Chronic Disease Program
Vous trouverez dans cette page :
- Participer au programme
- Enseignement et suivi
- Capsules vidéo de formation : nutrition, kinésiologie, arthrose de la hanche et du genou
- Cours de groupe virtuels
- Documentation
3 easy steps to participate in the program!
1. You must be referred by your family doctor. If you don’t have a family doctor, sign up with the Family Doctor Finder or go to a walk-in clinic.
Our professionals follow patients for the following chronic illnesses:
Metabolic diseases
- Dyslipidemia
- Prediabetes
- Diabetes
- Obesity
- Metabolic syndrome
Cardiovascular diseases
- Angina
- Ischemic heart diseases (heart attack, bypass)
- High blood pressure
- Heart failure
- Peripheral arterial disease
Lung diseases
- Asthma
- COPD
Rheumatic diseases
- Arthritis
- Hip and knee arthrosis
- Fibromyalgia
- Persistent pain
2. Once our teams have received the referral from your doctor, someone will contact you to explain how you can watch the video clips (in French) on healthy lifestyle habits, nutrition and arthrosis or to give you an appointment with a professional depending on your needs.
3. You must then fill out the video viewing acknowledgment form.
Teaching and follow-up
The chronic disease program is offered by a group of professionals (nursing staff, nutritionists, kinesiologists, respiratory therapists, physiotherapists, social workers, etc.) who provide teaching and follow-up for the different chronic diseases and their associated risk factors.
The services are designed to increase your autonomy while improving your knowledge of the disease so that you can better control the symptoms, risk factors, medication and your return to daily activities. The objectives are to:
- encourage healthy lifestyle habits;
- prevent long-term complications;
- promote self-management by giving you the tools to ensure healthy management of the disease.
Documents related to chronic diseases
If you’d like to learn more about chronic diseases, here are some useful documents and links:
- Cheminement d'un usager dans le continuum de services en maladies chroniques
- Continuum de services offert par l'équipe maladies chroniques
- Fondation des maladies du cœur et de l’AVC
- Chaire de transfert de connaissance, éducation et prévention en santé respiratoire et cardiovasculaire (Cœur/poumons)
- Rapport du directeur de santé publique 2014 sur la prévention des maladies chroniques
Respiratory diseases
- Maladie pulmonaire obstructive chronique (MPOC)
- Enseignement MPOC : consultez nos vidéos