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Nursing Care

Our chronic disease nurse is specially trained to help you by providing services that can prevent costly and painful complications as well as reduce emergency room visits and avoid hospitalizations.

ABI Screening (ankle-brachial index):

The ankle-brachial index test is a quick, noninvasive way to check your risk of peripheral artery disease (PAD). Peripheral artery disease is a condition in which the arteries in your legs or arms are narrowed or blocked. People with peripheral artery disease are at a high risk of heart attack, stroke, poor circulation and leg pain.

The ankle-brachial index test compares your blood pressure measured at your ankle with your blood pressure measured at your arm. A low ankle-brachial index number can indicate narrowing or blockage of the arteries in your legs, leading to circulatory problems, heart disease or stroke. The ankle-brachial index test is sometimes recommended as part of a series of three tests, including the carotid ultrasound and abdominal ultrasound, to check for blocked or narrowed arteries.

Cognitive Assessment:

The Montreal Cognitive Assessment (MoCA) was designed as a rapid screening instrument for mild cognitive dysfunction. It assesses different cognitive domains: attention and concentration, executive functions, memory, language, visuoconstructional skills, conceptual thinking, calculations, and orientation. Time to administer the MoCA is approximately 10 minutes. The total possible score is 30 points; a score of 26 or above is considered normal.

The mini–mental state examination (MMSE) or Folstein test is a brief 30-point questionnaire used to screen for cognitive impairment. It is commonly used in medicine to screen for dementia. It is also used to estimate the severity of cognitive impairment at a specific time and to follow the course of cognitive changes in an individual over time, thus making it an effective way to document an individual's response to treatment. In about 10 minutes, it samples functions including arithmetic, memory and orientation. Any score greater than or equal to 25 points (out of 30) is effectively normal.

Ear Irrigation:

Ear irrigation is the process of flushing the external ear canal with water. It is used to treat patients who complain of foreign body or cerumen (ear wax) impaction. The purpose of ear irrigation is to remove earwax that is obstructing the ear canal or to remove a foreign object lodged in the ear canal. Ear irrigation is most commonly performed on those who experience a wax buildup that has impaired hearing and irritated the outer ear canal.

Screening Spirometry:

Spirometry is a type of pulmonary function test that measures the amount of air taken in (volume) and exhaled as a function of time.

During a spirometry test, patients place their mouth over the mouthpiece of the spirometer, take a deep breath in, and then blow out as forcefully as possible.

Spirometry gives health care professionals two important numbers that may indicate problems with lung function. These are:

  • Forced Vital Capacity (FVC) - how much air you can blow out of your lungs
  • Forced Expiratory Volume (FEV1) - the amount of air you can blow out in 1 second
Your doctor may use the results of your spirometry to diagnose COPD, emphysema or asthma. If you have a lung disease such as asthma, spirometry can give important information on whether or not medications are working, or if your disease is worsening.  With lung cancer, spirometry may help your doctor decide if you would be able to tolerate lung cancer surgery.

Tympanogram:

A test using tympanometry to measure how easily the tympanic membrane vibrates back and forth and at what pressure the vibration is easiest. The middle ear is normally filled with air at a pressure equal to that of the surrounding atmosphere. If it is filled with fluid, the membrane will not vibrate properly and the line on the tympanogram will be flat; if it is filled with air, but at a higher or lower pressure than the surrounding atmosphere, the line on the graph will be shifted in position. A tympanogram is a quick and easy test; a probe is placed up against the ear canal like an ear plug and the equipment automatically makes the measurements.

Wound Care:

Consists of observing, cleansing, irrigating, or covering of a wound, lesion, or incision.  May also include removal of sutures or staples.

To receive these services, you must be a resident of the Province of Ontario and be referred by a family physician who is a member of our Family Health Team.

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