services booklet - redhs · 2018. 10. 8. · booklet rochester and elmore district health service...

Services

Booklet Rochester and Elmore District Health

Service

PH: (03) 5484 4465

Fax: (03) 5484 2291

Updated October 2016

Rochester and Elmore District Services (REDHS) is committed to supporting the highest levels of care possible

for the communities it services. Working in partnership with a vast range of services is the cornerstone to

ensuring we are meeting the health and wellbeing needs of our consumers.

The REDHS Primary Care team has developed this services guide to ensure to support our colleagues in the

local health and wellbeing sector have a clear understanding of all the services available through REDHS.

The guide will be updated every 6 months with a view to ensure we are communicating regularly with our

colleagues in the industry.

Sam Campi

Primary Care Manager

Introduction

Contents

Allied Health Services

1) Occupational Therapy

2) Physiotherapy

3) Podiatry

4) Diabetes Education

5) Dietitian

6) Social Work

Community Based Services

7) District Nursing Service

8) Rural Withdrawal Nurse (hospital or in-home withdrawal services)

9) Transition Care Program

10) Carers Support Program Residential/ Respite (Bed Based and Community based)

11) National Respite For Carers

12) Planned Activity Group

Exercise Groups

13) Exercise Physiology

14) Exercise groups

Visiting Services

15) Pathology

Chiropractor

Maternal Child Health Nurse

Hearing Services

Drug and Alcohol Counselling

Immunisation

Psychology Services

General Practitioners Services

16) Campaspe Medical Centre

17) Rochester Medical Clinic

18) Elmore Primary Health Services

19) Contact List For REDHS

20) REDHS Price list

How To Make A Referral For Your Clients

Our Staff

Services We Can Offer Your Clients

Prior to making any referrals we encourage all agencies to make contact with our services to

discuss your client’s needs

Please phone Primary Care Administration Ph: 5484 4465

Casey and Hannah are our Occupational Therapists,

who are trained to assist people to overcome

limitations caused by injury or illness, psychological or

emotional difficulties, developmental delay of the

effects of ageing.

The goal is to maximise your client’s skills for living.

Occupational Therapists can help your client to maintain your

independence by assisting you to:

Achieve a safer, more accessible home environment

Prevent accident and injury

Plan for your retirement needs

Maximise independence in community sills such as budgeting, shopping,

and use of public transport

Participate in social and leisure

activities

Learn to conserve energy and

simplify daily tasks

Mobilise safely using appropriate

assistive devices

Prescription and education in the use of adapted equipment to

assist function.

Teaching work simplification techniques to maintain

independence.

Advice to carers/ family on lifting and transferring techniques.

Teaching ways to adapt to, and compensate for, age related

changes.

Assessment of capabilities in self-care, home duties,

community activities and social skills.

Training in self, and home management skills to

increase independence.

Assessment and modification of the home to

improve safety and independence.

Adaptation or design of special equipment.


Judy and Brittany, our physiotherapists at REDHS provide a range of services across the continuum of

care. These include:

What Do Physiotherapists At REDHS Do?


Prior to making any referrals we encourage all agencies to make contact with our

services to discuss your client’s needs



Judy and Brittany are our

Physiotherapists, who specialize in the

diagnosis and treatment of movement

disorders and musculoskeletal injuries.

Physiotherapist also specialize in the

assessment and treatment of

neurological and respiratory conditions.

Diagnosis, assessment and treatment of a range of musculoskeletal, cardiorespiratory or neurological

conditions using various evidence based techniques.

Assessment and review of a client’s mobility needs with prescription of gait aids as appropriate

Assessment and treatment of falls and balance concerns.

Individual and group based exercise programs tailored to the client’s needs.

Acute inpatients

Aged care

Pain management for aged care residents

Outpatients

Transition Care Program

Rehabilitation groups (e.g. Cardiac rehab)

Group exercise classes (e.g. strength & balance)

Eligible Clients





How To Make A Referral

rral For You Clients

Denise and Kelsie are our podiatrists

who specialise in the diagnosis,

treatment, prevention, and

rehabilitation of conditions affecting

the lower limb and foot.

General foot care Diabetic foot care and assessments Footwear education and advice Orthotics, pressure relief devices Corns, calluses and other skin conditions Wound management

Enhanced Primary Care client

available through your GP

Home Care Package clients

Dependent on your clients needs they can arrange from annual reviews to ongoing

treatment

Home and Community Care Clients

Department of Veterans Affairs

Investigating and treating toenail conditions. Heel pain assessment and treatment Bunions and other toe deformities Soft tissue injuries. Arthritis

Diabetes education is available for inpatients and outpatients at REDHS for:

Type 1 Diabetes Type 2 Diabetes Gestational Diabetes Diabetes in Pregnancy Pre-diabetes

Eligible Clients






Ashley is our Diabetes Educator who is qualified

to provide personalised diabetes education and

care that empowers people with diabetes to deal

with their daily self-management, in accordance

with the National Standards of Practice.

Individual services are available for:

Management principles of Diabetes Blood glucose monitoring techniques Interpreting blood glucose levels Recurrent episodes of hypoglycaemia Sick day management Unstable Blood Glucose Levels Lifestyle modification

Group Programs

Type 2 Diabetes Group Program is a

Medicare funded eight week program ran

by the Diabetes Educator, Dietician &

Exercise Physiologist.

Life! Program is a Medicare funded group

program aimed at people with

Pre-Diabetes

Katherine is an Accredited Practicing Dietitian and Accredited Nutritionist who can help your clients

with everyday healthy eating by translating scientific health and nutrition information into practical

advice. Katherine can:

Assess individual nutritional needs

Develop personalised eating plans

Develop medical nutrition therapy plans

Sort out nutrition fact from fiction

Our Staff

Service We Can Offer Your Client





Katherine is our Dietitian, who

specializes in the assessment and

management of a variety of client’s

nutritional requirements.

Our Accredited Practicing Dietitian is able to offer a service focusing on the assessment, treatment and

education of clients for nutrition-related health conditions such as

Diabetes

Heart disease

Excess weight concerns

Katherine provides recommendations and support to clients to modify their current food intake in

order to manage their health conditions, and optimise their overall health and wellbeing.

Cancer

Kidney Disease

Irritable bowel syndrome

Malnutrition

Food allergies and intolerances






Social Work services operate from a multidisciplinary perspective to ensure that clients and families needs are met in a person centred manner. Social workers can provide short term counselling, practical and emotional support and information to help clients through a difficult time. They can also refer them to other support services.

Social Work services aim to improve well-being in the community by offering supportive counselling,

practical support, referrals to other services and advocacy for individuals or groups.

Services are provided on a one-to-one basis and can assist with a wide range of issues including, however

not limited to:

Capacity to adjust to illness and associated lifestyle changes

Interfamily relationships and dynamics and conflict between client and family members regarding

decisions

Grief and Loss

Formal and informal support networks

Accommodation

REDHS social workers are trained in Advance Care Planning and can support your client to document

their future healthcare wishes.

There is no cost associated with this service however appointments are necessary.

A nurse can help your client manage a health condition at home. Examples might be changing

dressings on wounds, or perhaps monitoring your blood pressure.

Nursing care is in place to assist your client with minor health conditions and works in

conjunction with other assistance available to your clients through the health system.

Service hours 7:45—4:15 Monday—Friday

Reduced service availabilities on weekends

Our Staff





How To Make A Referral For Your Client

REDHS District Nursing Team provides the community

based nursing care and health advice to the

communities of Rochester, Elmore and Goornong for

people who may be unwell, aged and frail, people

with disabilities and their carers

Wound care and dressings, medication monitoring and assistance, Blood pressure and general health

monitoring. Injection of daily insulin (depending on location of residence), and blood glucose

monitoring. Clexaine - anticoagulant injections pre and post operatively. Administration of eye drops

twice daily. (We are unable to offer an evening service for medication administration) Palliative care.

Referrals to other allied health clinicians /services following assessments Eg; Podiatry, Physio, OT.

Education to clients and carers where required. Indwelling and suprapubic catheter changes. Pathology

collection. Continence advice.

If wound care is provided there is a fee for the wound care products supplied.

RURAL WITHDRAWAL NURSE

Our Rural Drug Withdrawal Nurse can help people to overcome the difficulties of drug dependence by referral to

residential detox and rural (home based detox). Liaison with GPs and other health care professionals, as well as

supportive others, is crucial for the recovery of an individual.

In consultation with the client, Tony can develop a specific case plan for the person to develop strategies and

realistic goals for the person to aid recovery and maintain a drug free lifestyle, or strategies aimed at harm

minimisation/reduction as appropriate.

Our Staff






Tony is a Rural Drug Withdrawal Nurse who is

committed to helping people with substance

dependencies to overcome the difficulties in

remaining drug free, with help in the areas of

holistic health, which encompasses emotional,

physical and spiritual health.

Conduct comprehensive client assessments including alcohol, tobacco and other drug specific information to determine appropriate intervention.

Provide withdrawal advice to facilitate the most appropriate option for withdrawal. To liaise with medical practitioners and other health care providers where medical and other specialised interventions are required for withdrawal management.

Provide advice and support as appropriate for hospital staff where clients are undertaking hospital based withdrawal.

Facilitate referral to residential withdrawal facilities as appropriate.

Provide an on call, out of hour’s service for clients and support people undertaking withdrawal.

Utilise appropriate interventions such as motivational interviewing, cognitive behavioural approaches and relapse prevention strategies to facilitate client engagement and achievement of goals.

Develop an Individual Treatment Plan with each client, identifying significant treatment goals and strategies for achieving goals.

Focused on your individual goals

Focused on particular therapies

A short time only. Transition care can be provided for a period of up to 12 weeks. This

may be extended to 18 weeks if you are assessed as needing more help while in

transition care.

Transition Care Provides Short-term Care That Is:

Services That The Transition Care Program Can Offer Your Clients





Transition care is for older people who have been in

hospital, but need more help to recover and time to make a

decision about the best place for them to live in the longer

term. Transition care may be provided either in your clients

own home or in a ‘live-in’ setting. The REDHS live in setting

is in the hospital acute ward. Your clients can only access

transition care directly from hospital.

Physiotherapy

Occupational Therapy

Nursing

Social Work

Podiatry

Case Management

Dietician

Diabetes Education

Transport To Medical Appointments

The Role Of Carer Support Program Is To:


services to discuss your clients needs


How To Make A Referral For You Client

Care Support Program is a new program to REDHS

providing outings and giving Carers the much needed

time off and short break.

Transport is provided to and from the activities.

1 Day a month

Provide respite and support for carers

Promote and maintain good health and social support and interaction with others

Provide a close and supportive environment to share the day with others

Provide activities to promote independence and enjoyment.

RESIDENTIAL RESPITE

REDHS Aged Care is an approved service provider for short term Respite Care. To be

eligible for Respite Care an ACAS approval is required and once approved entitles the

applicant to 63 Respite days per financial year. There is a cost per day for Respite Care.

A room with an ensuite is available in our Low Care facility for this specific purpose. It

can be booked in advance or if available, can be used for emergency Respite (pending

bookings).

Receive 24 hour care under the supervision of a Registered Nurse and receive help with

all personal care. Meals provided in a lovely homely environment.

Contact REDHS Aged Care Administration on 5484 4461 for bookings or enquiries


The Role Of National Respite For Carers Program Is To:





NRCP offers support to carers providing a service

of Day Program to In Home respite.

This service allows quality time for Carers to have

a break .

Service is available for Day Respite on a Friday

when we join with the Planned Activity Program

at REDHS or In home respite.

Promote and maintain Carer Support

Provides Carers with valuable time out from

the everyday caring role.

Provide emotional support to the Carer.

Provides social interaction and

engagement with others.

Provides emotional, health and

wellbeing support to the care recipient.

Eligibility

The NRCP is designed to support and assist Primary Carers of people who are unable to care for

themselves because of frailty or a disability. NRCP services are targeted to assist carers of:

Frail Aged Australians (aged 65 years and over, or aged 50 years and over if Indigenous)

People with Dementia

People with Dementia and Challenging Behaviours;

Younger People with disabilities (people under the age of 65 years, or under the aged of 50 years if

Indigenous)

People with a terminal illness requiring Palliative Care

People with High Care Needs

Employed Carers.

The role of Planned Activity Group is to:


services to discuss your clients needs


PAG Staff Available

Between 9:00am and 4:00 pm

(Monday, Wednesday or Friday)


Planned activity Group can offer the

support and assistance for your client to

help maintain your client’s independence.

Transport is provided to and from REDHS,

if required

Meal provided, Morning/Afternoon Tea &

Lunch

3 Days Week (Monday, Wednesday, Friday)

Promote and maintain independence

Enhance quality of life

Provide respite and support to carers

Provide activities to promote Independence

and enjoyment

Activities designed to meet individuals and

groups needs

Involve the community in the care of the

aged programme, through the use of

volunteer helpers

Provide a close and supportive

environment to share the day with

others

Provide socialisation

Link with other services both internal

and external to Primary Care at REDHS

EXERCISE PHYSIOLOGY

Overcome persisting pain caused by injury or overuse Improve your clients heart health Rehabilitate following a cardiac event Control your clients diabetes Prevent pre-diabetes from progressing to full diabetes Improve your clients recovery following cancer treatment Improve your clients general health and wellbeing

How Can Exercise Physiologist Help Your Clients

Group Programs At REDHS





Ashley is our Exercise Physiologist who

specialises in the delivery of exercise for

the prevention and management of chronic

diseases and injuries. AEPs provide support

for clients with conditions such as

cardiovascular disease, diabetes,

osteoporosis, mental health problems,

cancer, arthritis, pulmonary disease and

more.

Fitness for Older Adults Program (FOAP) Low Level Strength & Balance High Level Supervised Gym Cardiac Rehabilitation (phase 3) Type 2 Diabetes Mellitus Program Life! Program

Our Strength & Balance Program Level 1 has been designed for participants that aren’t

able to stand for long periods of time. The majority of the program is performed in a

seated position working on increasing muscle tone, strength and range of movement.

When: Wednesday 9:30-10:30 or 10:45-11:45 Cost: $5.00

Strength & Balance Level 1

Fitness For Your Older Clients

Supervised Gym Group

Get You Clients To Come Join The Fun

Supervised by Exercise Physiologist Ashley Watson, the aim of this group is to provide

exercise programs in an individualised setting. Following an initial assessment your clients

are provided with a program where specific exercises are designed to meet their own

personal goals. During the sessions there is individualised supervision of exercise

technique and progression of exercises.

When: Thursday 2pm Cost: $5.00

Rochester & Elmore District Health Service, offers a range of

low to high impact exercise classes.

Your clients can join and participate in a fun and safe

environment to improve their health and wellbeing.

Our strength training program designed for men & women over 50 years of age. Your

clients will enjoy social interaction in a group setting while exercising to their ability in a

fun & safe environment. For your clients to be eligible for the group program, they must

have the ability to walk independently with good standing balance.

When: Thursday 9:00-10:00 or Group 10:30-11:30 Cost: $5.00

Cardiac Rehabilitation is a program of exercise, and support to help maximise your clients

physical, emotional and social recovery after a cardiac event or condition. This is achieved

by individually prescribed exercises to suit your condition and general fitness. The clients

must be 3 months post cardiac event.

When: Wednesday 1pm-230pm Cost: $5.00

Cardiac Rehab Phase Three Maintenance Program

Your Clients Are Welcome To

Look At Our Classes

What Will Your Clients Need To Do Before They Come To The

Sessions

Participants are required to complete an assessment which can be conducted by a

physiotherapist or exercise physiologist, who will identify your needs and suitability for

appropriate class prior to commencing group programs.

The T2DM group program is designed to provide group education and exercise to people

with Type 2 Diabetes. This program is eight weeks in duration and is Medicare funded so

there are no out of pocket expenses to the individual. The education component consists

of sessions facilitated by a Diabetes Educator, Dietitian and Exercise Physiologist. As well

as education, the group performs group exercises weekly in a fun environment.

Type 2 Diabetes Group Program

Group Exercise Programs

How To Referrer Your Clients You clients need a referral from their Doctor to attend group programs at REDHS


Hearing Services

Glen Carter, Nationwide Hearing Services [email protected],

mobile 0407 996 339, every 2nd Thursday

Pathology Services

Dorevitch Pathology

5 Days a week – 8am – 3pm

5484 1887

Chiropractor

Rich River Chiropractor Services

Mon 12- 5pm & Thurs 10-2.30pm

Maternal Child Health (Campaspe Shire)

Mon – Wed – Thurs (first week)

Mon – Wed (second week)

Drug & Alcohol Counselling

Mind Australia – Kerri Brown

Every 2nd Tuesday

Psychologist

Mind Australia – Rachel Mausiboy

Every Tuesday & Thursday

Appts through Campaspe Medical Centre

Immunisation

Shire of Campaspe – monthly vaccinations

CAMPASPE MEDICAL CENTRE

GPs: Dr Eji Ekeanyanwu, Dr Mena Attalh &

Dr Maureen Siapno

Nursing Staff: Jackie, Robyn & Megan

Clerical Staff: Janet-Practice Manager, Sharon,

Cate, Lisa, Rachael & Maddy

Our Staff


Accredited Travel Vaccination Clinic

Men’s and Women's Health

Asthma Management

Skin Checks

Child and Adult immunisation

Psychologist

DVA Care provider

Open Monday to Friday

8:30 to 5:30

Appointments available by

phone

PH: 54844480

Joint injection

ATSI Service

Chronic Health Management

Wound Management

Sports Injury Management

Minor Procedures

Preventative Health Management

ROCHESTER MEDICAL CLINIC

General Practitioners:

Dr Nigel Fang

Dr Janette Duggan

Dr Helen Rhode

Our Staff


To contact Rochester Medical Clinic

Ph: 5484 1304

Fax: 5484 3776

Address: 40-44 Moore Street Rochester 3561

Immunisations

Diabetes Care

Counselling

Pap Screening

Podiatry

Wound Care

Healthy Kids Check

Annual comprehensive

health check

Psychologist

Nutrition Education

Breast Check Ups

Skin Cancer Screening and

Management

Pathology and Cardiac

Investigation Services

Comprehensive Antenatal

Care

Medical Care


ROCHESTER MEDICAL CLINIC

Claire O’Brien—Rochester Medical Clinic Psychologist

Our Staff


GP referral and Mental Health Care Plan

Mobile: 0433 923 578

Clinic Ph: 5484 1304


Comprehensive Psychological Services

Include

Psychological assessment

Therapeutic intervention

Consulting to all age groups

TAC, VOCAT, WorkCover

Areas of Expertise:

Depression

Anxiety

Trauma

Parenting

Grief and Loss

Cancer Support

Chronic Pain and Illness

Autistic Spectrum

Disorder

Cognitive and

Education Assessment

Primary Care Manager Sam Campi

5484 4323 0477 313 740 [email protected]

Primary Care Team Leader: Allied Health Meaghan Sully

[email protected]

Primary Care Team Leader: Home Care Megan Purvis

[email protected]

Primary Care Administration 5484 4465

Diabetes Education Ashley Watson

[email protected]

Dietitian Katherine Watson (Available Monday, Wednesday &Thursday)

[email protected]

District Nursing Services

Contact REDHS Primary Care Administration on 5484 4465

Drug and Alcohol Withdrawal Nurse Tony Fitzpatrick

[email protected]

Exercise Groups Ashley Watson Kellyann Clarke

[email protected] [email protected]

Exercise Physiology Ashley Watson

[email protected]

NRCP Debra Leed

[email protected]

Occupational Therapy Hannah Whatley (Available Wednesday, Thursday & Friday)

[email protected]

Physiotherapy Judy Lee Brittany Hercus


Planned Activity Group Anne Shaw Anne Maree Hewlett Debra Leed (Available Monday, Wednesday Friday)

[email protected] [email protected] [email protected]

Podiatrist Kelsie McDonald

[email protected]

Residential Respite Contact Primary Care Administration on 5484 4461

Social Work Helen Lamour

[email protected]

Transition Care Program Meredith Hodder Jacinta McWhinney


Visiting Services Pathology Chiropractor Maternal Child Health Nurse Hearing Services Immunisation Psychology

Campaspe Medical Centre 5484 4480

Rochester Medical Clinic 5484 1304

REDHS PRIMARY CARE STAFF CONTACT LIST To contact any of our Primary Care staff please call Primary Care Administration on 5484 4465

services booklet - redhs · 2018. 10. 8. · booklet rochester and elmore district health service...

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