Opioid misuse has been a growing problem in Alberta and throughout Canada and the U.S. in recent years. According to Alberta Health, the number of fentanyl-related overdose deaths in Alberta rose from six in 2011 to over 300 in 2016. This alarming increase in substance abuse is a national health crisis.
Registered nurses and nurse practitioners may be asked by patients to sign many different types of forms. These forms may be government-issued, employer-related or exist due to certain legislation. You may be asked to sign forms related to disability, injury or the provision of reimbursement from an insurance carrier or board, including worker's compensation. When you are asked to sign a form, should you sign it?
Indigenous people in Canada face many barriers to accessing primary health-care services, and a lack of cultural competency by health-care providers may be one of the reasons why. Chelsea Crowshoe, a senior advisor with Alberta Health Services and member of the Piikani First Nation, is hoping to break this barrier by promoting the importance of cultural knowledge and respect to health-care providers Alberta-wide. "My role is developing educational opportunities for health-care providers, and we've started within the awareness and sensitivity level of information," she says. "We believe the program is a two-way street, so not only are we supporting the providers but looking at the way other programs develop their resources and how different health-care policies and guidelines could support traditional ceremonies, like smudging for example."
As she hangs up the phone, Ling realizes she has a decision to make. Her sister, Naomi, is being discharged after an unexpected hospitalization and will need nursing care at home for several weeks. As a registered nurse, Ling is used to fielding requests for minor care and advice from family members and friends. This situation however, will be more difficult to navigate. She knows her family will want her to be involved in Naomi's care, and if she's honest with herself, she would like to be as well. But would it be the best approach for everyone involved? How will Ling keep separate her roles as nurse and sister?
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