sacs - Latrobe Regional Hospital
Concerns about memory loss, your ability to think clearly and early symptoms of dementia can come at any age.
Our Cognitive Dementia Memory Service (CDAMS) provides support for people, their families and carers.
We offer expert clinical diagnosis, information on treatments and education. You will also receive direction in planning for the future, information on how to deal with day-to-day issues and links to other service providers and community support agencies.
Our specialist team includes a geriatrician, clinical neuropsychologist, occupational therapist and nursing coordinator.
Who is eligible?
To be eligible for the CDAMS you need to ensure that:
• diagnosis is the primary reason for referral (rather than testamentary capacity, carer stress, functional issues or abuse)
• cognitive changes have been observed over months or years
• multidisciplinary assessment is required for diagnosis
• specialist diagnosis is required for consideration of medication
• you are medically stable
• you arephysically able to undergo assessment
• you consent to undergo assessment.
Referrals can come from any of the LRH inpatient wards. Referrals can also come from other hospitals, community service providers and agencies. You or a family member or carer may self-refer to the service but you will need a GP referral. All CDAMS referrals require a health summary letter from your GP. Screening tests and results (such as blood tests and CT brain scan) are required before your first CDAMS appointment.
There will be an initial home visit before your clinical assessment. This will involve a nurse or occupational therapist who will provide you and your family or carer with information about the service. You will also share information about your condition, progress, background, ability to engage in day-to-day living and the level of care you are receiving.
The clinical assessment will take between 1-2 hours and involves a geriatrician conducting physical and medical tests. You may need to undergo a neuropsychologist assessment which is used when the diagnosis is unclear, very early or unusual. Input may also come from our Allied Health team.
After this, there will be a case conference, also taking between 1-2 hours in which the CDAMS team will formulate a management plan.Referrals to specialist services such as Aged Persons Mental Health Services (APMHS) may be required.
There will then be a discussion with you and your family about the diagnosis and management plan.
If you would like to make a referral or learn more about CDAMS, contact the Latrobe Regional Hospital Specialist Clinic on 5173 8822.
The clinic is located at 158-160 Princes Street, Traralgon (former Traralgon hospital site) and open Monday-Friday from 8am-5pm. The clinic is closed on public holidays.
Our Community Rehabilitation Services (CRS) are programs designed to help you improve your functional abilities.
You may work one-on-one with members of our CRS team at home or within a group at Latrobe Regional Hospital or one of its clinics.
Our specialist team includes a physiotherapist, occupational therapist, dietitian, rehabilitation medicine specialist, social worker, speech pathologist, allied health assistant and in some cases a prosthetist and orthotist.
Our programs include:
- Balance group - for people who have had recent falls or have poor balance. This is an 8 week rolling program providing twice weekly exercise and education sessions. The aim is to improve your balance, strength and mobility and it provides strategies for minimising the risk of falls and injuries from falls.
- Cardiac rehabilitation phase 2 -for people with any heart condition who are medically stable, post AMI, stent etc. This isa 5 week rolling program providing twice weekly exercise and education sessions with the aim of improving physical function and self-management of your condition.
- Heart failure rehabilitation -for people with stable chronic heart failure. The 8 week rolling program provides twice weekly exercise and education sessions andaims to improve physical function and self-management of your condition.
- MS group -for people with Multiple Sclerosis who would benefit from exercise and education. This is a 9 week program providing weekly exercise, education and practical sessions. It is run depending on demand.
- Parkinson’s group -for people with Parkinson’s who would benefit from exercise and education. The 10 week program provides weekly exercise, education and practical sessions. It is run depending on demand.
- Pulmonary rehabilitation phase 2 -for people with stable respiratory conditions, chronic obstructive pulmonary disease (COPD), emphysema, asthma and other chronic respiratory conditions. The 7 week rolling program provides twice weekly exercise and education sessions. It aims to improve your physical function and self-management of your condition.
- Stroke rehabilitation education group -a 12 week program providing education and support to stroke survivors and their carers on a range of topics relevant to their ongoing recovery. Stroke survivors who are current inpatients in the Nicholson Rehabiltation or GEM units or those who have a current episode of care with CRS are eligible for this group.
- Young and able group -a program offered tor young people aged 16-30 with a variety of physical limitations. The program involves exercise and activities to increase independence. It is run depending on demand.
To take part in CRS programs, you must live in the Latrobe City catchment and need the input of 2 or more different members of our specialist team to work on your goals.
Referrals can come from any of the LRH inpatient wards. They can also come from other hospitals, community service providers and agencies. You may self-refer to the service but you will need a summary from your GP before you are assessed.
At the initial assessment, you, your family or carer will discuss your goals, the frequency of appointments and an estimated timeline for therapy. Delivery of therapy, either one-on-one or in a group is based on your goals and determined by individual clinicians or the specialist team. Your progress will be monitored regularly to ensure your therapy remains targeted to your needs.
If you would like to make a referral or find out more about any of the CRS programs phone Allied Health at Latrobe Regional Hospital 5173 8383.
The Allied Health Department is open Monday-Friday from 8am-5pm. It is closed on public holidays.
Bladder and bowel problems can affect people at any age and we take a multidisciplinary approach to assess and help you manage continence issues.
Our team includes a continence nurse consultant, medical specialist, occupational therapist and physiotherapist.
The service is available to adults and children who live in Gippsland and are experiencing bladder and bowel dysfunction.
You will receive a comprehensive assessment, clinical diagnosis and tests to determine how well your bladder and bowel functions.
There are numerous management strategies to assist you including bladder retraining, pelvic muscle rehabilitation, bowel management and toileting programs.
Our specialists also offer advice on the use of continence aids and how to live with incontinence problems.
Referral isn't necessary although some people may be referred from the hospital, community service providers and agencies.
Your first appointment will take about 1 hour with follow-up appointments about 30 minutes.
Continence Clinic at Latrobe Regional Hospital Specialist Clinics, 158-160 Princes Street, Traralgon (former Traralgon hospital site), phone 5173 8822.
The Specialist Clinics are open Monday-Friday from 8am-5pm and closed on public holidays.
Our Falls and Balance Clinic may help you if you have experienced a fall or have mobility or balance problems placing you at risk of falling.
You may be referred to the clinic by Latrobe Regional Hospital, community agencies, or your GP.
A geriatrician, occupational therapist and physiotherapist make up the team that will carry out an assessment on you. This might take up to 3 hours in the presence of your family or carer. A home assessment may need to be carried out by our occupational therapist.
The Falls and Balance Clinic team will meet to set a management plan for you which may include referral to other services. This plan will be sent to you and your GP. It includes a range of strategies aimed at reducing your risk of falling and improving your quality of life, mobility and function.
The management plan may also include strengthening and flexibility programs, balance retraining programs, the prescription of aids and equipment to improve safety and adjustment to you rmedication.
The clinic does not provide ongoing therapy or treatment. Referrals to appropriate service providers for ongoing management is arranged as required.
You'll undergo a review at the clinic 6 weeks and 6 months after the initial assessment.
Latrobe Regional Hospital Allied Health Department, phone 5173 8383 Monday to Friday from 8am-5pm.
The Hospital Admissions Risk Program (HARP), now known as the HARP Chronic Disease Management Program is designed to improve health outcomes for people with chronic illness. The aim is to reduce the need for Emergency Department visits and hospital admissions.
HARP is a free short-term care program. You will have a care coordinator to provide information, support and education to you and your family.
Our staff are skilled in developing strategies to help you manage your condition. They are nurses or have a clinical background and have a level of expertise in cardiac and respiratory issues, cancer, diabetes or other chronic illnesses.
Your care coordinator can link you to community providers and liaise with other health professionals such as your local doctor or medical specialist to establish your management plan.
They will contact you at home after your visit to the hospital or Emergency Department and discuss your condition with you and your family or carer and how you can best manage the condition at home.
The care coordinator is able to provide education about your medical condition, how to recognise symptoms and what action to take. You may need to attend one of our outpatient groups, listed below, for exercise or education.
Your care coordinator will monitor your progress for a few months to ensure you have adequate knowledge and support in place to best manage your condition and improve the quality of your life.
Referral to HARP may come from your GP or any health professional when you present to the Emergency Department or are admitted to hospital.
- care coordination for patients with chronic and complex needs
- respiratory support and education
- cardiac support and education
- diabetes education
- cancer care support and education
- complex psychosocial support
- mental health liaison
Heart Failure Rehabilitation Program
Heart failure rehabilitation is an outpatient program for people with stable heart failure. You will take part in exercise classes, education and support sessions which are aimed at improving physical function and self-management of your medical condition.
Exercise sessions are tailored to meet your requirements and goals. We want to develop your confidence in continuing to exercise independently when the course is finished.
Our education sessions are designed to be informative and interactive. We want you to have a better understanding of your medical condition so it is easier for you to complete your day-to-day activities. You will be encouraged to set goals and strive to achieve them with a good support network.
What will I need to do?
You will need to attend supervised exercise sessions each Tuesday and Friday for 8 weeks. Each Tuesday includes an education session to improve your ability to manage your medical condition. Your exercise program is specifically designed to maximise your ability to complete day-to-day activities easier.
Tuesday program - exercise from 11.30am-12.30pm followed by lunch and an education session.
Friday program - exercise from 11.30am-12.30pm followed by lunch and support group session.
You are required to bring your own lunch but refreshments are provided.
If you aren't able to attend, you must notify the HARP team.
Any person with stable heart failure can be referred to attend rehabilitation. Referrals can be made by the hospital if you have been recently admitted or by your local doctor.
HARP Chronic Disease Management Program phone 5173 8571
Pain may occur at any life stage. It can appear after injury, surgery or through the nervous system or be associated with chronic disease and conditions like arthritis. Our Pain Management Clinic provides access to a team that will help you manage chronic pain which hasn't responded to usual treatments.
The clinic aims to help you understand your pain and develop mind and body strategies to manage it. We aim to assist you to develop new thinking, moving and relaxation habits for living with the pain. These may include easing you back into activity without increasing the pain or learning to relax to promote a better quality of life.
You may be referred to the clinic by a local GP, Latrobe Regional Hospital, other hospitals or community agencies. Please note we require your GPs support in order to participate in the program.
If you are referring a patient to this service, please contact the Latrobe Regional Hospital Specialist Clinics on 5173 8822. You will be directed to the Pain Management Clinic team.
The program is extensive and initially there is a staged process:
- Stage 1 - completion of a pain self-assessment questionnaire
- Stage 2 - full assessment by the Pain Management Clinic team
- Occupational Therapist
- Pain Medicine specialist
- Registered Nurse (if required)
- Stage 3 – Once these assessments are complete, an individual pain management plan is developed which may include
- A 10 session group program involving education and physical activity to help you learn how to manage pain
- A short series of individual appointments
- A hydrotherapy program
- An awareness through movement (Feldenkrais) program
- Acceptance commitment therapy program (run individually or in a group setting)
- Stage 4 – Referral back to GP and community practitioners for maintenance.
Pain Management Clinic, Latrobe Regional Hospital Specialist Clinics 158-160 Princes Street, Traralgon (former Traralgon hospital site), phone 5173 8822.The Specialist Clinics are open Monday to Friday from 8am-5pm and are closed on public holidays.
Children and adolescents up to the age of 18 who need specialist rehabilitation after an injury, surgery or to manage a medical condition are able to access support through the Victorian Paediatric Rehabilitation Service (VPRS) run by Latrobe Regional Hospital.
The service also assists children who have returned home after specialist care from the Royal Children's Hospital and Monash Children's Hospital.
Our team includes a rehabilitation paediatrician, neuropsychologist, occupational therapist, physiotherapist, social worker and speech pathologist.
Your child is able to access the service if their rehabilitation needs are of a moderate to high complexity. They'll undergo several assessments before a plan is developed focusing on their goals. The plan is reviewed regularly.
Children and adolescents can be referred to the VPRS by GPs, paediatricians, allied health professionals, other hospitals and community agencies.
You are also able to refer a child directly by contacting Latrobe Regional Hospital's Allied Health Department on 5173 8383. You will be directed to the VPRS team.
If you would like to make a referral or need more information about the VPRS phone Latrobe Regional Hospital's Allied Health Department on 5173 8383.
The Allied Health Department is open Monday to Friday from 8am-5pm and closed on public holidays.