Healthy Living in the North

Falling is not a “right of passage”; Falls Prevention Awareness Week

I’m approaching my 40th birthday. From where I stand now it seems impossible to me, that as kids we celebrated my parents 40th birthdays with black balloons, a cane, candy jellybean “pill” bottles, and a larger than life sign signifying “Over the Hill”.

Like these 40th birthday traditions, our culture embraces some aspects of aging that don’t make any sense. Take senior’s falls as an example, somehow as a society we accept that the majority of people experience a fall at some point as they age. Did you know that, for all age ranges, falling is a lead cause for injuries requiring hospitalization? No matter what age, we must all remember, falls are preventable!

November 6-12, 2017, marks the Finding Balance BC Falls Prevention Awareness Week. Falling, tripping, or slipping happens now and then to all of us, but falling with risk of serious injury does not have to be a normal part of aging.

seniors, falls prevention

Keeping active now helps prevent future falls.

What can you do?

  • Get up and go.
    • Keep your body moving and active. Focus on strong muscles and good balance. Strength and balance exercises are key to reducing the risk of falling.
  • Have your eyes checked.
    • Visiting an optometrist once a year can reduce your risk of falling.
  • Review your medications.
    • Bring everything you take (both prescription and non-prescription) to your pharmacy or doctor for a review.
  • Make small changes to your home.
    • Simple hazards are sometimes overlooked and often, easily fixed.
    • Install handrails and guardrails where needed.
    • Add lighting in hallways and nightlights in bathrooms and bedrooms.
    • Secure or remove area rugs so they don’t become tripping hazard in your home.
    • Salt and sand walkways in winter months.

With November and my birthday approaching, let’s challenge the social norms -I refuse to blow up a single black balloon! Falling is not a “right of passage”, and making small changes to our lifestyle and surroundings is a smart investment to our health and well-being, no matter what age.

Join Northern Health and participate in the BC Finding Balance Falls Prevention Week. Visit the Finding Balance BC website and talk to your doctor if you have had a slip, trip, or fall in the last year.

Amy Da Costa

About Amy Da Costa

Amy Da Costa has worked in Public Health for 12 years. She recently joined the Population Health team as a part-time Regional Nursing Lead for Injury Prevention. Amy lives in Kitimat with her husband and two children. They like to camp, swim, and cook as a family.

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Pulmonary rehabilitation in Prince George

Patient on exercise bicycle monitored by physiotherapist

Pulmonary rehabilitation is a well-established, well-researched intervention to help people with chronic pulmonary diseases cope with shortness of breath, develop activity tolerance, and improve quality of life.

When Dianne Gagne first arrived to take part in the new pulmonary rehabilitation program in Prince George, she had to stop twice to catch her breath en route from the parking lot of the YMCA to the room inside where the program is run. “I couldn’t even shower without getting short of breath,” shared Gagne, whose shortness of breath is caused by chronic obstructive pulmonary disease (COPD) and other complications stemming from a fungal infection of her lungs that first appeared in her 20s.

Robin Roots, a physiotherapist, has seen this before. “For many people with a diagnosis of chronic pulmonary disease,” said Roots, “simply going to Walmart is not an option because of the walking requirement. They are left winded, short of breath, and unable to function.”

It is these challenges and more that the pulmonary rehabilitation program – a partnership between the YMCA of Northern BC, the UBC Department of Physical Therapy, and Northern Health – is working to address. And so far, as Dianne Gagne can attest, it seems to be working. “By the end, I could park and walk up to the room,” said Gagne. “I may never have my full lung function back – I was once an avid cross-country skier – but I’m noticing improvements. I can now do my daily chores without any issues and I’m walking for a full half-hour on the treadmill.”

Pulmonary rehabilitation is a well-established, well-researched intervention to help people with chronic pulmonary diseases cope with shortness of breath, develop activity tolerance, and improve quality of life. Pulmonary rehabilitation includes both an exercise component and education relating to proper disease management delivered by a team of health professionals, including physiotherapists, exercise physiologists, pharmacists, dietitians, respiratory therapists, and specialists.

“Exercise is really the distinguishing feature of this specialized program,” said Roots. “Each participant is assessed and receives an individualized program which is fully supervised. Participants take part in high intensity lower limb aerobic training, strengthening, and balance exercises. Because most participants are on oxygen and many are quite deconditioned, this exercise needs to be very closely monitored. We’ve got some participants on bicycles, some on arm cycles, some on treadmills. It’s all about understanding how much their body can do and designing exercises that increase their ability to take on daily living activities.”

For Gagne, the individualized program really stood out. “They scrutinize you very carefully,” said Gagne. “They would measure my oxygen levels, pulse, and blood pressure before and after exercises. If my oxygen saturation would fall below a certain level, the physiotherapists would stop me. They didn’t push me to do more than I could, but they did challenge me to do as much as I could! The exercise regimes they develop are specific to each individual. Some people were doing 2-3 minutes of activity, others were doing 45. The physiotherapists and students explain things at every step – they would tell me why I would be doing certain exercises.”

The pulmonary rehabilitation program has clearly had a positive impact on Gagne and the other participants. “Participants set their own goals,” said Roots, “and we try to get them there.” For many, the goal is simply to be able to better manage shortness of breath and to function day-to-day without getting short of breath – goals which can significantly improve quality of life. For Roots, however, the research points to an important system level benefit of the pulmonary rehabilitation program. “Research has shown that pulmonary rehabilitation can decrease emergency room visits for acute acerbations of COPD by 40 per cent. We know that there are approximately 300 hospitalizations for COPD per year in Prince George and that the average length of stay for someone with an acute exacerbation is nine days. There is also a readmission rate of 13 per cent. If we can reduce the number of ER visits and prevent hospitalizations, we can save the system a lot of resources.”

Gagne agreed: “This program is a preventive measure. It keeps you out of the hospital and teaches you how to look after your condition on your own.”

The pulmonary rehabilitation program in Prince George is an eight week program, with a cohort of 10-15 participants getting together twice weekly for exercises and education. Anyone with a diagnosis of chronic pulmonary disease can join the program, you just need to complete a pulmonary function test. You can access the rehabilitation program through your physician – ask them about it or tell them about it! Participants have come from as far as Smithers and work is underway to look at how the program can be made more accessible to people living outside of Prince George.

Patients on exercise bicycles monitored by physiotherapist

With one in four people likely to develop COPD in northern B.C., pulmonary rehabilitation programs have the potential to have a massive impact.

According to Roots, the pulmonary rehabilitation program in Prince George, which has received a lot of support from local respirologists Dr. Sharla Olsen and Dr. John Smith, is unique for a few reasons:

  • It represents a partnership between three organizations (a partnership that has also created a second program: cardiac rehabilitation).
  • UBC trains physiotherapy students in northern B.C. and the rehabilitation program offers a valuable site for clinical placements (“It’s win-win,” said Roots). The students provide a valuable service to the program participants while at the same time being trained under the supervision of a licensed physiotherapist.
  • While many pulmonary rehabilitation programs are run out of hospitals, this program is based in the community. This can help encourage participants to think about maintaining the gains they make in the program through active lifestyle opportunities right in the community.
  • The partnership has allowed for the program to be offered at very low cost to participants – just a $10 membership fee.

Both Roots and Gagne have a similar goal: they want more people to know about the program! With one in four people likely to develop COPD in northern B.C., pulmonary rehabilitation programs have the potential to have a massive impact.

“Without the program,” reflected Gagne, “I would be sitting at home, continually going downhill. And though these changes take time, I keep telling my doctors how fantastic the program was. I would like for more people to know about this program – it is available and is really helpful.”

COPD Support Group

Many participants in the pulmonary rehabilitation program see each other one more time each week through the Prince George COPD Support Group. I asked the group to tell me a bit about themselves and this is what the group’s treasurer, Nancy, shared:

The Prince George COPD Support Group, also known as the SOBs (Short of Breaths) gives those diagnosed with COPD (and any other lung issues) a place to learn how to cope with an unforgiving disease. Our group gets exercise directions from a licensed physiotherapist, who also gives informative chats on various issues related to the lungs. As members are all living with the same issues, we have a wealth of lay knowledge to fall back on and share with each other. We have coffee days where we often bring in speakers on a variety of subjects, which goes a long way towards educating us all. We are a dedicated group of boomers helping others as they help us. We are a fun group and invite new members to join – bringing a friend or family member is always welcome!

The group meets every Wednesday, 1 p.m. to 3 p.m. in the AiMHi Gymnasium in Prince George (950 Kerry Street).

What you need to know: Chronic Obstructive Pulmonary Disease (COPD)

Although COPD is the most prevalent condition amongst pulmonary rehabilitation program participants, the program accepts people with any chronic pulmonary disease. Ask your doctor about pulmonary rehabilitation.

From HealthLinkBC.ca:

  • COPD is a lung disease that makes it hard to breathe.
  • COPD is most often caused by smoking. Other possible causes include long-term exposure to lung irritants, neonatal lung disease, and genetic factors.
  • COPD gets worse over time. While you can’t undo the damage to your lungs, you can take steps to prevent more damage and to feel better.
  • The main symptoms are a long-lasting cough, mucus that comes up when you cough, and shortness of breath.
  • At times, symptoms can flare up and become much worse. This is called a COPD exacerbation and can range from mild to life-threatening.

According to the Canadian Lung Association, “chronic lung disease accounts for more than 6% of annual health-care costs in Canada, and COPD is the leading cause of hospitalization.” COPD is the fourth leading cause of death in Canada. The Canadian Thoracic Society reports that a 2008 study “conservatively estimated the total cost of COPD hospitalizations at $1.5 billion a year.”


A version of this article was originally published in the summer 2017 issue of Healthier You magazine. Read the full issue – all about healthy lungs – on ISSUU!

Vince Terstappen

About Vince Terstappen

Vince Terstappen is a Project Assistant with the health promotions team at Northern Health. He has an undergraduate and graduate degree in the area of community health and is passionate about upstream population health issues. Born and raised in Calgary, Vince lived, studied, and worked in Saskatoon, Victoria, and Vancouver before moving to Vanderhoof in 2012. When not cooking or baking, he enjoys speedskating, gardening, playing soccer, attending local community events, and Skyping with his old community health classmates who are scattered across the world. Vince works with Northern Health program areas to share healthy living stories and tips through the blog and moderates all comments for the Northern Health Matters blog. (Vince no longer works with Northern Health, we wish him all the best.)

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Are you a SmartMom?

Becoming a “mama” was the best thing to ever happen to me! As a nurse working in public health, I thought I had all of the knowledge, tools, and skills I needed to be a “smart” mom. I honestly thought it was going to be easy! During my pregnancy, I chose not to attend traditional prenatal classes due to transportation issues. Instead, I sought pregnancy, breastfeeding, labour, and delivery information from a variety of other credible sources including books, videos, websites, and our birth doula. Although I felt prepared, I was lacking a stronger support system that I did not even realize I needed.

pregnant women holding cell phone

SmartMom is a free text-based service that guides soon-to-be mothers through every week of pregnancy. Texts are tailored to their due dates and information is from trusted health sources.

When I returned to work after my maternity leave, I learned about a new prenatal education program that was coming to the north: SmartMom. SmartMom is a prenatal education program that texts evidence-based pregnancy information to women via phone or computer. It is the first program of its kind in Canada! As soon as I learned about SmartMom, I realized that this program would have been so helpful for me and my spouse during my pregnancy!

As my own experience suggests, nowadays, women are choosing to get their prenatal information in a variety of unique ways above and beyond traditional prenatal classes. The texts from SmartMom are meant to complement the prenatal education women are already accessing in their communities through group prenatal classes, one-on-one sessions with a health care provider, or their own research of credible sources. The beautiful thing about SmartMom is that it delivers text messages tailored to a woman’s stage in pregnancy.

How it works

sample of text messages

SmartMom will text you information tailored to your due date via cell phone or computer. To enroll, text “SmartMom” to 12323 or visit www.smartmomcanada.ca

Women sign up to receive text messages with information that can be helpful when discussing concerns with their health care providers, as well as supporting them in making choices about their health. In addition to receiving supportive prenatal information, women also have the option of subscribing to supplemental messages, including topics of specific interest to them: alcohol use in pregnancy, nutrition and exercise, substance and tobacco use, exposure to violence, being an older mom, and information about labouring after a caesarean section. These supplemental streams of messaging can assist women in making choices specific to their health and their pregnancy. The ultimate goal of SmartMom is to have healthier mommies, babies, and families!

SmartMom is available now! There are three ways to sign up:
• Contact a health care provider for information
• Text “SmartMom” to 12323
• Visit www.smartmomcanada.ca

As I came to realize, becoming a”smart” mom is a learning process; it takes time to learn how to be the healthiest version of yourself for your children and your family. A program like SmartMom can really help a new mom increase her knowledge and prepare for the wonderful journey that lies ahead!

Randi Parsons

About Randi Parsons

Randi has lived in northern BC since 2010 after graduating from the University of Alberta with her Bachelor of Science in Nursing. Since her graduation, Randi has held different nursing positions with a focus in maternal-child health. Her career as a nurse started on Pediatrics in Prince George before transitioning into Public Health Nursing in the Omineca area. For 5 years, Randi worked as a generalist Public Health Nurse, finding her passion in perinatal wellness, early child development and community collaboration. With her husband, daughter and two Chihuahuas, Randi lives in Fraser Lake, currently working as the Regional Nursing Lead for Maternal, Infant, Child, Youth with Public Health Practice. When she is not nursing, Randi enjoys crafting, practicing yoga, learning to garden and being a mom! She is passionate about raising awareness for mental health and advocating for women, children and families.

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What is World No Tobacco Day?

WHO infographic

World No Tobacco Day is an opportunity to talk globally, nationally, provincially, and within our own communities about reducing commercial tobacco use.

What is World No Tobacco Day? It’s an opportunity to talk globally, nationally, provincially, and within our own communities about reducing commercial tobacco use*. The World Health Organization (WHO) states commercial tobacco use kills about 7 million people every year and this number is expected to grow to 8 million a year by 2030 without increased action.

We see the harms of tobacco use in our health care facilities, schools, and communities on a daily basis. Tobacco use contributes to worsening health such as respiratory disease and cardiovascular disease; meanwhile, health care costs continue to increase as we treat people for tobacco related illnesses.

We can act now to stop this trend. Northern Health has a smoke-free grounds clinical practice standard that promotes the health of our patients, staff, families, and friends. This standard prohibits smoking and vaping in our facilities and on our grounds. Many of our communities now have bylaws that also prohibit smoking and vaping in outdoor spaces. These laws directly impact the health of our communities in a positive way!

But, we need your help. We need you to help us provide information and support to people who may be using commercial tobacco or who vape in our smoke-free spaces. Most people who use commercial tobacco want to quit. There is help available at QuitNow.ca and free Nicotine Replacement Therapy (NRT) available at any pharmacy in B.C. Speak to a pharmacist for details. With support and resources, we can help make quitting become a reality for those who wish to quit.

Here are some tips for supporting tobacco users in smoke-free spaces to quit:

  • Inform the person or people using tobacco in a smoke-free area that they are doing so in an area where this is not allowed. Many of these bylaws are still pretty new!
  • Ask the person if he or she would like to quit using commercial tobacco.
  • Provide them with the QuitNow.ca website for free resources and support.

Thank you for doing your part to make commercial tobacco use a part of history!


*In this post and in most public health messaging, “tobacco” is short for commercial tobacco products like cigarettes and chewing tobacco. Using these is highly addictive and a leading cause of disease and premature death. However, Northern Health recognizes that natural tobacco has been an integral part of many Indigenous cultures in B.C. for thousands of years. Traditional uses of tobacco in ritual, ceremony, and prayer is entirely different from smoking or chewing commercial tobacco. Northern Health supports the cultural and ceremonial uses of tobacco and recognizes that the benefits of traditional uses can outweigh the potential harms.

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Oral Health Month: Working in the Emergency Dental Outreach Clinic

Spirit the caribou in front of baby teeth poster
I am very grateful to have been given the opportunity to be involved in the Emergency Dental Outreach Clinic (EDOC) as the clinic coordinator. It’s an amazing clinic where our services are extremely valued. This year, EDOC was even nominated for a Healthier You Award in the Outstanding Multicultural Contribution category! With Oral Health Month now upon us, I wanted to take this chance to tell you a little more about this special service.

What is the Emergency Dental Outreach Clinic?

EDOC is a not-for-profit clinic that was started in 2006 by Carole Whitmer, RDH, and Dr. Richard Wilczek as they sought to remove barriers for community members without access to dental care.

There are 20 not-for-profit clinics in B.C. and, apart from coordinator support offered by Northern Health, the clinic in Prince George is the only one that operates strictly with the support of volunteers. I think this speaks volumes to the amazing Prince George dental community! This clinic is only possible because of community partnerships between the local dental community, the Native Friendship Centre (who provide free space, accounting, utilities, and security), and Northern Health.

What do we do at the clinic?

The clinic provides a place for people to go to have emergency dental care free of charge. It is an extraction service only and runs in the evenings on the second and fourth Tuesday of every month out of a clinic in the Native Friendship Centre (1600 3rd Avenue, Prince George). Although free of charge, we gratefully accept donations, which help cover the cost of supplies.

Who uses EDOC services?

The people who access EDOC come from a variety of backgrounds and locations, but the common thread is a need and appreciation for the no-barrier access to emergency dental care. We have many repeat customers and there is a sense of community and caring amongst those waiting. A few months ago, on one of the coldest nights of the year, one of our clients left after his extraction only to return with a “Take 10” of Tim Hortons coffee for the dental volunteers and those still waiting for care! Even though those who use the clinic face financial challenges, what I’ve seen is that they gratefully donate what they can for the treatment provided.

EDOC is a much needed and appreciated program that serves the Prince George and the outlying areas – I feel lucky to be a part of this great program!

Jane Bartell

About Jane Bartell

Jane works at Northern Health as the Emergency Dental Outreach Clinic coordinator and as a community dental hygienist, travelling to many communities in the northern interior. Her passion is to have children in the north grow up as healthy as possible, especially from a dental perspective. In her spare time, Jane most enjoys spending time with family and friends hiking, snowshoeing, and skiing on the amazing trails around Prince George. She also enjoys the great music culture that Prince George offers.

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Celebrating the unveiling of Gitxsan art at Wrinch Memorial Hospital

Curtain being pulled off of art piece.

Mary Vanstone and Chief George Gray unveiling the art.

This past fall, Mary Vanstone, local administrator for Wrinch Memorial Hospital in Hazelton, hosted an event celebrating the unveiling of Gitxsan art. Local Indigenous artwork in health care settings helps to create a more welcoming and culturally safe space. For many people at the event, the commissioning and unveiling of this artwork was more impactful than expected.

The artwork symbolizes robes of authority with a crest that depicts the Indian Residential School experience from the Gitxsan perspective. The Northwest East Aboriginal Health Improvement Committee commissioned the art for the hospital entrance as part of an initiative funded by Aboriginal Health to develop local cultural resources.

The art was made by residential school survivors participating in the Gitxsan Health Society Indian Residential School Resolution Health Support Program. At the unveiling event, several people who participated in its creation spoke about its meaning and their experiences working on it. Indian Residential School Resolution Health Support Worker Pamela Torres described the sessions where Indian Residential School survivors and family members from Kispiox, Sikedakh, and Gitanmaax came together, shared their stories, experiences, tears, and laughter as they worked to complete the beautiful artwork.

Also at the event, fellow support worker Gary Patsey described his experiences as an Indian Residential School survivor. He spoke about specific statistics of residential school impacts on the Gitxsan Huwilp and shared sensitive insights into his journey of healing. He challenged service providers to educate themselves on the 94 Calls to Action flowing from the final report of the Truth and Reconciliation Commission of Canada.

Ardythe Wilson, manager of the support program, concluded the event with a reminder that all health care workers and service providers in the area are in positions where they can become partners of true reconciliation by working with, and supporting, the Gitxsan in developing a reconciliation model. The unveiling was a significant event and those in attendance were visibly moved.

The art was designed by Michelle Stoney, whose grandparents survived residential school and now actively promote Gitxsan history and culture. The crest represents the four clans of the Gitxsan Huwilp inside a mother and child, portraying the matrilineal foundation of the Gitxsan Nation. It recognizes those who suffered the abduction of their children and the intergenerational healing that continues to take place as a result of the long-reaching impacts of residential schools.

Vanstone shared:

It was an honour to help organize and be part of this event. The unveiling event provided an open forum for discussion and a step toward healing from the atrocities of the residential school system and the trauma sustained by First Nations in this community. As a health facility supporting the people of this community, we acknowledge that we have a lot of work left to do, however, we are confident in the collaborative relationships we are building with our community partners. The artwork hangs in our foyer as a symbolic reminder of the unbreakable bond between mother and child and the strength provided by the Wolf, Fireweed, Frog and Eagle clans of the Gitxsan people.

Verna Howard, Community Engagement Coordinator with the First Nations Health Authority, helped organize this event and said:

This event has made a big difference. It’s the first time we have seen our First Nations people and dancers involved in the hospital system. I could see on the elders’ faces the impact the cultural dance group and cultural recognition had, especially for those who reside there. The community members and residential school survivors, who have heard talk about reconciliation but have seen little action, saw this as a great step forward.

The event followed local Gitxsan protocols with Chief George Gray providing a formal welcome to the traditional Gitxsan territory and Elder Frances Sampson, opening the event with a prayer. Following the unveiling, there was a reception in the cafeteria where the Gitxsan Cultural dancers performed. Verna Howard and I spoke about the role of Aboriginal Health Improvement Committees and how Northern Health, First Nations Health Authority, and Indigenous communities and organizations are partnering to improve the health of Indigenous peoples in the north. Hereditary Chief Ray Jones, a residential school survivor, shared about the three constant companions in residential school: hunger, loneliness, and fear.

Cormac Hikisch, Health Services Administrator for the northwest area said,

I was grateful to be a part of this event – witnessing local residential school survivors share their stories and express appreciation for the button blanket as recognition of their suffering. It helped provide me with a better understanding of the real impacts to this tragic part of Canadian history, and more deeply realise the still current trauma that First Nations are working to move forward from.

This event was one step in Northern Health’s journey to honour and acknowledge local First Nations and making health care environments more culturally safe.

The women who created this blanket are Amanda Wesley, Theresa Stevens, Virginia Fowler, Rebecca Jagoda, Cindy Martin and Mae Martin with guidance from Marjorie Mowatt and Sadie Mowatt. Final touch-ups were provided by Lavender Macdonald.

Three women with button blankets.

Victoria Carter

About Victoria Carter

Victoria works in Northern Health’s Aboriginal health program as the lead for engagement and integration. She is an adopted member of the Nisga’a nation and was given the name “Nox Aama Goot” which means “mother of good heart.” In her work she sees herself as an ally working together with Aboriginal people across the north to improve access to quality health care. She keeps herself well by honouring the mental, emotional, physical and spiritual aspects of her life through spending time with her friends and family, being in nature and working on her own personal growth.

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Overcoming a vast northern landscape

Magazine cover

The latest issue of Healthier You profiles people, programs, and ideas that overcome northern B.C.’s vast geography.

There’s no denying that northern B.C. is enormous! In fact, the area served by Northern Health covers about two-thirds of the province!

This geography brings with it all sorts unique recreation opportunities and, for many people, the chance to walk directly out of your front door into stunning natural environments.

That said, the size and remoteness of northern B.C. can create challenges, too. In the latest issue of Healthier You magazine, we’re looking at programs, ideas, and people who are taking on this challenge head-on!

Learn how technology, travel programs, partnerships, and northern ideas are “shrinking geography”:

In addition to sharing stories about all sorts of unique programs that connect people to services across our region, the magazine also lets you know how to access these services.

Take a look through the latest issue of the magazine online or look for a hard copy of the magazine in local doctors’ offices, clinics, and Northern Health facilities near you! All past issues of Healthier You are also available online.

Vince Terstappen

About Vince Terstappen

Vince Terstappen is a Project Assistant with the health promotions team at Northern Health. He has an undergraduate and graduate degree in the area of community health and is passionate about upstream population health issues. Born and raised in Calgary, Vince lived, studied, and worked in Saskatoon, Victoria, and Vancouver before moving to Vanderhoof in 2012. When not cooking or baking, he enjoys speedskating, gardening, playing soccer, attending local community events, and Skyping with his old community health classmates who are scattered across the world. Vince works with Northern Health program areas to share healthy living stories and tips through the blog and moderates all comments for the Northern Health Matters blog. (Vince no longer works with Northern Health, we wish him all the best.)

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Foodie Friday: Supporting culturally safe environments with traditional First Nations foods

As a member of the Aboriginal Health team at Northern Health, it’s really important to me to support culturally safe health care environments. When health care settings are inclusive of Indigenous cultures and traditions, they become more culturally safe for Indigenous people. That is why I was excited to learn how Northern Health staff are making traditional First Nations foods available to patients and residents!

Cook with Hugwiljum (fish soup)

Offering traditional First Nations foods in health care environments is an important step in creating an inclusive, welcoming, and culturally safe health system for Indigenous peoples.

In Hazelton, cooks Anita Lattie and Armin Wesley are excited to make traditional First Nations foods available to residents and patients at Wrinch Memorial Hospital. Both Armin and Anita are Gitxsan; Anita is from Gitanmaax and Armin is from Sik-E-Dakh.

“When patients and residents see foods they are familiar with, they enjoy it more,” said Anita about the response to the menu additions.

“I have been waiting for this,” said a resident about the Hugwiljum fish soup and bannock he was eating for lunch.

The process of adding new foods to the Northern Health menu repertoire involves putting the recipe in a consistent format, testing it with ten people, and then submitting it for approval and further testing. Support services coordinator Deana Hawkins explained to me that once the recipes are approved, they are added to the core menu across Northern Health so other sites can also serve them.

In the northwest, Mills Memorial Hospital, Terraceview Lodge, and Kitimat General Hospital now offer the Hugwiljum fish soup and bannock. Anita has just finished testing a salmon patty recipe to send for approval this week. “All the staff in the Wrinch Memorial kitchen are Aboriginal and it makes us feel good about our jobs to be able to do this,” said Armin. According to BC Stats, in Hazelton, 56.5% of the urban population is Aboriginal.

In Prince Rupert, dietitian Arlene Carlson works with Elders at the Gitmaxmak’ay Nisga’a Society and Friendship House to organize traditional feasts twice a year for residents of Acropolis Manor, the local long term care facility. The feasts include locally prepared, seasonal foods such as fish chowder, moose soup, and kelp on roe. Local First Nations cultural entertainment is a highlight of the feasts. “These feasts are really popular with First Nations and non-First Nations residents alike,” said Arlene. This work has helped create a policy within our organization of bringing in food for social functions and cultural events. Other policies are in place to support families to bring in food for their loved ones in long term care.

On Haida Gwaii, traditional foods are offered in both hospitals. In the south, the Haida Gwaii Hospital and Health Centre – Xaayda Gwaay Ngaaysdll Naay serves local fish regularly on the menu and the Meals on Wheels program brings traditional food to Elders in the hospital on a weekly basis. In Masset, Northern Haida Gwaii Hospital & Health Centre residents are offered a special occasion meal once per month. Meals feature local and traditional ingredients such as fish, clams, deer, and locally grown vegetables. On Haida Gwaii, Shelly Crack and Tessie Harris are part of a national movement to incorporate sustainable food into the health care system; including more traditional foods.

Cultural safety is a priority for Northern Health. In July 2015, all BC Health Authority CEOs signed a declaration demonstrating their commitment to advancing cultural humility and cultural safety with their organizations. The goal of cultural safety is for all people to feel respected and safe when they interact with the health system. Culturally safe health services are free of racism and discrimination. People are supported to draw strengths from their identity, culture, and community. One of the features of a culturally safe health system is ensuring physical environments reflect local Indigenous communities and cultures.

Offering traditional First Nations foods in health care environments is an important step in creating an inclusive, welcoming and culturally safe health system for Indigenous peoples.

Hugwiljum (fish soup)

Makes 4-5 portions

Ingredients

  • 2 cups potatoes
  • 1 medium onion (diced)
  • 3 salmon loins
  • 1 tbsp curry
  • 1 tsp salt
  • 1 litre water

Instructions

  1. Bring all ingredients to boil. Reduce heat and simmer until potatoes are tender and salmon cooked.

 

Victoria Carter

About Victoria Carter

Victoria works in Northern Health’s Aboriginal health program as the lead for engagement and integration. She is an adopted member of the Nisga’a nation and was given the name “Nox Aama Goot” which means “mother of good heart.” In her work she sees herself as an ally working together with Aboriginal people across the north to improve access to quality health care. She keeps herself well by honouring the mental, emotional, physical and spiritual aspects of her life through spending time with her friends and family, being in nature and working on her own personal growth.

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It’s all about the big picture

This article was co-written by Reg Wulff and Doreen Bond. Learn more about all of our contributors.


20160630-RWulff-470x394Did you read our last blog post about the rollout of Northern Health’s new and improved Smoke Free Grounds policy? Now that you’ve had a bit of time to think about it, it might seem like it’s all about telling people where they can’t smoke or use vapour products. However, the Smoke Free Grounds policy isn’t only about telling people that they can’t smoke on Northern Health property; it’s actually part of a bigger picture when it comes to Northern Health’s efforts to reduce tobacco use.

Northern Health is committed to addressing tobacco use as a standard of care. In addition to the Smoke Free Grounds policy, we’ve implemented three new clinical practice standards to give our nursing staff some tools to help tobacco users manage withdrawal symptoms and get support when it comes to quitting smoking. These standards are: Brief Intervention Training for nurses, the Nicotine Withdrawal Protocol, and the Registered Nurses Initiated Action.

What does this mean for you?

Using Brief Intervention, nurses can quickly identify patients who use tobacco. It helps nurses figure out who might need nicotine replacement therapy products such as the nicotine patch while in Northern Health facilities. Brief Intervention is very simple and it only takes a couple of minutes.

Then there’s the Nicotine Withdrawal Protocol and the Registered Nurses Initiated Action. I know they sound like fancy terms, but their purpose is quite simple: these two standards give nurses an opportunity to provide tobacco users with nicotine replacement therapy products for a short period until a doctor’s order can be obtained.

Going through nicotine withdrawal can be extremely uncomfortable for a tobacco user. Providing a nicotine patch can help ease withdrawal symptoms for patients who use tobacco. The three clinical practice standards are about enabling nursing staff to take action and help tobacco users manage their withdrawal symptoms.

The Nicotine Withdrawal Protocol and the Registered Nurses Initiated Action also contribute to patient safety. They provide another option for patients who might put themselves at risk by leaving Northern Health grounds to have a smoke. After all, though they seem like distant memories now, winter conditions in the north can be dangerous for anyone, let alone patients who use wheelchairs or have IV poles to deal with.

Creating a healthy environment is essential for the wellness of patients, residents, visitors, and staff who access or work in Northern Health facilities. Northern Health wants to lead by example and provide a healthy environment for everyone where they live, work, and play. The refreshed Smoke Free Grounds policy and the three clinical practice standards are important pieces of creating that healthy environment.

So remember, if you’re a tobacco user who is about to enter a Northern Health facility, the Smoke Free Grounds policy is about everyone’s health! If you need help managing nicotine withdrawal symptoms while in facility, talk to your nurse. There is help available.

Quitting smoking can greatly improve your health and help you live longer. For more information and support, contact HealthLink BC by dialing 8-1-1 or visit QuitNow.

If you’re interested in getting 12 weeks of free nicotine replacement therapy products, talk to your local pharmacist.

Reg Wulff

About Reg Wulff

Reg is a licensing officer with Northern Health and has his BA in Health Science. Previously, he worked as a Recreation Therapist with Mental Health and Addictions Services in Terrace as well as a Regional Tobacco Reduction Coordinator. Originally from Revelstoke, Reg enjoys the outdoor activities that Terrace offers, like mountain biking and fishing. Reg also likes playing hockey, working out, and creative writing. He is married and has two sons and believes strongly in a work/life balance as family time is important to him.

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Staff profile: Licensing officer Lisa Rice shares her thoughts on quality child care

Woman fishing

As a licensing officer, early childhood educator, and former child care provider, Lisa Rice has seen all sides of the child care world!

Lisa Rice is a licensing officer, early childhood educator and former child care provider. She has seen all sides of the child care world and shared this knowledge with me! With lots of families looking at child care arrangements for the summer months as the end of the school year approaches, it’s the perfect time to share Lisa’s expertise, which was originally featured in Healthier You magazine. Check out the full issue at the end of the article. If you want more information about licensing and providing safe, quality child care, visit our Community Care Licensing site.

I started by asking Lisa a few quick-fire questions about herself!

  • A bit about yourself: I’m a Newfoundlander who moved to British Columbia in 1991. We lived in Bella Coola and Smithers prior to coming to Prince George in 1998. I’m an early childhood educator and have been working in different child care roles since graduating with a diploma in Early Childhood Education in 1988. I became a licensing officer in 2004. I’m married and am the mother of two sons and the grandmother of an 18-month-old granddaughter.
  • Favourite activities: Biking, snowshoeing, and eating healthy.
  • Favourite food: My green smoothies – blend banana, orange, spinach (or anything green), and peanut butter!
  • Favourite part of your job: Seeing the work we do pay off. We support child care settings to become structured, rich, happy, and healthy environments. I recently saw a child care space where 3-4 year olds were taking part in an election activity – it’s great to see creative and inspiring things like that!
  • Who is your role model? If I had to choose one person, it would be my sister, who is bravely battling cancer. Beyond her, I feel like all people who are trying to live a healthy, positive lifestyle are important role models.
  • What is your motto? Don’t sweat the small stuff.

Man and woman skiingGiven Lisa’s experience in all aspects of the child care world, I asked her a few questions about her work and thoughts on quality child care:

What is community care licensing?

Northern Health’s Community Care Licensing program provides regulatory oversight for any facility that provides care to three or more people who aren’t related to the caregiver. This includes child care spaces. Providing oversight means ensuring that care providers are meeting minimum standards to protect the health, safety, and well-being of children. Standards cover everything from staffing to hygiene, physical requirements, nutrition, playtime, and more.

Why is licensing important for safe child care?

By establishing and monitoring minimum standards, licensing lowers the risk of negative health and safety outcomes for children. As licensing officers, we represent families so that they can be assured that the care providers looking after their loved ones are following health and safety principles.

What does a day in the life of a licensing officer look like?

It can be varied! My day might include an unannounced inspection, following up on an incident or complaint, processing a licensing application, or supporting care providers through education and outreach. A lot of what I do on a daily basis is taking upstream health principles and applying them downstream, where kids and families are seeking care.

Three people climbing cutbanksWhat does quality child care look like?

I look for environments that are safe, well-organized, free of hazards, and that invite children to learn and grow. Caregivers should also have open, positive relationships with a child’s family.

What’s interesting is to see how quality child care can be a role model for families. When kids are exposed to healthy behaviours in child care, they take this home to their families. One facility, for example, started their day with all of the kids washing their hands. They later shared that many of their families had adopted this practice at home. When kids came home from daycare, the whole family would wash their hands before doing anything else!

What does a healthy community look like to a licensing officer?

For me, a healthy community models healthy behaviours. A healthy community has families that are well-versed in healthy practices like hand hygiene, healthy eating, and the importance of outdoor play. Licensed child care spaces model these behaviours and the families take these lessons out into the community.


Check out Lisa’s original story and lots of other information about child health in the Summer 2016 issue of Healthier You magazine:

Vince Terstappen

About Vince Terstappen

Vince Terstappen is a Project Assistant with the health promotions team at Northern Health. He has an undergraduate and graduate degree in the area of community health and is passionate about upstream population health issues. Born and raised in Calgary, Vince lived, studied, and worked in Saskatoon, Victoria, and Vancouver before moving to Vanderhoof in 2012. When not cooking or baking, he enjoys speedskating, gardening, playing soccer, attending local community events, and Skyping with his old community health classmates who are scattered across the world. Vince works with Northern Health program areas to share healthy living stories and tips through the blog and moderates all comments for the Northern Health Matters blog. (Vince no longer works with Northern Health, we wish him all the best.)

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