to
• Venue Tools:
it.2 Pulmonary rehabilitation can help minimize
Program Goals, Vision, Philosophy
the number of COPD patients who resort to
Budget Considerations
hospitalization for treatment, thus reducing the
Program Staff Roles
financial burden on the healthcare system.1 In order
Venue Checklist
to support the development and expansion of
Equipment Consideration: exercise; safety
BERNIE BOLLEY
COPD management programs, The Lung Association,
in conjunction with the University of Saskatchewan and
Prior to the official launch of the online web site, a preliminary
the Saskatoon Health Region, has developed a Canadian Toolkit on DVD was forwarded to 54 healthcare communities
online repository where all healthcare professionals involved across Canada, representing over 100 sites. Community
in COPD management can access, share, evaluate, develop representatives were asked to complete a general Toolkit evaluation
and refine resources for COPD management programs. A as well as to forward the Tool evaluation form to the healthcare
preliminary COPD Toolkit©∂ (Toolkit) of over 100 items was professional responsible for using that Tool to complete. Overall,
uploaded onto the internet on a new web site, www.copdtoolkit.ca respondents said the Toolkit was very useful, easy to use and that
in September, 2009.
they would recommend the Toolkit to others. Changes that were
suggested resulted in adding region-specific information, either
There are 106 Tools, or resources, available online for health care shortening or adding more explanation and also stressing the
professionals to access:
importance of key points in the Toolkit.
• Descriptive Tools: include background information, references
Since the web site became live in September, 2009, over 150
on which the Toolkit information is based, overviews of each healthcare professionals around the world including people in
Pillar (describes the evolution of the Tool’s development and Australia and Kuwait have registered as contributors to the online
utilization within that specific Pillar of care), acknowledgement version of the COPD Toolkit.
of the expertise involved in the Toolkit progress, and contact
We are currently in the process of updating the web site by
information for the resources currently used in the Live Well uploading up-to-date resources for healthcare professionals, as well
Chronic Disease Management Program.
as reorganizing the site to make it more user-friendly. The plan is to
• Forms Tools: include the forms used to assess, refer, and inform have the updated information available in early 2011. Future
people with COPD and their healthcare providers about the initiatives include moving towards animation of the Toolkit with
Program as well as to document progress of Program participants - multimedia presentations, video streaming and video clip
Assessment Forms: initial and follow-up
demonstrations.
Chart Review Form
Exercise & Education Records
Acknowledgements & Support
Health History Questionnaires
This project was made possible through support from The Lung
Consent and Release Form
Association of Saskatchewan, the Saskatoon Health Region, the
Schedules
University of Saskatchewan, GlaxoSmithKline, Zu.com
Borg & MRC Scales
Communications Inc., Boehringer Ingelheim and Pfizer.
Referral Forms
• Participant Education Tools:
References
Powerpoint Presentations
1. Marciniuk DD, Brooks D, Butcher S, Debigare R, Dechman G, Ford G, et al.
Optimizing pulmonary rehabilitation in chronic obstructive pulmonary disease –
Handouts
practical issues: A Canadian Thoracic Society Clinical Practice Guideline. Can
Certificate
Respir J 2010 July/August; Vol 17 No 4.
• Marketing Tools:
2. O’Donnell DE, Aaron S, Bourbeau B, Hernandez P, Marciniuk DD, Balter M, et
Media Invitations
al. Canadian Thoracic Society recommendations for management of chronic
Program Posters: Social; Cancellation; Closure
obstructive pulmonary disease – 2007 update. Can Respir J 2007 September; Vol 14
Suppl B.
Public Service Announcements
Media Release
Program Brochure & Letterhead
Factors to Consider in Program Promotion
A
W INTER 2011 C ONNECTIONS
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Continuing Education
OPPORTUNITIES
January 27-29, 2011*
Better Breathing 2011, 30th Anniversary
Conference. Toronto Marriott Downtown
Eaton Centre hotel. See article on this page.
February 4-5, 2011
Third Annual Ottawa Conference: State of
the Art Clinical Approaches to Smoking
Cessation. Fairmont Chateau Laurier Hotel.
www.ottawamodel.ca.
February 24-26, 2011
IUATLD North American Region annual
conference, Engaging Vulnerable Populations:
Tools and Strategies to Halt TB. Vancouver,
BC. (604) 731-5864.
April 8-10, 2011
McMaster University’s 6th Annual Thoracic
Cancer Conference, Niagara-on-the-Lake.
www.OntarioThoracicCancer.ca.
April 13, 2011, 5:30 – 8:00 p.m.*
ORCS Greater Toronto Region spring
educational evening. Southlake Regional
Health Centre, Newmarket. Details to follow.
April 28-30, 2011
Canadian Respiratory Conference, A Breath of
Fresh Air. Sheraton on the Falls Hotel, Niagara
Falls. www.lung.ca/crc.
May 13-18, 2011
American Thoracic Society annual conference,
Where Today’s Science Meets Tomorrow’s
Care, Denver, Colorado. www.thoracic.org.
June 9-12, 2011
The Canadian Society of Respiratory
Therapists National Conference and Trade
Show, Quebec City. www.csrt.com.
July 14-17, 2011
Canadian Physiotherapy Association National
Congress 2011, Whistler, BC. Pre and post
congress courses of interest to Respiratory
Health Educators may be offered. www.
physiotherapy.ca.
*For further information on ORCS programs,
call (416)864-9911, ext. 256 or 236, e-mail
[email protected] or visit www.on.lung.ca/orcs.
Additional 2011 Course Schedules:
For RespTrec/SpiroTrec courses, visit
www.resptrec.org
For OLA Provider Education courses, visit
www.olapep.ca
For CAMH TEACH programs, visit
www.camh.net
8
Last Chance to Register!
Better Breathing 2011: Celebrating 30 years
of educating health care professionals
Don’t miss the annual RHEIG session at Better Breathing 2011!
WHEN: Thursday, January 27 – Saturday, January 29, 2011
WHERE: Toronto Marriott Downtown Eaton Centre Hotel, 525 Bay St., Toronto
Register today for Better Breathing 2011, the annual conference of the ORCS and OTS. The
conference includes plenary sessions, workshops, a poster session, exhibits and exciting social
events. On Thursday, January 27, the RHEIG will host its annual half day session, featuring a lecture
on Lessons Learned from the H1N1 Experience by Dr. Donald Low, and workshops on Culturally
Sensitive Patient Education, The Use of COPD Action Plans in Patient Self-Management, Learning
Differences in Child Patient Education and The New Asthma Continuum.
Friday’s sessions feature plenary speakers on the theme of Emerging Technologies in Respirology
and many clinical topics of interest to health professionals from all disciplines. The ORCS Annual
General Meeting will be held during the Friday afternoon session. Don’t miss the ORCS Poster
Presentations Reception and the social event Just What the Doctor Ordered!, on Friday evening.
Saturday’s program consists of concurrent workshops. Sponsored breakfast, lunch and dinner
sessions are offered throughout the conference.
For the complete Better Breathing program and to register, visit www.on.lung.ca/bbc or call Heather
Wood at 416-864-9911 x256.
Notice of RHEIG Annual Meeting
The Annual Meeting of the ORCS-RHEIG will be held during the RHEIG session at 1:45 p.m.
The agenda will include reports on the year’s activities, membership and election of the Executive
Team for 2011 - 2012. Nominations for membership on the RHEIG Executive Team, which meets by
conference call approximately 5 times per year, are welcomed. Contact [email protected] if you are
interested in putting your name forward or nominating a colleague.
Pre-conference Workshops at Better Breathing 2011
Thursday, January 27, 8:30 to 11:30 a.m. Toronto Marriott Downtown Eaton Centre Hotel
Continental Breakfast provided. Free registration.
Successfully Managing Asthma in Schools – Do Your Part as an Asthma Educator
Presented by the Asthma Plan of Action Public Health School Asthma Project (PHSAP) and the
Ontario Physical and Health Education Association (OPHEA).
Objective: To raise awareness of the barriers children with asthma face in the schools and how health
care professionals can assist them to become successful managers in this setting
Register by January 14 by e-mailing Robin Fischer at OPHEA at [email protected]. Limited to 30 people.
Anaphylaxis in School Settings
Presented by The Lung Association and Anaphylaxis Canada
Objective: To prepare health care professionals to provide anaphylaxis training at schools in their community.
Register by January 25 by contacting Chris Haromy at The Lung Association at [email protected].
Limited to 20 people.
Funded by the Ontario Ministry of Health and Long-Term Care.
C ONNECTIONS W INTER 2011