AddThis Sharing ButtonsShare to TwitterTwitterShare to FacebookFacebookShare to RedditRedditShare to 電子郵件Email Travel deficit down in Q1 as Canadians spend less abroad: StatsCan by The Canadian Press Posted May 30, 2012 9:19 am MDT OTTAWA – Statistics Canada says the country’s international travel deficit with the world declined by $85 million to $4 billion during the first quarter.The agency attributes the drop to lower spending by Canadian travellers to the United States and higher spending by overseas residents visiting Canada.Canadian travellers spent $8.3 billion outside the country during the first quarter, down 0.2 per cent from the fourth quarter of 2011.Receipts from all foreign travellers in Canada increased 1.6 per cent to $4.3 billion during the first quarter, the highest level since the fourth quarter of 2004.The travel deficit with the United States fell by $91.7 million to $3.2 billion in the first quarter, mostly because of lower spending by Canadian travellers in the United States and slightly higher spending by visiting Americans.The deficit with overseas countries rose by $6.9 million to $782 million
“It is incredible what you get back actually. It’s rarely as simple as you’d think. “It is always very, very individual.”For the adolescents I care for, a lot of it is about their legacy, what they leave behind.”It’s about what they wish to achieve with the time they have – do they want to do their GCSEs? If they have treasured possessions, are they desperate to know who they are going to leave those to?”On one level, it opens a conversation you need to have and on the next level, it promotes you to think about them as an individual, not just as a person whose medical or social care you are delivering.”Leaving an online legacyMeanwhile, terminally-ill teenagers may want to be asked if they would like social media accounts to be closed down or turned into memorial pages.The new guidance states that when a child or young person is approaching the end of their life, health or care workers should talk to parents about “what would help them”, such as plans for social media content.Dr Harrop, who works for Helen & Douglas House Hospices in Oxfordshire, said: “Some young people are old enough to have their own social media pages and when someone passes away, there is a mechanism to make ‘in mem’ (memorial) pages where people can add tributes but the content is limited. “It was brought up as something that might come into a conversation with parents, or conversations parents have with a young person, to say ‘do you have a specific wish of what we do with your Facebook page or Whatsapp?”Do you want us to leave something about you on the net because your friends might find that very meaningful or would you like us to take it all down because it is private to you?”‘The new guidance, which aims to improve the end-of-life care for babies, children and young people, suggests that hospital, hospice and home care staff must look after the whole family, practically and emotionally, when a child is dying. Children and young people should be asked what they want to achieve before they die, Nice says Credit:PA To lose a child is a tragic, life-changing event. But the care given to a child and their family during this difficult time can offer great comfort, if done properly Children and young people who are dying should be asked if they have a ‘bucket list’ of wishes they want to accomplish, health officials have said. Medics or care workers developing care plans for terminally-ill children should ask about their “life ambitions and wishes”, according to guidance from the National Institute for Health and Care Excellence (Nice).Watchdogs said it might be appropriate to ask youngsters what they want to be done with their social media accounts, such as Facebook or Twitter pages, after their deaths. Young people or their families should be asked about what they hope to achieve in life, including ambitions for social activities, relationships and educational attainment, the guideline suggests.Dying teenagers might want to complete their GCSEs or make specific wishes on who should be given their personal belongings, according to Dr Emily Harrop, a paediatric palliative care consultant who helped to develop the guideline.The child or a parent, depending on the child’s age, should also be asked about life ambitions, she said.Dr Harrop said: “When we start a conversation about end-of-life planning, rather than introduce that with a very closed question or a very negative question, we often start by asking for things like ‘What do you hope for? What do you aspire to do for yourself? What would you hope your child to achieve?’ It is estimated that more than 40,000 children and young people in England are living with a life-limiting condition – where there is no hope of cure.Professor Mark Baker, director for the centre of guidelines at Nice, said: “To lose a child is a tragic, life-changing event. But the care given to a child and their family during this difficult time can offer great comfort, if done properly.”This guidance clearly sets out best practice for all those involved in palliative care, whether that be at home, in a hospice or in a hospital. I hope it will be implemented fully so that those families going through the worst time of their lives are properly supported.” The guidance also says doctors and nurses should not be afraid to cuddle and comfort dying children.The guidelines from Nice suggest that physical contact such as “touch, holding and massage” should be offered as non-pharmalogical interventions for pain and agitation.In recent years, healthcare professionals have become wary of personal interaction with children following a spate of child abuse scandals.But the new guidance makes it clear that physical contact is important, particularly for children. And it suggests that doctors and nurses include using art, music and play to explain the concept of death to children. Want the best of The Telegraph direct to your email and WhatsApp? Sign up to our free twice-daily Front Page newsletter and new audio briefings.