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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 7 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