Health
Men Have Pelvic Floors Too!
Men Have Pelvic Floors Too!
Do you know a man in your life who is struggling with bladder control? Does your husband, father, son, boyfriend dribble in between trips to the bathroom? OR have to urgently find a bathroom? Or do you yourself find it hard to get your stream started, or completely empty your bladder? Has an important male in your life had changes to pain in his low back, pelvis, or genitals? Have they had a recent surgery or injury to the abdomen, low back, pelvis, or hip? All of these symptoms and situations can be related to the pelvis and pelvic floor.
The first thing most people think of in these cases is the prostate. But the pelvic floor can also be a huge factor. While women may hear about their pelvic floor from an early age, men rarely have any education regarding this personal area. While there are some differences in anatomy (women have more muscles but in a man there is one muscle which is much larger to compensate), many of the principles of pelvic floor therapy are the same. It is common for men who have a prostate procedure to have bladder symptoms. Many of them will benefit from pelvic floor physiotherapy and education.
Just like women, incontinence can be from a weak pelvic floor, or commonly from an overactive one. Muscles that just don’t relax enough can stop the bladder from completely emptying, or even getting started. This can contribute to other issues as that urine is stopped up in a longer urethra, leading to irritation. Muscles which are too weak can result in dribbling in between bathroom visits, urgency or stress incontinence.
Changes to the structures and mechanics of the pelvis, low back, and hip from a fall or surgery can create changes in sitting and moving with a resulting change in a previously normal pelvis and surrounding muscles which can create change in muscle tension and activity, or nerve irritation and give symptoms of pain or urgency or incontinence.
Determining what state the muscles of the pelvic floor, abdomen, low back, and hips as well as the mechanics of the pelvis, low back and hip are in is the first step. Appropriate relaxation, lengthening or strengthening of the muscles as well as correcting the mechanics is the second step. Applying these principles to everyday life is the final stage. The best way to start is to have a proper pelvic floor assessment and then head in the right direction.
If you have a person in your life that has had any changes in their bladder function, please give them a nudge to have an assessment. We would love to help them improve their function, and ultimately quality of life!
For more information on Pursuit Physiotherapy click the ad below:
Addictions
Ontario to restrict Canadian government’s supervised drug sites, shift focus to helping addicts
From LifeSiteNews
Doug Ford’s Progressive Conservative government tabled the Safer Streets, Stronger Communities Act that will place into law specific bans on where such drug consumption sites are located.
Ontario Premier Doug Ford is making good on a promise to close so-called drug “supervision” sites in his province and says his government will focus on helping addicts get better instead of giving them free drugs.
Ford’s Progressive Conservative government on Monday tabled the Safer Streets, Stronger Communities Act that will place into law specific bans on where such drug consumption sites are located.
Specifically, the new bill will ban “supervised” drug consumption sites from being close to schools or childcare centers. Ten sites will close for now, including five in Toronto.
The new law would prohibit the “establishment and operation of a supervised consumption site at a location that is less than 200 meters from certain types of schools, private schools, childcare centers, Early child and family centers and such other premises as may be prescribed by the regulations.”
It would also in effect ban municipalities and local boards from applying for an “exemption from the Controlled Drugs and Substances Act (Canada) for the purpose of decriminalizing the personal possession of a controlled substance or precursor.”
Lastly, the new law would put strict “limits” on the power municipalities and local boards have concerning “applications respecting supervised consumption sites and safer supply services.”
“Municipalities and local boards may only make such applications or support such applications if they have obtained the approval of the provincial Minister of Health,” the bill reads.
The new bill is part of a larger omnibus bill that makes changes relating to sex offenders as well as auto theft, which has exploded in the province in recent months.
In September, Ford had called the federal government’s lax drug policies tantamount to being the “biggest drug dealer in the entire country” and had vowed to act.
‘No’ new drug sites in Ontario, vows Health Minister
In speaking about the new bill, Ontario Minister of Health Sylvia Jones said the Ford government does not plan to allow municipal requests to the government regarding supervised consumption sites.
“Municipalities and organizations like public health units have to first come to the province because we don’t want them bypassing and getting any federal approval for something that we vehemently disagree with,” Jones told the media on Monday.
She also clarified that “there will be no further safe injection sites in the province of Ontario under our government.”
Ontario will instead create 19 new intensive addiction recovery to help those addicted to deadly drugs.
Alberta and other provinces have had success helping addicts instead of giving them free drugs.
As reported by LifeSiteNews, deaths related to opioid and other drug overdoses in Alberta fell to their lowest levels in years after the Conservative government began to focus on helping addicts via a recovery-based approach instead of the Liberal-minded, so-called “safe-supply” method.
Despite public backlash with respect to supervised drug consumption sites, Health Canada recently approved 16 more drug consumption sites in Ontario. Ford mentioned in the press conference that each day he gets “endless phone calls about needles being in the parks, needles being by the schools and the daycares,” calling the situation “unacceptable.”
The Liberals claim their “safer supply” program is good because it is “providing prescribed medications as a safer alternative to the toxic illegal drug supply to people who are at high risk of overdose.”
However, studies have shown that these programs often lead an excess of deaths from overdose in areas where they are allowed.
While many of the government’s lax drug policies continue, they have been forced to backpedal on some of their most extreme actions.
After the federal government allowed British Columbia to decriminalize the possession of hard drugs including heroin, cocaine, fentanyl, meth and MDMA beginning January 1, 2023, reports of overdoses and chaos began skyrocketing, leading the province to request that Trudeau re-criminalize drugs in public spaces.
A week later, the federal government relented and accepted British Columbia’s request.
Nurse practitioners expand primary care access |
The Alberta government’s Nurse Practitioner Primary Care program is showing early signs of success, with 33 nurse practitioners already practising independently in communities across the province.
Alberta’s government is committed to strengthening Alberta’s primary health care system, recognizing that innovative approaches are essential to improving access. To further this commitment, the Nurse Practitioner Primary Care Program was launched in April, allowing nurse practitioners to practise comprehensive patient care autonomously, either by operating their own practices or working independently within existing primary care settings.
Since being announced, the program has garnered a promising response. A total of 67 applications have been submitted, with 56 approved. Of those, 33 nurse practitioners are now practising autonomously in communities throughout Alberta, including in rural locations such as Beaverlodge, Coaldale, Cold Lake, Consort, Morley, Picture Butte, Three Hills, Two Hills, Vegreville and Vermilion.
“I am thrilled about the interest in this program, as nurse practitioners are a key part of the solution to provide Albertans with greater access to the primary health care services they need.”
To participate in the program, nurse practitioners are required to commit to providing a set number of hours of medically necessary primary care services, maintain a panel size of at least 900 patients, offer after-hours access on weekends, evenings or holidays, and accept walk-in appointments until a panel size reaches 900 patients.
With 33 nurse practitioners practising independently, about 30,000 more Albertans will have access to the primary health care they need. Once the remaining 23 approved applicants begin practising, primary health care access will expand to almost 21,000 more Albertans.
“Enabling nurse practitioners to practise independently is great news for rural Alberta. This is one more way our government is ensuring communities will have access to the care they need, closer to home.”
“Nurse practitioners are highly skilled health care professionals and an invaluable part of our health care system. The Nurse Practitioner Primary Care Program is the right step to ensuring all Albertans can receive care where and when they need it.”
“The NPAA wishes to thank the Alberta government for recognizing the vital role NPs play in the health care system. Nurse practitioners have long advocated to operate their own practices and are ready to meet the growing health care needs of Albertans. This initiative will ensure that more people receive the timely and comprehensive care they deserve.”
The Nurse Practitioner Primary Care program not only expands access to primary care services across the province but also enables nurse practitioners to practise to their full scope, providing another vital access point for Albertans to receive timely, high-quality care when and where they need it most.
Quick facts
- Through the Nurse Practitioner Primary Care Program, nurse practitioners receive about 80 per cent of the compensation that fee-for-service family physicians earn for providing comprehensive primary care.
- Compensation for nurse practitioners is determined based on panel size (the number of patients under their care) and the number of patient care hours provided.
- Nurse practitioners have completed graduate studies and are regulated by the College of Registered Nurses of Alberta.
- For the second consecutive year, a record number of registrants renewed their permits with the College of Registered Nurses of Alberta (CRNA) to continue practising nursing in Alberta.
- There were more than 44,798 registrants and a 15 per cent increase in nurse practitioners.
- Data from the Nurse Practitioner Primary Care Program show:
- Nine applicants plan to work on First Nations reserves or Metis Settlements.
- Parts of the province where nurse practitioners are practising: Calgary (12), Edmonton (five), central (six), north (three) and south (seven).
- Participating nurse practitioners who practise in eligible communities for the Rural, Remote and Northern Program will be provided funding as an incentive to practise in rural or remote areas.
- Participating nurse practitioners are also eligible for the Panel Management Support Program, which helps offset costs for physicians and nurse practitioners to provide comprehensive care as their patient panels grow.
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