Objectives: Harms from opioid use and opioid-related overdose death have continued to rise in Western Canada, constituting a public health emergency. While the presence of family support is essential to improving health outcomes for people who use drugs, affected family members continue to face considerable challenges in accessing timely and appropriate supports and services, both for their loved ones, and for themselves when needed. The overarching aim of our qualitative project was to employ qualitative methodology to understand family experiences with healthcare and treatment services when supporting a young person seeking treatment for use of opioids and/or other substance use.Methods: To understand the family experience of providing support for a youth or young adult who has experienced harms from opioids and other co-occurring substance use interviews (n = 17) were carried out in Alberta, Manitoba, and Saskatchewan, with adult family members (mostly mothers; 12/17) of youth and young adults who had experienced harms due to opioids and other substance use, including overdose death. Qualitative interview data was analyzed using Reflexive Thematic Analysis to distill themes.Results: We identified the following key themes from our analysis: (1) The challenges and stigma encountered when seeking care for a loved one using substances, and (2) The lack of support to address family member mental health needs. In addition to access and system navigation
It is recognised that delirium is common among older adult inpatients and correlated with negative outcomes. The gold standard care for delirium management is achieved using multicomponent interventions. Which components work best is not yet well defined. During the COVID-19 outbreak, a paediatric ward was repurposed to treat adult patients. Paediatric nurses and play specialists remained on the ward. It was observed that the paediatric ward aesthetic and the team’s dedicated approach to cognitive stimulation and sleep promotion improved well-being among older adult patients. We propose that elements of paediatric care, primarily deployment of a play specialist, could be incorporated into a multicomponent intervention for delirium prevention and management.
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