Medical Assistance in Dying – Update to Canadian Legislation

Credit: Government of Canada

On March 17, 2021, the Government of Canada announced that changes to Canada’s medical assistance in dying (MAID) law are officially in force. The new law includes changes to eligibility, procedural safeguards, and the framework for the federal government’s data collection and reporting regime.

The new law responds to feedback from over 300,000 Canadians, experts, practitioners, stakeholders, provinces and territories and is also informed by the testimony of over 120 expert witnesses.

Read the amended MAID law.

Specifically, the new law:

  • Removes the requirement for a person’s natural death to be reasonably foreseeable in order to be eligible for MAID, in response to the 2019 Superior Court of Québec’s Truchon ruling
  • Introduces a two-track approach to procedural safeguards based on whether or not a person’s natural death is reasonably foreseeable
    • Existing safeguards are maintained and, in some cases, eased for eligible persons whose natural death is reasonably foreseeable
    • New and strengthened safeguards are introduced for eligible persons whose natural death is not reasonably foreseeable
  • Temporarily excludes eligibility for individuals suffering solely from mental illness for 24 months, and requires the Ministers of Justice and Health to initiate an expert review tasked with making recommendations within the next year on protocols, guidance and safeguards for MAID for persons suffering from mental illness
  • Allows eligible persons whose natural death is reasonably foreseeable, and who have a set date to receive MAID, to waive final consent if they are at risk of losing capacity in the interim
  • Allows for expanded data collection and analysis through the federal monitoring regime to provide a more complete and inclusive picture of MAID in Canada

Please refer to the Government of Canada website for further details on what this change in MAID legislation means for Canadians.

 

New FREE Resource for S-LPs: The Brisbane Evidence-Based Language Test

Credit: Southern Cross University, Brisbane AU

A FREE reliable and valid language test for speech pathologists

The Brisbane Evidence-Based Language Test (EBLT) is a free speech-language pathology resource developed in Australia and being used by health professionals around the world.

There are a variety of types of tests available within the Brisbane EBLT available for S-LPs to download online. The test version to select is at the discretion of the treating clinician based on the clinical context and patient’s ability. The assessments examine language functioning across the severity spectrum in the areas of perception, auditory comprehension, verbal expression and reading and writing, among other things.

All versions of the Brisbane EBLT have been developed using evidence-based principles and have supporting reliability and validity data.

Learn more and download the Brisbane EBLT!

 

Update on Transparent Masks Available in Canada

A number of transparent masks are available or are being developed in Canada including, but not limited to:

For more information about transparent masks, Speech-Language & Audiology Canada (SAC) members and associates may wish to refer to Health Canada’s Guidance for Transparent Medical Mask Technical Specifications. SAC also recommends that members and associates seek infection prevention and control guidance from their employer or local public health agency about the level of protection that a specific transparent mask provides against COVID-19.

SAC will continue to provide SAC members and associates with information from Health Canada about the use of transparent masks as it becomes available.

 

S-LPs helping COVID-19 patients learn how to swallow and speak again

Credit: CTV News

This week, CTV News published an article highlighting the crucial role of S-LPs in treating COVID-19 patients on the frontline. The article also features SAC members Avital Winer, S-LP(C), Dr. Stacey Skoretz, S-LP(C) and Sarah Jane Garland, S-LP(C).

“One of the main tools used in hospitals during the pandemic has been the ventilator, a machine that supports the breathing of those battling a severe case of COVID-19 — but after weeks or months on a ventilator, recovering patients can struggle to swallow, eat, drink or even to speak. That’s where speech-language pathologists come in, fulfilling an essential, but little-known role in the frontline response to this pandemic.”

Read the full article. 

 

St. Joseph’s Health Care Launches Education Toolkit for Concussion Patients

Credit: St. Joseph’s Health Care

A concussion is a brain injury caused by a hit to the head or body that forces the brain to move back and forth inside the skull. Known as an invisible injury, a concussion can affect a person’s physical, mental, behavioral and/or emotional health. While 80% of people recover from a concussion, 20% have persistent symptoms that can develop or worsen over time. If people stop activity all together, it can delay their recovery but if they push themselves too hard, it can intensify concussion symptoms.

To help patients get back to living full lives, a health care team at St. Joseph’s Health Care London’s Acquired Brain Injury (ABI) Outpatient and Outreach Program at Parkwood Institute has developed a free online toolkit for people to use at home.

“We have several programs and services that introduces patients and their family caregivers to many of these resources, but we also know there are others in the community and across our region with concussions who could benefit from the strategies developed here at Parkwood Institute. The most exciting part about this toolkit is that it was co-designed with patients and families and made possible by generous donations from former patients and several community partners. So many people and organizations have joined together to make this happen,” says ABI Program Coordinator Saagar Walia.

The ABI Education Toolkit launched February 1, 2021 and includes programs and services to provide strategies to help patients get back to life and focus on:

  • Activity and exercise
  • Sleep
  • Hearing
  • Mental health
  • Balance
  • Vision
  • Memory and attention*

Read more about St. Joseph’s ABI Education Toolkit.

*Please note that the memory and attention section of this toolkit features SAC member Penny Welch-West, S-LP(C).

Statement of Intent – Think Tank on Hearing in Later Life

Credit: International Federation on Ageing (IFA)

Ageing and hearing care sectors join forces to raise awareness of the link between hearing and healthy ageing, and the importance of improving access to hearing care for older adults

The International Federation on Ageing (IFA) together with leaders from the fields of audiology, or otolaryngology, psychology, dementia research, geriatric medicine, gerontology, academic, public health, government, industry and NGOs launch a Statement of Intent based on the findings from the “Think Tank on Hearing in Later Life” convened in November 2020.

The statement emphasizes five key areas of action that need to be taken to improve hearing care for older adults:

  1. Increase awareness and tackle stigma
  2. Synthesize and disseminate knowledge to change practice in the context of healthy ageing
  3. Articulate economic advantages of hearing care and elevating hearing loss as a public health concern
  4. Promote equity and access to hearing care
  5. Apply evidence to guide actions

Learn more by reading and sharing the messages from the Statement of Intent which is pertinent given the forthcoming WHO World Report on Hearing (launching March 3, 2021) and the UN Decade of Healthy Ageing (2021-2030) which aims to maximize the functional abilities of older people through the delivery of person-centered integrated health and social care within age-friendly environments.

 

Q&A on New NIHB Coverage for Augmentative and Alternative Communication (AAC) Face-to-Face Equipment and Supplies

Credit: Indigenous Services Canada’s Non-Insured Health Benefits (NIHB) Program

As of January 6, 2021, the Non-Insured Health Benefits (NIHB) Program provides coverage for Augmentative and Alternative Communication (AAC) face-to-face equipment and supplies, as well as mounting and access equipment.

Indigenous Services Canada has put together a Q&A document on the topic to help navigate this new coverage.

Read the Q&A now!

New SAC Info Sheet on Voice Disorders in Challenging COVID-19 Work Environments

SAC has developed a new info sheet to highlight the increased risk of developing voice disorders in the COVID-19 workplace. We encourage our members and associates to use the info sheet to raise awareness of voice disorders and the importance of speech-language pathology and audiology services in their prevention and treatment. SAC will be sharing the info sheet with business groups and other associations.

 

NEW AND UPDATED PUBLIC HEALTH AGENCY OF CANADA (PHAC) GUIDANCE DOCUMENTS

PHAC recently released Evidence to support safe return to clinical practice by oral health professionals in Canada during the COVID-19 pandemic: A report prepared for the Office of the Chief Dental Officer of Canada . This report describes the results of a comprehensive literature review about the provision of care by oral health care professionals during the COVID-19 pandemic.

As well, PHAC  updated its Risk mitigation tool for child and youth settings operating during the COVID-19 pandemic and COVID-19 guidance for schools Kindergarten to Grade 12.

Other PHAC ethical and technical guidance on COVID-19 can be found at Coronavirus disease (COVID-19): Guidance documents.

Canada among the most dangerous places for language interpreters

While no MP or parliamentary administrator wants to see interpreters get hurt, the question is: will they change the way they do business to ensure the upcoming parliamentary session does not mark open season on interpreters’ health and safety?
 
OTTAWA—A new international study places Canada among the countries with the highest rate of acoustic shock incidents suffered by language interpreters.
 
The study found that Canada ranks 13th of 81 countries with six-in-10 (59 per cent) Canadian respondents reporting they have suffered symptoms typical of exposure to an acoustic shock.
 
Almost half (46 per cent) report having suffered one, while 13 per cent aren’t sure. Among the top 20 countries, Brazil reported the highest incidence of acoustic shock symptoms at 96 per cent (72 per cent who report having suffered an incident, plus 24 per cent who report having symptoms typical of exposure), while 38 per cent of respondents in Luxembourg have experienced symptoms including 25 per cent who say they have suffered an acoustic shock, and 13 per cent who report symptoms typical of exposure, ranking 20th overall.
 
Acoustic shock has long been a safety hazard for interpreters.
 
Interpreters’ stock in trade is to focus intently on a speaker’s words to render them faithfully into another language. Electronic feedback, the drop of a microphone, tapping on or yelling in the microphone, or other unwanted noises can send an audio shock directly into the headset of a working interpreter.
 
These acoustic incidents, usually unexpected, brief and loud, can leave interpreters suffering concussion-like symptoms, or may trigger ringing in the ears, a feeling of fullness or pain in the ear, to name a few ill-effects.
 
More than 1,000 interpreters were surveyed for the study undertaken by the International Association of Conference Interpreters (AIIC) in collaboration with Dr. Philippe Fournier, a Canadian audiologist and researcher at the Laboratoire de neurosciences sensorielles et cognitives, Aix-Marseille University.
 
Overall, this first ever international study of interpreters and the acoustic shocks they are exposed to found:

  • a significant proportion of the interpreters surveyed (approximately 67 per cent) have been exposed to acoustic incidents in the form of loud, unexpected, and brief sounds, including those with symptoms of acoustic shock but no clear recollection of having suffered one.
  • almost half (47 per cent) reported previous experience of one or more symptoms following these acoustic incidents, with tinnitus being the most prevalent symptom, followed by hearing hypersensitivity, headaches, hearing impairment and stabbing pain in the ear.
  • of those who have suffered an acoustic shock, most (85 per cent) interpreters report being exposed more than once with 25 per cent experiencing more than ten acoustic shocks.
  • three-quarters (77 per cent) of interpreters who experienced acoustic shock did not officially report the incidents.

 
The incidence of acoustic shock among interpreters is not well understood, and for good reason. Most acoustic shock incidents among interpreters go unreported. Among respondents who have suffered an acoustic shock only 18 per cent filed an official report primarily because there is no formal avenue for reporting, according to the study.
 
Lack of reporting may well explain the dearth of research into interpreters’ hearing health, and recognition of this issue as a real and present health and safety risk for which there must be meaningful protection developed.
 
Survey data for the international study was collected in the fall of 2019, just months before the COVID-19 outbreak.
 
Since Parliament began meeting virtually under COVID-19 restrictions interpreters working for the federal Translation Bureau have suffered a spike in hearing injuries.
 
At issue is the sudden increase in “remote simultaneous interpretation” assignments. These involve meetings where participants, including interpreters, connect from remote locations via the internet, phones, or web conferencing platforms. Since parliamentary gatherings have gone virtual, remote simultaneous interpretation assignments have become the rule. These assignments are particularly taxing and dangerous for interpreters, and frustrating for MPs and witnesses because of:

  • poor audio quality—from speakers using technically inadequate microphones, from poor quality of processing, or disrupted transmission of audio signals;
  • acoustic shock arising from the mix of different ill-suited technologies used by participants to connect to the meeting or event;
  • low-quality video with image blurring and lip asynchrony;
  • internet instability, disrupting audio and video feed.

 
Soon after the House began meeting virtually, a Commons committee heard testimony that there were more injuries during the month of April this year alone than had been reported in all of 2019. Subsequently, the Procedure and House Affairs Committee reported there were 55 health incidents during that period among the 70 interpreters working for the Translation Bureau from March to May 2020.
 
In spite of encouragement, many participants, including MPs and ministers, still are not using the proper headset, cabled microphone and hardwire connection to the internet when participating in parliamentary committee and House proceedings. These should become mandatory requirements because we know these measures greatly improve conditions that allow interpreters to deliver quality service safely.
 
While no MP or parliamentary administrator wants to see interpreters get hurt, the question is: will they change the way they do business to ensure the upcoming parliamentary session does not mark open season on interpreters’ health and safety?


Nicole Gagnon is advocacy lead for the International Association of Conference Interpreters-Canada Region-(AIIC-Canada)

Ontario Resumes Infant Hearing Checks: Additional Funding Will Increase Audiology Capacity to Screen Infants Impacted by the COVID-19 Outbreak

TORONTO — The Ontario government is providing $3.8 million to support hearing checks for infants who did not receive the universal newborn hearing screen due to the COVID-19 outbreak. Over the past several months, Infant Hearing Program lead agencies suspended the newborn hearing screen commonly provided pre-discharge from hospitals and in community locations based on the advice of health officials.

As the province re-opens, Infant Hearing Program lead agencies are now starting to safely resume in-person services. Understanding how vital the Infant Hearing Program is to the development and wellness of infants, this additional investment will increase audiology capacity by hiring audiologists and increasing referrals for hearing checks. Newborns who did not receive a newborn hearing screen can now do so.

“Supporting the health and well-being of newborns and their families is a priority,” said Todd Smith, Minister of Children, Community and Social Services. “These additional funds mean that newborns who missed their hearing screening will now be able to receive this vital service, and that concerns or risks can be addressed early and infants are provided with the support they need as soon as possible.”

Ontario’s Infant Hearing Program provides universal hearing tests for newborn babies to detect signs of early hearing loss in children. Infants who are identified as having hearing loss are then referred to a specialist who will work with his/her parents to ensure they have the resources to develop the critical language and literacy skills needed to be successful in school and in their communities.

 

Quick Facts

  • In 2019-20 the government invested $13.6 million in the Infant Hearing Program.
  • In the 2019-20 fiscal year, 128,327 babies were screened across Ontario. Of these, approximately 500 were identified with permanent hearing loss.
  • Infant Hearing Program lead agencies will arrange a hearing check by an audiologist for babies who missed their newborn hearing screen. Contact the Infant Hearing Program location near you for more information.