Hospital Emergency Rooms Need Better Pain Management

Pain is the primary reason people go to a hospital’s emergency room (ER), yet addressing this pain is far down the list of priorities in the ER setting, which infuriates patients and creates a hostile hospital environment for medical practitioners and patients alike.I talked with 15 local residents, randomly selected at the local Tim Hortons, and every single one of them told me that they or a loved one or a friend had visited the ER at the new Humber River Regional Hospital in the past year with acute pain.  While each patient had different conditions and symptoms, they were all outraged that not only was their pain dismissed or ignored by medical professionals, but also that they were often left for hours in isolated rooms, in agony, without any idea when, or if, someone would help them.  More than one patient left after waiting for more than 4 hours and went to a different hospital to seek help for their agonizing pain.Studies have shown that reduction of pain levels directly translates into patient satisfaction of ER visits.  Prompt pain management also improves mood, decreases length of hospital stay, and even decreases mortality rates!  With Ontario facing worsening patient satisfaction in overcrowded ERs, why is pain management so far down the list of priorities during ER visits?  While pain management does present challenges, medical practitioners in ER departments are all trained in proper treatment practices and guidelines.  Something as simple as administering a standard dose of an over-the-counter painkiller may make the difference between incredible suffering and being able to tolerate the already frustrating wait times.  It is understandable that triage in the ER must focus on those with the most severe medical trauma, which doesn’t always match the pain people feel. Nevertheless, all patients should be receive rapid pain management during the triage process, not hours later when a doctor finally gets to them (https://www.omicsgroup.org/journals/acute-pain-management-in-the-emergency-department-emphasis-on-nsaids-2165-7548.1000171.php?aid=22063).  As the Institute for Safe Medication Practices Canada has argued, “controlling pain early in the presentation of a patient’s illness or soon after an injury is an important duty of healthcare practitioners”.  To that effect, all hospitals should “develop and sustain comprehensive pain management systems and protocols” in their emergency rooms.  Such a simple thing will go a long way to improving the experiences of patients visiting Ontario’s hospitals.  That’s truly “patient care reinvented”.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2966563/https://www.intechopen.com/books/pain-management/acute-pain-management-in-the-emergency-departmenthttps://www.yorkregion.com/news-story/6972498-patients-still-waiting-too-long-to-see-er-doctors-health-quality-ontario

French Presidential Election

By: Renaud Durand The 2017 French presidential election started today, Sunday, April 23 and continues on May 7th. It aims at electing the president of the French Republic for a five-year term, the eleventh presidential election of the Fifth Republic and, also the tenth in the direct universal suffrage.This election will indicate the successor of the president of the Republic taking out François Hollande for the benefit of 11 potential candidates.The candidates and campaigns are different in comparison to previous presidential election. In this election there is a degree of unpredictability and a lot of talk about a certain reorganization of the French political scene.This change is the fruit of the personal weakening of the former two leaders of the parties who were majority, Nicolas Sarkozy and François Hollande with the political balance unflattering.Indeed, 89 % of the respondents think that the politicians do not worry enough about "what people like us think", and 70 % think that democracy does not work well.The various political campaigns have gained a lot of media attention. There has been heated debates on television and presumed favouritism, cheating and corruption among republicans François Fillon and Marine Le Pen, representative of National Front, the radical right.Polls show a certain fragility in voting intentions for candidates of the Socialist Party and the Republican Party, the two big parties of government. The people of France have embodied new currents such as the centrist representative, Emmanuel Macron, or the socialist, Jean-Luc Mélenchon.Many contrasting opinions such as: leaving the European Union, the lapse of nationality, universal income and more are subjects represented by the contrasting opinions of each candidate.People’s indecisions reflect this pluralistic France today, in its opinions, in its origins, which should meet and accept to establish a better prospect. If the victory of President Trump in the United States and that of Brexit in the United Kingdom were unexpected, then we must consider the complexity of the situation in France, and realize we might need to expect that something similar might happen in the French country.  

Vigilance and enhanced police presence vital to protect Jewish and all targeted institutions, says Councillor James Pasternak

*Media Release provided by Councillor James Pasternak's office.*In light of recent threats to Jewish institutions in Toronto and beyond, Toronto City Councillor James Pasternak, Ward 10, York Centre, is calling for greater vigilance and resources from Toronto Police Service and enhanced investigative and preventative work by the RCMP and other security agencies.“Threats against our valued institutions such as community centres and schools are a gross violation of our ability to go about our daily lives in safety, freedom and live as Jews in Toronto.  It is vital that all sectors of society condemn these cowardly harassments and threats.  We are calling on Toronto Police Service and our federal and provincial law enforcement agencies to investigate the perpetrators and bring them to justice,” says Councillor James Pasternak.“Moreover, as a preventative measure, it is necessary to increase patrols, security and surveillance around targeted institutions to send a strong signal that we will take all measures necessary to protect freedom of religion, our personal safety and the social cohesion that Toronto is known for worldwide.”

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Councillor James Pasternak416-392-1371 | councillor_pasternak@toronto.cawww.jamespasternak.ca

Media Release: Councillor Pasternak Strongly Opposes the Decision to Close the Urgent Care Centre at the Branson Ambulatory Care Centre

March 2, 2017Media Release: Councillor Pasternak Strongly Opposes the Decision to Close the Urgent Care Centre at the Branson Ambulatory Care Centre Toronto City Councillor James Pasternak, Ward 10, York Centre, strongly objects to the decision to close the Urgent Care Centre at the Branson Ambulatory Care Centre, 555 Finch Avenue West, in June 2017."It is extremely disappointing that the decision was made to close the Urgent Care Centre in June. This facility is an incredibly valuable resource for the local community that enables residents to receive care for urgent illnesses and injuries that are not life threatening. I am calling on the Premier and Minister of Health and Long Term Care to reconsider this decision," said Councillor Pasternak.The Branson Ambulatory Care Centre is one of North York General Hospital's three sites. In addition to the Urgent Care Centre, Branson also provides vital services for prostate cancer diagnosis and treatment planning, mental health, medical imaging, cataract surgery and diabetes education programs. In 2015-16, the outpatient volume at the Branson Site was 68,693 with 21,858 visits to the Urgent Care Centre.North York General has determined that it will not be renewing its lease at the Branson Ambulatory Care Centre in 2019 as the Advent Corporation has extensive redevelopment plans for the site that will include a seniors’ living and care community."I would be of great benefit to the community for the Urgent Care Centre to remain open until the end of the facility's lease in 2019. We will work with any medical facility to activate this site and ensure its long-term sustainability," said Councillor Pasternak.- End  -Councillor James Pasternak416-392-1371 | councillor_pasternak@toronto.cawww.jamespasternak.ca