connecting care - spring 2013

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1 your health. your team. CONNECTING Volume 5, NO. 1 2013 www.cfpcn.ca Your Medical Home Make the most of your health team Preparing for Pregnancy Start your pregnancy off on the right foot Sticking to an exercise plan Tips for staying motivated year round Take this free copy home with you!

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Page 1: Connecting Care - Spring 2013

1

your health. your team.

C o n n e C t i n g Volume 5, NO. 1 2013

www.cfpcn.ca

Your Medical HomeMake the most of your health team

Preparing for PregnancyStart your pregnancy off on the right foot

Sticking to an exercise planTips for staying motivated year round

Take this free copy

home with you!

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Any questions? See me fi rst

at

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Co

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4 Medical director’s message

5 Your medical home

6 Preparing for pregnancy

8 Diabetes myths

9 shining a light on sAD

11 Alzheimer’s: know the warning signs

12 sticking to an exercise plan

13 Walk with a Doc

14 Calgary Foothills PCn Clinics

15 Calgary Foothills PCn Programs

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Background

500, 1716 - 16th Avenue nWCalgary, AB t2M 0L7Phone: 403.284.FPCn (3726)Fax: [email protected]

Editor stephanie Baker Communications CoordinatorCalgary Foothills Primary Care network

Art Director Richart Bocxe

Publisher Jim thornton

Calgary, Alberta tel: [email protected] www.paragonpublish.com

Medical director’s message

All rights reserved ©2013. Printed in Canada. Member of the Canadian Federation of Independent Business.

Published for CFPCN by:

It is my pleasure to welcome you to our PCN magazine, Connecting Care. Primary Care Networks are changing the way family doctors relate to each other and the government, but more importantly we are enhancing the treatment programs we can offer you, our patients. The articles in this magazine are designed to highlight services available to you and your family. New initiatives are constantly being developed which will be showcased in upcoming editions of Connecting Care. Please enjoy, and feel free to take a copy home with you.

Sincerely,

Dr. Bill HallMedical DirectorCalgary Foothills Primary Care Network

Calgary Foothills Primary Care Network (PCN) is an arrangement between a group of family physicians and Alberta Health Services - Calgary to provide primary care services to patients living in north Calgary and Cochrane. Created in 2006 as part of the Primary Care Initiative of Alberta, the Calgary Foothills PCN’s mission is to enhance access and coordination of primary care for patients while improving the quality of professional life for community family physicians and allied health care professionals.

Primary Care is the care patients receive at their first point of contact with the health care system, usually provided by family physicians or allied health care providers. Patients receive care for their everyday health needs, including health promotion and prevention, diagnosis and treatment of health conditions.

Connecting Care is a PCN publication aimed at educating patients of member physicians on new programs and initiatives available to them and their family.

Connecting Care Magazine is published three times per year in January, May and september, and is made available free of charge to the 333,000+ north Calgary and Cochrane patients of 326 PCn family physicians at 86 clinics in 54 communities. the e-magazine version is available at www.cfpn.ca and by free subscription at [email protected]

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Your medical home is part of a Primary Care Network

What is primary care?Your family doctor’s office, also known as your medical home, is where you can go for day-to-day health needs such as regular check-ups, counseling and illness prevention. This basic care is called primary care.

What is a primary care network?Your family doctor and medical home belong to the Calgary Foothills Primary Care Network (PCN). In a primary care network, family doctors work with Alberta Health Services and other health departments to provide healthcare services for patients.

Calgary Foothills PCN serves patients in north Calgary and Cochrane. The other three PCNs in Calgary are Mosaic PCN (northeast Calgary), West Central PCN (downtown and

southwest communities), and South Calgary PCN (south of Anderson road). Each PCN has the ability and flexibility to develop programs and services that meet the specific needs of their member physicians and patients. Do I have access to other health professionals through the primary care network?Ninety-nine per cent of family doctors who belong to the Calgary Foothills PCN work with a variety of health professionals such as diabetes educators, health management nurses, clinical pharmacists, registered dietitians, behavioural health consultants, and certified respiratory educators. As part of your medical home, these health professionals work alongside your family doctor to help you manage

your health, free of charge. Talk to your family doctor or clinic staff to find out which team members are available to you.

What other programs do I have access to?You can also benefit from a number of different Calgary Foothills PCN programs. For example, our After Hours Clinic provides evening and weekend medical care for Calgary Foothills PCN patients. You can also access a variety of health promotion and education programs including the Walking, Tobacco Cessation and Ask a Dietitian programs.

For more information on these resources, visit www.cfpcn.ca or turn to page 14. For more information on primary care networks in Alberta, visit www.albertapci.ca. q

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Preparing for pregnancy

Planning for a new baby is an exciting time for parents-to-be. Picking names, decorating the

nursery, and buying baby items are all part of the fun. However, even before a pregnancy develops, there are steps that should be taken to make sure your pregnancy starts on the right foot. Connecting Care has several health tips for women who are thinking about becoming pregnant.

See your doctor Discuss your plans to get pregnant with your family doctor. Your doctor can help you understand your fertility cycles, and will ensure there are no issues that could complicate pregnancy. Making sure you’re healthy, verifying that your vaccinations are up to date, reviewing your medicines, and managing chronic conditions are important steps to take before conceiving.

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You could be featured in Connecting Care

• After Hours Clinic

• Pain Management Clinic

• Tobacco Cessation class

• Ask a Dietitian class

• Walking program

• Need a Doctor website

Have you had a positive experience with your family doctor or health team?

Have you accessed one or more of the following services?

We’d like to hear from you.

Contact us at:[email protected]

403-284-3726 ext 223

Read Connecting Care Magazine on your iPad, smartphone, laptop or home computer! Keep vital heath care contact information handy.

Send an email titled “Connecting Care Subscription” to [email protected]

You will receive each new electronic issue of Connecting Care with exactly

the same content as the hardcopy version.

Free Online Connecting Care

Subscription

Make lifestyle changesIf you aren’t already doing so, start taking a prenatal vitamin and make sure you are getting at least 0.4 mg of folic acid every day. Folic acid is very important in the beginning stages of a pregnancy because it helps prevent neural tube defects.

In addition to taking prenatal vitamins, it’s important to eat healthy meals and stay in shape. Being fit and keeping yourself at an ideal weight can make pregnancy less strenuous on your body and easier to get back in shape after your baby is born. A healthy exercise program includes 30 minutes or more of moderate exercise (such as walking, cycling or weight training) at least four days a week. If you have not been active lately, ease into a physical activity routine by starting with something safe and easy, like a short walk at a moderate pace, and then gradually increase your activity level.

You can also improve your chances of a healthy pregnancy by removing smoking and alcohol from your lifestyle. Many women don’t realize they are pregnant until several weeks into their pregnancy, so it is wise to stop smoking and drink-ing before you try to conceive. Too much caffeine is also not healthy during pregnancy, so try to limit your caffeine intake to about one mug of regular brewed coffee a day.

Prepare mentally and emotionally Preparing for a pregnancy and a new baby isn’t just about physical changes. The challenges and stresses involved with pregnancy and a newborn can take a toll on your mental health and relationships. Talking about your worries, frustrations, and feelings with your partner and other loved ones can help you cope emotionally. Dr. Bhatla, a physician at Riley Park Maternity Clinic, advises mothers-to-be who are taking medication for depression and other mental illnesses not to stop their medication without first seeking advice from a family physician. “Depression relapse can lead to serious illnesses,” explains Dr. Bhatla. “Your physician can advise you based on the risks of taking or stopping medication during a pregnancy.” Dr. Bhatla also has wise words for everyone who wants to start a family. “It’s very important to be kind to yourself, and to acknowledge that there is no such thing as perfect parenting.” If you are feeling overwhelmed, make sure you ask for help. Your doctor or another health care provider in your medical home can provide support.

Riley Park Maternity Clinic can care for you and your baby during and after your pregnancy. Ask your doctor about a referral to the clinic. If you do not have a family doctor, you can self-refer to the clinic by calling 403-284-3711. Turn to page 14 or visit www.rileyparkmaternityclinic.ca for more information. q

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Diabetes mythsNinety per cent of Canadians with diabetes have type

2 diabetes. This form of diabetes occurs when the pancreas does not produce enough insulin to regulate blood glucose levels, or the body doesn’t use the insulin effectively. Connecting Care sat down with Jocelyne Duerksen, a diabetes educator and health management nurse with the Calgary Foothills PCN, to talk about some common misconceptions about type 2 diabetes.

Myth 1: Eating too much sugar causes diabetesTruth: Type 2 diabetes is a genetic disease, but a high fat, low fibre diet with many refined carbohydrates (sugar) and a lack of exercise leading to weight gain can also contribute to developing diabetes.

Myth 2: Only adults get type 2 diabetesTruth: Type 2 diabetes used to be referred to as ‘adult-onset’ diabetes. However, it is becoming increasingly common amongst children and adolescents, likely due to poor diet and inactive lifestyles. The best way to prevent diabetes in children is to encourage them to eat a healthy diet and be physically active.

Myth 3: Having diabetes means I can’t eat any sugary foodsTruth: People with diabetes should follow Canada’s Food Guide and eat a healthy diet, just like everyone else. If your blood glucose is well managed, up to 10 per cent of your daily calories can be from added sugars. A Calgary Foothills PCN dietitian or another health team member can help you learn how to fit sugar into your diet safely.

Myth 4: People can have ‘mild’ or ‘borderline diabetes’Truth: There is no such thing as having a ‘touch of diabetes.’ You either have diabetes or you don’t. To confirm whether you have diabetes, any of the following tests must be done:

• Fasting blood sugar level — diabetes is diagnosed if it is over seven millimoles per liter (mmol/L)*

• Random blood glucose test — diabetes is diagnosed if the glucose reading is over 11.1 mmol/L*

• Hemoglobin A1C test — diabetes is diagnosed if the reading is 6.5 per cent or higher*

* In order to confirm diagnosis, any one of the above tests will be completed a second time on a separate day from the first test.

Pre-diabetes refers to blood glucose levels that are higher than normal, but not yet high enough to be considered

as type 2. People with pre-diabetes — according to the Canadian Diabetes Association — can delay or prevent type 2 diabetes through healthy lifestyle changes including losing weight, eating a healthy diet and taking medications.

Myth 5: If a person needs insulin, then their diabetes must be seriousTruth: For some people, maintaining a good diet and exercising regularly isn’t enough to keep blood glucose under control. If you and your doctor decide that insulin is necessary, it doesn’t mean you’ve failed. Insulin is an effective tool that will help manage diabetes.

Myth 6: People with diabetes will go blind, need an amputation or require kidney dialysisTruth: Unfortunately, some people do experience these complications. However, in many cases, complications can be avoided by maintaining your blood glucose as instructed by your health care provider, leading a healthy lifestyle and getting regular medical checkups. The health team in your medical home can help you to manage all aspects of your health and avoid complications associated with diabetes.

Diabetes is not curable, so it is important to take control of your health while you can – before diabetes develops. However, if you have diabetes, you can still have a long, enjoyable life by managing your insulin effectively. If you would like to be tested for diabetes or need help managing your diabetes, talk to your family doctor or another health team member in your medical home. q

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Shining a light on Seasonal Affective Disorder

Winter in Calgary can sometimes leave us feeling a bit dreary. The short daylight hours can affect

our mood and tempt us to retreat into the coziness of our homes with a good book or board game. However, people with a mental health condition called Seasonal Affective Disorder (SAD) are impacted far beyond the regular winter blahs.

People who have SAD experience symptoms of depression during the winter season. The shorter daylight hours in the winter months prevent the brain from regulating hormones such as melatonin and serotonin. Too much or too little of these hormones disrupt our normal circadian rhythm (the ‘internal clock’ that guides our sleep, waking and general day-to-day activities). In turn, this causes depression symptoms that interfere with our ability to function normally and keep up with everyday life, work and relationships. The Canadian Mental Health Association estimates that one to three per cent of the population has SAD. Up to another 15 per cent have a milder form of SAD, but are able to manage without medication or therapy.

Despite the similarities to other types of depression, the distinguishing feature of SAD is the time of year that a person feels depressed. For instance, if someone experiences the same depressive symptoms for two consecutive winters (starting in the fall or early winter and improving in the springtime) without any other cause or explanation, they may have SAD. Other depression symptoms associated with SAD can include:

• decreased mood• change (usually an increase) in appetite and craving carbs• weight gain• fatigue• oversleeping• irritability• social withdrawal• lack of enjoyment in normally pleasurable activities• anxiety and hopelessness

Dr. Jablonski, a family physician with the Calgary Foothills PCN and advocate of SAD awareness, suggests that a combination of different therapies is best for successfully managing SAD. SAD LAMP is an easy-to-remember acronym that stands for the various types of therapies.

S Schedule and start therapies before winter arrives.AD Anti-Depressant medication for moderate to

severe depression.L Light therapy — 30 minutes of exposure, in the

early morning, from a light therapy box. A light therapy box produces artificial light that works to alleviate SAD symptoms.

Lifestyle changes such as eating well, exercising regularly and participating in enjoyable activities can also help.

AM Alternative Medication such as Vitamin D and Omega-3 oil, which is especially important for people living in northern latitudes.

P Psychologist or behavioural health consultant who can provide cognitive behavioural therapy or professional “talk therapy” meetings.

If you think you are experiencing any symptoms of depression, it is important to talk to your family doctor. Many Calgary Foothills PCN clinics have a behavioural health consultant (BHC) who is available to discuss your mental health and provide support. For more information about resources available to you, talk to your family doctor or visit www.cfpcn.ca. q

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Alzheimer’s disease, or related dementia, affects

over 700,000 Canadians – and statisticians predict this number will double within the next 20 years. The current annual costs for Alzheimer’s-related care is $33 billion, but the Alzheimer Society of Canada expects this number will increase to $293 billion by the year 2040. It’s important for people to understand what Alzheimer’s disease is, how to recognize it, and when to seek medical help.

Alzheimer’s is not a normal aspect of aging. It is a disease that gradually deteriorates the brain, affecting people’s memory, personality, mood and ability to function. There is no cure, but researchers are trying to determine what causes Alzheimer’s disease and how its degenerative effects can be slowed down.

Although the exact cause of Alzheim-er’s has not been identified, there are associated risk factors. The most im-portant risk factor is age – the older a person is, the more likely they are to develop Alzheimer’s. Genetics are an-other risk factor, as there are specific genes associated with inherited forms of Alzheimer’s. However, simply ag-ing or having specific genes does not guarantee a person will develop the disease. More risk factors are current-

Alzheimer’s: know the warning signsly being researched, including alcohol and tobacco use, diet, exercise and general environmental factors.

The Alzheimer Society has outlined 10 warning signs to look for:

1. Memory loss that affects day-to-day functioning

2. Difficulty performing simple, everyday tasks

3. Language and communication problems

4. Disorientation — not knowing the time and place

5. Poor judgement 6. Difficulties with abstract

thinking 7. Misplacing things 8. Changes in mood and behaviour 9. Changes in personality10. Loss of initiative Calgary Foothills PCN’s Navigation Team visits at-risk patients in their homes to assess how they are functioning and if Alzheimer’s or other forms of dementia are present. Jenny Hiebert, a registered nurse with the Navigation Team, says that family and close friends are usually the first to notice there may be a problem. “The patient’s family generally knows best what is normal and what’s unusual when it comes to their relatives’ every day behaviours,” says Hiebert. “If possible, we try to get permission to

talk to someone close to the patient to see if there are any changes they’ve noticed.”

Since some people who are experi-encing symptoms of Alzheimer’s may feel ashamed, it’s important for fam-ily and friends to keep a keen eye on their behaviour. “In a lot of cases, the person is trying to hide the fact that they are deteriorating, or one spouse will cover for the other,” Hiebert ex-plains. “This is unfortunate because the earlier we can intervene and get them support, the easier it will be for them to function.”

The Navigation Team can help people who are diagnosed with Alzheimer’s access support. They can also con-nect patients to community programs and resources that can assist them in dealing and living with the disease. Hiebert says there are a number of support services available in Calgary for people with Alzheimer’s and for their caregivers. “The Family Care-giver Centre is a resource we con-sistently direct people to. They can provide the education and emotional support to help cope with dementia.”

If you think you or a family member may benefit from a home assessment visit from the Navigation Team, talk to your family doctor or another mem-ber of your clinic’s health team.q

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Sticking to an exercise plan

For some of us, the primary barrier to a healthy lifestyle is

starting and maintaining a fitness routine. Unfortunately, this means we lose out on health benefits such as prevention of high blood pressure and diabetes. Exercise also benefits our mental health by helping us cope with stress, depression and anxiety. To reap these health benefits, here are several tips to help you find the motivation to start and keep exercising.

Setting SMART goals for an exercise plan Starting a fitness routine can seem a little daunting, especially if your overall goal is ambitious. But you can make it more motivating and less daunting if you use SMART goals — a free goal setting and tracking tool. SMART goals divide your overall ob-jective into smaller, easier parts. They are also more specific than normal goals. Here is an example:

Normal goal: My goal is to lose weight.

SMART goal: My goal is to lose 10 pounds by May 15, 2013. I will run for 30 minutes on the treadmill three times a week (Mondays, Wednesdays and Fridays).

For more information on SMART goals or to access the tool yourself, go to www.101-smart-goals.com. Your health team can also help you set these goals.

Finding the motivation to start exercisingIt’s helpful to find your motivation by thinking about why you want to exercise, and what exercises you find enjoyable. Or you can combine an enjoyable activity with exercise. For

example, you could run on a treadmill while watching your favorite show, or listen to music while jogging. Either way, adding an enjoyable element to a fitness routine will motivate you.

Continuing an exercise plan over the long-termSome people stop exercising once they reach their main goal. For example, say your motivation for exercising was to lose weight for your wedding. But once the wedding is over, that motivation disappears. To prevent this, and to make sure your hard work doesn’t go to waste, it’s important to change your motivation as you achieve your goals.

Celebrating your AchievementsHowever, try not to focus so intently on achieving your goals that you forget to reward yourself. By celebrating your achievements, you allow yourself to acknowledge that your hard efforts are paying off. When planning your goals, think about how you want to celebrate when you achieve them, such as buying new clothes or going to the theatre.

For more information about how you can benefit from exercise, talk to your family doctor. If you would like to learn about physical activity sessions or other health education programs, visit www.cfpcn.ca q

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New Walk with a Doc program gains momentumCalgary Foothills PCN is

introducing a new program called Walk with a Doc to encourage people to be more physically active. The program, while new in Calgary, began as the brainchild of Dr. David Sabgir, a cardiologist in Delaware who had spent years encouraging his patients to be more physically active.

When he didn’t see the changes he was hoping for, he decided to set an example and “walk the walk.” Dr. Sabgir told every patient he saw that he would be at a local park the following weekend if they wished to join him for a walk. That weekend he arrived expecting a handful of patients at most, but he was shocked when over 100 people turned up. That day, he realized he had stumbled upon a great opportunity. Since the program’s inception, it has gained momentum with walk sites across several US states and into Canada.

Now, Calgary Foothills PCN is introducing the program here in Calgary. Approximately twice a month, participants can walk with a Calgary Foothills PCN physician at a scheduled time and place. Each walking session features a brief talk from the guest physician on a relevant health topic, and participants have an opportunity to talk one-on-one with the physician throughout the walk.

“Walk with a Doc offers a supportive, social environment where you can make new friends, learn something relevant to your health, and have fun while being active,” says Sandi Gowriluk, program coordinator for Walk with a Doc. “The program provides a unique opportunity to

speak candidly with a physician in an informal, casual setting.”

Call 403-284-3726 for information on upcoming Walk with a Doc

Book an appointment with your Co-op Pharmacist today!

Medication ReviewsBook a Medication Review if you:

• are on several chronic medications.

• have recently had changes to your medications.

• are planning to be admitted or have been recently discharged from the hospital.

• have transferred your prescriptions to a new pharmacy.

• have questions, concerns or difficulties with your medications.

A Medication Review will help you:

• understand the medications you are taking and why.

• ensure you are taking your medications as prescribed.

• identify and solve any medication-related problems.

• create a best personal medication record that can be shared with any healthcare provider.

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sessions or visit www.cfpcn.ca. Calgary Foothills PCN also has a regular Walking Program with indoor and outdoor locations. Turn to page 15 for more information. q

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Calgary Foothills PCN Clinics

Clinic Information

If your family physician is a member of the Calgary Foothills PCN, or if you do not have a family physician but live in north Calgary or Cochrane, you can make an appointment with the After Hours Clinic if you have a medical emergency after regular office hours. Follow-up appointments are done with the patient’s family doctor. For patients without a family doctor, follow-up appointments take place at the Crowfoot Primary Care Centre.

Contact Information

Available by appointment only. Call HealthLink Alberta at 403.943.5465

Weeknights: 5:00 p.m. – 9:00 p.m.Weekends & Holidays: 10:00 a.m. – 4:00 p.m.

After Hours Care ClinicThe After Hours Care Clinic is designed to provide on-call coverage for physicians after office hours, and is available to anyone living in north Calgary or Cochrane.

Clinic Information

Patients without a family doctor are accepted through a referral to the Centre, including self referral, emergency room, urgent care, home care, out-patient clinics, the PCN After Hours Clinic or Riley Park Maternity Clinic. The clinic also links patients who do not have a family doctor with a doctor starting a new practice. If you don’t have a family doctor, register online at www.needadoctorcalgaryandarea.ca or call Health Link Alberta at 403.943.5465.

Contact Information

Crowfoot Primary Care Centre201, 60 Crowfoot Crescent NW403.374.0244

Crowfoot Primary Care CentreThe Crowfoot Primary Care Centre is an interdisciplinary clinic designed to treat patients without a family doctor who have a chronic disease and live in north Calgary or Cochrane.

Clinic Information

Patients with non-complex chronic pain are referred to the Pain Management Clinic by their family doctor. Patients meet with a team of health care professionals who help them learn to manage their pain on a daily basis.

Contact Information

Pain Management Clinic201, 60 Crowfoot Crescent NW403.374.0244

Pain Management ClinicThe Pain Management Clinic is an interdisciplinary clinic treating patients with non-complex chronic pain.

Clinic Information

Patients are often referred by their family doctor. Patients without a family doctor are encouraged to self-refer to the clinic.

Contact Information

Riley Park Maternity Clinic130, 1402 8 Avenue NW403.284.3711

Riley Park Maternity ClinicRiley Park Maternity Clinic strives to improve links in services between PCN physicians and Alberta Health Services - Calgary for the prenatal and postnatal care of patients with or without a family doctor. The clinic is comprised of four maternity clinics working together to care for maternity patients who will deliver at Foothills Medical Centre.

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Calgary Foothills PCN Programs

Population Health

The Population Health program enables family physicians to effective-ly identify and address the health needs of their communities. Popu-lation Health focuses specifically on health promotion, prevention of injury and illness, and improvement of screening rates.

Ask a DietitianThis group appointment allows you to meet with a registered dietitian who will address your personal nutrition questions. The appointment is free to patients of PCN member physicians. To register, call 403.284.3726

Chronic Disease Management

Chronic Disease Management provides care to patients with chronic diseases (diabetes, dyslipidemia, congestive heart failure, asthma and chronic obstructive pulmonary disease).

Health Teams Health teams are groups of health professionals who work with you and your family doctor to manage your health. Each team is unique and may include any combination of professionals such as health manage-ment nurses, pharmacists, behavioural health consultants, respiratory educators, dietitians, diabetes educators and others. For more informa-tion about your team, talk to your family doctor.

Living WellAn Alberta Health Services support program providing education and peer led support for individuals with chronic disease or long term ill-nesses. Calgary Foothills PCN partners with Living Well to increase the number of available sites for courses to run in north Calgary. To register, call 9-HEALTH

Seniors Health

Provides comprehensive care to seniors and improves standards and transfer of care in long-term care facilities.

Nurse Practitioner in Bethany Care SocietyCalgary Foothills PCN has a nurse practitioner working in Bethany Care Society, a long-term care facility in Cochrane. The nurse practitioner assists the family physician to care for residents by providing direct patient care, communication and educational activities.

Navigation TeamThe Navigation team is comprised of health professionals whose goal is to support PCN physicians in caring for frail patients with complex health care needs. The team provides assessments and resources for patients with dementia, cognitive impairment, risk of falling and those coping with life transitions. Patients access the team through referral from their family physician.

Mental Health

Behavioural health consultants have a variety of backgrounds includ-ing nursing, social work and psychology; in addition, they are trained to help individuals address mental health and lifestyle issues affecting their health.

Addictions Support GroupA free and anonymous open support group for anyone dealing with addiction. No registration is required – simply drop by. Dates: Second Wednesday of each monthTime: 7:00 p.m. to 9:00 p.m.Location: Suite 130 – 1402 8 Avenue NWFor more information, call 403.284.3726

Walking ProgramPeer led programs based in Calgary and Cochrane to promote healthy lifestyles and active living within a safe and social environment.

Calgary Walking ProgramCalgary participants walk during weekday mornings in North Hill Mall year round, and in Confederation Park during summer months. New: Walk with a Doc promotes regular physical activity by offering group walks with a family doctor. Call 403.284.3726 for more information or to register Cochrane Walking ProgramCochrane participants walk on Monday, Wednesday and Friday mornings at Mitford park year round. Contact the Town of Cochrane at 403.851.2534 to register

TrymGymA program run through the University of Calgary, TrymGym offers an opportunity for participants to meet with a personal trainer and dietitian to help achieve their fitness goals. Patients of member physicians receive a subsidy to offset the cost when they enrol. To register, call 403.220.4374

Tobacco CessationThe program combines educational information and information on medications to aid in quitting. Group sessions consist of four classes, one week apart. Classes now available in Cantonese.Interested individuals should discuss enrollment with their family physician.

Need-a-Doctor WebsiteThe Need-a-Doctor website is available for people living in Calgary and surrounding area who do not have a family doctor. Registrants will be contacted when a doctor becomes available. To fill out the form, go to www.needadoctorcalgaryandarea.ca or call Health Link Alberta at 403.943.5465

Population Health (continued)

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