Transcript Passport to Health - North Shore Family Health Team

Passport to Health
A Comprehensive Roadmap
for Patients
North Shore Family Health Team
The North Shore Family Health Team
Serving the Northwestern Ontario Communities of
Terrace Bay, Schreiber, Jackfish,
Rossport and Pays Plat First Nation
The North Shore Family Health Team was established March
2006 and operational February 2007. The NSFHT is playing
a leadership role in the development of proactive roles for
patients in managing their own health. While we provide
primary prevention, screening, diagnosis and treatment, we
also provide prevention of recurrence, rehabilitation and
support programs and services tailored to the patients needs.
Patient Care is our focus, however working together, and keeping
your personal “Passport to Health” booklet up to date, will
allow you to track your own health assessment.
“Take care of the minutes, for the hours
Will take care of themselves”
Lord Chesterfield (1694-1773)
North Shore Family Health Team
INTRODUCTION
This Health Passport encourages you to
record your continuing health.
It is intended to be used as a guide for ongoing
health, wellness and follow-up of any
Chronic Disease Process.
This passport gives you information about early signs
of possible concerns regarding your health that you need to
discuss with your Family health Team Providers.
HOW TO USE YOUR PASSPORT
The Health Passport is designed to help you record important
information. Keep it on hand, take it with you when you visit your
Doctor or other Health Care Professional. Please makes sure all
entries are made accurately and please ask for assistance if required.
North Shore Family Health Team
PERSONAL MEDICAL RECORDS
General Information ………………………...........................................................…………….
Page 7
Medical Insurance …...……………………...........................................................…………….
Page 7
In Case of Emergency Contact Information ……………………..........................…………….
Page 8
Allergies/Other ………….…………………...........................................................…………….
Page 9
Medical History ……………………………...........................................................…………….
Page 10
Surgical History …………..………………...........................................................…………….
Page 11
Medical Visits …………...…………………...........................................................…………….
Page 12
Annual Medical/Health Assessment Visits ………………………............................………….
Page 13
Medications ………………..………………...........................................................…………….
Page 14
Immunization Records ……………………….......................................................…………….
Page 13
Family History ……………..………………...........................................................…………….
Page 14
My Results …………………………………...........................................................…………….
Page 15
Mammogram Record ……………………….........................................................…………….
Page 16
Fecal Occult Blood Record ………………………................................................…………….
Page 17
Pap/PSA Record ……….…………………...........................................................…………….
Page 18
Dental Health …………..…………………...........................................................…………….
Page 19
Foot Care ………….………………………...........................................................…………….
Page 20
Mental Health Information ……………………….................................................…………….
Page 21
Pharmacy …………….……………………...........................................................…………….
Page 22
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GENERAL INFORMATION
____________________________________________________________
First Name
Middle Name
Last Name
IN CASE OF EMERGENCY CONTACTS
Ambulance/Fire/Police ………………………………………………….... 911
Current Address
____________________________________________________________
Street
Apt.
____________________________________________________________
City/Town
Province
____________________________________________________________
Country
Postal Code
____________________________________________________________
Telephone (Home)
Telephone (Work)
Family Physicians:
____________________________________________________________
____________________________________________________________
______________________________________ Phone: _______________
MEDICAL INSURANCE
Poison Control Centre:
____________________________________________________________
____________________________________________________________
______________________________________ Phone: _______________
Provincial Health Insurance
Hospital Emergency Room:
____________________________________________________________
____________________________________________________________
______________________________________ Phone: _______________
Province: ____________________________________________________
Health Insurance Number: _______________________________________
Private Health Insurance
Type of Insurance: _____________________________________________
Insurer (Name of Company): _____________________________________
Pharmacy:
____________________________________________________________
____________________________________________________________
______________________________________ Phone: _______________
Next of Kin:
____________________________________________________________
____________________________________________________________
______________________________________ Phone: _______________
Address: ____________________________________________________
Phone: __________________________ Fax: _______________________
Policy Number: _______________________________________________
Friend/Relative:
____________________________________________________________
____________________________________________________________
______________________________________ Phone: _______________
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MEDICATION ALLERGIES/SENSITIVITY
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
MEDICAL HISTORY
DIAGNOSIS
DATE OF ONSET
FOOD ALLERGIES/SENSITIVITY
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
OTHER:
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
I HAVE:
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Lens Implants
Dentures
Pacemaker/Defibrillator
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Artificial Joint
Contact Lens
Prosthetic Valves
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SURGICAL HISTORY
MEDICAL VISITS
SURGEON
HOSPITAL
PROCEDURE
DATE
HEALTHCARE
PROFESSIONAL
COMMENTS/ACTIONS
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ANNUAL MEDICAL VISITS
MEDICAL VISITS
PROVIDER
COMMENTS
NAME OF
PRESCRIPTION
DATE
STARTED
DATE
DISCONTINUED
COMMENTS
HEALTH ASSESSMENT VISITS
DATE
PROVIDER
COMMENTS
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IMMUNIZATION RECORDS
FAMILY HISTORY
TYPE OF VACCINATION
NOTES
IMMUNIZATIONS
Annual Influenza: _______________________________
Pneumococcal: _________________________________
Allergies
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Congenital Heart Problems
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Eczema
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Heart Attacks
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Asthma
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Early Death
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Tuberculosis (T.B.)
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High Blood Pressure
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Epilepsy
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Osteoporosis
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Seizures
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Cardiovascular Disease
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Learning Disorder
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Other
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Early Blindness
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Early Deafness
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Cancer
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Obesity
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Diabetes
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Early Death

Tetanus/Diphtheria (Td): __________________________
Hepatitis: ______________________________________
Height: ____________________
Weight: ____________________
BMI: _______________________
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MY RESULTS
MAMMOGRAM RECORD
PROVIDER
COMMENTS
DATE
RESULT
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FECAL OCCULT BLOOD RECORD
PAP/PSA RECORD
(Prostate Specific Antigen)
RESULT
DATE
RESULT
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DENTAL HEALTH
FOOT CARE
Dentist
Pencil in the information so that you may update this chart
regularly.
Name: _____________________________________________________
Date: ____________________________
Address: ___________________________________________________
Right
Left
____________________________________________________________
Sensitivity:
_________________ __________________
Circulation:
_________________ __________________
Oral & Overall Health
A conversation with your dentist can help you understand the
connection between oral health and overall health, and ensure that
you are getting the best possible care. Discussing your medical
history and health issues ensures that you get the specialized
treatment you need.
Calluses:
_________________ __________________
Sores:
_________________ __________________
Your dentist can also spot emerging medical problems. For example,
the onset of bleeding gums might suggest the beginning of gum
disease, which may also be related to adult-onset diabetes if your
gums have otherwise been healthy.
____________________________________________________________
Phone: ________________________ Fax: _______________________
Through the oral exam, your dentist can see if there are any unusual
signs or changes in your mouth, this might indicate more serious
health problems.
Oral Cancer
Oral Cancer starts in the cells of the mouth, tongue or throat.
Normally these cells are quite resistant to damage, but repeated injury
from smoking, alcohol or even friction may create sores or painful
areas where cancer can start.
Comments:__________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
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MENTAL HEALTH
PHARMACY
Social/Mental Health Worker
Name:
Your pharmacist may help you to manage your prescription
medications and better understand how they interact with each other
and other over-the-counter medication you may be taking.
____________________________________________________________
Call you local pharmacy to see what programs may be offered to you:
•
Medication: Review & Education
•
Review of high risk medications/interactions
Address:
____________________________________________________________
____________________________________________________________
PHARMACY NAME: ___________________________________________
____________________________________________________________
PHONE: _______________________ FAX: ________________________
____________________________________________________________
Phone:
____________________________________________________________
North Shore Family Health Team
MEDICAL INFORMATION
Diabetes
What is Diabetes? …...……………………........................................................…………….
Page 27
Blood Pressure Control/Glucose Control …....................................................…………….
Page 29
Glucose Meter …….....……………………........................................................…………….
Page 30
Cholesterol …………...……………………........................................................…………….
Page 30
Kidney Tests ………....……………………........................................................…………….
Page 31
Foot Care ………….....……………………........................................................…………….
Page 32
Eye Assessment ….....……………………........................................................…………….
Page 33
BMI …..........................……………………........................................................…………….
Page 35
Eating Better, Feeling Better …...…………………….......................................…………….
Page 37
Lab Tests …...……………………………….......................................................…………….
Page 38
Travel Advice ………...……………………........................................................…………….
Page 39
Travel Certificate ..…...……………………........................................................…………….
Page 40
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WHAT IS DIABETES?
What Happens When I Eat?
Usually when a person eats food, the food is broken down into smaller
components and then absorbed into the blood stream. Glucose, one
of these smaller components, is a sugar essential for normal body
function. Once glucose is in the blood stream, the body must then
store it so that over time it can use this sugar for energy.
The cells, however, cannot tell that glucose is present in the blood.
They need to be told this by a messenger, a hormone called Insulin,
which is made by the pancreas. The insulin helps the cells recognize
that glucose is available and will let it in.
What Happens in Diabetes?
Diabetes is when there is too much glucose in the blood because the
cells won’t take it in. There are three main types of Diabetes:
Type 1 – Usually diagnosed in children and adolescents, occurs when
the body is unable to produce insulin because the cells of the
pancreas are no longer working. Approximately 10% of people with
diabetes have Type 1.
Type 2 – Usually develops in adulthood, occurs when the pancreas no
longer produces enough insulin or has difficulty using the insulin it
does produce. Approximately 90% of people with diabetes have Type 2.
Gestational – Is a temporary condition that occurs during pregnancy.
Approximately 3.5% of all pregnancies are affected and both mother
and child are at risk of developing diabetes.
Hypoglycemia
Low blood glucose or hypoglycemia is a blood sugar level less than
4.0 mmol/L and is a side effect of using insulin or oral hypoglycaemic
agents (diabetes pills). This may happen if you:
•
Eat less than planned or delay a meal too long
•
•
Take more medication than planned.
Have alcoholic drinks without eating.
Symptoms include:
•
Shaking
•
Sweating
•
Fast Heartbeat
•
Hunger
The suggested treatment is to eat 10 – 15 grams of simple sugar such
as: ½ cup of regular pop or juice; or 3-5 candies; or 3 glucose tablets.
Follow-up with an extra snack if your usual meal is more than 1 hour
away.
Who is at risk?
Some risk factors cannot be altered. For example, you’re at higher
risk for developing type 2 diabetes if:
•
You are over 40 years old
•
You have a family history of diabetes
•
You are a member of a high-risk group (Aboriginal, Hispanic, Asian,
South Asian or African descent)
•
You had gestational diabetes or gave birth to a baby weighing over 4
kg (9lbs.)
You can control certain other risk factors through lifestyle changes
that include:
•
Maintaining a healthy weight
•
Being more active
•
Healthier eating habits
Making these changes can help you to:
•
Lower your cholesterol
•
Lower your blood sugar
North Shore Family Health Team
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- 29 Blood Pressure Control
High blood pressure may cause you serious health problems such as
a stroke and may cause you to develop complications from the
diabetes more quickly. It is easier to control your blood pressure
when your weight is in a healthy range (see BMI).
Blood Glucose Control
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- 30 Glucose Meters
A blood glucose meter is an instrument that you may use to test your
blood glucose levels at home. All you need is a drop of blood from
your finger tip and a test strip available from your drug store.
Self testing is essential if you are using insulin and is very useful if
you are taking oral agents or controlling your diabetes by diet and
exercise. Testing will help you to adjust your treatment.
Having diabetes means having large amounts of glucose in the blood.
High glucose levels over longer period of time have been proven to
cause the complications of diabetes. It may be possible to delay or
even prevent these problems by keeping your glucose levels within a
normal range. Your glucose levels should be within 4 – 7 mmol/L
before meals although not lower, which can be difficult.
How often you test will vary based on your treatment and how closely
you wish to control your glucose levels. You may test as few as 5
times a week or as many as 50. The accuracy of these tests depends
on your meter, test strips and know-how.
How well your blood glucose level is controlled can be tested in two
ways:
To be sure that your results are true, bring your meter to the lab when
you have a lab blood glucose test and do a test yourself with your
meter within 5 minutes of your lab blood test. The result of the test
using your meter should be within 15% of the lab test results. It is a
good idea to do this check every 4 – 6 months.
1. By having the lab test your glucose level before or after a meal.
2. By having the lab do a hemoglobin A1C test every 3 to 4 months.
Hemoglobin is a large molecule which carries oxygen to your blood.
When glucose hits the haemoglobin in your blood, it sticks to it. More
glucose in your blood means more glucose stuck to haemoglobin.
The amount of glucose stuck to hemoglobin is measured by the
HbA1c test. Since each haemoglobin molecule stays in your blood 3
to 4 months before it is replaced, this test shows the average blood
glucose control for that time period.
What About Cholesterol?
Remember that having diabetes tends to raise your cholesterol and
triglyceride levels, putting you at risk of blocking arteries. Have your
cholesterol levels checked at least once a year. The chart below helps
you to understand your cholesterol levels:
Total Cholesterol
LDL Cholesterol
HDL Cholesterol
Triglycerides
Desirable Levels for Diabetics
below 4.0
below 2.0
above 0.9
below 2.0
These numbers are very general guidelines. People with multiple risk
factors will need to have their personal goals discussed with their
healthcare professional and desirable lipid levels determined.
Cholesterol is important for many body functions. Problems arise
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- 31 when your low density lipoprotein (LDL), sometimes called “bad
cholesterol”, is too high. This allows fatty deposits to line your artery
walls. A stroke or heart attack may result. High density lipoprotein
(HDL), also called “good cholesterol”, helps to carry cholesterol to the
liver to be broken down and excreted.
Serum cholesterol is the total amount of cholesterol in your blood. It
includes both HDL and LDL. You can lower your serum cholesterol
level by eating fewer foods that contain saturated fats .
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- 32 Foot Care
As a complication of diabetes, blood may not flow normally to your
feet. When this happens, you do not fight infections as well or heal as
easily. The nerves going to your feet may also be affected by your
diabetes, so you will have reduced feeling and you may experience
numbness and tingling. These changes may prevent you from feeling
pain or injury to your feet. Have your feet examined each year by a
health care professional.
These tips will help you to best protect your feet:
Kidney Tests
1. DO NOT SMOKE
Kidney damage from diabetes is called diabetic nephropathy. It develops
slowly over many years without warning signs. Symptoms do not occur
until the disease is far advanced but tests can help detect early signs.
2. Walk within your limits, but WALK.
Creatinine Clearance: measures your kidneys’ ability to filter waste
products;
Proteinuria: measures how well the filters work;
Microalbuminuria: checks for tiny amounts of protein (albumin) in your urine.
These tests may require a first morning, 8, 12, or 24 hour urine sample
collection. Ask your health care professional to identify your normal range,
depending on the test procedure used by your local lab. It is a good idea to
have one of these tests done at least once a year.
If protein is found in your urine, you will need tighter control of your blood
glucose levels and your blood pressure. Your doctor may give you a
medication to help control your blood pressure. In this case, your
healthcare professional may also recommend limiting the amount of protein
that you eat.
3. Never go barefoot. Always wear socks. When you have to get up
at night, turn on the lights and wear slippers. At the beach, always
wear beach shoes, even when you are in the water.
4. Be sure your shoes fit properly. When your feet are less sensitive,
you can no longer trust the feel of a shoe to determine proper fit.
You should relay on an experienced shoe fitter to measure your
foot IN THE AFTERNOON for the best fit.
5. Avoid shoes with pointed toes, high heal shoes or sandals with
thongs between the toes. Choose shoes made of natural
materials, like leather which breathe. Wear new shoes for only 2 –
4 hours at first.
6. Shake out your shoes each day to make sure our feet will not be
hurt by small objects which may be caught inside your shoes.
7. Wash your feet and lower legs daily in warm (not hot) water with a
soft face cloth and mild soap. Remember your feet may not be
able to sense the temperature of the water, so test it with your
elbow to avoid burns.
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- 33 your elbow to avoid burns.
8. Trim your toe nails straight across or in contour; never down to the
corners or below the end of your toes. DO NOT PEEL OR PULL BACK
NAILS.
9. Corns or calluses should only be treated by a health care professional.
10. Inspect your feet daily for cuts, bruises, blisters, infection or changes in
skin colouring. If you find an injury, swelling, redness, sores, change in
colour, or if you have pain, see your doctor or foot care specialist right
away.
Eye Assessment
Have your eyes examined at least once a year. A thorough check-up will
include an examination of the retina as well as checking for cataracts and
glaucoma. Be sure to tell your optometrist or ophthalmologist that you have
diabetes.
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- 34 3. PRE-PROLIFERATIVE/PROLIFERATIVE: damage is of concern and
requires follow-up.
For proper eye examination, your pupils will need to be dilated by adding
special drops to your eyes. After the test, your vision may be blurred for a
few hours, so make sure you do not need to drive soon after the test. Your
eyes may also be more sensitive to light, so you may wish to wear
sunglasses.
Cataracts
The lens in your eye, which is normally clear, may become cloudy and
interfere with your vision. New medical techniques can remove the clouded
lens and a new artificial clear lens may be implanted to help your vision.
Or, special glasses may be worn to correct your vision.
Glaucoma
Glaucoma is the result of steady build up of pressure inside the eye. Two
out of every 100 people over the age of 40 will develop it. When identified
early, glaucoma can be controlled.
Retinopathy
As a person with diabetes, you’re at greater risk of developing retinopathy
or damage to the back of your eye, the retina. This can come without
warning. When detected early, laser treatment is available to help stop the
disease and prevent loss of sight. Your eye care specialist may describe
the condition of your retina with the following terms:
1. ABSENT: your retina is just fine.
2. BACKGROUND: mild changes common in diabetes need continued
monitoring.
North Shore Family Health Team
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- 35 What About Weight?
Body Mass Index (BMI) is a useful indicator of whether your weight is within
a healthy range.
It’s easy to find your BMI…
1. Mark an X at your height on line A.
2. Mark an X at your weight on line B.
3. Take a ruler and join the two Xs.
4. To find your BMI, extend the line to line C.
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- 36 FOR EXAMPLE: * If you are 5’11” (1.8m) and weigh 190 lbs. (86.4 kg),
your BMI is about 26.
Under 20 A BMI under 20 may be associated with health problems
for some individuals. It may be a good idea to consult a dietitian or a
physician for advice.
Underweight
20-25 This zone is associated with the lowest risk of illness for most
people. This is the range you want to stay in.
N
25-27 A BMI over 25 may be associated with health problems for
some people. Caution is suggested if your BMI is in this zone.
Overweight
Over 27 A BMI over 27 is associated with increased risk of health
problems such as heart disease, high blood pressure and diabetes. It
may be a good idea to consult a dietitian or a physician for advice.
Obese
IF YOU FALL BELOW 20 OR ABOVE 27 ON THE BMI RANGE…It’s
time to reduce your risk of developing health problems. The first and
most important thing is to determine why you are not within the
healthy weight range and seek the assistance of your physician and
dietitian/nutritionist.
North Shore Family Health Team
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- 37 EATING BETTER, FEELING BETTER
Eating better helps you to gain better control of your blood glucose and fat
levels, to reach and maintain a healthy weight and to stay healthy; you may
want to speak to a dietitian to help you plan healthy meals.
Eating Better Means:
•
Choose 3 out of the 4 key food groups at each meal:
- Starch
- Protein
- Fruits & Vegetables
- Milk
•
Watch portion size.
•
Eat at regular times. Have 3 meals a day (including breakfast) and
space your meals 4 – 6 hours apart from each other.
•
Choose high fibre food like whole grain breads and cereals, fresh
fruit, vegetables and legumes.
•
Make lower fat choices. Use low fat dairy products and choose lean
meat. Trim fat from meat, chicken, etc., and cut down on added fat
like butter and salad dressings.
•
•
Use less salt in cooking and avoid adding salt at the table. Instead,
try more herbs or spices. Reduce your intake of ketchup, chili sauce,
soya sauce and bouillion cubes.
Reduce your alcohol intake.
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- 38 How Often Should Lab tests Be Done?
The following schedule may be used as a guideline to chart your routine
medical/lab visits.
Each time that you have one of these test done, place a check mark in the
box beside the test name. Year by year, you will easily be able to see if you
have had all of your tests. For information on any of these tests, see the
pages in the back of this booklet.
How
Often?
Year 1
Year 2
Year 3
Year 4
Year 5
Blood Pressure
q 3-4 mths
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BLOOD TEST:
HbA1C
q 3-4 mths
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Lab Meter/
Glucometer
Checkk
q 6 mths
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Fasting Blood
Glucose
Once a yr
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KIDNEY:
Once a yr
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LIPIDS: Total
Cholesterol
Once a yr
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HDL Cholesterol
Once a yr
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LDL Cholesterol
Once a yr
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Triglycerides
Once a yr
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Foot Exam
Once a yr
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Eye Exam
Once a yr
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Microalbuminuria
Remember to continue to do self-testing at home as suggested by your diabetes
team in addition to the above lab tests.
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Travel Advice
Be sure to plan your trips well. If you are using insulin, have your doctor fill
out the Travel Certificate on the following page in order to avoid any
troubles at Customs.
Everyone who has diabetes should keep these tips in mind:
•
Take some food with you in case a meal is delayed, or in case
the trip is longer than you thought.
•
Carry extras of all your drugs – those you take for your diabetes,
any other drugs you usually take and any you may need at
unexpected times such as antidiarrheal or pain relieving drugs.
•
A time difference of more than 3 hours may require that you
adjust your insulin dose. Discuss this with your diabetes team.

TRAVEL CERTIFICATE
This document certifies that:
_________________________________
has diabetes mellitus
and requires insulin injections.
This justifies the need to carry insulin, syringes,
glucose meter and test strips at all times.
Date: _____________________________________
Dr. (Signature): _____________________________
Telephone: _________________________________

North Shore Family Health Team
MEDICAL INFORMATION
Heart & Stroke
Risk Factors ……….....…………………...........................................................…………….
Page 41
Blood Pressure …………………………………………………..........................…………….
Page 42
Cholesterol ……..……….………………...........................................................…………….
Page 43
Immunizations
Immunization …………...…………………........................................................…………….
Page 45
Immunization Schedule …………………………………………............................………….
Page 46
Mental Health ………………………………………………………………………………………
Page 48
Screening
Screening Information ………….……………....................................................…………….
Page 51
Breast Cancer …………..………………………................................................…………….
Page 52
Cervical Cancer ……….……………..…...........................................................…………….
Page 52
Colon Cancer …………..…….…………...........................................................…………….
Page 53
Prostate/Testicular Cancer ………….…………………….................................…………….
Page 54
Skin Cancer …………….……………………….................................................…………….
Page 55
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HEART & STROKE
•
Risk Factors
Cardiovascular Module
•
Risk factors for prevention of Heart Disease and Stroke.
•
Non-Modifiable:
Although these risk factors cannot change for prevention of stroke or heart
disease it is important to be aware of them:
•
Age – Women on average develop heart disease 10 years later than
men; however menopausal women have an increased risk of high
blood pressure and cholesterol which increases their risk of heart
disease or stroke.
•
Ethnicity – Increased risk for persons of African American, First
Nations/Aboriginal and Inuit Canadians for heart disease. Although
persons of Asian descent have a lower risk for heart disease they
have an increased risk for stroke.
•
Family History – Positive family history of heart disease or stroke at
an early age may mean increased risk of developing heart disease or
stroke than those individuals with no family history.
•
Gender – Men increased risk than females. However, post
menopausal women are at increased risk of heart disease or stroke.
Modifiable Risk Factors:
•
Blood Pressure – Get your blood pressure tested and ensure that
your blood pressure is in the target range: take your blood pressure
medication regularly to help control your blood pressure.
•
Cholesterol levels – have your cholesterol levels checked to make
sure that your levels are at target range.
•
Diabetes – ensuring that your blood sugars are at target levels, can
delay or prevent cardiovascular complications associated
with diabetes.
Dietary strategies – follow a low fat, low salt diet; eat a variety of
fruits, vegetables, whole grains, lean meat, fish and poultry. Limit
fast foods, canned foods or foods that are bought prepared.
Smoking – quitting smoking can lower your risk of developing heart
disease or prevent a stroke. Smoking cessation counselling is a
program that is offered by the North Shore Family Health Team.
Activity – regular physical activity for 30 to 60 mins. for 4 – 7 days per
week.
Blood Pressure
Hypertension (High Blood Pressure)
One of the leading causes of death in Canada. Hypertension is a risk factor
for stroke, heart attacks, heart and kidney failure.
What is Blood Pressure – Blood pressure consists of two measurements:
the pressure in the heart when it contracts (Systolic) and when the heart
relaxes and fills with blood (Diastolic).
Blood pressure is measured with two numbers, for example 120/80.
Systolic pressure is represented by the first number and Diastolic is the
second number.
Controlled blood pressure is important for it allows the blood to flow freely
and deliver oxygen to the body. When the blood pressure is elevated it
causes damage to the blood vessels. Damaged blood vessels lead to
stroke or heart attacks.
What is my target blood pressure?
BP should be less than 140/90, but if you have diabetes or chronic kidney
disease your target is 130/80.
North Shore Family Health Team
PAGE
- 43 Management of blood pressure:
•
Physical Exercise – regular exercise 30 to 60 minutes of exercise 4-7
days per week.
•
Weight reduction – BMI <25.
•
Alcohol consumption - <2 drinks/day
•
Dietary strategies – variety of fruits, vegetables, low fat dietary
products, high fibre, and salt reduction <100 mmol/day (1tsp)
•
Smoking cessation
•
Stress management
Medications are added when the above strategies are unsuccessful in
lowering the blood pressure to target goals. It is important to note that in
order to reach target goals, it may be necessary to take more than one
medication.
Cholesterol
Dyslipidemia (elevated cholesterol levels)
PAGE
- 44 treatment plan to lower your cholesterol.
What are my target cholesterol levels?
Target levels are rated according to risk factors. Risk factors are based
individually and factor in age, blood pressure, total cholesterol level, HDL
level (good cholesterol), smoking, genetic risk and patients with established
diabetes or heart disease.
Total cholesterol value should be less than 5.2 mmol/L
HDL cholesterol should be greater than 0.9 mmol/L
Triglycerides should be less than 2.0 mmol/L
LDL and Total Cholesterol: HDL ratio is determined by calculating your
individual risk factors.
It is important to have your cholesterol levels assessed regularly and
reviewed by your health care provider who will determine your individual
target levels.
Cholesterol is a waxy substance that the body makes naturally. The body
does need some cholesterol to work properly and it can make what it
needs. Not all cholesterol is harmful. Low density lipoprotein (LDL) is the
bad cholesterol as it blocks the arteries. High density lipoprotein (HDL) is
good cholesterol, as it helps remove the bad cholesterol from inside the
arteries.
Elevated cholesterol can be caused genetically or from a high fat diet,
decreased activity, obesity, increased alcohol intake and certain
medications. Elevated cholesterol can block arteries. When an artery to the
heart is blocked a heart attack can occur. If an artery in the brain becomes
blocked, a stroke can occur.
Management of cholesterol is the same strategies for managing elevated
with blood pressure. However, if the above strategies are unsuccessful,
then your health care provider will have to add medications to your
North Shore Family Health Team
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- 45 -
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- 46 -
IMMUNIZATIONS
Pneumococcal Polysaccharide Vaccine (“Pneumonia Shot”)
What is it?
•
A vaccine used to protect people over the age of 65 years from a
bacteria that can cause bacterial pneumonia or septicaemia (a
bacterial infection of the blood) or meningitis (a bacterial infection of
the membranes and fluid covering the brain and spinal cord).
•
You should receive one dose of the vaccine at 65 years and a single
re-immunization is recommended after 5 years.
Influenza Vaccine (“Flu Shot”)
What is it?
•
A vaccine used to prevent infection caused by influenza viruses
carried and spread among humans every year.
•
The “Flu” season is usually from November to April – and then stops.
•
Symptoms include: fever, chills, cough, runny eyes, stuffy nose, sore
throat, headache, muscle aches, extreme weakness and fatigue (the
elderly may not have a fever).
•
The “Flu” is hardest on people who don’t have a strong immune
system: the very young, the very old and people with certain chronic
illnesses.
•
Get an annual flu shot - this will prevent the infection or reduce the
severity of the illness.
How it is spread?
•
Breathing droplets that are sneezed or coughed into the air by
someone with the flu, or having the droplets land on the surface of
your eye.
•
Shaking hands with an infected person or touching a contaminated
surface or objects and then touching your own eyes, nose or mouth.
Tips to Prevent the Flu
•
Wash your hands frequently using soap and warm water.
•
Cover your mouth and nose with a tissue when you sneeze or cough.
•
If you don’t have a tissue, cough or sneeze into your upper sleevenot into your hands.
•
Put used tissue in the waste basket immediately.
•
Avoid sharing food, eating utensils, towels or handkerchiefs.
•
Keep an alcohol-based hand sanitizer (gel or wipes) handy at work,
home and in the car.
How it is spread?
•
The bacteria are spread from one person to another by coughing,
sneezing or close face-to-face contact. It can also be spread through
saliva or spit.
Tetanus and Diphtheria (Td) Vaccine
Adults should receive a Td booster every 10 years to protect against the
Tetanus and Diphtheria diseases.
What is it?
•
Tetanus (lockjaw) is a serious disease. The illness starts with
headache and very stiff jaw muscles followed by a stiff neck, difficulty
swallowing, stiff stomach muscles, inability to control muscles
(spasms), sweating and fever. Tetanus kills 2 out of every 10 people
who get the disease.
•
Diphtheria is a serious disease. The bacteria cause fever and a thick
coating in the nose, throat and airway that result in breathing
problems, heart failure and nerve damage. Diphtheria kills 1 out of
every 10 people who get the disease.
How it is spread?
•
Tetanus is caused by germs that enter the body through a cut or
wound. The germs may be found everywhere including soil, dust and
animal manure.
•
Diphtheria spreads when the bacteria pass from the nose, throat or
skin of one person to another.
North Shore Family Health Team
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- 47 -
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- 48 -
Hepatitis Vaccinations
Hepatitis A and B are infectious diseases caused by viruses that cause the
liver to become inflamed. Immunization may be recommended if you are at
risk of infection due to travel or direct contact with blood or body fluids. Talk
to your health care provider for more information.
MENTAL HEALTH/ADDICTIONS
Recommended Immunization Schedule for Adults
Vaccine
Who
When
Influenza
(flu shot)
All Adults
Annually
Pneumococcal
Polysoccharide
• Individuals > 65 years
• All residents of nursing
homes and chronic care
facilities
• Individuals with certain
medical conditions
One dose
Tetanus,
Diphtheria (Td)
All Adults
Every 10 years
Hepatitis
High-Risk Individuals
Follow-up with
Health Care
Provider
Booster x1 after 5
years
Mental Health involves finding a balance in all aspects of your life:
physically, mentally, emotionally and spiritually. It is the ability to enjoy life
and deal with the challenges you face everyday. It is natural to feel off
balance at times and experience emotions such as sadness, worry and
anger. However, if these feelings interfere with your daily life or
relationships then there may be problems.
One in five people in Canada experience a mental health problem during
their lifetime. Only about 30% seek help.
Would you try to deal with a heart condition on your own? Mental
health problems can be just as serious as physical problems and getting
medical attention and other help is just as important. The earlier you get
help, the less chance of the problem coming back or getting worst.
If you are not sure you need help, talk to your health care provider or social
worker at the Family Health Team.
What can contribute to mental health problems? Serious mental health
problems involve biochemical disturbances in the brain. Various
psychological, social and environmental factors can affect your mental
health.
The Most Common Mental Health Problems are:
Anxiety Disorder – Is the most common mental health problem. Anxiety
involved excessive worry that is hard to control and affects a
person’s daily living. Anxiety disorders include panic disorder, obsessivecompulsive disorder (OCD), post traumatic stress disorder (PTSD) and
generalized anxiety disorder (GAD). Anxiety disorders affect about 12% of
Canadians.
North Shore Family Health Team
PAGE
- 49 Bipolar Disorder – Involves extreme mood swings that may have nothing
to do with what is going on in the person’s life. Typically people with a
bipolar disorder move between feeling “normal”, feeling very low or
depressed, and feeling very high or “manic”. Bipolar disorders affect about
1% of the population.
Depression – Involves feeling abnormally sad, despairing and hopeless
fairly consistently for over two weeks. Other feelings could include
irritability, worthlessness or guilt, or a general loss of interest in life. Often a
person’s performance at work or in relationships is impaired. Sleep,
energy, appetite, concentration, memory and sexual desire may be
affected. Depression can lead to thoughts of suicide. About one in ten
people are diagnosed with depression, however it is estimated that many
people with depression go undiagnosed. At any given time, almost three
million Canadians are affected by a serious depression.
Personality Disorder – A person behaves and communicates in ways that
are very different form what is expected in society. A person may have
problems with self-image or having successful relationships. They may
view themselves, others and the world in a manner that is different then
most other people view things. They may also have a rigid way of thinking,
feeling and acting that makes it difficult for them to get used to changes and
stresses that are an unavoidable part of everyday life.
PAGE
- 50 Taking Care of your Mental Health:
Understand Stress – 43% of adults suffer adverse health effects from
stress. 75-90% of all physician office visits are for stress-related ailments
and complaints. Stress is linked to the six leading causes of death: heart
disease, cancer, lung ailments, accidents, cirrhosis of the liver and suicide.
Think healthy – The same situation will affect people differently depending
on their interpretation. Learn to interpret situations in a manner that helps
you feel good. Be aware of thinking errors (patterns of thinking that help us
feel bad). Monitor your automatic thinking; you might be unconsciously
thinking about negative situations or events, which will affect your mood.
Be social – Humans are social animals, although we are capable of
solitude, we also have social needs. When these needs are not fulfilled,
emotional difficulties often result.
Choose a Sustaining Lifestyle – This includes eating healthy, getting
plenty of exercise, sleeping regularly, limiting caffeine, alcohol and avoid
drug use and most importantly making sure you have fun in life.
Schizophrenia – People with schizophrenia often have difficulty figuring out
what is real and what is fantasy. They may see or hear things that are not
actually there. Schizophrenia affects about 1% of Canadians.
Substance use disorder – Involves dependence on or abuse of
substances such as alcohol, medication or illegal drugs. Substance use
disorder affects about 6% of the population.
North Shore Family Health Team
PAGE
- 51 SCREENING INFO
Reducing your risk of Cancer
There are many good reasons to take charge of your health. As we grow
older, the risk of developing a chronic disease like cancer increases.
Understanding what’s normal for your body is an important part of staying
healthy. So take control of your health by getting to know your body,
learning the warning signs of cancer and following a healthy lifestyle.
At least 50% of cancers can be prevented through healthy living and
policies that protect the public. Take these steps now to reduce your risk of
developing cancer.
1. Be a non-smoker and avoid second-hand smoke.
2. Eat 5 to 10 servings of vegetables and fruit a day. Choose high fibre,
lower fat foods. If you drink alcohol, limit your intake to 1 to 2 drinks a
day.
3. Be physically active on a regular basis; this will also help you maintain a
healthy body weight.
4. Protect yourself and your family from the sun, particularly between 11
a.m. and 4 p.m. when the sun’s rays are at their strongest, or any time of
the day when the UV Index is 3 or more. Check your skin regularly and
report any changes to your doctor.
5. Follow cancer screening guidelines – discuss mammograms, Pap test,
breast exams and colorectal screening with a health professional.
6. Visit your doctor or dentist if you notice a change in your normal state of
health.
7. Follow health and safety instructions both at home and at work when
using, storing and disposing of hazardous materials.
And remember:
•
Get to know your body.
•
Don’t ignore the warning signs.
•
Follow a healthy lifestyle.
PAGE
- 52 Breast Cancer
Breast cancer starts in the cells of the breast and extends from the
collarbone to under the armpit and across the breastbone to the
center of the chest. Breast cancer is the most common cancer
found in women and rarely found in men. Breast cancer can occur
at any age but most cases occur over the age of 50.
What can you do?
•
Clinical breast exam – every two years by a trained health care
professional after the age of 40.
•
Mammograms every two years after the age of 50 years or sooner if
family history of breast cancer.
•
Talk to you health care provider about your personal risks of breast
cancer and the benefits of mammograms.
•
If you have a family history of breast cancer you may want to
consider screening sooner.
What to watch for? See your health care provider if you have:
•
A lump or swelling in the armpit
•
Changes in breast size or shape
•
Dimpling or puckering of the skin
•
Redness, swelling and increased warmth in the affected breast
•
Inverted nipple – nipple turned inwards
•
Crusting or scaling of the nipple
Cervical Cancer
Cervical cancer starts in the cells of the cervix and grows very slowly.
Before cancer develops the cells become abnormal. These abnormal cells
can be detected through routine pap tests.
What can you do?
•
Have regular pap tests to detect changes early before cancer
develops
•
Have a pelvic exam by your health care provider to assess any
abnormalities of the organs within the pelvis and vagina.
•
Use a condom during sex to avoid a sexually transmitted
North Shore Family Health Team
PAGE
- 53 •
infection
Consider the HPV vaccine if you are between the age of 9 and 26
years of age to protect against the strains that can cause cancer and
prevent genital warts.
What to watch for? See your health care provider if you have:
•
Abnormal bleeding from between periods
•
Unusually long or heavy periods
•
Bleeding after sex
•
Pain during intercourse
•
Watery or increased discharge from the vagina
•
Bleeding from the vagina after menopause
Colon Cancer
Colorectal cancers start in the cells that line the inside of the colon and
rectum. It is the third most common cancer in Canada for both men and
women. Screening tests can help find the colorectal cancer early before
symptoms develop and lead to successful treatment.
What can you do?
•
Fecal occult blood testing (FOBT) every 2 years if you are 50 years
of age or over.
•
If you have a positive FOBT then you may be referred for a
colonoscopy, sigmoidoscopy or barium enema test to look at the
lining of the colon better.
What to watch for? See your health care provider if you have:
•
General abdominal discomfort (bloating, fullness, cramps)
•
Change in bowel patterns, such as constipation or diarrhea
•
Blood in the stool
•
Change in stool size – narrowing
•
Urgent need to have a bowel movement
•
Feeling that the bowel has not completely emptied
•
Nausea or vomiting
PAGE
- 54 •
•
Fatigue
Weight loss
Prostate Cancer
Prostate cancer starts in the cells of the prostate gland. It is the most
common cancer in Canadian men over the age of 65. Family history of
prostate cancer or men of African descent are at a higher risk of developing
prostate cancer.
Tests used for early detection of prostate cancer:
•
Digital rectal exam (DRE)
•
Prostate specific antigen (PSA) test
What to watch for? See your health care provider if you have:
•
Increased frequency of urination, especially at night
•
An intense need to urinate
•
Difficulty stopping or starting the urine flow
•
An inability to urinate
•
Weak or decreased urine stream
•
Feeling that the bladder had not completely emptied
•
Burning or pain during urination
•
Blood in the urine or semen
•
Painful ejaculation
Testicular cancer
Testicular cancer starts in the cells of the testicle. Testicular cancer
is rare and usually develops between the ages of 15 to 49. Treatment of
testicular cancer is generally successful if found early.
What can you do?
•
Examine testicles regularly – usually after a warm bath or shower
•
Have regular check ups by your health care provider that
North Shore Family Health Team
PAGE
- 55 include a testicular exam
What to watch for? See your health care provider if you have:
•
Lump on your testicle
•
Painful testicle
•
Feeling of heaviness in the lower abdomen or scrotum
•
Dull ache in the lower abdomen or groin
Skin Cancer
Types of skin cancer are basal cell, squamous cell and melanoma. Basal
and squamous cell skin cancers are common in Canada and can be treated
successfully.
What can you do?
•
Avoid excessive exposure to sun
•
Use a sunscreen with a sun protection factor (SPF) of 15 or higher
•
Cover your arms, legs and head when out in the sun
•
Wear sunglasses with UVA and UVB protection
•
Avoid using tanning equipment
•
Monitor skin regularly and have your health care provider examine
them if you are concerned.
What to watch for? See your health care provider if you have:
•
Changes in the shape, colour or size of birthmarks or moles
•
Sores that don’t heal
•
Patches of skin that bleed, itch or become red and bumpy
North Shore Family Health Team
MEDICAL INFORMATION
Smoking Cessation
Facts ……………….....…………………...........................................................…………….
Page 56
Benefits of Quitting Smoking …………………………………...........................…………….
Page 56
How to Quit ……..……….………………...........................................................…………….
Page 58
Nutrition Guidelines
Healthy Eating …………...…….…………........................................................…………….
Page 60
Resources
Local ………………….………….……………....................................................…………….
Page 63
Hours ………...…………..………………………................................................…………….
Page 64
Internet ………...……….……………..…...........................................................…………….
Page 65
Acknowledgements …………..…….………......................................................…………….
Page 66
North Shore Family Health Team
PAGE
- 56 SMOKING CESSATION
Facts about Smoking
•
Tobacco smoke contains 4000 chemicals, 50 of these are known to
cause cancer.
•
18% of Canadians aged 15 and over are smokers.
•
More than 45,000 Canadians die each year from smoking related
causes.
•
Smoking causes most cases of chronic bronchitis and emphysema
and is a major cause of heart disease and stroke.
•
Smoking is estimated to be responsible for 30% of all cancer deaths
and is related to more than 85% of lung cancer in Canada.
•
It can also increase the risk of developing cancer of the bladder,
cervix, colon and rectum, oesophagus, kidney, larynx, mouth and
throat, pancreas and stomach.
Facts about Second Hand Smoke
•
Regular exposure to second hand smoke is estimated to cause up to
7,800 deaths a year.
•
Second hand smoke is a contributing factor for SIDS (sudden infant
death syndrome).
•
13% of children’s ear infections are caused by second hand smoke.
•
Exposure to second hand smoke increases a non smoker’s chance
of lung cancer by 25%.
•
Exposure to second hand smoke increases a non smoker’s chance
of cardio vascular disease by 20-50%.
BENEFITS OF QUITTING SMOKING
PAGE
- 57 the body begins to heal immediately after quitting may help motivate those
who haven’t shown previous interest in quitting.
The short-term health benefits of quitting include:
Time Lapse
Short-Term Health Benefits
Within 20 minutes
• Heart rate drops
• Blood pressure and pulse rate return to
normal
Within 8 hours
• Blood levels of nicotine and carbon
monoxide drop
• Oxygen levels return to normal
Within 24 hours
• Carbon monoxide leaves the body
• Lungs start to clear out mucus
Within 48 hours
• Nicotine has left the body
• Senses of smell and taste begin to improve
Within 72 hours
• Lung capacity increases and breathing
becomes easier
• Bronchial tubes begin to relax and energy
levels increase
Within 2 weeks to 3
months
• Circulation improves
• Lung function increases
Within 6 months
• Coughing, sinus congestion, tiredness and
shortness of breath improve
Short-Term Health Benefits
MANY PEOPLE trying to quite aren’t aware that all smokers who quit reap
immediate health benefits – even long-term heavy smokers. Explaining that
North Shore Family Health Team
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- 58 -
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- 59 -
Long-Term Health Benefits
Quitting smoking for good substantially reduces the risk of serious illness for
all smokers.
person-to-person contact are effective”. Behavioural counselling can be
used alone or to be more effective can be supported with pharmaceutical
aids.
The long-term health benefits of quitting include:
Pharmaceutical Aids
NRT (Nicotine Replacement Therapy) which includes nicotine gum,
patches and nicotine inhaler helps relieve the discomfort of physical
withdrawal, reduces cravings by supplying the brain with some nicotine and
offers a cleaner system of delivery than cigarette smoke.
Time Lapse
Long-Term Health Benefits
At 1 year
• Excess risk of coronary heart disease is
decreased to half that of a smoker
At 5 to 15 years
• Risk of stroke is reduced to that of people
who have never smoked
At 10 years
• Risk of lung cancer drops to one-half that of
continuing smokers
• Risk of cancer of the mouth, throat,
oesophagus, bladder, kidney and pancreas
decreases
• Risk of ulcers decreases
Champix is a nicotine-free pill that can help relieve the cravings and
withdrawal symptoms associated with stopping smoking.
• Risk of coronary heart disease is similar to
that of people who have never smoked
• Risk of death returns to nearly the level of
people who have never smoked
Combining NRT and Bupropion appears to increase the odds of quitting
more then either therapy alone.
At 15 years
Smoking Cessation – How to Quit
Many people try to quit “cold turkey” and while this seems to work initially,
may people will start smoking again.
Bupropion is found under the trade mark names of Zyban or Wellbutrin and
is a nicotine free pill that helps reduce the cravings caused by nicotine
withdrawal.
Champix can increase the odds of quitting by 4 times
Bupropion can increase the odds of quitting by 2.1 times
NRT can increase the odds of quitting by 1.6-2.1 times
Remember your MOTIVATION is key to your ability to quit. If you are
thinking of quitting, meet with a Smoking Cessation Specialist at the Family
Health Team to develop a plan that is suited for you.
Behavioural Counselling, which includes cognitive behavioural approaches
and problem-solving skills, is very effective in smoking cessation.
If you do try to quit smoking either cold turkey or with medication, you may
experience the following symptoms: depression, short tempered, frustration
or anger, nervousness, impatience and difficulty concentrating. Your
appetite might increase and you may gain some weight. These symptoms
can be discussed in counselling and will diminish over time.
“There is a dose-response relationship between the intensity of tobacco
Dependence counselling and its effectiveness. Treatments involving
Support is available through the Smoking Cessation Specialist at the North
Shore Family Health Team
North Shore Family Health Team
PAGE
- 60 NUTRITIONAL GUIDELINES
HEALTHY EATING
Healthy eating is one step in improving your overall health. Achieve and
maintain a healthy body weight by enjoying regular physical activity and
healthy eating.
Reduce fat intake.
1. Choose foods that are lower in saturated fat, trans fat and cholesterol.
Saturated fat is found in animal – based foods, such as meat and dairy
products, as well as tropical fats, such as coconut and palm oil. Trans fat
is found in hard margarine and some processed foods, such as storebought cookies and crackers. Trans fat is also known as hydrogenated
margarine or vegetable shortening. Cholesterol is found only in animal
foods such as meats, eggs and dairy products.
2. Use mono- and polyunsaturated fats for flavour. These fats are
found mostly in plant foods, such as canola oil and peanut butter, and can
be used regularly in small amounts. Omega-3 fat, an unsaturated fat found
in flax seed and fish, is also a healthy fat and should be eaten more often.
3. Choose low-fat diary products, lean meats and foods prepared with little
or no fat.
Increase the amount of complex carbohydrates (found in starchy
foods rich in fibre).
1. Emphasize cereals, breads and other grain products.
2. Have legumes (beans, peas and lentils) instead of meat at least once
per week.
3. Snack on fruits, vegetables, popcorn (without butter) instead of cakes,
cookies, pies and chocolate.
4. Limit candy and sweet desserts to small amounts eaten with meals.
PAGE
- 61 Increase the amount of dietary fibre in your diet.
1. Aim for 35 grams of fibre daily.
2. Choose whole grain breads, cereals and pasta and brown rice more
often.
3. Sprinkle wheat germ or bran on cereals, salads and yogurt.
4. Eat more fruit and vegetables every day.
5. Snack on raw fruits and vegetables and whole-grain crackers.
Consume enough, but not excess protein.
Limit protein to 2-3 oz. (50-70g) portion of meat, fish, poultry or low-fat
cheese twice a day.
Limit sodium or salt intake.
1. Limit the amount of salt that you use in cooking and at the table.
2. Reduce intake of processed meats, high-sodium condiments such as
soy sauce, MSG, and convenience foods.
3. Try using spices and herbs more often in cooking.
4. Prepare fresh foods simply and enjoy the natural flavours.
Limit sugar intake.
1. Limit the amount of sugar you use in cooking and add at the table.
2. Snack on fresh fruit and vegetables and limit sugary snacks and
desserts to small amounts.
Limit alcohol and caffeine intake.
Use Canada’s Food Guide to Healthy eating to help plan meals and
snacks.
1. Enjoy a variety of foods from all food groups.
2. Be willing to try new foods particularly different fruits and vegetables.
North Shore Family Health Team
PAGE
- 62 Healthy eating is the total of all food choices made over time. It is the
overall ‘pattern’ of foods eaten and not any one food, meal or even day’s
meals that determine if an eating pattern is healthy.
It is important to remember that no food is bad for you – all foods can fit into
a healthy diet with a little planning. Enjoy favourite high energy, high fat
foods BUT less often and in smaller portions.
PAGE
- 63 LOCAL RESOURCES
Phone Numbers
North Shore Family Health Team
J.E. Stokes Medical Centre
Aguasabon Medical Clinic
Thunder Bay District Health Unit
Stewart Pharmacy
Optometrists
Dr. D. Buckton & Dr. M. White
Dentists
Mountain View Dental (Schreiber)
The McCausland Hospital
Hospice
Dietitian
Lab
X-Ray
Northern Diabetes Health Network (NDHN)
Physiotherapy
Northern Acupuncture/Heritage Physiotherapy
Diabetes Support Group
Terrace Bay Chiropractic
Foot Care Clinics
Pays Plat Health Centre
Reflexology
Seniors Group
Superior Speech Services
North of Superior Programs
Integrated Services for Northern Children (ISNC)
Marjorie House T&HSP
Early Intervention Program
Mental Illness Support Network
LOG ON TO:
The McCausland Hospital
Township of Schreiber
Township of Terrace Bay
824-2934
824-2952
825-3235
824-2413
825-3666
825-2586
824-2964
825-3273
Ext. 136
Ext. 191
Ext. 156
Ext. 154
Ext. 138
825-2200
825-9006
825-3280
825-3297
825-9685
824-1112
824-3445
825-9041
824-1304
824-2867
824-2867
824-3380
824-3028
824-1362
www.mccauslandhospital.com
www.schreiber.ca
www.terrace-bay.com
Have yourself a Healthy Day!!!
North Shore Family Health Team
PAGE
- 64 -
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- 65 -
LOCAL RESOURCES – Hours of Operation
INTERNET RESOURCES
NORTH SHORE FAMILY HEALTH TEAM
J.E. Stokes Medical Centre
Monday, Wednesday & Thursday
9:00 a.m. to 4:00 p.m.
Lunch – 12:00 p.m. to 1:00 p.m.
Arthritis - www.arthritis.ca
Alzheimer’s – www.alzheimerthunderbay.ca
Cancer – www.cancercare.on.ca
Heart/Stroke – www.heartandstroke.ca
Lung Cancer – www.lung.ca/breathworks/
Mayo Clinic – www.mayoclinic.com
Patient Education – www.cfpc.ca
(College of Physicians & Surgeons
Click – for patients/patient education programs)
Hospice Northwest – www.hospicenorthwest.ca
Anxiety Disorder – www.anxietyontario.com
www.mooddisorder.on.ca
www.medic.ca
www.schizophienia.on.ca
Center for Additions and Mental Health - www.cgmh.net
Canadian Mental Health Associates – www.cmha.ca
Tuesday
9:00 a.m. to 6:30 p.m.
Lunch – 12:00 p.m. to 1:00 p.m.
Friday
9:00 a.m. to 12:00 p.m.
Aguasabon Medical Clinic
Monday to Thursday
9:00 a.m. to 4:00 p.m.
Lunch – 12:00 p.m. to 1:00 p.m.
Friday
9:00 a.m. to 12:00 p.m.
THE MCCAUSLAND HOSPITAL
X-Ray Department
Monday to Friday
8:00 a.m. to 4:00 p.m.
Lunch (Thursday & Friday) – 12:00 p.m. to 1:00 p.m.
Lab
Monday to Thursday
8:30 a.m. to 2:00 p.m.
Friday
8:30 a.m. to 1:00 p.m.
**Lab Services Available in Schreiber at the J.E. Stokes
Medical Centre every Wednesday from:
8:30 a.m. to 9:30 a.m.
Smokers Helpline – www.smokershelpline.ca
Public Health Agency of Canada, Centre for Chronic Disease Prevention and
Control – http://www.phacaspc.gc.ca/ccdpccpcmc/index_e.html
National Home Care and Primary Health Care Partnership Project –
http://www.cdnhomecare.ca/npp/content.php?sec=0
Group Health Centre, Sault Ste. Marie, Ontario –
http://www.ghc.on.ca/home.html
Chronic Disease Management in B.C. –
http://www.heartbc.ca/pro/collaboratives/chf/chfindex.htm
Heart B.C. – http://www.heartbc.ca/pro/collaboratives/chf/chfindex.htm
Chronic Disease Management: The Calgary Conference –
http://www.cdmcalgary.ca/Default.aspx?tabid=50
Ontario Dental Association – www.oda.com
Canadian Diabetes Association – www.diabetes.ca
Nation Aboriginal Diabetes Association – www.nada.ca
Diabtetes On-Line – www.diabetes.gc.ca
Diabète Quebéc – www.diabete.qc.ca
North Shore Family Health Team
PAGE
- 66 -
Special Acknowledgement
to the North Shore Family Health Team
for their dedication, time and commitment
to the development of the
“Passport to Health” booklet,
a medical journal created for you.
References:
Thunder Bay District Health Unit
The McCausland Hospital
Canadian Cancer Society
The Lung Association
Ontario Breast Screening Foundation
Heart & Stroke Foundation
Ontario Dental Association
LifeScan Canada Ltd.
McNeil Consumer Healthcare
Canadian Diabetes Association
Association Diabète Québec
Expert Group on Weight Standard, Health and Welfare Canada
Peel Public Health
Public Health Agency of Canada
PAGE
- 67 NOTES
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North Shore Family Health Team
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- 68 -
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- 69 -
NOTES
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North Shore Family Health Team
Special Features:
~ Front ~
Leaflet for: Appt. Cards
OHIP Card
,
, etc…
~ Middle ~
2 Dividers: Patient Medical Records (green)
& Medical Information (orange)
**Space provided for pt.
identification (name).
~ Back Cover ~
Pocket for: Immunization Card,
Blood Pressure Card, etc…
North Shore Family Health Team
The Passport to Health Booklets were
Contact Information:
The Print Shop
Attn: Mona Donaldson
Terrace Bay, ON
Phone: (807) 825-9425
Fax: (807) 825-9458
North Shore Family Health Team
The North Shore Family Health Team
would like to Thank you for viewing our project,
“The Passport to Health” – Medical Journal.
If you have any questions,
please feel free to contact The Team
@
(807) 824-2934 & (807) 824-2952
or via e-mail
[email protected]
North Shore Family Health Team