Ambulatory Care Program (AC) provides specific short term out patient services that offers supportive care to the patient transitioning from acute in patient care to discharge or home environment. The population includes the catchment area of Cambridge and North Dumfries.

Programs

Diabetes Education Program (DEP): provides education and medical management to high risk clients. Appointment(s) are arranged with the RN,RD, Social Worker or Kinesiologist. High risk clients, such as newly diagnosed insulin dependent diabetics, pre-gestational diabetics and gestational diabetics are seen as priority one cases. Time is allocated in the daily clinician schedules to accommodate the new diabetic on insulin in-patient prior to discharge for diabetes education and insulin instruction. These high-risk clients are also followed up within 5 working days in DEP.

The endocrinologist provides the medical and follow up diabetic support for the active client. Clients are referred back to the community physician when their condition is stabilized.

A children’s clinic is held monthly and is managed by the paediatrician.

DEP, in partnership with Lang’s Farm Community Health Centre, offers outreach care.

COPD Clinic: The COPD Clinic is a team of health care professionals providing outpatient care for people who have chronic obstructive pulmonary disease. We discuss your individual issues, and learning needs, and develop a treatment plan based on your needs. Specific program objectives include; assessment, monitoring and treatment of patients with COPD, and patient and care giver education regarding topics including medication management, exercise, smoking cessation, diet and weight control and prevention of exacerbations and hospital re-admissions. The primary focus of the clinic is to increase the health and quality of life of our clients, and at the clinic, the focus is on you.

Seniors Health Services: this clinic provides service to the community elderly with issues of dementia, delirium, memory and falls. The Gerontologist, O.T. , social worker and nurse clinician assist the client and family in determining the causation of the behavioural change(s). The nurse clinician responds to the Emergency Department and assists the ER team in offering support service to the elderly patient who presents with confusion, history of falls, dementia or delirium. Through referral to the Geriatric Clinic or utilizing community supports as CCAC, admissions can be minimized. Strong partnerships exist with CCAC to support the elderly with complex medical conditions.

Cardiac Education Clinic: Phase II includes information on cardiac disease process and the bio-mechanics of symptom or disease reduction. This phase involves 6 sessions over 2 weeks. Phase III moves this further along the wellness continuum with the client striving towards an optimal activity capacity, which is maintained through a dedicated exercise-hardening program. This group program offers an 8-week structured program. Currently, there is one full time RN and one full time kinesiologist.

Transitioning partnerships with the community YMCA enables the cardiac client to shift from AC environment to the Y with greater ease.