Indigenous Health
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Canadian Sept./Oct., 2019 Physiotherapy Vol. 9, No. 5 Association Indigenous Health Publication Mail Agreement No. 40065308 No. Mail Agreement Publication PLUS: Don’t get hooked! Phishing emails are an ever-present risk OrthoCanada_BTL_ENGLISH_TRIAL.pdf 3 7/9/2019 3:11:21 PM Try the BTL Shockwave for 3 weeks! Visit info.orthocanada.com/swt-trial for more details. Rosen Kolev PT, Senior Instructor Shockwave Training Canada “I’m proud to represent OrthoCanada because I believe in BTL 6000 their product.” Topline Power Mélodie Daoust, Member of Canadian Shockwave with Women’s Olympic Hockey Team, two-time optional cart Olympic Medalist, Olympic Tournament Most Valuable Player 2018 C M Y CM MY CY CMY K BTL World's Most Advanced Modalities Shockwave is an acoustic wave carrying high energy to painful areas and soft tissues with subacute, subchronic and chronic conditions. This energy promotes healing and the regenerating and reparative processes. It’s a unique, non-invasive solution for pain associated with the musculoskeletal system. The BTL 6000 is an accessible, aordable and ecient unit. One of the most powerful, compact Shockwave therapy devices available. THE PHYSIO EQUIPMENT EXPERTS ORTHOCANADA.COM 1-800-561-0310 OrthoCanada_BTL_ENGLISH_TRIAL.pdf 3 7/9/2019 3:11:21 PM September/October 2019 | Vol. 9 / Issue 5 Try the BTL Shockwave for 3 weeks! Visit info.orthocanada.com/swt-trial for more details. Rosen Kolev PT, Senior Instructor Shockwave Training Canada “I’m proud to represent OrthoCanada because I believe in BTL 6000 their product.” Topline Power Mélodie Daoust, Member of Canadian Shockwave with Women’s Olympic Hockey Team, two-time optional cart Olympic Medalist, Olympic Tournament Most Valuable Player 2018 C M Y CM MY CY CMY K 22 34 3 President’s Message 12 Decolonizing Health Care: 22 A Physiotherapist’s Response Addressing Gaps in Health to Mobilizing Reconciliation 5 Guest Editorial Care for Indigenous Communities 27 Placing Lungs on the Radar 7 Working as a Physio “Up North” 14 The Art of Being a Fly-In 31 Asking Important Questions - Physiotherapist in Northern 8 Jordan’s Principle and the Implementing the TRC Calls Manitoba: Perspectives from to Action into practice Inuit Child First Initiative: PTs at Community Therapy BTL Supporting Access to Services Physiotherapy for First 34 A Review of Western World's Most Advanced Modalities Nations and Inuit Children Canadian Physiotherapy 18 Introduction to Trauma Schools’ Indigenous Informed Rehabilitation with Building Partnerships Admissions and Curriculum Shockwave is an acoustic wave carrying high energy to painful areas and soft tissues with subacute, 10 Indigenous Clients in Indigenous Wellness subchronic and chronic conditions. This energy promotes healing and the regenerating and reparative 39 CPA Insurance Program: processes. It’s a unique, non-invasive solution for pain associated with the musculoskeletal system. Don’t Get Hooked! The BTL 6000 is an accessible, aordable and ecient unit. One of the most powerful, compact Shockwave therapy devices available. A note about our packaging: The packaging used for Physiotherapy Practice is approved by USPS and meets their standards and requirements for biodegradable bags. Although not 100% biodegradable, it is the best on the market and the bags will break down. We work closely with the product manufacturers and always use the most biological bags approved by the postal service, and robust enough to support catalogue inserts and other THE PHYSIO EQUIPMENT EXPERTS ORTHOCANADA.COM 1-800-561-0310 materials that accompany Physiotherapy Practice from time to time. physiotherapy.ca | September/October 2019 1 Therapy Without Limits ZeroG has been used since 2008 to safely treat a wide range of adults and children with dynamic body-weight support and fall protection. 571-292-8889 [email protected] www.aretechllc.com PRESIDENT’S MESSAGE Therapy Without Limits We recently finished a very successful Forum, which fo- cused on issues related to healthy aging. Looking towards 2020, Managing Editor CPA will celebrate its 100th anniversary. It feels good to think that Victoria Zielinski our members have been improving the health of Canadians for a Art Direction century. Or have we? Shift 180 The National Collaborating Centre for Aboriginal Health notes that “Prior to European contact, Indigenous peoples of Canada had Contributors fully functional systems of health knowledge that were practiced within Lisa Arcobelli Marilyn Neufeld the contexts of their specific ways of knowing and being.”1 Unfortunately, Isabelle Barreira Kate O’Connor that changed as the diseases and effects of colonization devastated Indig- Jessica Barudin Jennifer O’Neil enous populations and their health systems. In the 21st century, on many health indicators, Allana Beavis Sarah Oosman BMS Group Inc. Lacey Nairn Pederson First Nations, Inuit, and Métis peoples continue to show a disproportionate burden of disease Pat Camp Peggy Proctor or health disparities, often rooted in health inequities. Priscilla Flett Viivi Riis If we plan to play a role in maintaining and improving the health of Canadians, physiothera- Amanda Fortin Robin Roots pists in Canada will want to know the history of colonization and its effects, not just on the Moni Fricke Amber Skye past health of the Indigenous people of this country, but on their quality of life today. In 2015, Simone Gruenig Margret Thomas 2 the Truth and Reconciliation Commission (TRC) published a report called “Calls to Action,” Lisa Jasper Bonnie Tinker in which there are seven calls related to health care. We hope that all Canadian physiothera- Stacey Lovo Grona Hiba Zafran pists will review not only the Calls to Action, but the TRC report as well, to begin to grasp the extent of the impact of colonization on all Indigenous peoples. This issue of PT Practice starts Advertising Sales ZeroG has been used since 2008 the process. [email protected] The 18th Call to Action asks all levels of Canadian government to acknowledge that the Publication of advertisements does not to safely treat a wide range current state of Aboriginal health in Canada is a direct result of previous Canadian govern- represent an endorsement by CPA. of adults and children with ment policies, including residential schools, and to recognize and implement the health care Publisher rights of Aboriginal people as identified in international law, constitutional law, and under the Canadian Physiotherapy Association dynamic body-weight support Treaties. As physiotherapists and a stakeholder in Canada’s health care system, it is our duty [email protected] to act on this call. Many of you are thinking, “What can I do about that? It’s a big problem.” I and fall protection. Reprints don’t have an easy answer, but in this issue of Physiotherapy Practice, Lacey Nairn Pederson Material in Physiotherapy Practice is protected (Saskatchewan) starts the conversation with an article offering ideas on what physiotherapists by copyright and may not be reprinted without can do at a local level to work towards meeting the TRC Calls to Action, while reflecting on the permission of the publisher, Canadian some of her work with Indigenous communities. Physiotherapy Association. The 22nd Call to Action2 is for “those who can effect change within the Canadian health care system to recognize the value of Aboriginal healing practices and use them in the treat- Publication Mail ment of Aboriginal patients in collaboration with Aboriginal healers and Elders where re- Agreement No. 40065308 quested by Aboriginal patients.” Amber Skye (Ontario) shares her insight into harmonization Return undeliverable Canadian of Traditional and Western approaches to health and wellness, concepts of decolonization, addressed mail to: and cultural safety in health care, while Allana Beavis (Manitoba) reflects on her work with Canadian Physiotherapy Association First Nations’ communities in Manitoba. 955 Green Valley Crescent Suite 270 The 23rd and 24th Calls to Action ask that there be an increase in the number of aborigi- Ottawa, ON K2C 3V4 nal professionals working in health care and for all schools training health professionals in Print production and distribution brokered Canada to require all students to take a course dealing with Aboriginal health issues, including by ConsulPrint Inc. the history and legacy of residential schools, the United Nations Declaration on the Rights of Indigenous Peoples, Treaties and Aboriginal rights, and Indigenous teachings and practices. This will require skills-based training in intercultural competency, conflict resolution, human rights, and anti-racism. Simone Gruenig and Robin Roots (British Columbia), Moni Fricke Follow us: (Manitoba), Lisa Jasper (Alberta), and Sarah Oosman and Peggy Proctor (Saskatchewan) review the four western provinces’ Indigenous admissions and curriculum. facebook.com/CPA.ACP Cultural humility is found in the First Nation’s Health Authority, which CPA is acting upon for its members and staff. At our recent Forum held in PEI, a session was held for all CPA Board twitter.com/physiocan members, the leaders of our component groups and staff, to improve our awareness of how colo- nization devastated the health and lives of Indigenous peoples and, also, how there continues to linkedin.com/company/ canadian-physiotherapy-association be much work to be done to even begin to understand and address those negative effects. CPA acknowledges the inequities that have been imposed by colonization on this country’s original peoples. We also recognise that if we are to be leaders in the delivery of health services and promotion of equity in health, we must understand the history of ©Canadian Physiotherapy Association, 2019. All rights reserved. No colonization and its impact on the health of Indigenous peoples today. part of this material may be reproduced, stored in a retrieval system, or transcribed in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without written permission from the Canadian Physiotherapy Association. Requests should Viivi Riis, PT be made to the Managing Editor, at 800-387-8679, ext.