ABSTRACT
Objectives: The goals of this presentation are to present and discuss the care of minoritized children, youth, and families in Canada, and to explore a hypothetical case of a family in Toronto, one of the most multicultural and multiracial cities in the world. Method(s): We will present and discuss approaches to working with minoritized young people and families in Canada. Result(s): Canada is a country with a diverse population from many ethnic and cultural groups. Canada often touts inclusivity and multiculturalism as core values, and Canadians are often affected by salient events happening in the United States. The COVID-19 pandemic, which disproportionately affected racialized people in Canada in its early stages, and the discovery of mass graves at sites of former residential "schools" forced a Canadian reckoning on our country's own relationship with systemic racism. Cultural approaches that focus on single populations are less applicable in such a context and require unique approaches. In addition, Canada is a bilingual country, which complicates issues of language, culture, and identity. This presentation will explore the historical, structural, and political contexts in Canada including historical and current policies, migration patterns, and lack of systematic collection of race-based data. We then explore our hypothetical case of a family in Toronto, the largest city in Canada and one of the most multicultural and multiracial cities in the world. We will explore the current political themes in the nation, the economic constraints of the current pandemic, and the impact of all of these factors on marginalized patient populations. We will conclude with recommendations for changes that will improve access to and experience of and care for racialized Canadian youth. Conclusion(s): Equitable care of racialized young people in Canada differs in that many young people have families with blended ethnic identities and live in multiracial and multiethnic cities. DEI, CUL, IMM Copyright © 2022
ABSTRACT
Coronavirus outbreak 2019 causes health-care employees an occupational safety concern. Several thousand health-care workers have been contaminated already. There are various reasons where, various occupational individual expose to the various types of the infections in the surrounding. The infections then have chances to spread in the community via these professionals. World Health Organization therefore has developed some of the Ideal precautionary measures to tackle or overcome this kind of the spreading of such infections. Therefore it is a concern to avoid intra-hospital spread of the communicable disease. Based on the Patient Safety Model Systems Technology Framework, approaches and interventions to protect healthcare workers in an emergency tertiary hospital are defined. In the fields of job activities, technology and equipment, environmental causes of job and organizational conditions. Faced with a possible pandemic, the concept of zero workplace infection remains an ambitious target that all health-care programs must aspire for. Various Technology and Equipment are therefore mandatory to provide to health care individuals, such as, Face mask, Hand gloves, face shield, Personal Protection Kit (PPE), hand sanitizers etc. Also awareness talks from the health care professionals are podcasted in different radio channels, news stations are continuously been published, Also the hospital waste management has primary role to dump out the hospital waste at given professional manner.
ABSTRACT
The COVID-19 pandemic has put a strain on healthcare services all over the world. With the rising range of healthcare providers diagnosed with COVID globally and with the second wave in India, the crisis has gained global attention and assistance. The healthcare system in India is under strain, putting frontline healthcare staff on edge. Long and exhausting work hours, quickly depleting supplies of personal protective equipment, day-to-night news reports of COVID-19 statistics, inadequate availability of particular drugs, and insufficient societal assistance may all lead to the additional emotional strain of these HCWs. Depression, anxiety, insomnia, and stress are very prevalent among HCWs. Employed in the high-risk division like infectious disorder and pulmonology, and to see a family member that has been diagnosed, deficient or inadequate hand hygiene before and after interaction with patients, insufficient PPE, direct patient interaction (12 times a day), long daily contact hours (15 hrs), and uncontrolled exposure were all linked to COVID-19 risk among Health Care Workers. Working with COVID-19 has demonstrated the interdependence of various components of the work system, such as personal protective equipment (PPE), ventilators, monitoring equipment, staffing, work setting, and so on. Healthcare workers should also implement a detailed ‘infectious disease preparedness and recovery strategy' to train and protect staff before and after a pandemic. Workers must be closely watched, supported, and, when possible, supplied with evidence-based practice after the crisis has passed. © 2021 MEDIC SCIENTIFIC. All right reserved.
ABSTRACT
Novel coronavirus (COVID-19) also known as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is known to cause severe pneumonia and acute respiratory distress syndrome which causes breathing difficulty requiring ICU management and assisted ventilation. A male patient, 50 years old was admitted to the hospital with complaints of breathlessness, morning chest pain with palpitations and low saturation level, and hypoxia on room air. The patient was a known case of COVID-19. ABG revealed metabolic alkalosis with partially compensated respiratory acidosis. CBC revealed leukocytosis suggestive of infection and HB count was decreased. HRCT thorax was done given COVID positive PCR test and was suggestive of multiple patchy ground-glass attenuations in the left upper and bilateral lower lobes of lungs. A repeat HRCT thorax was done after 3 months, which was suggestive of diffuse patchy ground-glass opacities with interlobar septal segment giving crazy paving pattern and consolidation in both lungs. Physiotherapy intervention included patient education, breathing retraining, airway clearance techniques, positioning, walking program with supplemented oxygen, and psychological support. Outcome measures have shown enhancement in functional independence and performance of activities of daily living. Modified pulmonary rehabilitation has worked efficiently in improving the general condition of a post COVID patient. © 2021 MEDIC SCIENTIFIC. All right reserved.
ABSTRACT
Objectives: The objective of this presentation is to describe the rapid transition of academic outpatient clinics to home-based telehealth (HBTH) in response to the COVID-19 pandemic. Telehealth (TH) includes the use of both telephone and videoconferencing in order to continue to safely deliver services during COVID-19. TH has entered mainstream mental health care, but most academic programs have not included HBTH, nor other TH opportunities, in their training. The COVID-19 pandemic revealed an important role for HBTH in delivering care during crises, as well as for updating training programs. Methods: We describe the activities of a consortium of 8 North American academic programs that rapidly transitioned their outpatient clinics to HBTH. Each program completed a Qualtrics survey, reporting site-specific facilitators and barriers to rapid implementation, including patient populations, regulations, reimbursement, numbers of faculty and trainees, training of clinicians, and technology platforms. Descriptive statistics are reported. Results: The sites were 50% public and 89% hospital based, and they served a mean of 38% Medicaid-insured patients. The patient populations were diverse in race/ethnicity and primary language. Prior to COVID-19, 78% provided TH and 33% allowed HBTH. Zoom was the most commonly used platform (56%);33% identified software licensing as a barrier to TH ramp-up. The primary platforms were 100% HIPAA compliant, 33% integrated with interpreter services, and 33% integrated with electronic health records. Sites identified a lack of access to necessary technology or internet (78%), insufficient reimbursement (56%), patient/parent comfort with technology (56%), and patient/parent reluctance to participate (56%) as the most common barriers to HBTH. Site-specific barriers and facilitators were identified. Conclusions: HBTH is a crucial service model to deliver mental health care to youth and families during crises. TH, including HBTH, is here to stay. Ramping up to implement HBTH during a crisis will encounter challenges that many academic programs are ill prepared to address acutely. Academic programs should train their faculty and learners in HBTH now to prepare for predicted future crises, as well as for the future virtual practice of mental health care generally. Best-practices protocols are needed to help programs to develop state-of-the-art HBTH services. TVM, AC, DS