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Gauging the Availability of Home Care Services

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Deck

Gauging the Availability of Home Care Services

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Teaser

For much of the summer, medicine was the farthest thing from my mind. I was visiting my daughter and her family on the west coast, and playing with my twin grandchildren was at the top of my mind. My wife and I did take a few days to travel in southern British Columbia and visited Whistler and the Sunshine coast. The proprietor of the Bed and Breakfast we stayed in on the Sunshine coast had a mother-in-law in Vancouver who was not in great health. She complained about the difficulty in accessing home care in BC, and the limited hours available. It sounded just like Ontario.
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Blogs

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Francesca Cheung, MD CCFP, is a family physician with a special interest in dermatology. She received the Diploma in Practical Dermatology from the Department of Dermatology at Cardiff University in Wales, UK. She is practising at the Lynde Centre for Dermatology in Markham, Ontario and works closely with Dr. Charles Lynde, MD FRCPC, an experienced dermatologist. In addition to providing direct patient care, she acts as a sub-investigator in multiple clinical studies involving psoriasis, onychomycosis, and acne.

Abstract
Cutaneous larva migrans is a parasitic infection caused by percutaneous penetration and subsequent migration of the larvae of hookworm. The tracks are commonly raised, erythematous, serpiginous, and pruritic. Cutaneous larva migrans is diagnosed based on its clinical characteristics. It is a self-limiting condition because larvae eventually die in humans without being able to infest new hosts. Treatment is used to shorten the disease course, control the intense pruritus, and prevent the risk of secondary infection. Topical thiabendazole is the treatment of choice for mild and localized condition. Systemic treatment such as albendazole, mebendazole, and ivermectin are used in widespread cases or cases recalcitrant to topical treatment.
Keywords: cutaneous larva migrans, parasitic infection, hookworm, Ancylostoma braziliense, thiabendazole.

Plants are Good for the Soul Including for those Living with Dementia

Author(s)

Michael Gordon

Deck

Often in a geriatric medicine practice one of the salient complaints by families is how often their loved one tells them the same thing over and over again.

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To tend to a plant, watch it grow and produce its leaves, flowers or vegetables affirms for many that there is a meaning to life, and anything that gives life meaning is a worthwhile endeavor.

Dr. Michael Gordon is currently medical program director of Palliative Care at Baycrest, co-director of their ethics program and a professor of Medicine at the University of Toronto. He is a prolific writer with his latest book Late-Stage Dementia: Promoting Comfort, Compassion, and Care and previous two books being Moments that Matter: Cases in Ethical Eldercare followed shortly on his memoir: Brooklyn Beginnings-A Geriatrician’s Odyssey. For more information log on to www.drmichaelgordon.com

As I was leaving for a bike ride I passed my wife, out for her morning walk; "I think it was a successful resuscitation!" She asked who I was talking about and I answered, "The three foxgloves", beautiful purple flowered plants I had planted days earlier that were wilting in the terrible summer heat. I "diagnosed" severe dehydration and therefore I provided large doses of water so that overnight the leaves filled out and the tall stem holding the gorgeous flowers were almost upright.

Topic

Dementia

Section

Blogs

Keyword

dementia