HEADSTRONG October 2009
The thought of making a life change can be so intimidating that even though you want to be the master of your own destiny, you’ll end up doing nothing or settling for less than you deserve simply because you are so afraid of that change. From the time we are born, we go through many changes, some are easier than others, but all of them contribute to who and what we become in this lifetime. The human spirit is a powerful thing. It allows you to cope with change in many ways. This publication will highlight the many facets of change and how it can be incorporated into your life. Below are some quotes that deal with how some great people in life have welcomed change and allowed it to make a positive mark in their life and the lives of those who surround them. “Most of the important things in the world have been accomplished by people who have kept on trying when there seemed to be no help at all.” Dale Carnegie
3RD ANNUAL
FUNDRAISING DINNER Providing support to individuals and families living with the effects of an acquired brain injury.
“Success is not final, failure is not fatal: it is the courage to continue that counts.” Winston Churchill “In order to get from what was to what will be, you must go through what is.” Anonymous “Patience and perseverance surmount every difficulty.” Anonymous “Character cannot be developed in ease and quiet. Only through experiences of trial and suffering can the soul be strengthened, vision cleared, ambition inspired and success achieved.” Helen Keller Celeste Gallant, Executive Director, Excel Care
Single Tickets $125 Table of Eight $1000 Contact Melissa @ 905-333-0072
The Hamilton Brain Injury Association Headstrong Newsletter is proudly funded by Excel Care. Should you have any questions or feedback, we would love to hear from you. Please contact us at
[email protected] or
[email protected]
DATE
LOCATION
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NOVEMBER 19, 2009
DUNDAS VALLEY GOLF CLUB 10 WOODLEY’S LANE, DUNDAS
COCKTAILS @ 6 GRAND BUFFET DINNER @ 7
HEADSTRONG Contact Us: Hamilton Brain Injury Association (HBIA) Email:
[email protected] Website: www.hbia.ca
TICKET ORDER FORM
October 2009
HBIA 3rd Annual Fundraising Dinner Thursday, November 19th, 2009 Dundas Valley Golf & Curling Club 10 Woodley’s Lane, Dundas
Inside Stories: H.B.I.A. Organization …………………….........................................................3 My Perspective……………………………………..............................................4 • Interview with Nala Ndawana, Support Services Coordinator A Fond Farewell to Milinda Alexender……………………………..................5 Article by Dave Gaylor My Perspective………………………………………………………………........…6 • Walk Run 2009 by Robert Harpwood
Please complete the following and remit with payment to: Hamilton Brain Injury Association c/o Storrie, Velikonja 573 Maple Ave., Unit 2 Burlington, ON L7S 2E8
Name
Walk-Run 2009 Updates & Photos……………..............................................7-9
Newsletter Committee Sandra Best Nurse Case Manager/President Excel Care
Celeste Gallant Case Manager/Executive Director Excel Care
Ashlynn Perry Case Manager Excel Care
Dave Gaylor Volunteer Hamilton Brain Injury Association
Nala Ndawana Co-ordinator of Support Services Hamilton Brain Injury Association
Annual Barbeque 2009 Updates & Photos……………………..............…10-11 Article by Dave Gaylor
Organization
Rehabilitation Perspective………………………….........................................12 New Regional Rehabilitation Centre by Sandra Best
Address
Mind, Body & Spirit...........................................................................................13 Coping with Change by Sandra Best
Telephone #
Medical Perspective……….…………………...................................................14 Seasonal and H1N1 Flu by Ashlynn Perry
I would like to support this very worthwhile organization by:
Fax #
Email address
Sponsorship: Changes to the Legislation…………………………………………………….15 Bill 118: Cell Phone Ban by Ashlynn Perry
Provincial Perspective…………………………………………………………20 Ontario Brain Injury Association Update by John Kumpf
$ _____________ $ _____________ $ _____________ $ _____________
_____ Tables of 8 @ $1,000
$ _____________
Legal Perspective.....………………..............................................................16-17 • Ask the Experts. Paid Advertisements…………………………………………….................18-19
_____ Platinum sponsorship @ $2,000 _____ Gold sponsorship @ $1,000 _____ Silver sponsorship @ $750 _____ Bronze sponsorship @ $500
Table:
A Thank You to Our Sponsors…………………………………………..……21
Individual tickets # of tickets ______________ @ $125
$ _____________
Ben Van Berkel
Autumn Word Games…………………………………………………….22-23
Cash Donation of $_____________
$ _____________
Volunteer Hamilton Brain Injury Association
Upcoming Events Calendars………………………………........................24-25
Total Remitted
$ _____________
Loreigh Mitges Board Member Hamilton Brain Injury Association
3rd Annual Fundraising Dinner Information…………………………......26-27 • Sponsorship Information • Ticket Order Form
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Please make your cheque payable to: Hamilton Brain Injury Association
Your kindness and commitment is truly appreciated by the HBIA. For further information, please contact Melissa @ Storrie, Velikonja or
[email protected].
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HBIA Third Annual Fundraising Dinner
Hamilton Brain Injury Association
Sponsorship/Donation Opportunities th On Thursday, November 19 , 2009, we are hosting our Third Annual Fundraising Dinner at the Dundas Valley Golf and Curling Club. The money raised through this event will be used to run the survivor and spousal support groups.
We hope that you will support the important work of HBIA by: ¾ Sponsorship 9 Platinum sponsor 9 Gold sponsor 9 Silver sponsor 9 Bronze sponsor
$2,000 $1,000 $ 750 $ 500
***Your generosity will be acknowledged throughout the evening and in our newsletter and on our website*** ¾ Cash Donations 9 We appreciate any donations that you are able to make and will note your generosity in our newsletter. ¾ Table 9 Purchasing a table for 8 for $1,000 9 Bring your staff (&/or associates) out for a great evening of dining and mingling ¾ Tickets 9 Individual tickets can be purchased for $125 each
This event promises to be a fun evening of socializing with all the people you deal with throughout the year!! Join us for….
…Cocktails @ 6:00 & buffet dinner @ 7:00 Seating is limited so order as soon as possible to ensure you have your seating. Sponsor by November 5th, to have your donation recognized!!
October 2009
The Hamilton Brain Injury Association (HBIA), a non-profit charitable association formed by brain-injured persons, their families, interested friends, care-givers, and community professionals, is dedicated to providing support and education, information sharing and raising awareness. The Hamilton Brain Injury Association is affiliated with The Ontario Brain Injury Association. We are a self-supporting, volunteer-driven organization. Our goal is to improve support, education, and appropriate treatment opportunities available for individuals living with the effects of acquired brain injury. For more information please feel free to visit our website at www.hbia.ca . Through education, support and advocacy we are committed to serving the needs of survivors of brain injury by: *promoting their interests *enhancing the quality of their lives *promoting safety and prevention. Services Provided • Survivor Peer Support Group • Caregiver/Spousal Support Group • Quarterly Publication of Headstrong Newsletter • Public Awareness Promotion Fundraising Projects • H.B.I.A. Annual Run-Walk Event • H.B.I.A. Annual Fundraising Dinner
Our Board of Directors Jane Grech Ted Newbigging Diana Velikonja Shannon Moffat Francesca Rollo Patty Petter Wayne Bender Loreigh Mitges Maike McCaskell Brent Piper
President (Chair of the HR Committee) Vice President (Chair of the Walk / Run Committee) Secretary (Chair of the Education Committee/Member of the HR Committee) Treasurer (Member of the Education Committee) Director (Member of HR Committee) Director (Book keeper) Director Member Director (Member of the Newsletter Committee) Director (Member of HR Committee) Director
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October 2009
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My Perspective
October 2009
December 2009
Interview with Nala Ndawana, New Support Services Co-ordinator
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What is your background Nala, that brings you here to your new position? Having previously studied in Horticulture in my home country, Zimbabwe, and after staying in Canada for a while, I decided to continue my education. Due to the extremely different climatic conditions here, I decided to seek a different career path and discovered a therapeutic recreation degree program at Concordia University in Montreal. Personal experiences influenced me to choose this program that specializes in working with marginalized populations.
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Whilst working towards my degree at Concordia, I have worked part time in various fields; sales, IT, and customer service. Within the past two years I have also worked in geriatrics as part of a Therapeutic recreation team and have volunteered within the community, working with children with physical and mental disabilities. So what attracted you to Hamilton and this position in particular? There were many reasons that influenced me to move to Hamilton. Last summer, my family visited some friends here and were attracted to the family friendly lifestyle where there is easy access to numerous biking and hiking trails, attractive waterfalls, a great harbour and where traffic jams are almost non-existent, compared to Montreal or Toronto and the absence of a language barrier. The position of HBIA Coordinator, Support Services matched my life goals of helping people in a caring profession. It matched my education focus and I was also looking at working with a non-profit organization. I was also very interested in working with people with an acquired brain injury and gaining more experience with this population.
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And what are your hopes for the position? I hope to be able to bring my diverse personal experiences and professional expertise in Therapeutic Recreation to benefit the support group members and the Hamilton Brain Injury Association. I look forward to continuing to build on the position and bring growth to the services that the Association offers the community of Hamilton. Thank you very much for this Nala. As a member of one of the support groups I think you are well on your way to your goals for the position and think we are fortunate to have you. Dave Gaylor, H.B.I.A. Volunteer
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HBIA Annual Christmas Party Peer Support 1:30 – 3:30
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** Please note that the Monday Peer Support Group is currently accepting new members.
And how have you found it so far in the short time you have been here? Well, there have been lots of challenges: adjusting to Hamilton, getting to know the support group members and cultivating new relationships, helping the support group members adjust to relocating to the new venue at the General Hospital from Chedoke. It is a varied position with many facets and certainly non-routine. I enjoyed the administrative aspect, facilitating the support group and I am looking forward to the fundraising activities as well as cultivating existing and new relationships within the community. I always look forward to the support group meetings, as I continue to learn so much about the members and hope that my presence has and will continue to have a positive impact in their lives. I feel honoured to be allowed to be part of their lives. The position allows me to constantly grow and evolve as a person, as I deal with new issues every day.
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October 2009
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October 2009 Sun
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Provincial ABI Conference
Provincial Acquired Brain Injury Conference
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Peer Support 1:30 – 3:30
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HBIA Dinner
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Milinda Alexander has left The Hamilton Brain Injury Association to pursue a full-time position at St. Joseph's Hospital. The following is an abridged version of a farewell speech given by Dave Gaylor at the summer barbecue. “It seems like you have been part of our lives for such a short time Milinda. Part of the reason for that is that time has just flown by since you started in January 2008 because such an incredible number of things have happened that you were involved with. You continued where Caresse left off and raised the level of fundraising in two walk/run events; you introduced a couple of car wash fundraising events; and got us to go on a memorable Hamilton Harbour Cruise that had never happened before either. Of course you still had the traditional things to do like the June 1st vigils, summer barbecues, Fall fundraising dinners, Christmas parties, contribution to the newsletter and a whole pile of organization and follow-up activities in between them all. I know the Board has appreciated all of this too and the fact you are still involved even while taking on your new position. Yes even while you were doing that you continued with the Monday and Thursday support groups, advertised and helped interview for your own replacement and helped ease Nala into the position.... and here you are helping today at the barbecue too... Well Milinda true to a one of our favourite expressions in the Thursday support group, I have to say: It's your fault. Yes it's your fault that both groups work well and each person feels they have a place there... It's your fault that everyone in both groups looks forward to coming every week. It's your fault that you have provided opportunities to use our abilities to help make the group work better or to stretch ourselves in the community at large.. and yes it's your fault, Milinda that you will be so fondly remembered by all of us here in the support groups. We will miss you a lot. Thank you so much for being part of our lives.” Dave Gaylor, H.B.I.A. Volunteer
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Thanksgiving (U.S.A.) Peer Support 1:30 – 3:30
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October 2009
My Perspective
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4th Annual 5km Classic Race and 1 mile Walk Last year, I attended the 3rd annual HBIA 1km walk for brain injury and saw a woman named Rachel Dendekker speak about her experience. She was one of the most amazing people I’d ever seen. I found out that she was also attending S.L. Hunter and Associates, where I go for SLP services, and I got the chance to meet her. I was very lucky to gain an amazing new friend.
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My case manager Jane Grech asked me to talk at this year’s walkathon. Rachel’s story and inspiring speech last year gave me the courage to get up and talk. This was my first time ever speaking in public with so many people… boy was I nervous! I was also very happy at the same time because I felt tons of love from all of the people who were there supporting us. All of the people who showed up helped give me the courage to get up there and speak. I fought through the nervous feelings and said what I wanted to say to everyone. I was very happy about the turnout and I knew the ones who couldn’t be there were there in spirit.
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2. Big orange vegetable that grows on a vine.
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4. Another word for autumn.
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7. The month in the middle of fall.
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After I was done giving my speech, I met a guy named Wayne and his family. Wayne also has a brain injury. He came up to me and told me that it was so perfect when I mentioned that you can’t see if somebody has a brain injury. He agreed that sometimes, when you say something wrong, people jump to conclusions about you because they can’t see your injury. More people need to be aware of how a brain injury can affect somebody. I would like to meet Wayne again sometime. I’d love to participate again next year. I’ll definitely be walking, but who knows, maybe I can give another talk, help organize things or even run.
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8. Many birds do this in autumn. 10. A scary celebration in autumn. 13. The food that the farmer grows.
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15. It protects the crops from birds.
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17. These turn color in fall. 18. The first month of autumn.
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20. Another word for cool.
Down
By Robert Harpwood
1. A fall color. 3. The last month of autumn. 4. Someone who harvests crops. 5. Fall weather. 6. A fall color. 9. A feast in fall. 10. Gather all of the crops. 11. Red fruit. 12. A yellow vegetable that comes from a tall plant. 14. Kids wear this on October 31st. 16. The opposite of city. 19. A fall color.
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Find these autumn words: apple brown chilly cold colors corn country crops fall farmer
October 2009
fruit grain harvest hay leaf leaves maple migrate November October
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orange pear pumpkin red rice scarecrow September sweater vegetables yellow
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October 2009
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October 2009
Meet Our Sponsors 4th Annual 5km Classic Race and 1 mile Walk Saturday, June 20th, 2009 In June of 2004, the Hamilton Brain Injury Association began the tradition of “Walk a Mile in My Shoes”, a 1 Km walk, in recognition of Brain Injury Awareness Month. In 2006, an idea was presented to include a 5 Km Classic Race with the walkathon in an effort to expand the event and increase public awareness of our cause. For the past 3 years, the 5km race and 1 mile walk have provided a wonderful opportunity for our members and their families to mingle happily with others from the community.
The Hamilton Brain Injury Association is veryIndependence lucky to have some great sponsors, and without their support, we wouldn't Maximum have our glowing record of accomplishments. Please view the list of our sponsors below. For more information on these Michelle Fletcher Nurse Case Management fantastic people and local businesses, please visit our website (www.hbia.ca).
Motion Physiotherapy Paradigm
Walk Run Sponsors
Platinum Sponsor • Findlay Law Offices
Friendship Sponsors • N.R.I.O. • Adaptable Design Group • McKeller Structured Settlements • Rich Rotstein Chartered Accountants • Acclaim Ability Management • Grand Erie Business Centre Inc. • SL Hunter & Associates • Dr. John Davis • D.T Publishing
This years event occurred on June 20th, 2009 and once again was a success. Winners of this year's race were: • • •
Alec Braithwait of Brantford with a time of 17:23 Janie O'Brien of Ancaster with a time of 20:29 The Paradigm Team regained the corporate title with a team time of 1:34:40, just missing the old Paradigm record set in 2006 by only 6 seconds.
Silver Sponsors • Kidomo • Morris Law Group • Ross & McBride, LLP
Also, we had two new records set this year: • •
Diane Cooke of Burlington set a record for Women 50 -59 with a time of 24:50, the old record was set last year at 27:37 John Carrroll of Oakville set a new record for Men 60+ with a time of 23:03, beating our own Wayne Bender's record time of 26:53 set in 2006
We’d like to thank everyone for participating in and supporting this year’s Walk-Run event. We hope to see everyone back again next year!
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Bronze Sponsors • ABI Community Services • AssessNet Inc. • Bayshore Home Health • B.I.S.H. • Canadian Tire Financial Services • Dell Pharmacy • Entwistle Health Solutions • Excel Care • Focus Rehab Consulting • Genesis Community Rehab Inc • Lawlor Therapy Support Services Inc Residential Inc. • Progressive Case Management • The Back Shop 21
Summer Barbeque Sponsor
• Mackesy Smye, LLP
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October 2009
Provincial Perspective Updates from the Ontario Brain Injury Association 1. The Ontario Brain Injury has developed a New Provincial Survey to gather data on the status of people living with a Brain Injury. This Survey replaces the CISL survey that OBIA used for 15 years and which many survivors and family members completed annually. The development of the new survey was funded by the Ontario Neurotrauma Foundation, which hosted a two day Think Tank comprised of representatives of survivors, caregivers, researchers, insurers, and the Ministry of Health. After it was determined what kind of data would likely be useful to researchers, funders, and policy makers, a professional survey writer from the University of Toronto was hired to create both an Adult version and a Child and Youth version. Both versions include a piece that will reflect the effect of the Brain Injury on Caregivers. Several drafts were run by the participants in the Think Tank, and then 30 of each form were piloted with both former respondents and new respondents along with a Feedback sheet. The result is that we now have a survey that I think will effectively gather information on the effects of Brain Injury over the life span which will be of use to researchers, funders, and policymakers. Of course all information is kept in the strictest confidence and each year statistical reports will be published. This survey is available on the Internet or by calling the OBIA office at 1-800-263-5404. Participants will be given a free membership in the Ontario Brain Injury Association. 2. The Ontario Brain Injury Association of Niagara, the Ontario Brain Injury Association, and the Community Support Network is hosting a Provincial Brain Injury Conference on October 28th, 29th & 30th in Niagara Falls. The response has been overwhelming. We budgeted for 350 registrants and the count as of this morning was 508. 3. Education continues to be a key goal for OBIA. We have a number of training programs scheduled: • November 6 – 7, 2009: Children and Youth with Acquired Brain Injury Level 1 Course, St. Catharines, Ontario • November 19 – 20, 2009: Brain Basics Education Course, Mississauga, Ontario • February 22 – 25, 2010: Neurorehabilitation: Assisting Recovery and Function in Every Day Life Following Brain injury Level 1 Course, St. Catharines, Ontario For information on any of the above, please contact us at: Ontario Brain Injury Association Telephone: (905) 641 - 8877 Email:
[email protected] Website: www.obia.on.ca John Kumpf, Executive Director, Ontario Brain Injury Association
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H.B.I.A. Annual Summer Barbeque September 17th, 2009 The annual HBIA summer barbeque took place Thursday, September 17th, 2009 at Chedoke Hospital, outside the Holbrook building and was sponsored once again by Mackesy Smye law firm. Approximately 80 people attended the event and excellent food was provided once again this year by Zarky’s. As can be seen by the pictures, a good time was had by all. However, there were many mixed feelings this year. It was the last event at Chedoke before the move to the General Hospital by HBIA as well as ABI services. Support groups have been meeting at Chedoke Hospital for many years now and it was a sad occasion to have this as the final event. It was also the final event for Milinda Alexander, former support group coordinator, who was honoured this day. Both she and new coordinator, Nala Ndawana, both diligently worked the event and awarded the many door prizes. Dave Gaylor, H.B.I.A. Volunteer
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Rehab Perspective
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October 2009
Legal Perspective “Ask the Experts”
The New Regional Rehabilitation Centre Hamilton Health Sciences
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A majority of people who suffer acquired brain injuries remain competent to manage their daily affairs. Suffering a brain injury does not automatically reduce one’s ability to arrange legal or financial affairs. If concerns do arise about an individual’s ability to manage health care decisions, property or provide instructions to their counsel, then a capacity assessment may be necessary. If capacity may be a concern then the assessment should be carried out before a Will, Living Will or Power of Attorney are created. The assessor should produce a report which then can be held with the legal documents themselves so that any future challenges to the legal documents can be dealt with quickly. If a qualified assessor finds that the individual has capacity, it would be very difficult to challenge a Will or Power of Attorney. Only minimal capacity is required to instruct counsel on provisions for a Will or Power of Attorney.
On September 12th, 2009, the New Regional Rehabilitation Centre began the transition of patients from different rehabilitation facilities to one multi-faceted site. The new 100,000-square-foot Regional Rehabilitation Centre will have 91 inpatient beds providing care to stroke, spinal cord injury, amputee, trauma, neurobehavioral and acquired brain injury patients. The new Centre will give rehabilitation patients access to expanded programs and services in a fully accessible, state-of-the-art healing environment.” The building has many unique features including:
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• an accessible bridge connection to Hamilton General Hospital allowing patients and staff better access to acute medical and clinical services and resources; • patient rooms designed to accommodate wheelchairs; • a four level pool for one-on-one therapy; • onsite patient resources including an office of the Canadian Paraplegic Association; • outpatient and occupational therapy clinics; and • a patient and family resource centre. In addition, an outdoor therapeutic track, the first of its kind in Canada, will allow patients to strengthen their mobility on different surfaces such as stone, wood and pavement in all weather conditions. Construction on the Regional Rehabilitation Centre began in November 2007. At the peak of construction, there were more than 250 workers on site daily. The official opening of the Centre was on September 1, 2009.
Are people living with an acquired brain injury considered to be of sound mind in regards to the validity of living wills that they write?
If an individual continues to experience chronic pain that is related to past injury, accident or disease, are they eligible to seek or claim compensation to pay for treatment? Yes. However, requests for compensation must be made in a timely manner. If these requests are not made promptly, you may loose the right. Thus, it is wise to seek advice on potential remedies as soon as possible. In the case of an injury caused by another’s negligence, there would be the potential for a lawsuit against the at-fault party. As well, in the case of a motor vehicle accident there will be accident benefits (no-fault benefits) available to an injured individual. Both at-fault and accident benefits claims may offer important source of compensation. Others suffering with chronic pain (who are not involved in an accident), may also seek compensation from various insurance plans (group or long term disability) or government bodies such as Ontario Disability Support Program, Assistive Devices Program or Canada Pension Plan. When someone seeks advice from our office we always explore all potential avenues of compensation reasonably available to the individual. Again, the sooner the injured person receives this advice and pursues their remedies, the better their chances of obtaining compensation. Allen Wynperle 25 Main St. West, Suite 400, Hamilton, Ontario L8P 1H1 Tel: (905) 777-0300 Fax: (905) 777-1050 Email:
[email protected]
Hamilton Health Sciences News Release http://www.hamiltonhealthsciences.ca/ Sandra Best, Nurse Case Manager/President, Excel Care
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October 2009
Legal Perspective “Ask the Experts” 1.
Are people living with an acquired brain injury considered to be of sound mind in regards to the validity of living wills that they write? A person living with an acquired brain injury may be considered to have sound mind in regards to a living will, last will and testament and/or a power of attorney. Generally speaking, a person is considered to have "testamentary capacity" to give instructions to a lawyer with respect to these wishes if you understand the nature of the document you are giving instructions on and its effect, the extent of the property of which you are disposing, are able to comprehend and appreciate the legal claims to which you should give effect to. While it is tempting to use a preprinted will kit, it is important to keep in mind that there are special rules surrounding the drafting and signing of these documents that may affect its validity after the writer has passed away. In almost every case the question as to whether a person has testamentary capacity is based on its own facts. Accordingly, it is advisable to consult with a lawyer who specializes in estate matters before you make any decisions in this regard.
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If an individual continues to experience chronic pain that is related to past injury, accident or disease, are they eligible to seek or claim compensation to pay for treatment? In most cases, an individual's right to claim compensation for past injuries is time limited. The basic limitation period is 2 years from the day the claim was "discovered". In other words, the day on which the person with the claim first knew the injury had occurred and having regard to the nature of the injury, a proceeding would be an appropriate remedy to proceed with in order to obtain compensation. However, the limitation period does not run during the time the person claiming compensation is incapable of commencing an action because of a physical, mental or psychological condition and does not have a litigation guardian. If the injury occurred as a result of a motor vehicle collision, you could be entitled to claim Statutory Accident Benefits which would include funding for treatment provided the proposed treatment was reasonable and necessary, the benefit period had not expired or the maximum benefit payable had not been reached. In non catastrophic cases the maximum benefit payable is $100,000 over a 10 year period. In catastrophic cases the maximum benefit payable is $1 million for life. All of this of course is contingent on the fact that you have not already settled your accident benefits claim. It is important that you take the time to consult with a lawyer specializing in personal injury in order to discuss your specific circumstances and receive full opinion based on your own set of facts. Stacey L. Stevens LL.B 3100-390 Bay Street Toronto Ontario M5H 1W2 Phone (416) 868-3186 Fax (416) 868-3134
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Mind, Body & Spirit Coping with Change If I say the word "CHANGE" how do you feel? Most people remain fearful, anxious and uncomfortable with change, despite it being a driving issue in our society. It appears that no matter how much experience we have it doesn’t get any easier. The HBIA has experienced many changes in the last 6 months. New Faces on the Volunteer Board, New Coordinator Support Service Leader, and a New Regional Rehabilitation Facility. Here are some steps to help you cope with transitions in your life: Recognize that things DO change. Nothing is forever. Neither the good, nor the bad. You will be much less frustrated if you accept the change and decide to manage it, rather than desperately try and cling onto the way things used to be. Pinpoint the specific change you are going through because any change has a number of implications in different areas of our lives. We tend to generalize the change we are going through. Stay focused on one aspect of the change by identifying what you are most afraid of losing as a result of this change and then understanding why that loss is uncomfortable. For example, a new computer system may mean you will no longer feel competent. Feeling incompetent is a very different issue than fighting new technology, and can be easily addressed with training. Accept the loss factor. Admit to yourself that regardless of whether or not you experience this particular change as 'good' or 'bad', there will be a sense of loss. This is the 'better the devil you know' scenario that leads us to put up with a situation we know isn't good for us. Clearly define the change and recognize the areas of your life that will not change as a result. Seek valid information. You will doubt the facts and struggle to believe anything you hear see or feel about the change. Write down what information you need to know and who can provide you with that data. Ask straight questions, remain open to views that may be different to your own and listen to what you are being told. Recognize the Danger Zone. There comes a point where we choose to move on with the change and discover the opportunities it brings, or to give in to the fear of the unknown and remain fearful, anxious and in denial. Recognize that this is normal, and don't allow yourself to succumb. Increasing your small, regular action steps will help you keep that forward momentum going. Identify the benefits. All change has some benefits. A divorce can give us the opportunity to have control of the remote, a new job could teach us new skills and starting your own business can provide you with the chance to follow your passion. Understand what the benefits of the change are and recognize them for the great gifts they bring you. Change? What Change? I promise there will come a time when you stop looking at the 'change' as something different. You will have integrated its challenges and victories into your life and will now feel more stable and open to what the future may hold. Remember everything you have learned for the next exciting, exhilarating and, oh ok, scary change. Communicate your concerns. Change is a constant in today's society that you will go through many times in many different situations. If you are having difficulty accepting a change in your life, please tell someone. Sandra Best, Nurse Case Manager/President, Excel Care
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Medical Perspective
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October 2009
Changes to the Legislation
What you need to know about Seasonal Flu and H1N1 Flu Every fall there is some kind of flu going around. But this year it’s a different flu season. There will be seasonal flu and H1N1 flu. Ontario is prepared to protect people from both kinds of flu. What are the symptoms of seasonal and H1N1 flu viruses? Flu viruses result in similar symptoms, which range from mild to severe. Symptoms include sudden fever, cough, sore throat, fatigue and muscle aches. Vomiting and diarrhea are more common in children. Who’s most at risk? High risk groups for seasonal flu include children 6 to 23 months, adults 65 and older, as well as those with preexisting health conditions. High risk groups for H1N1 flu are still being identified.
Bill 118: Ontario’s New Cell Phone Legislation Ontario's ban on hand-held devices while driving will take effect on October 26, 2009. The new law will make it illegal for drivers to talk, text, type, dial or email using hand-held cell phones and other hand-held communications and entertainment devices. Following a three-month period that begins October 26, where the focus will be on educating drivers, police will start issuing tickets on February 1, 2010.
How do these viruses spread? They spread when someone with the flu coughs or sneezes and droplets come in contact with another person’s nose, mouth or eyes. When people with the flu cough or sneeze into their hands and contaminate things they touch, other people can become infected if they touch the same object and then touch their face.
While nine-in-ten Canadian drivers don't approve of using a cell phone behind the wheel, more than half of them admit to using one while driving, according to a RBC Insurance/Ipsos Reid survey released in October 2008. Sunnybrook and Women's College Health Sciences Centre (1997) studied 699 Ontario drivers who used cell phones while driving, finding they were four times more likely to be involved in a collision than drivers who were not talking on cell phones. Other studies show that dialing and texting carries the highest degree of risk of all cell phone-related activities.
When will the vaccines be available? • Seasonal flu vaccine will be available in October 2009 for Ontarians over the age of 65 and residents of Long Term Care facilities. • H1N1 flu vaccine will be available later in November 2009 for all residents of Ontario. • Seasonal flu vaccine will be available in December 2009/January 2010 for all Ontarians under 65.
Newfoundland, Quebec and Nova Scotia have all recently introduced new guidelines to prevent drivers from using hand-held devices, while the governments of Manitoba and Prince Edward Island are considering similar legislation.
When should I seek medical care? Call your health care provider or Telehealth Ontario if you experience flu-like symptoms and: • Are pregnant; • Have heart or lung disease; • Have chronic health problems that require regular medical attention; • Are elderly; • Have an illness that affects your immune system such as diabetes, cancer or HIV/AIDs. What can you do to stay healthy? • Wash your hands often with soap and warm water for at least 15 seconds. Be sure to clean your hands after sneezing or coughing and after touching surfaces others may have touched. • Keep an alcohol-based sanitizer at work, home or in your car. • Cough and sneeze into your upper sleeve or a tissue, not your hand. Dispose of tissues immediately. • Keep commonly touched surfaces clean and disinfected. • Protect yourself and others by talking to your health care provider about seasonal and H1N1 flu vaccines. Information provided by the Ontario Ministry of Health and Long-term Care www.ontario.ca/flu Ashlynn Perry, Case Manager, Excel Care
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Cell phone bans for drivers are currently in place in about 50 countries, including Australia, China, France, Kenya and Slovenia. Quick Facts The following are details regarding the Cell Phone Legislation provided by the Ontario Provincial Police: • The act prohibits the use of devices with display screens and hand-held communication and entertainment devices except when these devices are used in a manner prescribed by the legislation. • The legislation doesn’t ban the use of these electronic devices in vehicles but rather prohibits their use in a way that may cause driver distraction while driving. • Exempt devices include: display screen of GPS navigation devices; hand held communication and similar devices as long as they are used as prescribed by legislation (hands-free sets); collision avoidance systems; instrument gauges. • Can you use a hand-held cell phone or other device when stopped in traffic or at a traffic light? NO. Before drivers may utilize their cells without a hands-free system, the vehicle must be off the roadway or lawfully parked on the roadway, must not be in motion, and must not be impeding traffic. • Police, paramedics and firefighters will continue to be allowed to use hand-held devices when performing their duties. All drivers may use hand-held devices to call 9-1-1. Ashlynn Perry, Case Manager, Excel Care
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