UPSTREAM
What is the UPSTREAM service?
Horizon's UPSTREAM program screens patients and clients for chronic obstructive pulmonary disease (COPD) and provides diagnosis, education and support. The program is now available at several health centres across Horizon.
UPSTREAM is the INSPIRED Program, but without home visits. This program is currently offered at several Horizon's community health centres for patients who are able (or would prefer) to leave their homes for appointments.
How is this service provided?
You will meet with a certified respiratory educator who will have you perform a breathing test to assess your COPD, or to confirm a diagnosis.
The educator will work with you / your family to:
- determine how they can help you meet your goals to improve your breathing,
- provide education about COPD
- optimize your medications, in partnership with your physician or nurse practitioner
- develop an action plan for use when your breathing worsens
If you consent, your action plan can be shared with TeleCare 8-1-1 for after hours support.
How can I access it?
If you are concerned about your breathing, please talk with your family physician or primary health care provider. You may then be referred to us for this service.
How do I prepare for it?
As you prepare for your appointment, you may wish to make a list of what you want to discuss. Many patients find it helpful to write a list of their concerns since writing them all down ensures that they don't forget anything.
Where is it offered at Horizon?
FREDERICTON AND UPPER RIVER VALLEY AREAS
- Fredericton Downtown Community Health Centre
- Centre de santé Noreen-Richard Health Centre (Fredericton)
- Gibson Health Centre (Fredericton)
- Oromocto Community Health Centre
- Fredericton Junction Health Centre
- McAdam Health Centre
- Queens North Health Centre (Minto)
- Upper River Valley Hospital (Waterville)
- Hartland Health Centre
MIRAMICHI AREA
- Miramichi Regional Hospital
- Miramichi Health Centre
- Boiestown Health Centre
- Central Miramichi Community Health Centre (Doaktown)
- Chipman Health Centre
MONCTON AREA
- The Moncton Hospital
- Albert County Community Health Centre (Riverside-Albert)
- Petitcodiac Health Centre
SAINT JOHN AREA