Therapeutic Services

River Valley Health offers a full range of therapeutic services provided by qualified health care professionals in a variety of disciplines. Included in the broad range of therapeutic services offered in the region are:

Audiology
Clinical Dietetics
Occupational Therapy
Spiritual and Religious Care / Pastoral Care
Pharmacy
Physiotherapy
Psychology
Respiratory Therapy
Social Work
Speech-Language Pathology



Audiology:
Audiology services are available to all ages. Audiologists focus on the early detection of hearing problems. As an example, a one-day-old baby can have a hearing test before they leave the hospital. A complete range of services is provided at the Dr. Everett Chalmers Regional Hospital. Basic testing is offered at a satellite clinic at the Upper River Valley Hospital in Waterville.

Audiologists may use a variety of different tests and specialized equipment to find the amount of hearing loss and the location of a hearing or balance problem. Each part of the hearing or balance system is examined carefully using equipment and techniques adapted to the age and health of the person. The audiologist then prepares a plan to improve the person's ability to communicate. This may include providing a prescription for a hearing aid or another type of equipment, or offering counseling to the patient and their family.

Audiologists work closely with other professionals, including physicians, speech-language pathologists, teachers and nurses, as well as with parents and other family members. Community information and educational sessions are provided to promote early detection and prevention of hearing and balance problems.

For more information, please contact Andre.Lafargue@rvh.nb.ca

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Clinical Dietetics:
Clinical dietitians work as members of the patient care team in all of the region's facilities, including community health centres, community hospitals, the Dr. Everett Chalmers Regional Hospital, the Stan Cassidy Centre for Rehabilitation, the Extra-Mural Program, and the Veterans Health Unit.

Clinical dietitians provide nutritional assessments, treatment intervention and consultation to individuals on food, diet and nutrition. They work with all ages from newborns to geriatrics. Good nutrition is essential for promoting growth and development, recovery from surgery, coping with medical treatment, and aiding disease prevention. After completing an assessment, the clinical dietitian develops a nutrition plan with the individual. These plans include education about one's medical condition and the impact of the food they eat on their health.

The region's clinical dietitians work closely with the regional Food Services Department on menu development for our health care facilities. The dietitians also provide nutritional education to patient groups (e.g. new diabetics), other health care professionals and community groups. They work closely with communities on various health promotion and disease prevention activities. They provide education and consultation to such organizations as the Canadian Diabetes Association, the Celiac Association, and the Crohn's and Colitis Society.

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Occupational Therapy:
Showing you the way to independence when daily living becomes a challenge.

Occupational therapy is a health profession
that focuses on helping people who have difficulty carrying out everyday activities, due to physical, mental or developmental difficulties.


What do Occupational Therapists do?
Occupational therapists are concerned with all areas of an individual's life, such as taking care of one's self (eg. bathing, dressing and meal preparation), work-related activities (eg. housework, child care, paid work) and leisure activities (eg. gardening, sport, driving). Occupational therapists work together with their clients to promote independence, meaning and satisfaction in their clients' lives.

Some services offered:
- providing education for patients who have had hip replacement surgery on steps to   take to protect their artificial joint.
- providing pre-vocational evaluation for the person who has experienced a psychiatric   illness
- adapting the home setting for a person with Rheumatoid Arthritis
- teaching a child with cerebral palsy how to dress him/her self
- assessing and adapting the work setting of a person with Carpal tunnel syndrome

Ask your doctor about an Occupational Therapist, if you:
- need help getting dressed, groomed or feeding yourself
- have trouble getting on or off the toilet, or chairs or getting in or out of bed, tub
  or car
- think you may need some adaptive equipment for home or assistive devices
- have any seating or positioning needs such as with splints, wheelchairs or
  specialized cushions.
- feel confused, forgetful, depressed, unsafe, in performing your daily activities.

Assistive devices and adaptive aids:
Occupational Therapists teach clients different ways to perform daily activities. This may include training in the use of assistive devices so the client can live independently.

Sample problem: Difficulty getting from sitting to standing.

Possible solutions:
1. To raise the height of the sitting surface to reduce leg muscle effort required.
2. To use arms during this activity to distribute strength demand.

Assistive device options:
- tub transfer bench - tub seat
- raised toilet seat - toilet rails
- spring-loaded seat - chair blocks

Please note: Please consult a medical professional.

Where Occupational Therapists are located:
Occupational therapists work in a variety of settings with individuals, groups, agencies and organizations. Occupational therapy is available in most health care facilities across the region, in home and school through the Extra-Mural Program and at the provincial tertiary rehabilitation centre (Stan Cassidy Centre for Rehabilitation). If you wish to see an OT at River Valley Health, discuss with your physician the best location to access OT services in your area.

For more information, please contact Patti.Byrne@rvh.nb.ca

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Spiritual and Religious Care:
The role of Spiritual and Religious Care / Pastoral Care is to help individuals meet their spiritual needs, whether or not they belong to a particular faith. Spiritual caregivers play an integral role in the healthcare team. Community clergy, religious leaders and spiritual care providers come into hospitals on a regular basis to provide spiritual care for members of their congregations. They are also available to help patients, families and staff during times of crisis.

Patients are asked, upon admission, about their religious affiliation and whether they want their clergy person, religious leader or a representative of their faith to visit them.

Spiritual and Religious Care services are offered in different ways in our organization. Some hospitals have a spiritual care coordinator who facilitates the services provided by community clergy, religious leaders and spiritual care providers. At the Dr. Everett Chalmers Regional Hospital, the Director of Spiritual and Religious Care is involved in providing such care to patients and families, as well as responding to crisis situations.

The Teaching Supervisor, certified by the Canadian Association for Pastoral Practice and Education (CAPPE), offers Clinical Pastoral Education courses on a regular basis at the Dr. Everett Chalmers Regional Hospital.  Student interns are placed in different units in the hospital and work with our health care teams to provide spiritual care services.

Ecumenical Duty Chaplains, Catholic Priests and Jehovah’s Witness representatives are available on call after regular hours at the Dr. Everett Chalmers Regional Hospital, Oromocto Public Hospital and the Upper River Valley Hospital.

In addition to regular visitations, various members of the clergy, religious leaders and healthcare workers are involved in Spiritual and Religious Care Advisory Committees.

For further information please contact the Spiritual and Religious Care Department at 452-5408 or spiritual.care@rvh.nb.ca

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Pharmacy:
The River Valley Health pharmacy department is an integral part of the health care team and supports the region's hospitals and health care centres. Pharmacists and pharmacy technicians work to provide patients with safe and effective drug therapy. Our pharmacy technicians manage the day-to-day functions of the pharmacy, such as dispensing, order entry, compounding, inventory, stock, and checking.

River Valley Health pharmacists are employed in Perth-Andover, Waterville, and Fredericton. Our pharmacists provide many services including drug interaction monitoring, drug order review, therapeutic drug monitoring and drug information support for other health care providers. Specialized pharmacy services are provided to the oncology units in Fredericton and Waterville. Our hemodialysis program is delivered in Fredericton and Waterville through a collaborative effort with the Nephrology Program at Saint John Regional Hospital.

River Valley Health has launched an automated pharmacy program. This includes the introduction of an online order verification program known as Med Direct, ROBOT-Rx, and automated medication cabinets. The robot serves all the hospitals in the region. Overseen by technicians, the robot automates the dispensing and checking of medications which operates on a twenty-four hour distribution system. The accuracy of the robot and the decrease in human intervention will reduce the risk of medication related errors. The robot allows pharmacists to work more closely with the health care team, to participate on clinical rounds, and to focus on patient care.

Our goal is to meet patients' needs by providing cost-effective, optimal drug therapy and patient-focused care. The pharmacists and pharmacy technicians at River Valley Health are committed to enhancing the level of pharmaceutical care in the region.

River Valley Health supports both pharmacy and pharmacy technician students during their practicums.

For more information, please contact: Faith.Louis@rvh.nb.ca

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Physiotherapy:
Physiotherapy services are provided in all the hospitals within the region, as well as in the community health centres and at the Veterans Health Unit. Physiotherapists in the Extra-Mural Program provide services in the home, schools, and daycares.

Physiotherapy is described as the assessment, identification, alleviation and prevention of physical problems or pain. Physiotherapists have a detailed understanding of how the body works and are specially trained to assess and improve a patient's movement and physical function and to relieve pain. A physiotherapist may treat with manual mobilization and/or prescribe and teach exercises. They may also make use of a wide variety of treatment options, including heat, cold, electrical stimulation and acupuncture.

Physiotherapists work in many different areas of health care rehabilitation, geriatric and restorative care, surgical orthopedic, plastic surgery, general surgery, rheumatology, cardiac care, adult intensive care, neonatal intensive care, general medicine / family practice, pediatric (general), paediatric (neurological / developmental), musculoskeletal, maternity, post partum, oncology and emergency. Patients referred for physiotherapy services range in age from premature newborns to the elderly.

A physician's referral is required in order to obtain physiotherapy services.

For more information, please contact Marilyn.Rowan@rvh.nb.ca .

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Psychology Services:
River Valley Health Psychology Services are offered at the Dr. Everett Chalmers Regional Hospital and the Stan Cassidy Centre for Rehabilitation (SCCR) in Fredericton. Psychologists provide specialized assessments, treatment intervention and consultation services for patients who have psychological needs related to their medical condition or medical treatment.

Psychology services are available to adult and paediatric clients at the SCCR and to inpatients referred from any unit of the Dr. Everett Chalmers Regional Hospital. Services may be continued on a limited outpatient basis following discharge.

Dedicated psychology services are offered to the following areas and programs of the regional hospital: psychiatry, oncology, cardiac care, pediatrics, rehabilitation and geriatrics, family practice, surgery and the diabetes education clinic.

Psychologists also provide education and consultation to patients, health care professionals in the region, and the community on health-related psychological issues. Clinical supervision is provided to UNB graduate level psychology students. As members of the interdisciplinary health care team, psychologists also provide consultation and collaboration in the development and evaluation of patient care programs and research activities.

Internship Brochure

For more information, please contact Patti.Byrne@rvh.nb.ca

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Respiratory Therapy:
Respiratory therapists work throughout River Valley Health in a variety of settings. Respiratory therapists are an important part of the health care team. They respond to emergency situations, improve patient's quality of life, reduce time lost from work and school, and improve respiratory health. They also provide education to assist patients on inpatient and outpatient basis with breathing problems, and day-to-day coping skills.

Within River Valley Health, respiratory therapists work in the Intensive Care Units, Asthma Clinics, general patient units and Pulmonary Function Labs.

For more information, please contact Kathy.Kowalski@rvh.nb.ca

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Social Work:
Social workers are members of the patient care teams in the region. They provide services and support to all the hospitals within the region, as well as working in the Extra-Mural Program, the Stan Cassidy Centre for Rehabilitation, Addiction Services and the Veterans Health Unit.

Social workers help patients and their families deal with the stresses faced through illness and with being hospitalized. They also help family members discuss their needs and concerns arising from health issues. Social workers can give you information on support services that are available in your community. Social work in a hospital setting focuses on helping patients and their families deal with psychosocial or social-emotional needs relating to hospitalization and/or issues stemming from changes to their health. They offer supportive counseling, crisis intervention, and provide linkage to community resources to help patients and their families.

For more information, please contact Bruce.MacPherson@rvh.nb.ca

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Speech-Language Pathology:
Services are provided to inpatients and outpatients at all the hospitals within the region, as well as at the Stan Cassidy Centre for Rehabilitation. In Fredericton, outpatient services to pre-school age children are provided in a clinic setting at the Forest Hill Centre. Services are provided in the home, schools and daycare through the Extra-Mural Program. Services are offered to patients of all ages who have communication and/or swallowing problems.

Speech-language pathologists help individuals overcome and prevent communication problems in hearing, language, speech (pronunciation), voice, resonance and fluency (stuttering). These difficulties may be caused by delayed development or aging. They also help individuals use alternate modes of non-verbal communication, such as electronic communication boards or other devices.

Speech-language pathologists use a variety of tests and equipment to do their assessments and intervention, depending on the person's age and health. Patients are encouraged to become actively involved in planning their own therapy. Speech-language pathologists work closely with other professionals such as audiologists, physicians, teachers, and nurses, as well as with parents and family. They also provide services to the community by providing information and educational sessions to promote early detection and prevention of communication and swallowing problems.

Referrals to a speech-language pathologist are made by physicians, public health nurses, infant development specialists, and pre-school teachers. Self-referrals can also be made.

For more information, please contact Andre.Lafargue@rvh.nb.ca

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