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The Citizen, 2015-09-10, Page 15THE CITIZEN, THURSDAY, SEPTEMBER 10, 2015. PAGE 15. Huron County Council is currently in the midst of considering a grant to the Huron Hospice Palliative Care Steering Committee. Two representatives from the committee spoke to council at its Sept. 2 meeting, detailing the committee’s history, its goals and what it needed from the county to begin the consultation process. Kathy O’Reilly and Karen Reiger, co-chairs of the committee, spoke to council, saying that at the first meeting of the committee, which was held in Clinton, they found there to be a great interest in the need for palliative care in Huron County, where there are currently no palliative care beds. Over 100 people, including several councillors, attended the meeting, O’Reilly said. The committee held its first meeting in April, where a mission statement and its vision were crafted by committee members and now members are hoping to begin the public consultation process, for which the committee was asking for $3,000 from the county. After the public consultation process, O’Reilly said, the committee would make recommendations to the county in regards to palliative care and how it could be administered. The goal, she said, is to create a model that isn’t based on any other models, but to find something that will work specifically for Huron County. They have looked at the Grey- Bruce model as an example that may lead them on the right path, O’Reilly said, but that was really just a starting point of reference in the process. O’Reilly explained the concept of palliative care to councillors, saying that the scope of care goes much farther than people actually realize. Palliative care begins when someone receives diagnosis that declares them terminal and then continues through after a person’s death, assisting family members and friends as much as possible. “Death is a tough issue to discuss, even at the healthcare level,” O’Reilly said, adding that much of healthcare is focused on making patients better, rather than focusing on death in cases where it is inevitable. Currently, she said, in Huron County there is no referral process at the time of a diagnosis and that many healthcare facilities provide palliative care by “scrambling at the end” rather than there being a framework for a “steady continuum of care” in place. North Huron Reeve Neil Vincent was curious about the fear of discussing death. He said that he had a friend who was fighting cancer and until that person was bed-ridden, only a handful of people had been told about the diagnosis. He asked O’Reilly if this level of secrecy and fear were common in diagnoses such as terminal cancer. She said it’s difficult to break down the walls of someone’s privacy if they want to keep a diagnosis private, but that palliative care would do all that it could to help an individual facing such a diagnosis, if that person was willing to accept the help. Huron East Mayor Bernie MacLellan said that he certainly wasn’t against the concept of palliative care. In fact, he said, he had seen it in action recently with a friend who received a tremendous level of palliative care service in London. With a dedicated section of the hospital, along with a dedicated employee force, would a larger city centre in London not be better positioned to administer palliative care? MacLellan asked. He also wasn’t sure that the county would have the infrastructure to accommodate a facility, or the need. As well, he said if care needed to be better at local hospitals, perhaps the problem is province- wide and it shouldn’t be individual counties structuring their own palliative care units, but a sweeping reform across all of Ontario. O’Reilly said that, in a way, there are changes being made across the province, as the committee was struck through the Local Health Integration Network (LHIN) and then funds are administered by the LHIN from the province. The challenge, she said, is to keep the focus on care close to home in smaller city centres in Huron County. The LHIN, she said, is great for bigger cities like London or Woodstock, but smaller centres like Huron County have a hard time convincing those from the LHIN to pay any attention to Huron County. It is a problem, O’Reilly says, that she is “pushing back on” in the hopes that people at higher levels hear her concerns. 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