Programs & Services

Learn more about our group offerings and services available to individual patients

Please note that the Upper Grand Family Health Team is not an urgent care service. Although we strive to limit wait times for our services, we are not a substitute for acute or emergency care.

Please call 9-1-1 or visit your local Emergency Department or Urgent Care Clinic in the event of an emergency.

For more information about other services available to you in our community please visit the Government of Ontario’s Health Care Options website.

INDIVIDUAL CONSULTATIONS & SERVICES

Congestive Heart Failure

It is estimated that there are about 500,000 Canadians living with heart failure.

Heart failure is a common condition that develops after the heart becomes weakened. The heart is not able to pump blood as well as it should to supply needed oxygen and nutrients to the body. The weakened pumping action can cause a back-up of fluid (congestion) in the lungs and other parts of the body, leading to what is otherwise known as congestive heart failure (CHF).

Heart failure does not happen overnight – it is a progressive disease. Patients with early stage heart failure can receive treatment and make lifestyle changes that will slow the progression of the disease. With changes, patients may be able to eliminate some symptoms and improve the quality and length of their lives.

Meet with our Registered Nurse to learn what CHF means, what the causes are and ways to manage your condition at home.

Services
Services include ongoing care, consultation and education/counseling to heart failure clients and those at high risk for heart failure.

  • Initial assessment and ongoing evaluation/treatment of condition
  • Optimization of heart failure care including medication use and dose adjustments
  • Assistance with managing medication and therapies for heart failure treatment
  • Ongoing individualized patient and family education about the disease process, diet, lifestyle, self-monitoring, and self-assessment
  • Health teaching is emphasized to enable patients to gain confidence and learn skills to effectively self- manage heart failure
  • Assist patients to make healthy lifestyle choices to improve quality of life
  • Assist patients to learn how to carefully monitor weight and symptoms
  • Ongoing support through follow-up visits
  • Advanced care Planning
  • Improved coordination of care

A referral from your physician or health care provider is required.

Chronic Pain

Chronic Pain Assessments are offered upon referral from your primary care provider (Physician, Nurse Practitioner or Physician Assistant) to any patient wishing to understand more about their chronic pain and how to best manage it. Assessments are done by a multidisciplinary team with a focus on education of the neurophysiology of pain, self-management strategies, and recommendations for medication optimization when appropriate.
Assessments generally require a single visit that last about 1 hour.  The information and recommendations are sent to your primary care provider in a consult letter.

To Register or for more information call: 519.843.3947 ext 126

 

Diabetes

Diabetes consultations are designed to support ‘at risk’ patients for Diabetes and those who have stable Type II Diabetes. Initial assessment may be completed by the Nurse Specialist and the Dietitians.

Group classes (see programs) provide education on:

  • the risk of developing diabetes
  • symptom identification and management
  • healthy lifestyle screening

Coaching including:

  • stress management
  • blood pressure management
  • foot and eye screening
  • diet and activity

One on One education and follow up can also be arranged as necessary.

A referral from your family physician or health care provider is required.

In Home Outreach

We know that there are many factors in your life that can affect your health. When people have support, they live healthier lives. The Rural Wellington Community Team understands that it is hard to reach out and find the resources you need, when you need them. We work in the community with other Rural Health Teams to connect you to community agencies to help you navigate social programs, and support you when family or friends can’t help. The Outreach Worker is available to help with those connections. Care Coordinators with the Canadian Mental Health Association and Community Care Access Centre are also on the Rural Wellington Community Team and work together with the Outreach Worker to support you with the services they provide. The Outreach Worker will provide individual assistance to those who are recently discharged from hospital, homeless or poorly housed, lack health insurance coverage, have multiple chronic medical and mental health conditions, are unemployed or have other issues which may impact their ability to manage their health conditions.

A referral from your family physician or health care provider is required.

Mental Health

Services provided by the mental health counsellors are aimed at mild to moderate mental health issues including:

  • comprehensive individual mental health assessment;
  • Mental Health treatment and follow-up as determined in consultation with you and your primary care practitioner;
  • liaison with the broader mental health system to ensure continuity of care for patients requiring more intensive intervention;
  • onsite assessment and consultation by a psychiatrist as requested by the physician and mental health counsellor

A referral from your physician or health care provider is required.

Medication Management

The Clinical Pharmacist complements your local community pharmacist or hospital pharmacist by working directly with your family physician, physician assistant or nurse practitioner.
Specific services may include, but are not limited to:

  • consultation with physicians regarding complex medication therapy for patients;
  • assistance with processes related to management and processing of prescription renewals and new prescriptions;
  • providing continuity of care with patients on discharge from the hospital and ongoing liaison with the hospital pharmacist, liaison with the community pharmacist; and assistance with management of discontinued medications.

A referral from your physician or health care provider is required.

Nutrition

Registered Dietitians provide Dietary and Nutrition services.
Individual appointments are available to the clients of the Family Health Team’s collaborating physicians; a referral from your physician or health care provider is required. Individual treatments or education programs can be offered according to need.
Examples of patient situations suitable for referral are:

  • Poor nutrition during pregnancy and related weight changes
  • Gastro Intestinal problems such as Celiac, Crohn’s, Colitis, Irritable Bowel Syndrome and Diverticulitis
  • Dyslipidemia
  • Food hypersensitivity
  • Cancer
  • Protein calorie malnutrition
  • Hypoglycemia and other conditions suitable for treatment through diet
Occupational Therapy

The Occupational Therapist conducts assessment for varying assistive devices and applicable funding available for patients that do not meet criteria for CCAC including:

  • home safety and falls assessments and prevention
  • ergonomic and/or functional assessments for return to work and/or school accommodations
  • developmental screening for infants and children (school readiness, concentration skills) and consultation on childhood disorders

A referral from your family physician or health care provider is required.

Palliative & Supportive Care

Palliative and Supportive care services are for those with a life threatening or palliative diagnosis.
This program strives to ensure that patients have access to appropriate and timely services in a seamless manner.
They can provide help with pain and symptom control, accessing resources and financial help, counseling, as well as grief and bereavement support. The goal of these services is to decrease the number of emergency department visits for palliative patients related to a health care crisis or pain control, and increase the number of deaths at home for those palliative patients who choose to die at home. Palliative and supportive care seeks to enhance communication and collaboration among “end of life” agencies and providers through patients’ disease progression.

A referral from your physician or health care provider is required.

Seniors Care

The goal of this service is to help seniors enjoy an enhanced quality of life and to promote independence as well as to provide education in:

  • falls prevention
  • gentle exercise
  • healthy eating
  • medication management
  • supporting a positive outlook on life
  • specialized equipment
  • other available services

Education is achieved through an individual nurse assessment and recommendation. After the assessment, referrals to other programs such as the Memory Clinic, Geriatrician, or Psycho-geriatric Clinic may occur.

A referral from your family physician or health care provider is required.

Please see the links below for further resources.

Falls Prevention Education Series

VON SMART Exercise Program

Centre Wellington Community Guide

Social Work

The Social Worker can provide services through one on one counseling. The Social Worker works with patients and their families in need of psychosocial help. An assessment is made and interventions suggested which may include connecting patients and families to necessary resources and supports in the community; providing psychotherapy, supportive counseling, or helping a patient to expand and strengthen their network of social supports.
Social Workers are concerned with the interactions between people and the institutions of society that affect the ability of people to accomplish life tasks, realize aspirations and values, and alleviate distress.

Three major purposes of social work are:

  • to enhance the problem-solving, coping and developmental capacities of people
  • to promote the effective and humane operation of the systems that provide people with resource and services
  • to link people with systems that provide them with resources, services, and opportunities.

A referral from your family physician or health care provider is required.

CLINICS & GROUP PROGRAMS

CHRONIC DISEASE MANAGEMENT

Chronic pain assessments are offered upon referral of your primary care provider (physician, nurse practitioner or physician assistant) to any patient wishing to understand more about their chronic pain and how to best manage it. Assessments are done by a multidisciplinary team with a focus on education of the neurophysiology of pain, self-management strategies and recommendations for medication optimization when appropriate.
Assessments generally require a single visit that last about one hour.

Arthritis Clinic

Offered by the Arthritis Society
A personal consultation with a specialist trained in physio and occupational therapy to provide ideas, training and advice in techniques for managing arthritis.
Referrals are welcomed from family physicians, rheumatologists, health care practitioners and arthritis sufferers themselves.
Occasional Arthritis management education events will also be offered on topics of:
Rheumatoid Arthritis, Osteoarthritis, Fibromyalgia, and Arthritis of the Neck & Spine
Duration: Tuesdays by appointment @ Tower St, Fergus
Register by: Contacting the Arthritis Society of Waterloo Wellington (519-743-4141 ext 1101)

Back Care Education

A 3 hour interactive education program which is designed to assist people living with back pain.
Duration: 3 hour workshop
“REGISTER HERE”  – Online Registration Coming Soon – please call 519-843-3947 ext 116 until further notice

Fibromyalgia Workshop (via OTN)

The aim of this program is to educate those diagnosed with fibromyalgia about the disease, pain management, medications, and the role of stress in the disease and the importance of exercise to maintain an independent lifestyle.
Duration: 8 consecutive Fridays from 1 pm – 3 pm
Course Fee is $35 and includes the cost of a workbook.
“REGISTER HERE”  – Online Registration Coming Soon – please call 519-843-3947 ext 116 until further notice

Osteoporosis Workshop (via OTN)

Full day workshop presented by a team of health professionals to help patients understand osteoporosis by gaining information on the nature of this disease.
The session is designed to:

  • Help patients understand osteoporosis by gaining information on the nature of the disease;
  • educate patients to understand bone health and prevent fractures;
  • discuss various medications, vitamins and minerals used to treat osteoporosis;
  • help to incorporate exercise to improve bone health; and
  • teach about healthy eating and how it relates to osteoporosis

This Program is currently unavailable.

Take Charge

This workshop teaches skills for living a healthy life for people with any chronic or ongoing health condition such as diabetes, heart disease, anxiety, pain, stroke, arthritis, or depression to better manage their symptoms.
Meet other people who share similar challenges and find new ways to deal with those challenges.
Topics include healthy eating, exercise, dealing with pain and fatigue, managing medications and making treatment decisions with your health practitioner, etc.
Duration: 2.5 hour sessions for 6 weeks located in various different locations
To Register Please Call 1-866-337-3318 or by email selfmanagement@langs.org

DIABETES

This program is designed to support at risk patients and those who have stable Type 2 Diabetes. Initial assessment may be completed by the Nurse Specialist and the Dietitians.

Diabetes Peer Support and Education Group

Meet others in an informal, fun and positive atmosphere.  Share your own insights about living with diabetes and learn from others too.
The Diabetes Peer Support & Education Group meets every 3rd Wednesday of the month from 4:00pm to 5:00pm at 143 Metcalfe Street, Elora. (3rd floor – enter from Geddes Street side of the building)

A Certified Diabetes Educator will be there to answer your questions.

Drop-In – no referral needed!

 

Introduction to Diabetes

Learn how to improve your blood sugar levels through nutrition therapy and appropriate activities that have been shown to decrease the progression of diabetes and reduce complications. Education is provided on the risks of developing diabetes, symptom identification and management, healthy lifestyle screening and coaching including stress management, blood pressure management, foot and eye screening, diet and activity.
The program is part of the Centre and North Wellington Diabetes Network and is co-facilitated by Certified Diabetes Educators from the Upper Grand Family Health Team and the Diabetes Education Centre at Groves Memorial Hospital. Sessions for 2 hours either at Groves Hospital or the Upper Grand Family Health Team.
Duration: 2 hours @ Groves or UGFHT offices
Availability:
REGISTRATION: Must be referred by Physician or Healthcare Provider

HEALTHY LIFESTYLES

Various wellness programs are provided through an interdisciplinary team approach.

Healthy You Lifestyles Balance

The focus is on lifestyle changes to help you reach and maintain a healthy body weight and prevent associated chronic diseases. The program is led by dietitians with an introduction to nutrition basics, including understanding calories and where they come from; difference in carbohydrates, fats and proteins and how to manage their intake; making healthy choices; managing eating out; understanding your daily calorie and fat intake targets in addition to many other topics. There are several sessions on healthy activity and how to manage barriers to increasing your activity taught by a Kinesiologist.
DURATION: 12 Week 1 1/2 hour sessions, Thursday evenings in Elora
“REGISTER HERE” – Online Registration coming soon – Please call 519-843-3947 ext 105, 109 or 107 to register

Let’s Get Cooking

Learn to eat for optimal health. Nutritional information and recipes to manage blood pressure, cholesterol, diabetes or weight. Series of classes on various topics – attend one or all three classes.
These sessions are designed to help you adopt food choices to help improve your health. The focus is on learning how to use more whole grains, less salt, and increase use of beans, lentils and vegetables in an economical manner.
Duration: Fourth Tuesday of the month from April to December from 4 pm – 6 pm @ Legion in Elora (110 Metcalfe St, Elora)
“REGISTER HERE” – Online Registration Coming Soon – please call 519-843-3947 ext 126 until further notice

Craving Change

This is a 5 week program to help you understand and overcome emotional eating and gain behavioural strategies to manage problematic eating.
Participants come to this class with a clear understanding of what healthy eating looks like but are struggling with problematic eating that feels “out of control.”
You may have repeatedly lost and regained weight over the years, tried various weight loss regimes, may or may not be considering bariatric surgery or may have had weight loss surgery and are beginning to struggle again.
Duration: 4 weeks from 5:30 pm – 7:00 pm in Elora (depending on enrollment
Cost: $7.00 (one time fee)
“REGISTER HERE”  – Online Registration Coming Soon – please call 519-843-3947 ext 107

HEART HEALTH

Programs and Groups designed to meet the ongoing needs of patients with advanced congestive heart failure and based on the St. Mary’s congestive heart failure clinic.

Heart Smart Cholesterol Class

Learn healthy lifestyle habits to lower your cholesterol. Meet in a group setting with one of our registered dietitians.
Duration: Once per month, from 9:30 am – 11:30 am or 4 pm – 6 pm
“REGISTER HERE”  – Online Registration Coming Soon – please call 519-843-3947 ext 109 until further notice

LUNG HEALTH

Programs and groups to assist with lung health.

Pulmonary Rehab

An 8-week exercise program combined with 4 weeks of education to help individuals with lung disease better manage their symptoms.

Location: Groves Memorial Hospital

Tuesday and Thursday 1:30 to 4:00 p.m.

Respirologist Air Way

The Air Way Clinic is in partnership with the St. Mary’s Hospital Respirologists. The service is provided via telemedicine.
Referrals are coordinated and scheduled by designated personnel within the Family Health Team and ensure that necessary tests and paperwork is completed before and after the consultation.
Appropriate patient referrals include:

  • new or worsening diagnosed respiratory condition
  • patients who have had spirometry testing which does not match severity of patient symptoms
  • to assess need for add-on therapy

Register by: Speaking to your Family Physician for a referral

MENTAL HEALTH

Service provided by the mental health counselors are aimed at mild to moderate mental health issues. Our counselors provide a wide range of programs and events

Better Sleep (via OTN)

Do you have trouble sleeping? Do you want to sleep like a baby again? In this program you will learn how to fall asleep or back to sleep more easily, clear your mind of worry and mental chatter, and control lifestyle factors that influence your sleep. The sessions are presented through the Ontario Telemedicine Network hosted by the East Wellington Family Health Team
Duration: 2 hours
Availability: currently not available
Register by: calling 519-843-3947 ext 116

Dial it Down Anxiety Workshop (via OTN)

For more information please call 519-843-3947 ext. 116
Availability: currently not available

PHYSICAL HEALTH

Registered dietitians, nurses and health promoters provide dietary, nutrition and exercise programs. Individual treatments or education programs can be offered according to the need.

VON SMART Program

Come try this gentle fitness program geared for the older adult to improve overall health and well-being.

Tuesday and Thursday at the Central Pentecostal Church in Elora, 1:30 to 2:15 p.m.

For more information, please call 519-843-3947 ext. 130

Walking Group

Every Wednesday from 10 a.m. to 11 a.m.

  • Fall/Winter – Walk at the Central Pentecostal Church in Elora
  • Spring/Summer – Walk the Elora Cataract Trail

For more information, please call: 519.843.3947 ext. 130

Stepping Out

A 10 week exercise program to help participants develop skills and confidence to exercise independently.
Duration: Tuesday & Thursdays from 10 a.m. – 11 a.m. at the CW Sportsplex
For more information or to register, please call: 519.843.3947 ext. 130





PREGNANCY & BABIES

Prenatal and antenatal service for women and babies.

Breastfeeding Support

Peer to peer support for pregnant women or breastfeeding moms. Resources and education on breastfeeding and baby weight monitoring provided by a registered dietitian.
Duration: Every Friday from 1:30pm – 3:30pm at UGFHT Tower St Office in Fergus
NO APPOINTMENT REQUIRED
DROP IN or call 519.843.3947 for details and to confirm availability

SENIORS CARE

The goal of this service is to help seniors enjoy an enhanced quality of life, and to promote independence and aging in place through falls prevention, gentle exercise, healthy eating, memory clinic, medication management and supporting a positive outlook on life.

Memory Clinic

An interdisciplinary assessment for adults who specifically have concerns regarding their memory.
Duration: Appointment made with Geriatric Nurse
Register by: speaking to your family physician to be referred

Geriatric Clinics

Initial assessments take place with our Geriatric Nurse Specialist.
A referral is then sent to the Geriatrician for a consultation on diagnosis and/or medications. The nurse continues to partner with you in your specialized geriatric care, as required.
Register by: speaking to your family physician to be referred

Caregiver Support Group

Are you supporting a loved one with cancer or other complex illness? Join the Caregiver Support Group offered the first Wednesday of each month from 10 am – 12 pm
Duration: 2 hours, First Wednesday of the Month (September – June) (depending on enrollment)
Register by Phone: 519-843-3947 ext 104 or 111

SMOKING CESSATION

Programs and groups to assist with reducing and quitting smoking.

Smoking Cessation Program

This service provides a systematic approach in assisting patients who are ready to quit smoking or who wish to reduce their daily intake of cigarettes.

For more information about this service please call 519-843-3947 ext. 130.

TELEMEDICINE

Programs to connect patients to a variety of healthcare providers from a distance via the Ontario Telemedicine Network (OTN).

Dermatology Consultations

Telederm makes it possible for Family Physicians to send digital photos of their patient’s skin condition along with other relevant health information to a dermatologist for diagnosis and suggested treatment plans.
Telederm replicates as closely as possibly how client visits can be managed on an in-person visit.
The patient visit includes the taking of digital photography of the specified area for examination by the dermatologist. The information is then shared with the dermatologist. Telederm enables the patient, caregivers, and health professionals to discuss and review the patients information in different locations at the same time. Therefore, reducing patient visits to different health professionals.

Register by: A referral from your family physician or healthcare provider is required.

Child & Youth Psychiatrist

Psychiatrists specializing in children and youth offer a one-time consultation via Telemedicine (no ongoing management).
The appointment will offer making recommendations on diagnosis, medications or treatment plans to the family physician that can be implemented in the community.

Register by: A referral from your family physician or healthcare provider is required.

Adult Psychiatry

Psychiatrist one-time consultation via telemedicine (no ongoing management/psychotherapy) to make recommendations on diagnosis, medications or treatment plans that can be implemented by the patients family physician.

Register by: A referral from your family physician or healthcare provider is required.

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