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The Wingham Advance Times, 1995-06-21, Page 8THE IONIAN ADVANCEtIMES WDH Board s rIFDNESDAR'/ Jet a, 1995 treamlin fil es ties l� ct cod]. les common consent rules committee structure Change should eliminate sem Consent to Treatment Act Shuster said that because some aerely awho'slking about propos ng health' o turerlanguage, and special needs.ation their education, age cul- ty, thereother i the obligation to givers The have been in existence fora practitioner ' tablishes the right people said that when a person is notification of rights for a person an informed decision long time, as part of the common treatment said that capacity capacity is very found capable by the health praincapable ofrconsenting �to a ire ealh care. to the kind treatment ion ment that is a controlled ace." M of and other p dthattheirt eatMerit decision, d Health said the act is not a new may not a un acit can fluctuate over time. the right to refuse concept,"but that the act codifies have an obligation to get consent pacity f consent from the person before doing "The person is only subject to. that's what they want. f a person muted to a psychiatric hospital for this specific is oun p bl , for the first against their will if they are over es of aboutto things She hasbeenso makelaw of consent,a socialtreat- the health rofessionals who specific of tm t tioner then that person will makep Heidi Shuster of the inistry d n, including fall der the act still being proposed. She note ca- r fu treatment if She noted that no one can be a the common taw this determinationif f d Inca a e treatment," she said. time act sets up a uniformed 16 years of age. Shuster said the act sets out a scheme to identify a substitute de- She added that the person is en - presumption that people are capa- cision maker that applies in all titled to a meeting with a rights ad- ble. She added that there is no age health care settings. viser and that they complied with of capacity under this act which "It gives health practitioners the the Consent and Assessment Re - means that there is no age at ability to rely on the decisions of view Board. which a time a person is necessari- substitutes and protect them from If a person Consent requested aely incapable. liability," said Shuster.. view by Assess - When the the health practitioner is She said that rights advice is an ment Review Board, the treatment, communicating with the person aspect of the act that is also new. cannot be administered until the she said they must take into con- "In certain limited circumsanc- board has made its decision. and health services in one piece of something. legislation that applies in all health "Consent under this act is that a care settings. ttngs. valid consent be informed, that the Speaking at the Right to Decide person give their consent voluntar- e public meeting held in Wingham ily, that the person is capable of e on June 7 u Sli stet said the act is giving that consent, and that the under the jurisdiction of the Minis- consent is specific to the treatment try of Health. they need," she said. "In this con - The Wingham and District Hos- What is new is that the act is text we're talking about consent to pital Board approved by-law like a mechanism in which people a specific treatment." changes at its annual meeting on can obtain treatment decisions She said that an informed con - Thursday evening that will stream- from substitute decision makers, sent is information that passes be - line its committees. from people who at the time the tween a health practitioner and the The management committee treatment is needed are not mental- person. Shuster added that in - was renamed the executive com- ly capable of consenting on their formed consent is a process. own. "There is no obligation in the priseded pi, but would still be com-"As a safeguard the legislation act that consent be written. It may of the chairperson of thee committee, the chief of the medi- gives people the right to have any be oral," she said. cal staff, and four board of govern- finding that they are not mentally Shuster noted that the obligation • or members. capable reviewed," said Shuster. is on the health practitioner who The finance and audit commit- She added that the legislation proposes the treatment to decide tee and the property committee also requires that those people's what information is required, and were amalgamated into the re- wishes, while the person was capa- it's not or the person administrat- source committee with its mem- ble, be accepted by substitute deci- ing the treatment. bership consisting of the chairper- sion makers and health practition- She pointed out that if a nurse is ers. authorized to propose certain treat - son of the governors andd the presidentencommit five of the Health practitioners under this ments then the obligation to get a act are only those regulated health informed consent is on that nurse. duplication medical staff. Out -going board chairman Professions, except for p....•••- Doug. Fortune said the reason for cists, dental a technologist, opti- only administering the treatment, dans. - . , he or she may very well help the the amalgamation because manyof the of the boards was Shuster said that under the act health practitioner give out the in. - issues faced by the property board treatment is anything that is done formation and communicate with involve the finance committee. for therapeutic, preventive, palia- the person. "There was a lot of duplication tive, diagnostic, cosmetic, or other "It is ultimately the obligation of the health practitioner: The idea between the two boards," he said. health related purpose. "We felt it would be simpler to "It includes a 'course of treat- being that only the health practi- amalgamate the two boards." ment, which is a series of medica- tioner who .proposed the treatment Fortune said that with the two tions aor nditcourseuin hest plan ra- ef andly he ahas, the scope c ask a very ledge f - boards amalgamated, it would re- phy, is nastier in order that the person suit in quicker decisions by the treatment," she said. q r to committee which would be better the bSe out eta cosent is required at has ofn the treatment, or make an informed decision,'' for the hospital.said . The joint conference and quality course of treatments, and not for Shuster.in ca - appraisal committee was renamed every little thing contained within paty S�h s the teron's ability t, un - Six joint conference committee. that plan. Six poositions on the board of "It is important to emphasize derstand the information decaSion t is governors became vacant, but that the act only applies to new relevant in making were' filled by the same people for that have been started nt arid new is ince April ityent plans out tothe appreciate treatment,and dretheir ason reasonably another two year term. foreseeable consequences of mak- represent McDonald will continue to 3, 1995," said Shuster. represent the Township of Culross der the that hthere ofare the thingsaun-at ingShe that again decision. toted that it's the and thea ge of to No -are regulations os - sent T wills Township continue of to repre- treatment. There would beaition of no need inglth herofessional treatmentwho whos decides sent the Township of East -Wawa- nosh, Donna Moffat will continue to get substitute consent for things about tht circum§once we are not to represented the Township of like communicating a diagnosis, "IiKinloss and the Village of Luck- picking a person's health history t any king about'asor al assessent now, Bruce Hahn will continue to and more. represent the Village of Brussels ' and Mary Lou Cameron Wayne Tessier were re-elected representatives for the To Wingham . However, she added if the nurse is P nay named More cash _ P for computers board chairman for com ut ��� Achievements set stage Ho spit al for future ende avours addresses challenges Wingham and District Hospital vices into every patient chief executive officer Lloyd noted Koch. Koch to the os told h hospital's annual He said that activities undertak- CHESLEY - There will be more money than expected available for computers in the Bruce County Noreen Gnay will serve as the Gnay will be the chairman of Board of Education. Enhanced pro - tee. chairman of hDistrrict d Hospi al Also on the or the the joint committee wilnference l bet Un- seecial grants its funds for computer puean the t haswil- Wingham and board for 1995-96.. derwood, Tessier, Dr. Hanlon, Dr. es and leases, software, and teacher The vice-chairman is Wayne Shubat, Dr. Ping, and hospital training almost doubled to Tessier. v, chief executive officer Lloyd „ $551,000. To get those grants, the board The board named its various Koch. will have to spend $28,000 from its committees for 1995-96. Tessier , , . Marie McIntosh will serve on 1995 budget as local share. will serve as the chairman of the the pastoral care committee. Trustees were told there are 11 ontheexecutivecommittee. Also sitting on the committee are George Un- Underwood will be 'the chair- students per computer county -wide derwood, Mary Lou Cameron, Dr. man of the nominating committee. in Bruce, compared to a provincial Brian Hanlon, Chris Dickson and Gnay and Tessier are also mem- average of 10 students to one com- Bob Pike. bers of the committee. Pike will be the chairman of the„ . , SOLUTIONS resource committee. Also sitting on the committee will- be Doug Fortune, Helen Rintoul, Donna Moffat, Julie Deans, Dr. Michael Shubat, and Dickson. Cameron will be' the chairman of the public relations committee. Sitting on the committee will be John McDonald, Margaret MacLe od, Don Carter, Bruce Hahn, and Dr. John Ping. ADVERTISERS! Measurement Bureau 1994 results PrintGet noticed Ontario English Community Newspapers Community Newspaper Readership has grown by 968,000 English adults in the past 5 years! room," meeting last Thursday that 1994 en this year that are setting the was an eventful year in which sev- stage for the future include plan- eral achievements were made and n1n Seo ecfr computerization. pu hospital -wide twine systems set the stage for future endeavours. and Continued from front page "Our CQI program established have well seeduonstrs traed, ata sys- has District Health Council two "pockets of excellence" com- year has given rise to many concerns care. as of mitteest ltiinice candties tem the and.to case-costing,"rodcost-accounting said. to the futureDlook of health" he "Automated order entry and "The DHC has chosen as its management of wheelchairs. re - first project a hospital study of said. "Their recommendations ledisults quality reporting patient will improve the Huron and Perth hospitals," said Fortune. "The Wingham and Dis- trict Hospital Board is working closely with the other hospital boards in the two counties to en- sure that the health council is aware of the contributions the hos- pitals provide now and can pro- vide in the future to the health care of the community." He pointed out that the Wing - ham hospital board was just one of the Huron -Perth hospitals which made a presentation to the Scott -Commission in February, dealing with ways to ensure continued 24- hour availability of emergency ' care in rural hospitals. "This commission has now pre- sented its report, which includes most of the recommendations our group made, and we are joining with the other hospitals to lobby the government to implement the report immediately," said Fortune. He stated that a challenge fac- "ing next year's board will be the on-going problem of helping to re- cruit new doctors to the area. Ef- forts ACROSS I. Cohabit 5. Pylon 7. Digress 8. Scrap 10. Soak 11. Bewilder 13. lndeedy 14. Please 17. Unsteady 19. Cafe 21. Erect 22. Overdue 23. Happy 24. Swooned DOWN 2. Haggard 9. Persevere 20. Veto 3. Beer 4. Tasted 5. Possible 6. Lurid 7. Destitute 12. Recently 15. Abandon 16. Odious 18. Steep • to changes and improvements these areas, and established a pat- He stated that the strategic plan- -tern for future projects." ning p The CEO said the hospital con- tensive, but not expensive, since tinued its association .with the peri- hospital staff was utilized to do the natal outreach service based at Si community interviews. He added Joseph's Hospital in London. He he believed it paid off in goodwill added they have provided excel- and a better understanding belent support for the medical and tween the communis groups, , em - nursing staff of the Wingham hos- ployers and health-related agen- pital and recently completed a re- cin about andwhat tstisct done nepat the view of the obstetrical program. "We also found out what they "Our linkages with major ter- tiary health care centres were do, and how we can better serve strengthened through the .signing the community's health needs ro- of an affiliation agreement with gether," said Koch. Queen's University to provide The five strategic directions that clinical experience at Wingham came out of the process were im- and District Hospital for physio- prove communications, physician therapy students," said Koch. recruitment, improve obstetrics, He added that the hospital also investigate the establishment of a joined the Southwestern Ontario medical centre, and continue to Critical Care Research (SOCCR) improve and formalize relation - network which will allow the hos- ships with hospi,�al tertiary care pital to link with the research pro- centres. gram at Victoria Hospital and "These will form the foundation monitor the quality of care provid- of our future activities," said the ed to critical care patients. The CEO. hospital will also have a computer Also Jdgh on next year's agen- to date have not met with link to the London hospitals via da, according to Koch, will be the success. LARGnet. planning towards the establish - He added that the staff of the "A new telephone system ment of a medicol centre in Wing - hospital continues to provide its brought our voice communication ham. He said that this decision high levelof expertise in. every capability up to current technolog- was made to attract more doctors function of the medical facility. ical standards, and put phone ser- to the area. as extensive and in - 4,889,000 English adults in Ontario read a com- munity newspaper every week! As a percentage of the total English adult population 18+, on average 61% reported reading a community newspaper in the past seven days. Multiple exposures: PMB '94 shows that on average each issue has 2.7 exposures) 70% of Community Press readers refer to the average issue on more than 1 day. 43% refer to the average issue on at least 3 different days. 1 day 2 days 3 days 4 days 5-7 days Dual Audience readership: Community newspapers deliver a dual' audience readership with 53% of their readers between the ages of 25-49. Male/Female Male/Female 48% Total Base Read a community news- paper in the past week Total base Read a community news- paper In the past week 1994 Total base 7,979,000 1993 Total base 7,573,000 1992 Total base i 7,410,000 1991 Total base 7,304,000 1990 Total base 7,016,000 4';,1 ., h/,• ,�/i4i�'S'tirwi/i PMB '94 provides solid prrof of editorial interest with "Readership -to -Possession Ratios" These ratios illustrate the strong power of community press editorial. Ontario wide 6.234,000 Centres 2.310.000 e Hy 500M- 1MM 762,000 93% 90% 91% 100M - 500M 30M - 100M 1,200,000 M 98% 671,000 Receipt Readershlp 92% Household Income: Community newspaper readers have incomes that reflect the general population 14% 12% Under $20M Total base Read a community newspaper In the past week. Percentages may not be equal due to non- response. 20% 20% 22% 21% $20-35M $35-50M 43% 46% $50M+ 1 t&2d . 2549 Let the a� tang help you reach your target market. For rates and data, please call 3572320