Connecting Care - Calgary Foothills Primary Care Network
Connecting Care - Calgary Foothills Primary Care Network
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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Stress Management<br />
Many people who describe themselves<br />
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The help of a registered psychologist<br />
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Cardiology for the<br />
Non-Cardiologist<br />
S A V E T H E D A T E<br />
2010 Continuing Medical Education Conference<br />
September 30 to October 3, 2010<br />
Rimrock Resort Banff, AB<br />
Escape to the mountains and learn about the latest<br />
developments in cardiology at the ninth Continuing Medical<br />
Education (CME) conference, presented by<br />
Cardiology Consultants of <strong>Calgary</strong>.<br />
For more information, please contact...<br />
This event is ideal for physicians in<br />
search of a practical, comprehensive<br />
review of the latest findings in<br />
cardiovascular disease management<br />
and provides treatment strategies for<br />
both acute and chronic care issues.<br />
Hadden & Associates Inc.<br />
DEVELOPMENTAL AND ORGANIZATIONAL PSYCHOLOGY<br />
Suite 400, 1100 - 8th Avenue SW l <strong>Calgary</strong>, AB T2P 3T8<br />
tel: (403) 264-6862 l www.hadden-associates.ca<br />
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Joan MacFarlane<br />
jmacfarlane@cardiologyconsultants.ca<br />
www.cardiologyconsultants.ca<br />
Brought to you by<br />
Cardiology Consultants<br />
of <strong>Calgary</strong><br />
<strong>Connecting</strong> <strong>Care</strong> 27
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