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Connecting Care - Calgary Foothills Primary Care Network

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<strong>Connecting</strong> <strong>Care</strong><br />

Volume 2, NO. 1. 2010<br />

Inside:<br />

Stressed? Take a Laughter Holiday<br />

New Pain Management Clinic<br />

Depression Class Dispels Myths<br />

Working together to help you access care<br />

<strong>Connecting</strong> <strong>Care</strong> 1<br />

Take this<br />

copy home!


PSYCHOLOGISTS’<br />

ASSOCIATION of ALBERTA<br />

Qualified Professionals<br />

Understanding People<br />

Finding Solutions<br />

Talk to someone who can help.<br />

Psychologists are qualified licensed and regulated<br />

professionals, who provide assessment, consultation<br />

and treatment for people of all ages.<br />

REFERRAL SERVICE:<br />

780-428-TALK (8255) in Edmonton<br />

403-246-TALK (8255) in <strong>Calgary</strong><br />

1-888-424-0297<br />

Toll free anywhere in Alberta<br />

Hours: Monday - Friday 8:30 am - 4:00 pm<br />

On-line Referral Service:<br />

www.psychologistsassociation.ab.ca<br />

QUICK FACTS ABOUT OSTEOPOROSIS<br />

Osteoporosis is a disease that causes bones to become<br />

thin and brittle<br />

leading to risk of fractures (hip, spine and wrist)<br />

1 in 4 women and 1 in 8 men over 50 years of age have<br />

osteoporosis<br />

You may contact the Alberta Chapter for:<br />

• Additional information on Osteoporosis •<br />

• Canadian Osteoporosis Patient <strong>Network</strong> •<br />

• Listing of support groups •<br />

• Speakers, displays & education sessions •<br />

• Volunteer opportunities •<br />

Telephone: 403 237-7022<br />

Email: alberta@osteoporosis.ca<br />

Website: www.osteoporosis.ca<br />

“Stand Tall and Speak Up for Your Bones!”<br />

every picture tells a story...<br />

To book appointments for all clinics call:<br />

• Central Booking:<br />

(403) 541-1200<br />

• Maternal Fetal Medicine (MFM) Booking:<br />

(403) 289-9269<br />

• Film and Report Line:<br />

(403) 717-1816<br />

Please Visit Our Website:<br />

www.efwrad.com<br />

We accept all service provider's requisitions<br />

Advanced Spinal <strong>Care</strong> Centre (MSK)<br />

G100-A, 2210 2nd Street SW<br />

Airdrie Clinic<br />

102, 217 Centre Avenue SW<br />

Beddington Towne Centre<br />

200, 8120 Beddington Boulevard NW<br />

<strong>Foothills</strong> Professional Building<br />

380, 1620 - 29th Street NW<br />

Gulf Canada Square<br />

300, 401 - 9th Avenue SW<br />

High River Hospital<br />

560, 9th Avenue West<br />

Maternal Fetal Medicine Centre (MFMC)<br />

100, 3280 Hospital Drive NW<br />

North Hill Centre<br />

265, 1632 - 14th Avenue NW<br />

Prostate Cancer Institute<br />

100, 1011 Glenmore Trail SW<br />

Southport Atrium Clinic<br />

A8, 10333 Southport Road SW<br />

2 <strong>Connecting</strong> <strong>Care</strong>


<strong>Connecting</strong> <strong>Care</strong> Magazine Volume 2, NO. 1. 2010<br />

Medical Director’s Message<br />

500, 1716 - 16th Avenue NW<br />

<strong>Calgary</strong>, AB T2M 0L7<br />

Phone: (403) 284-FPCN (3726)<br />

Fax: (403) 284-9518<br />

info@cfpcn.ca<br />

www.cfpcn.ca<br />

Table of Contents<br />

Medical Director’s Message.................3<br />

Background...........................................3<br />

Your Health. Your Team.......................4<br />

Take a Team Approach.........................6<br />

Pain Management Clinic......................8<br />

Hypertension.......................................10<br />

Riley Park Maternity Clinic................12<br />

Take a Laughter Holiday....................13<br />

New Depression Class........................15<br />

Dealing with Dementia.......................17<br />

Tips on Avoiding Falls........................20<br />

Smoke-free Journey............................22<br />

TrymGym...........................................24<br />

<strong>Calgary</strong> <strong>Foothills</strong> PCN Clinics...........25<br />

<strong>Calgary</strong> <strong>Foothills</strong> PCN Programs.......26<br />

Editor<br />

Art Director<br />

Publisher<br />

Published for CFPCN by:<br />

Paragon Publishing Inc.<br />

<strong>Calgary</strong>, Alberta<br />

Tel: 403.287.9818<br />

ads@paragonpublish.com<br />

www.paragonpublish.com<br />

Stephanie Baker<br />

CFPCN<br />

Communications Coordinator<br />

Richart Bocxe<br />

Jim Thornton<br />

All rights reserved ©2010 Printed in Canada<br />

Member of the Canadian Federation of Independent Business<br />

It is my pleasure to welcome you to our PCN magazine, <strong>Connecting</strong> <strong>Care</strong>.<br />

<strong>Primary</strong> <strong>Care</strong> <strong>Network</strong>s are changing the way family doctors relate to each<br />

other and the government, but more importantly we are enhancing the treatment<br />

programs we can offer you, our patients. The articles in this magazine are<br />

designed to highlight services available to you and your family. New initiatives<br />

are constantly being developed which will be showcased in upcoming editions<br />

of <strong>Connecting</strong> <strong>Care</strong>. Please enjoy, and feel free to take a copy home with you.<br />

Sincerely,<br />

Dr. Bill Hall<br />

Medical Director<br />

<strong>Calgary</strong> <strong>Foothills</strong> <strong>Primary</strong> <strong>Care</strong> <strong>Network</strong><br />

Background<br />

<strong>Calgary</strong> <strong>Foothills</strong> <strong>Primary</strong> <strong>Care</strong> <strong>Network</strong> (PCN)<br />

is an arrangement between a group of family<br />

physicians and Alberta Health Services-<strong>Calgary</strong><br />

to provide primary care services to patients living<br />

in northwest <strong>Calgary</strong> and Cochrane. Created in<br />

2006 as part of the <strong>Primary</strong> <strong>Care</strong> Initiative of<br />

Alberta, the <strong>Calgary</strong> <strong>Foothills</strong> PCN’s mission is<br />

to enhance access and coordination of primary<br />

care for patients while improving the quality<br />

of professional life for community family<br />

physicians and allied health care professionals.<br />

<strong>Primary</strong> <strong>Care</strong> is the care patients receive at their first point of contact with<br />

the health care system, usually provided by family physicians or allied health<br />

care providers. Patients receive care for their everyday health needs, including<br />

health promotion and prevention, diagnosis and treatment of health conditions.<br />

<strong>Connecting</strong> <strong>Care</strong> is a PCN publication aimed at educating patients of member<br />

physicians on new programs and initiatives available to them and their<br />

family.<br />

<strong>Connecting</strong> <strong>Care</strong> 3


<strong>Primary</strong> <strong>Care</strong><br />

<strong>Network</strong>s.<br />

Your Health.<br />

Your Team.<br />

What is <strong>Primary</strong> <strong>Care</strong>?<br />

<strong>Primary</strong> <strong>Care</strong> is a term often used to describe the services you receive for<br />

your basic, everyday health needs, such as regular checkups, counseling, care<br />

for a chronic illness or health promotion. <strong>Primary</strong> <strong>Care</strong> often begins with your<br />

family physician, and can expand to include other health care professionals such<br />

as nurses, therapists, pharmacists, dietitians and others. These professionals<br />

work together and with you to help you better manage your health.<br />

<strong>Primary</strong> <strong>Care</strong> <strong>Network</strong>s help coordinate and support your health care<br />

team so you receive access to the care you need.<br />

The <strong>Calgary</strong> <strong>Foothills</strong> <strong>Primary</strong> <strong>Care</strong> <strong>Network</strong> (PCN) is a network of family<br />

physicians - including your family doctor - whose goal is to help coordinate<br />

care for patients in northwest <strong>Calgary</strong> and Cochrane. Part of coordinating care<br />

is ensuring patients have faster and easier access to health care services. Many<br />

PCN member physicians now have one or more health care professionals<br />

providing services to patients in their offices. These professionals are called<br />

multidisciplinary team members, and can include pharmacists, dietitians,<br />

nurses, behavioural health consultants and chronic disease nurses. These<br />

multidisciplinary teams work closely with the family physician, providing<br />

additional support for patients who need help managing their health conditions.<br />

For more information about the role of multidisciplinary team members, check<br />

out page 6.<br />

As a patient of a PCN member physician, you are able to become better<br />

engaged in your primary care.<br />

The <strong>Calgary</strong> <strong>Foothills</strong> PCN provides a number of free group classes to<br />

patients of member physicians. Group classes range in topic from tobacco<br />

cessation to stress management techniques. The newest class is the PCN’s<br />

Depression class, a group session where participants meet with a behavioural<br />

health consultant to talk about the signs and symptoms of depression, what<br />

causes it and strategies and resources to help cope. For more information on<br />

the Depression class, check out page 15. A list of all available PCN programs<br />

can be found on page 26, or visit www.cfpcn.ca. q<br />

4 <strong>Connecting</strong> <strong>Care</strong>


After Hours Clinic<br />

Available to patients of member physicians<br />

and people living in northwest<br />

<strong>Calgary</strong> and Cochrane needing medical<br />

attention after regular office hours.<br />

To make an appointment, call Health Link at<br />

403.943.5465<br />

Hours of Operation<br />

Weeknights: 5:00pm – 9:00pm<br />

Weekends & Holidays: 10:00am – 4:00pm<br />

The premises for the <strong>Calgary</strong> <strong>Foothills</strong> <strong>Primary</strong> <strong>Care</strong> <strong>Network</strong><br />

After Hours Clinic are supplied by:<br />

NorthWest Healthcare Properties is Canada’s largest private owner and<br />

manager of medical office buildings and healthcare facilities. Our national<br />

team of more than 200 real estate professionals is committed to providing<br />

healthcare tenants high quality space, service and value. NorthWest<br />

Healthcare Properties offers expertise in a number of complementary<br />

disciplines:<br />

• Tenant services and property operations<br />

• Healthcare leasing and marketing<br />

• Development and construction<br />

• Acquisitions and finance<br />

• Law and accounting<br />

• Strategy and business development<br />

Jason Shantz, Leasing Manager, Alberta<br />

1414 - 8th Avenue N.W., <strong>Calgary</strong>, Alberta, T2N 1B8<br />

T 403-282-9838 x 53<br />

F 403-220-9207<br />

C 403-830-8950<br />

E jason.shantz@nwhp.ca<br />

W www.nwhp.ca<br />

<strong>Connecting</strong> <strong>Care</strong> 5


Chronic Disease Management<br />

Take a Team Approach<br />

to Your Health<br />

Having access to a team of health professionals in a <strong>Primary</strong> <strong>Care</strong> <strong>Network</strong> ensures that<br />

patients receive the right care, from the right health professional, at the right time.<br />

6 <strong>Connecting</strong> <strong>Care</strong>


he PCN is a network<br />

Tof family physicians,<br />

including your doctor, who<br />

strives to support patients<br />

through new and innovative<br />

ways.<br />

One solution to providing you<br />

with comprehensive care is a<br />

multidisciplinary team. These<br />

teams are made up of health care<br />

professionals who work with your<br />

doctor to care for your health<br />

needs. Through a team approach,<br />

HEPATITIS B:<br />

First Aid with<br />

Contaminated Tools<br />

HEPATITIS A:<br />

Swimming in<br />

Contaminated Water<br />

ultimately, you, your family doctor<br />

and available multidisciplinary team<br />

members become partners to better<br />

manage your health.<br />

Multidisciplinary team members<br />

work with you in your doctor’s office<br />

or in another clinic nearby, and can<br />

consist of clinical pharmacists,<br />

behavioural health consultants,<br />

chronic disease management nurses,<br />

registered dietitians and respiratory<br />

therapists. Your doctor may have<br />

you meet with one or several team<br />

HEPATITIS A:<br />

Contaminated Salad<br />

HEPATITIS A:<br />

Contaminated Ice<br />

HEPATITIS HÉPATITE TE B B:<br />

:<br />

Contaminated Instruments ts de<br />

Spa soin Tools contaminés<br />

nés<br />

HEPATITIS B:<br />

New Sexual<br />

Relationships<br />

members to help you manage your<br />

particular health needs. If your doctor<br />

is a member of the <strong>Calgary</strong> <strong>Foothills</strong><br />

PCN, talk to them about which<br />

multidisciplinary team members<br />

may be available to support you. q<br />

©Safia Khalfan, Clinical Pharmacist.<br />

<strong>Calgary</strong> <strong>Foothills</strong> <strong>Primary</strong> <strong>Care</strong><br />

<strong>Network</strong><br />

Multidisciplinary team<br />

members can assist you in<br />

the following ways:<br />

Chronic Disease Management Nurse:<br />

• Partner with you to develop a personal<br />

action plan for conditions such as<br />

diabetes, obesity, chronic pain, high<br />

blood pressure, congestive heart<br />

failure and high cholesterol.<br />

• Link you to community resources for<br />

education and exercise programs.<br />

Clinical Pharmacist:<br />

• Review each of your medications<br />

and supplements, how they work and<br />

when to take them.<br />

• Partner with you to develop a personal<br />

action plan.<br />

Respiratory Educator:<br />

• Partner with you to help you manage<br />

your asthma or COPD, review inhaler<br />

and device technique and assess lung<br />

function on all patients over six years<br />

of age.<br />

Hepatitis A and B are serious liver diseases that travellers can contract, even in popular<br />

Caribbean destinations.<br />

It’s almost impossible to predict where hepatitis risks might be hiding, and you could be<br />

exposed through simple activities. In fact, among travellers, most cases of hepatitis A occur<br />

while staying at high-quality resorts. The Canadian Immunization Guide recommends<br />

vaccination against hepatitis for travellers to all risk areas.<br />

Hepatitis A and B can sometimes be fatal. Once infected, you could spread the illness to<br />

others back home, even before you know you’re sick. Twinrix vaccination can help protect<br />

®<br />

you and your family against hepatitis A and B.<br />

Don’t take the chance.<br />

Ask your healthcare professional about Twinrix today.<br />

®<br />

For more information on hepatitis and liver health<br />

LIVERight. Learn how. Visit LIVER.ca<br />

The Only Dual Protection Against Hepatitis A & B<br />

www.twinrix.ca<br />

Twinrix® does not protect against hepatitis C and hepatitis E. The most common side effects reported with a 3 or 4 dose schedule are redness, swelling<br />

and pain at the site of injection, headache, malaise, nausea and fatigue. Twinrix® is a registered trademark, used under license by GlaxoSmithKline Inc.<br />

©2009 GlaxoSmithKline Inc. All rights reserved.<br />

Behavioural Health Consultant:<br />

• Partner with you to develop a<br />

short term intervention to manage<br />

depression, anxiety, insomnia,<br />

stress, life transitions, relationship<br />

difficulties, substance abuse and<br />

bereavement.<br />

• Help you develop health lifestyle<br />

goals including exercise, smoking<br />

cessation and weight management.<br />

Registered Dietitian:<br />

• Partner with you to improve your<br />

nutritional status and promote health.<br />

• Help you set goals for dietary changes<br />

related to conditions such as diabetes,<br />

thyroid conditions, digestive diseases,<br />

liver disease, cancer and prenatal<br />

concerns.<br />

76837_twinrix 1 4/30/09 11:50:13 AM<br />

Cyan, Magenta, Yellow, Black<br />

<strong>Connecting</strong> <strong>Care</strong> 7<br />

OGILVY HEALTHWORLD LIVE: 4.75” x 6.75” BUILD DATE: Mar 31/09 CATEGORY: Magazine GALLEY:


Chronic Disease Management<br />

New Pain<br />

Management<br />

Clinic Takes<br />

Team Approach<br />

8 <strong>Connecting</strong> <strong>Care</strong>


Rosa is living with chronic<br />

pain. After sustaining<br />

injuries in three separate car<br />

collisions over a period of<br />

a year and a half, her body<br />

may have healed, but the<br />

pain still lingers.<br />

Each day is a challenge, as many<br />

chronic pain sufferers will attest to.<br />

Chronic pain is defined as persistent<br />

pain that lasts more than six months,<br />

and can affect all parts of our body<br />

from muscles and joints to nerves<br />

and circulation. Many chronic pain<br />

sufferers will never be rid of their<br />

pain, and like Rosa, must learn how<br />

to manage one day at a time.<br />

The Alberta Health Services<br />

Chronic Pain Centre assisted the <strong>Calgary</strong><br />

<strong>Foothills</strong> PCN to develop their<br />

new Pain Management Clinic. The<br />

Pain Management Clinic is available<br />

to treat patients with non-complex<br />

chronic pain, while freeing up<br />

the Alberta Health Services Chronic<br />

Pain Centre to see more complex<br />

cases. Rosa's family doctor made the<br />

referral to Pain Management Clinic<br />

and within two months she met with<br />

Yolanda Martens Van-Hilst, Chronic<br />

Pain Lead, for an initial consultation.<br />

“[Yolanda and I] discussed what I<br />

had gone through, what I am going<br />

through and the pain and frustration<br />

that I am experiencing to what<br />

I would like to achieve [in the future].”<br />

says Rosa.<br />

From there Rosa met with a team<br />

of professionals including a physiotherapist,<br />

pharmacist, physiologist<br />

and a behavioural health consultant<br />

to help her learn how to manage her<br />

pain on a daily basis. Her experience<br />

with each team member allowed her<br />

to better understand the far reaching<br />

effects of pain on her body, from reduced<br />

mobility to her mental health.<br />

“I have a hard time talking. I don’t<br />

like to bother people…with my problems.<br />

It was great to hear [the team]<br />

say they believe what I am going<br />

through…and that it is not in my<br />

head.”<br />

Part of Rosa’s treatment at the<br />

clinic included learning techniques<br />

to manage her pain on a daily basis,<br />

including physiotherapy exercises,<br />

proper use of prescription medications<br />

and the importance of physical<br />

activity. “Stretching and keeping<br />

mobile is the key,” says Rosa, ”no<br />

matter how much pain I am in, I do<br />

not give up on keeping mobile.” As<br />

Rosa’s treatment at the clinic comes<br />

to an end, she leaves with the tools<br />

she needs to successfully deal with<br />

her pain. For her, the most valuable<br />

part of working with the team at the<br />

Pain Management Clinic is her new<br />

outlook on how to manage her pain.<br />

“The program has helped me realize<br />

that this will be a lifetime issue with<br />

me and has me looking at it differently<br />

and understanding it better.”<br />

Patients can be referred to the Pain<br />

Management Clinic by a family doctor<br />

who is a member of the <strong>Calgary</strong><br />

<strong>Foothills</strong> <strong>Primary</strong> <strong>Care</strong> <strong>Network</strong>. If<br />

you're experiencing chronic pain,<br />

talk to your family doctor about<br />

available treatment options and<br />

whether the Pain Management Clinic<br />

is right for you. q<br />

By Cathy Arcega<br />

Why wait? We have short wait times<br />

for all appointments.<br />

Ultrasound, Mammography, Bone Density & X-Ray.<br />

403.726.9729<br />

www.pureformdiagnostics.com<br />

<strong>Connecting</strong> <strong>Care</strong> 9


Chronic Disease Management<br />

Ten things you didn’t know<br />

about high blood pressure<br />

(hypertension)<br />

by Dr. Rick Ward<br />

1. If you live long enough…<br />

…you’ll likely get high blood pressure!<br />

Just about<br />

everyone has high blood pressure by age 90. There<br />

are many things you can do to prevent from getting<br />

hypertension. Maintaining a healthy weight, regular<br />

activity, eating a heart healthy diet, not smoking and<br />

moderate alcohol intake reduces your risk of developing<br />

high blood pressure. What you can’t do is change your<br />

genetics. If one or both of your parents have high blood<br />

pressure you are at increased risk.<br />

2. Reading that ‘top’ number<br />

A common misconception is that the ‘top’ blood pressure<br />

number (or systolic reading) increases harmlessly with<br />

age. In fact, the blood pressure reading that is most<br />

correlated with heart attack, stroke and death is isolated<br />

systolic hypertension - a high ‘top number’ and a low<br />

‘bottom number’. Systolic blood pressures above 140<br />

in most people should be treated with medication and<br />

lifestyle changes to reduce risk of heart attack or stroke.<br />

3. When your doctor takes your blood<br />

pressure<br />

Proper measurement is essential to evaluate blood pressure<br />

accurately. To do this, you should be sitting quietly, no<br />

talking 5 minutes before, feet flat on floor with a fully<br />

supported arm resting at the level of your heart. Think of<br />

your visits to your doctor’s office and how infrequently<br />

all these conditions occur. Many physicians encourage<br />

home blood pressure readings with certified monitors and<br />

have patients bring in a record of their readings.<br />

4. Take your blood pressure when you’re<br />

feeling well<br />

High blood pressure has been called the silent killer –<br />

there are seldom any symptoms. A common situation<br />

is for patients to take their blood pressure when they<br />

are feeling stressed, tired or sick. The body’s natural<br />

response to these conditions is to increase blood pressure<br />

and pulse. These blood pressure readings do not mean<br />

you have hypertension – just that you need to have your<br />

blood pressure taken when you are feeling well.<br />

5. Firefighters do more than fight fires<br />

In <strong>Calgary</strong>, our firefighters offer a blood pressure screening<br />

program for the public. You can get your blood pressure<br />

checked by a trained firefighter at any community fire<br />

hall from 1:00 to 9:00 pm. This unique and progressive<br />

program increases the access of good blood pressure<br />

assessment for Calgarians.<br />

6. Your choice – another pill or throwing out<br />

the saltshaker<br />

Following a low salt, heart healthy diet is as effective as<br />

taking medication to lower blood pressure. The DASH diet<br />

is a balanced, effective strategy to lower blood pressure<br />

naturally. Information on the DASH diet – one that is rich<br />

in fresh fruits, vegetables, low fat dairy products and low<br />

in saturated fats – can be found by visiting www.cfpcn.<br />

ca and clicking on Patient Resources. Healthy eating and<br />

avoiding salt (sodium) containing foods should be the first<br />

step in reducing blood pressure. While modification of<br />

your diet will help control your blood pressure, don’t stop<br />

your BP medications unless directed by your physician.<br />

7. Automatic machines at the pharmacy<br />

Two things are coming together – better technology and<br />

increased emphasis on obtaining blood pressure readings<br />

outside of the physicians’ office. If you do not have a<br />

blood pressure monitor at home, the machines at the<br />

pharmacy or a viable option. If you are concerned about<br />

readings that seem higher than you would expect, visit a<br />

fire station or ask your pharmacist.<br />

8. Blood pressure medications are effective<br />

While all medications have the potential for causing side<br />

effects, the most common effects associated with taking<br />

blood pressure medication is lowered blood pressure and<br />

living longer. In the last 15 years since the widespread<br />

10 <strong>Connecting</strong> <strong>Care</strong>


acknowledgement and treatment of elevated blood<br />

pressure, the rate of stroke and heart attack has decreased<br />

dramatically.<br />

9. One little pill should do it<br />

The majority of patients in clinical studies require 2 –<br />

3 blood pressure medications to treat blood pressure to<br />

appropriate targets. What should your blood pressure<br />

be? Target blood pressure for people without diabetes<br />

when taken outside the doctors’ office is 135/85. Target<br />

blood pressures for those with diabetes are less than this –<br />

consult your family doctor.<br />

10. There are resources available to help you<br />

manage your blood pressure<br />

Living Well with a chronic condition<br />

A self-management workshop for people with longterm<br />

conditions including hypertension.<br />

To register, call AHS <strong>Calgary</strong> at: (403) 9-HEALTH<br />

Ask a Dietitian Group Session<br />

A group appointment with a registered dietitian who<br />

will address personal nutrition questions.<br />

To register, call CFPCN at: 403-284-3726<br />

Personal Action Plan<br />

A clinical pharmacist or chronic disease nurse can<br />

partner with you to develop a personal action plan to<br />

manage hypertension.<br />

If your doctor is a member of the PCN, talk to<br />

them about which health care provider may be<br />

available to assist you.<br />

For more information on high blood pressure, visit www.<br />

hypertension.ca<br />

Written by Dr. Richard Ward, Senior Medical Lead,<br />

Practice Innovation and External Relations<br />

The <strong>Calgary</strong> <strong>Foothills</strong> <strong>Primary</strong> <strong>Care</strong> <strong>Network</strong> acknowledges<br />

sanofi-aventis Canada for its financial support in this initiative.<br />

This article was independently researched and written,<br />

and was not influenced by the sponsoring company.<br />

To lower your blood pressure, limit your<br />

food choices to achieve a 2-gram sodium<br />

diet. Food to AVOID include –<br />

Breads, cereals, rice and pasta:<br />

• Breads, rolls and crackers with salted tops<br />

• Quick breads<br />

• Instant hot cereals<br />

• Pancakes<br />

• Commercial (store-bought) bread stuffing, self-rising<br />

flour and biscuit mixes<br />

• Commercial breadcrumbs, cracker crumbs, or bread<br />

stuffing<br />

• Rice or pasta mixes<br />

Fruits and vegetables:<br />

• Fruits processed with salt or sodium-containing<br />

ingredients, such as some dried fruits<br />

• Regular canned vegetables<br />

• Sauerkraut, pickled vegetables, and others prepared<br />

in brine<br />

• Frozen vegetables in sauces<br />

• Vegetables seasoned with ham, bacon, or salt pork<br />

• Commercially prepared potato mixes<br />

Meats and meat products:<br />

• Smoked, cured, salted, koshered, or canned meat,<br />

fish or poultry, including bacon, chipped beef, cold<br />

cuts, ham, hot dogs, sausage, sardines, anchovies,<br />

crab, lobster, imitation seafood, marinated herring,<br />

and pickled meats and frozen breaded meats<br />

• Pickled eggs<br />

• Processed cheese, cheese spreads, and sauces<br />

• Salted nuts<br />

Beverages and soups:<br />

• Malted milk, milkshake and chocolate milk<br />

• Regular vegetable or tomato juice<br />

• Commercially softened water (for drinking or<br />

cooking)<br />

• Regular canned or dehydrated soups<br />

• Broths and bouillon<br />

Fats, desserts and sweets:<br />

• Regular salad dressings containing bacon fat, bacon<br />

bits, and salt pork<br />

• Snack dips made with instant soup mixes or<br />

processed cheese<br />

• Instant pudding mixes and cake mixes<br />

Seasonings, sauces, mixes, and other foods:<br />

• Seasoning made with salt including garlic salt, celery<br />

salt, onion salt, and seasoned salt<br />

• Sea salt, rock salt, kosher salt, meat tenderizers and<br />

monosodium glutamate (MSG)<br />

• Regular soy sauce, barbecue sauce, teriyaki sauce,<br />

steak sauce, Worcestershire sauce, and most<br />

flavoured vinegars<br />

• Canned gravy and mixes, regular condiments and<br />

salted snack foods<br />

• Olives<br />

<strong>Connecting</strong> <strong>Care</strong> 11


Obstetrical <strong>Care</strong><br />

Riley Park Maternity<br />

Clinic supports mothers<br />

in post-natal care<br />

Having a baby changes<br />

your life in so many<br />

ways.<br />

The <strong>Calgary</strong> <strong>Foothills</strong> <strong>Primary</strong><br />

<strong>Care</strong> <strong>Network</strong>’s Riley Park Maternity<br />

Clinic (formally the Obstetrics<br />

Centre) aims to support patients in<br />

northwest <strong>Calgary</strong> through each<br />

step. Comprised of four obstetrics<br />

clinics, the clinic goes beyond basic<br />

medical care to provide support<br />

in mental health issues, lactation,<br />

prenatal classes and social services.<br />

Through this approach, patients<br />

receive comprehensive care<br />

from pregnancy all the way<br />

to the first few weeks of<br />

motherhood.<br />

Paola Ulloa, who was<br />

referred to the Riley Park<br />

Maternity Clinic by her<br />

family doctor, gave birth to<br />

a healthy girl on November<br />

13, 2009. Since this was her<br />

second child, she thought<br />

she had it all under control<br />

but soon realized she’d<br />

forgotten some of the<br />

basics, like breastfeeding.<br />

Fortunately, Paola was able<br />

to meet with a lactation<br />

consultant available<br />

through a partnership with<br />

the Riley Park Maternity<br />

Clinic. “I met with Dr.<br />

Woolgar, who helped me<br />

with breastfeeding my first<br />

daughter. [She] exudes<br />

12 <strong>Connecting</strong> <strong>Care</strong><br />

confidence, which boosts mine, so<br />

I’m so glad I was able to meet with<br />

her again.”<br />

Dr. Mary-Jo Woolgar has been<br />

a physician for 16 years. Now as<br />

a Lactation Consultant, her past<br />

experience with obstetrical care and<br />

deliveries means she’s familiar with<br />

the whole process. “I really enjoy<br />

what I do because I can almost<br />

always help fix the problem. Often,<br />

Mom and Dad come in unhappy and<br />

worried. But they all leave happy,”<br />

she says with a smile.<br />

“There’s such a wealth of<br />

information here,” says Paola, when<br />

asked about her experience with staff<br />

at the clinic. “Dr. Woolgar is great –<br />

and the whole staff here too. It’s very<br />

empowering to have a whole group<br />

of experienced professionals back<br />

you up. Their support [has been]<br />

tremendous.”<br />

Patients can self refer to the clinic,<br />

or be referred by their family doctor.<br />

For more information, see page 25. q<br />

By Kavi Mohan


Mental Health<br />

Stressed?<br />

Take a Laughter Holiday<br />

Are you stressed? Overworked? Need a holiday?<br />

“Laughter is an instant vacation,” Milton Berle once quipped.<br />

<strong>Connecting</strong> <strong>Care</strong> 13


Mental Health continued<br />

Laughter boosts endorphins,<br />

regulates blood<br />

pressure, increases oxygen,<br />

and helps to reduce stress<br />

and tension.<br />

When combining specific<br />

laughter exercises, deep yogic<br />

breathing, gentle stretching, rhythm<br />

exercises, child like spontaneity<br />

and visualization - we have<br />

14 <strong>Connecting</strong> <strong>Care</strong><br />

Laughter Yoga, a rapidly spreading<br />

phenomenon. Starting in Mumbai,<br />

India with founder Madan Kataria<br />

MD, Laughter Yoga has spread to<br />

over 60 countries.<br />

It is relatively new to <strong>Calgary</strong>.<br />

Certified Laughter Yoga Teacher Fif<br />

Fernandes and Certified Laugher<br />

Yoga Leader Hamish Boyd cofounded<br />

Laugher Yoga Canada and<br />

have been facilitating sessions since<br />

2007 in hospitals and health care<br />

settings, educational institutions,<br />

community organizations and<br />

corporate <strong>Calgary</strong>. Fernandes,<br />

a Therapeutic Clown on staff at<br />

the Alberta Children’s Hospital<br />

uses laughter yoga techniques<br />

with patients, families and staff<br />

in Emergency and in-patient units<br />

every day.<br />

Fernandes says part of what you<br />

learn in Laughter Yoga is that you<br />

don’t need jokes or comedy to laugh.<br />

“Whether you are 2 or 102 years<br />

old, you can laugh for no reason and<br />

still gain enormous health benefits”.<br />

Laughter sessions start with group<br />

exercises to create simulated<br />

laughter. Using their imaginations,<br />

participants may travel to a beach in<br />

Hawaii where they greet each other<br />

with Alohahahaaa laughter followed<br />

by deep yogic breathing using all the<br />

senses to bring in the sweet aroma of<br />

island flowers. Although participants<br />

may have to fake laugh at first, it soon<br />

turns into the real thing. “It never<br />

takes long before people naturally<br />

become fully engaged, and it’s often<br />

hard to calm them down to move on<br />

to deep breathing of the fresh salt sea<br />

air”, says Fernandes.<br />

If you’re skeptical about the<br />

health benefits of laughter, Boyd is<br />

quick to suggest another benefit of<br />

the exercise. “Laughter promotes<br />

community by bringing people<br />

together. Laughter is contagious;<br />

it’s meant to be shared”. Whether<br />

you’re in it for community building<br />

or just to open your lungs for some<br />

deep and refreshing breaths, you can<br />

join the growing number of people in<br />

the laughter movement, with several<br />

groups sprouting up in <strong>Calgary</strong>.<br />

Visit www.laughteryoga-canada.<br />

org or call 403-685-9846 for more<br />

information.<br />

So the next time you need a<br />

vacation from the stress in your life –<br />

take a laughter break. You’ll be glad<br />

you did! q


Mental Health<br />

New Depression Class<br />

Dispels Myths<br />

Depression is one of the most common<br />

mental health disorders affecting Canadians<br />

today.<br />

Unfortunately, due to public misconceptions, many<br />

people may not recognize they are suffering from depression.<br />

<strong>Calgary</strong> <strong>Foothills</strong> PCN now offers a free group<br />

information session for patients whose family doctor is<br />

a member of the PCN. During the session, participants<br />

learn about depression, signs and symptoms, causes, and<br />

how to cope.<br />

“The focus is on helping people understand depression,”<br />

says Debra McDougall, a behavioural health consultant<br />

who helps teach the class. She says the class covers<br />

signs and symptoms, the different kinds of depression,<br />

how a patient would be diagnosed and other conditions<br />

that commonly occur with depression.<br />

“I think sometimes depression can be a confusing term<br />

for people,” says McDougall. “It’s often used in day to<br />

day language to describe all kinds of moods. I think people<br />

are often confused about what depression actually is.<br />

Only when you know what you’re dealing with can you<br />

do something about it, and this class aims to do just that:<br />

educate.”<br />

Depression is characterized by a sad, despairing mood,<br />

a loss of interest and feelings of uselessness, hopelessness<br />

and guilt. Other symptoms include changes in appetite,<br />

fatigue, irritability and trouble concentrating. The signs<br />

and symptoms of depression are different for each individual.<br />

An important benefit of the class is the ability for loved<br />

ones of those dealing with symptoms of depression to attend<br />

with them. “Depression is a very common experience,”<br />

says McDougall, “It has very far-reaching implications<br />

for individuals, their families, their ability to cope in<br />

the workplace and manage their lives. Therefore, it’s very<br />

important to encourage people to surround themselves<br />

with a strong support system if they’re dealing with depression”.<br />

Class sizes are kept small with only 10 people per session<br />

to provide time for discussion and questions.<br />

The class also works as a place to help change perceptions<br />

related to depression. “Many people are reluctant to<br />

admit they could be struggling with depression for fear<br />

of judgment from others,” says McDougall. “If we can<br />

break through the stigma and open up the conversation so<br />

people can recognize signs of depression and ask for help,<br />

then I think we’ve done a service.”<br />

The depression class runs on the fourth Wednesday every<br />

month from 6:30pm to 8:30pm, and is available to<br />

patients of physicians who are members of the <strong>Calgary</strong><br />

<strong>Foothills</strong> PCN. Participants can register for the class by<br />

calling 403-284-3726, or by referral from their family<br />

physician. If you think you are experiencing symptoms of<br />

depression, contact your family physician. q<br />

By Laura Lushington<br />

<strong>Connecting</strong> <strong>Care</strong> 15


When you need to know.<br />

Relax, you’re<br />

in good hands.<br />

We have been providing expert<br />

radiology services for over 50 years.<br />

Diagnostic MRI & CT exams –<br />

without the wait.<br />

• The same MRI and CT services provided in<br />

public hospitals – without the wait.<br />

• Alberta’s first private 64-slice<br />

Coronary CT Angiography<br />

• X-ray<br />

• Mammography<br />

• Fluoroscopy<br />

• Image-Guided Pain Therapy<br />

• Bone Densitometry<br />

• Ultrasound<br />

• Ultrasound-Guided Biopsy<br />

• Vascular Centre<br />

• Echocardiography<br />

• Myocardial Perfusion Imaging<br />

• Nuclear Imaging<br />

• Exercise Stress Testing<br />

To book an appointment call<br />

403.777.3000 (7:30 am – 5:00 pm)<br />

www.radiology.ca<br />

• Early detection of heart, lung and<br />

colon disease<br />

Call 403.777.4MRI (4674)<br />

www.mayfairdiagnostics.com<br />

16 <strong>Connecting</strong> <strong>Care</strong>


Seniors Health<br />

Memory Loss -<br />

Is it Dementia?<br />

Kim Presiloski addresses your questions about dementia<br />

Mary, an 83 year old mother and grandmother, is starting to forget things she used to remember. She<br />

now needs to keep a detailed calendar for appointments, is having trouble keeping track of her cards at<br />

bridge night, and struggles with<br />

familiar names. Mary’s family<br />

members are worried about<br />

her condition. Her daughter<br />

notices Mary can’t remember<br />

her famous pumpkin pie recipe,<br />

and her grandson observes<br />

that she’s repeating the same<br />

jokes and stories. Are these<br />

normal ‘senior’s moments’? Is<br />

it dementia? What should they<br />

do? Finding out what is wrong<br />

is the first step to getting help.<br />

Q: How does aging change the<br />

brain?<br />

The effect of aging on memory<br />

is different for each person. Many<br />

people experience slower information<br />

processing and difficulty concentrating<br />

as they age. This is due to<br />

a decrease in nerve cells in the brain.<br />

Long term and remote memories are<br />

not usually affected by aging, but recent<br />

memories may be affected. This<br />

means it may be more difficult to<br />

learn new information, and once new<br />

information is stored, it may take longer<br />

to retrieve it from memory. These<br />

changes, called age-related cognitive<br />

decline, are normal and are not considered<br />

to be signs of dementia.<br />

Q: What is dementia?<br />

Dementia is the loss of mental<br />

ability that affect your daily activities.<br />

Changes or damage to the brain<br />

cause a person’s mental ability to de-<br />

<strong>Connecting</strong> <strong>Care</strong> 17


Seniors Health continued<br />

in your mind)<br />

• Keep a detailed calendar<br />

• Put important items, such as your<br />

keys, in the same place every time<br />

• Repeat names when you meet new<br />

people<br />

• Do activities that involve new<br />

learning<br />

• Exercise<br />

• Play mind games (crosswords,<br />

number and word puzzles)<br />

• Keep up hobbies<br />

• Eat a healthy balanced diet<br />

• See your doctor for regular checkups<br />

• Maintain your social life; get involved<br />

Q: What resources are there in<br />

<strong>Calgary</strong> for dementia support?<br />

teriorate, including loss of memory,<br />

intellect, language, reasoning, socials<br />

skills, and normal emotional reactions.<br />

Most people with dementia<br />

are over the age of 65.<br />

Q: Is there a difference between dementia<br />

and normal memory loss?<br />

The key difference between normal<br />

memory problems and dementia<br />

is that normal memory loss doesn’t<br />

deteriorate significantly over time.<br />

Dementia is a progressive condition,<br />

meaning it gets worse over a period<br />

of several months to several years.<br />

Q: Are there different forms of dementia?<br />

There are many different forms<br />

of dementia. The most common<br />

is Alzheimer’s disease, which accounts<br />

for approximately half of all<br />

dementia cases. Vascular dementia<br />

is also a common form, caused by<br />

strokes or poor blood flow to the<br />

brain. Other forms include frontotemporal<br />

dementia which typically<br />

results in damage to the part of the<br />

brain that is responsible for behaviour<br />

and personality. Dementia with<br />

Lewy bodies (DLB) is caused by abnormal<br />

protein deposits in the brain<br />

that disrupt normal brain functions<br />

such as thinking and behaviour. Each<br />

form of dementia has its own pattern<br />

of symptoms, and correct diagnosis<br />

is important to determine appropriate<br />

treatment options.<br />

Q: When should you see the doctor?<br />

If you have concerns about memory<br />

loss you should see a doctor or<br />

health professional as soon as possible.<br />

These symptoms may occur<br />

because of a separate medical issue,<br />

which is often treatable. However, if<br />

the memory loss is due to dementia,<br />

it’s important to get an early diagnosis<br />

to help stop the progression of<br />

memory loss.<br />

Q: What sort of things can help with<br />

remembering?<br />

Almost everyone is interested in<br />

improving their memory. Fortunately,<br />

the most powerful ways are also<br />

the easiest to do.<br />

• Keep lists<br />

• Follow a routine<br />

• Make associations (connect things<br />

Alzheimer Society of <strong>Calgary</strong><br />

www.alzheimercalgary.com,<br />

403-290-0110<br />

Seniors Resource Society -<br />

<strong>Calgary</strong><br />

www.calgaryseniors.org,<br />

403-266-6200<br />

<strong>Calgary</strong> Health Link<br />

403-943-5465<br />

Inform Alberta<br />

www.informalberta.ca<br />

Kerby Centre<br />

403-265-0661<br />

By Kim Presiloski RN, BScN BNC(c)<br />

Nurse Clinician, Consultation<br />

Liaison Psychiatry Rockyview<br />

General Hospital q<br />

The <strong>Calgary</strong> <strong>Foothills</strong> <strong>Primary</strong> <strong>Care</strong><br />

<strong>Network</strong> would like to thank Pfizer Canada<br />

for their collaboration in this initiative.<br />

18 <strong>Connecting</strong> <strong>Care</strong>


Top 10 Warning Signs and Symptoms<br />

of Dementia<br />

1) Difficulty performing familiar tasks<br />

Becoming persistently challenged by buttons or other daily tasks<br />

2) Memory loss affecting day-to-day function<br />

Frequent forgetfulness beyond just forgetting someone’s name<br />

3) Problems with language<br />

Having trouble pronouncing simple words or forming sentences<br />

4) Disorientation to time and place<br />

Forgetting how you got to a destination or how to get back home<br />

5) Poor or decreased judgement<br />

Paying less attention to grooming, or dressing inappropriately, such as wearing heavy<br />

clothes on a hot day<br />

6) Problems with abstract thinking<br />

Forgetting what numbers are for or how to use them<br />

7) Misplacing things<br />

Putting a wallet in the refrigerator, or keys in the sink<br />

8) Changes in mood and behaviour<br />

Rapid mood changes - from calm to tears to anger - for no apparent reason<br />

9) Changes in personality<br />

Changes such as paranoia, confusion, withdrawal, or fearfulness<br />

10) Loss of initiative<br />

Avoiding social activities or losing interest in hobbies<br />

Bringing a completed version of this list to your doctor’s appointment provides a useful<br />

basis for further discussion and tests. This is typically followed by a physical exam and<br />

procedures such as memory tests, brain scans and laboratory tests.<br />

*Resource: Alzheimer’s Society of Canada<br />

<strong>Connecting</strong> <strong>Care</strong> 19


Seniors Health<br />

20 <strong>Connecting</strong> <strong>Care</strong>


Tips for Older Adults on<br />

Avoiding Falls<br />

While falls are a serious problem for seniors, there are things you can do to minimize your<br />

risk of falling. Visit the Finding Balance website for more tips about avoiding falls.<br />

www.findingbalancealberta.ca<br />

Review Your Medications<br />

Some medications such as those<br />

that help you sleep can increase your<br />

risk of falling. This is particularly true<br />

if they are combined with alcohol.<br />

Have your doctor or pharmacist<br />

review your medications at least once<br />

a year. Bring prescriptions, overthe-counter<br />

pills, vitamins, herbal<br />

supplements and any other pills with<br />

you when you do the review.<br />

Keep Active<br />

Regular physical activity can make<br />

you stronger, improve your balance<br />

and help prevent falls. Ask your<br />

doctor or health care provider about<br />

the best type of activity for you. You<br />

should try to be active for at least 30<br />

minutes most days of the week. Ideal<br />

activities include weight bearing<br />

and balance, such as walking, stair<br />

climbing and tai chi, and activities<br />

that improve flexibility and strength,<br />

such as stretching and lifting light<br />

weights.<br />

Watch Your Step<br />

Many falls occur because of<br />

slipping or tripping, especially if you<br />

are distracted or rushed. Try to make<br />

your home as safe as possible by:<br />

• Tacking down loose carpets<br />

• Using rugs with non-skid backing<br />

and/or having no slip decals or a<br />

rubber mat in your tub or shower<br />

• Keeping pathways, halls and<br />

stairways clear of clutter and well<br />

lit<br />

• Having hand rails on both sides<br />

of stairs and grab bars in your<br />

bathroom<br />

Be alert. Avoid rushing and doing<br />

too many things at once. Look out<br />

for pets. Watch out for ice, cracks<br />

and uneven surfaces while walking.<br />

Use a walking aid if you have<br />

balance problems - talk to your health<br />

care provider about which aid is right<br />

for you. Wear shoes that support your<br />

feet and help you keep your balance.<br />

In winter think of traction devices<br />

for your shoes and an ice-pick for the<br />

end of your cane.<br />

Tell Your Doctor or Health <strong>Care</strong><br />

Provider If You Have Fallen<br />

If you fall, let your doctor or health<br />

care provider know right away. They<br />

can help you figure out why you<br />

have fallen and whether you may be<br />

prone to more falls. They can check<br />

your balance, leg strength, vision,<br />

examine how you walk, and make<br />

sure your blood pressure doesn’t<br />

drop when you stand. Based on what<br />

is found they may suggest therapies<br />

that can decrease your chances of<br />

having more falls.<br />

Look After Your Health<br />

Many health problems can increase<br />

your chances of falling. Make sure<br />

you look after your general health.<br />

Don’t neglect yourself. Have your<br />

eyes checked every year as vision<br />

is important in maintaining your<br />

balance. q<br />

Cathy Harbidge is the Clinic<br />

Coordinator/Physiotherapist at the<br />

<strong>Calgary</strong> Fall Prevention Clinic.<br />

Dr. David B. Hogan is the Medical<br />

Director for the <strong>Calgary</strong> Fall<br />

Prevention Clinic.<br />

<strong>Connecting</strong> <strong>Care</strong> 21


Population Health<br />

Smoke-free Journey<br />

Tobacco Cessation Program helps patients lead a smoke-free life<br />

Smoking remains the most preventable<br />

cause of disease and premature death in<br />

Canada.<br />

More than 37,000 people die prematurely each year<br />

in Canada due to tobacco use. 1 The <strong>Calgary</strong> <strong>Foothills</strong><br />

<strong>Primary</strong> <strong>Care</strong> <strong>Network</strong> is doing its part to reduce that<br />

number. The <strong>Network</strong>’s Tobacco Cessation Program<br />

offers three free sessions that use a multi-faceted<br />

approach, combining group support, pharmaceutical<br />

access and educational material to help patients quit<br />

smoking.<br />

Since its inception, one of the program’s goals has<br />

been to change the way individuals are invited to quit.<br />

Physicians approach their patients on a regular basis,<br />

asking them if they use tobacco and if they are ready<br />

to quit. Research shows that the chance of spontaneous<br />

quit increases by 2% each time a person is approached<br />

about quitting tobacco. And with spontaneous quits<br />

of around 15% and long-term quit rates averaging<br />

between 27% – 38%, (numbers that are higher<br />

than the usual expectations), it’s needless to say the<br />

<strong>Network</strong>’s Tobacco Cessation Program is gradually<br />

achieving what it has set out to do.<br />

What distinguishes this program from others<br />

of its kind? First is the utilization of a technique<br />

called Motivational Interviewing (MI). This method<br />

recognizes that most people who are considering or<br />

facing change are usually unsure and hesitant about<br />

that change.<br />

“[MI] is about helping patients discover their own<br />

reasons and motivations to want to quit smoking,<br />

rather than telling them what to do. Then it’s using<br />

those reasons to assist them in finding their own path<br />

to a smoke-free future”, says Sue Slaght, Manager<br />

of the Tobacco Cessation program. “This approach<br />

proves to be more successful, with higher quit rates<br />

than the traditional lecture approach”.<br />

The second is the involvement of the family<br />

physician. Due to ongoing communication between the<br />

program facilitator and the patient’s family doctor, the<br />

physician becomes a part of the quitting process and<br />

support system. “Our program is different by design.<br />

The involvement of the family physician is a very<br />

unique concept. Physicians believe in our program<br />

and the patients believe in their physicians, so when<br />

the doctor suggests something, people tend to listen,”<br />

says Slaght.<br />

22 <strong>Connecting</strong> <strong>Care</strong>


Naser Khan, a former participant, accredits his<br />

achievement to the program. “The course was an eye<br />

opener for me that clearly portrayed how difficult it<br />

was to stop smoking. I learned that only 3% actually<br />

succeed in quitting smoking if they do it without any<br />

help. That was an eye opener because I thought that I<br />

was just going to quit [whenever I wanted].”<br />

Medication can also be integrated into group<br />

sessions through involvement of the family physician.<br />

After attending the program’s second of three sessions<br />

– Medications and Strategies that Work, Naser chose<br />

the nicotine inhaler to help quit smoking. “It allowed<br />

me to go through the motions as if I was smoking...and<br />

it worked for me”. The combination of group sessions<br />

and medication has been shown to significantly<br />

increase quit rates.<br />

Blaine Ruttan, another former participant who has<br />

now been smoke-free for over one year, also had great<br />

things to say about the program.<br />

“The hardest thing to do is to try to quit by yourself.<br />

The program helped me a great deal and it made<br />

me feel less alone… it was my turn to quit and this<br />

program just did a fantastic job for me… this program<br />

is just going to get better.”<br />

And better it will be. With January 2010 marking<br />

the program’s two-year anniversary, it has already<br />

grown from one small class of 12 participants to 52<br />

classes, and over 1,000 referrals. In the next year it<br />

is expected to expand even further with a growing<br />

number of classes and locations, as well as attention<br />

from Alberta Health Services and other <strong>Primary</strong> <strong>Care</strong><br />

<strong>Network</strong>s.<br />

As the program continues to grow, Sue Slaght says<br />

the feedback makes it all worthwhile. “When I run<br />

into a patient who tells me about the success they’ve<br />

had, or when a physician appreciates the availability<br />

of the program, that’s when I know we’re reaching<br />

our goals.”<br />

Referrals to the program must be made by family<br />

doctors within the <strong>Calgary</strong> <strong>Foothills</strong> PCN. For<br />

more information, talk to your doctor, or visit www.<br />

smokefreejourney.ca. q<br />

By Jag Kaur<br />

1 "Government of Canada Announces Tobacco Cessation Programs for Mount Royal University<br />

Students and Staff", Oct 23, 2009, www.hc-sc.gc.ca<br />

<strong>Connecting</strong> <strong>Care</strong> 23


Population Health<br />

TrymGym: Take Control of<br />

Your Health this Year<br />

Once again the holidays<br />

are well behind us,<br />

and so are many of our<br />

well-intended New Year’s<br />

resolutions to eat healthier<br />

or lose the holiday weight.<br />

Why do these resolutions never seem<br />

to make it past February? What’s<br />

the secret to losing weight and<br />

actually keeping it off? The answer<br />

to our post-resolution woes is a fullbody<br />

approach. Attaining long term<br />

fitness goals means re-evaluating<br />

your lifestyle and habits, from your<br />

weekly schedule, to what you eat and<br />

even how you think about yourself.<br />

This may seem daunting, but there<br />

are plenty of resources available to<br />

help you succeed this year. Consider<br />

joining TrymGym, an eight week<br />

program through the University of<br />

<strong>Calgary</strong> that focuses on the full-body<br />

approach, from achieving your goals<br />

to maintaining a healthy lifestyle<br />

throughout the year. Since 1972,<br />

TrymGym has assisted more than<br />

15,000 people reach their goals. A<br />

<strong>Calgary</strong> <strong>Foothills</strong> PCN patient called<br />

TrymGym, “a fun and educational<br />

way to learn about your body, get fit<br />

and gain confidence”. If your doctor<br />

is a member of the <strong>Calgary</strong> <strong>Foothills</strong><br />

PCN, you’ll even receive a discount<br />

when you register.<br />

TrymGym is a comprehensive<br />

program with three core components:<br />

nutrition education, behaviour change<br />

and physical activity, all of which are<br />

equally important to maintaining a<br />

healthy and balanced lifestyle. Over<br />

eight weeks, participants exercise<br />

twice a week and attend small group<br />

educational sessions that focus on<br />

24 <strong>Connecting</strong> <strong>Care</strong><br />

behaviour change and nutrition.<br />

Exercise sessions are led by personal<br />

trainers who are Kinesiologists and<br />

Certified Exercise Physiologists<br />

with advanced certification through<br />

Canadian Society for Exercise<br />

Physiology. The advantage of a<br />

personal trainer to a home exercise<br />

video is the opportunity to discuss<br />

your individual goals with a<br />

professional, modify exercises to<br />

your own skill level, and receive<br />

encouragement and feedback on your<br />

progress. Participants also meet with<br />

a registered dietitian to learn about<br />

nutrition and develop individual<br />

guidelines for healthy eating. To<br />

round out the program, participants<br />

learn to change the way they think<br />

about healthy living, and leave with<br />

the tools to make fitness and nutrition<br />

a part of their daily routine.<br />

TrymGym’s success is due to their<br />

comprehensive approach to health.<br />

Participants finish the program with<br />

knowledge about their individual<br />

health needs and the tools to modify<br />

their lifestyle to support healthier<br />

habits. If this is your year to tackle<br />

that New Year’s resolution, talk<br />

to your family doctor for more<br />

information, or to register contact<br />

TrymGym at 403-220-4374 or<br />

trymgym@ucalgary.ca.<br />

“When I started the program I<br />

was so impressed with everyone<br />

involved with TrymGym. The trainers<br />

were very knowledgeable and<br />

encouraging, and the dietitians knew<br />

everything. TrymGym has given me<br />

the confidence to try new activities<br />

and commit to being active and<br />

healthy”. – Successful TrymGym<br />

participant. q<br />

By Kathleen Kranenburg, M. Kin.


<strong>Calgary</strong> <strong>Foothills</strong> PCN Clinics<br />

After Hours <strong>Care</strong> Clinic<br />

The After Hours <strong>Care</strong> Clinic is designed to provide on-call coverage for physicians after office hours, and is available to anyone<br />

living in northwest <strong>Calgary</strong> and Cochrane.<br />

Clinic Information<br />

Contact Information<br />

If your family physician is a member of the <strong>Calgary</strong> <strong>Foothills</strong> PCN, or if you do not<br />

have a family physician but live in northwest <strong>Calgary</strong> or Cochrane, you can make<br />

an appointment with the After Hours Clinic if you have a medical emergency after<br />

regular office hours.<br />

Follow-up appointments are done with the patient’s family doctor. For patients<br />

without a family doctor, follow-up appointments take place at the <strong>Calgary</strong> <strong>Foothills</strong><br />

<strong>Primary</strong> <strong>Care</strong> Centre - Crowfoot.<br />

Available by appointment only. Call<br />

Health Link at 403.943.5465<br />

Weeknights: 5:00pm – 9:00pm<br />

Weekends & Holidays:<br />

10:00am – 4:00pm<br />

<strong>Calgary</strong> <strong>Foothills</strong> <strong>Primary</strong> <strong>Care</strong> Centre - Crowfoot<br />

The <strong>Calgary</strong> <strong>Foothills</strong> <strong>Primary</strong> <strong>Care</strong> Centre - Crowfoot is an interdisciplinary clinic designed to treat patients without a family doctor<br />

who have a chronic disease and live in northwest <strong>Calgary</strong> or Cochrane.<br />

Clinic Information<br />

Patients without a family doctor are accepted through any referral to the Centre,<br />

including self referral, emergency room, urgent care, home care, out-patient clinics,<br />

the PCN After Hours Clinic or Riley Park Maternity Clinic. The Centre also keeps<br />

a list of patients who do not have a family doctor, and will open the list as capacity<br />

allows to attach them to a doctor starting a practice. To fill out the waitlist form, go<br />

to www.cfpcn.ca and click on ‘Need a Doctor’.<br />

Contact Information<br />

<strong>Calgary</strong> <strong>Foothills</strong> <strong>Primary</strong> <strong>Care</strong> Centre<br />

- Crowfoot<br />

201, 60 Crowfoot Crescent NW<br />

403.374.0244<br />

Pain Management Clinic<br />

The Pain Management Clinic is an interdisciplinary clinic treating patients with non-complex chronic pain.<br />

Clinic Information<br />

Patients with non-complex chronic pain are referred to the Pain Management Clinic<br />

by their family doctor. Patients meet with a team of health care professionals who<br />

help them learn to manage their pain on a daily basis.<br />

Contact Information<br />

Pain Management Clinic<br />

201, 60 Crowfoot Crescent NW<br />

403.374.0244<br />

Riley Park Maternity Clinic<br />

Riley Park Maternity Clinic strives to improve links in services between PCN physicians and Alberta Health Services - <strong>Calgary</strong> for<br />

the prenatal and postnatal care of patients with or without a family doctor. The clinic is comprised of four maternity clinics working<br />

together to care for maternity patients in northwest <strong>Calgary</strong> and Cochrane.<br />

Clinic Information<br />

Patients are often referred by their family doctor. Patients without a family doctor are<br />

encouraged to self-refer to the clinic. Riley Park Maternity offers two models of care:<br />

Early Referral Model<br />

Patients are referred by their family doctor and receive care from the clinic for the<br />

entire duration of their pregnancy.<br />

Shared <strong>Care</strong> Model<br />

Patients receive care from their family doctor until 28 weeks of pregnancy, when they<br />

are then referred to Riley Park Maternity Clinic for the duration of their pregnancy.<br />

This model allows for closer involvement of the patient’s family physician.<br />

Contact Information<br />

Riley Park Maternity Clinic<br />

130, 1402 8th Avenue NW<br />

403.284.3711<br />

<strong>Connecting</strong> <strong>Care</strong> 25


<strong>Calgary</strong> <strong>Foothills</strong> PCN Programs<br />

Chronic Disease Management<br />

Chronic Disease Management provides care to patients with<br />

chronic diseases (diabetes, dyslipidemia, congestive heart failure,<br />

asthma and chronic obstructive pulmonary disease).<br />

Ask a Dietitian<br />

This group appointment allows you to meet with a registered dietitian<br />

who will address your personal nutrition questions. The<br />

appointment is free to patients of PCN member physicians. To<br />

register, call 403.284.3726<br />

Explain Pain<br />

Join this free group session to learn about the causes of pain,<br />

why pain persists, how pain affects the nervous system, and<br />

strategies to manage chronic pain.<br />

To register, call 403.374.0244<br />

In Office Multidisciplinary Teams<br />

Teams of medical professionals are being made available in<br />

physicians’ offices to assist patients living with chronic disease<br />

to optimize their health and wellbeing. Nurses, pharmacists,<br />

dietitians and respiratory therapists provide education<br />

on health management, and work with patients to achieve<br />

their health priorities.<br />

Living Well<br />

An Alberta Health Services Support Program providing education<br />

and peer led support for individuals with chronic disease or<br />

long term illnesses. <strong>Calgary</strong> <strong>Foothills</strong> PCN partners with Living<br />

Well to increase the number of available sites for courses to run<br />

in northwest <strong>Calgary</strong>. To register, call 9-HEALTH<br />

Seniors Health<br />

Provides comprehensive care to seniors and improves standards<br />

and transfer of care in long-term care facilities.<br />

Nurse Practitioner in Bethany <strong>Care</strong> Society<br />

Recently, <strong>Calgary</strong> <strong>Foothills</strong> PCN has hired a Nurse Practitioner<br />

to work in Bethany <strong>Care</strong> Society, a long-term care facility in<br />

Cochrane. The Nurse Practitioner assists the family physician<br />

to care for residents by providing direct patient care, communication<br />

and educational activities.<br />

In-Hospital <strong>Care</strong><br />

Focuses on strengthening the continuity of care between patients<br />

who have been admitted to the <strong>Foothills</strong> Hospital and<br />

their family physicians. Patients of network physicians who are<br />

admitted to the hospital may be cared for by the PCN In-Hospital<br />

<strong>Care</strong> Service. <strong>Network</strong> physicians provide medical care, and<br />

two registered nurses coordinate the communication between<br />

family practice physicians and the hospital.<br />

Population Health<br />

The Population Health Program strives to enable family physicians<br />

to effectively identify and address the health needs of their<br />

communities. Population Health focuses specifically on health<br />

promotion, prevention of injury and illness, and improvement<br />

of screening rates.<br />

Walking Program<br />

The Walking Program is a peer led program based in <strong>Calgary</strong><br />

and Cochrane to help promote healthy lifestyles and active living<br />

within a safe and social environment.<br />

<strong>Calgary</strong> Walking Program Cochrane Walking Program<br />

403.284.3726 Town of Cochrane<br />

programs@cfpcn.ca 403.851.2500<br />

TrymGym<br />

A program run through the University of <strong>Calgary</strong>, TrymGym<br />

offers group fitness classes for all individuals looking to lose<br />

weight and get fit. Participants meet with a personal trainer<br />

and dietitian to help achieve their fitness goals. Patients of<br />

member physicians receive a subsidy to offset the cost when<br />

they enroll. To register, call 403.220.4374<br />

Tobacco Cessation<br />

Patients of member physicians who are trying to quit smoking<br />

now have an opportunity to attend group Tobacco Cessation<br />

classes. The program combines educational information and<br />

information on medications to aid in quitting.<br />

Interested individuals should discuss enrollment with<br />

their family physician<br />

Mental Health<br />

Behavioural health consultants work alongside family physicians<br />

to care for patients with a wide range of mental health<br />

concerns. Behavioural health consultants have a variety of<br />

backgrounds including Nursing, Social Work, and Psychology,<br />

and are trained to help individuals address mental health and<br />

lifestyle issues affecting their health.<br />

Depression Class<br />

Learn the signs and symptoms of depression as well as available<br />

treatment options, resources and community supports.<br />

For more information call 403.284.3726, or email:<br />

programs@cfpcn.ca<br />

Stress Management Class<br />

A group class providing participants with strategies to effectively<br />

cope with stress on a daily basis.<br />

For more information call 403.284.3726, or email:<br />

programs@cfpcn.ca<br />

26 <strong>Connecting</strong> <strong>Care</strong>


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<strong>Connecting</strong> <strong>Care</strong> 27


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