Types of Services
All clients must be referred by the Department of Community Services and be fully assessed by Quest professional staff. Routine services offered by Quest include a range of diagnostic and therapeutic procedures.
MEDICAL:
- Assessment of medical and psychiatric suitability for admission
- Assessment of medical/psychiatric condition upon arrival
- Regular review of medical/psychiatric condition
- Minor accidental laceration repairs using local anaesthetic
- Discharge and placement assessment and planning
- Discharge assessment
- Taking samples for laboratory assessment as indicated for a general review; this excludes emergency assessment or major procedures, e.g. lumbar puncture, bone marrow examination.
- Weekly review of health status conducted through team conference rounds
- Night, weekend, holiday availability for urgent service
- Ordering and reviewing treatment
- Consultations as ordered by physicians
NURSING:
- Assessment for nursing care
- Provision of personal care at the required level
- Assistance with activities of daily living as required
- Monitoring food/fluid intake and output
- Health teaching
- Administration of medications
- Design and monitor non-aversive behavioural programs
- Counselling - formal and informal
- Skill training -activities of daily living, personal care, social interactions, etc
- Assessment of health needs
- Assessment of health deficit areas and development of interventions to counter them
- Interventions for setting limits in coordination with other clinical services
- Taking of blood samples
SOCIAL WORK
- Social Work Assessment
- Completion of social history/file reviews
- Individual counselling and/or supportive social work interaction
- Referral to community resources/agencies
- Request to Community Services Department re: funding of special needs items, transportation, planning
- Investigation of entitlement for financial benefits e.g. Old Age Security, Department of Veterans Affairs, Canada Pension Plan (CPP), etc., and accessing of same
- Advocacy for clients, i.e. for development/expansion of services
- Services to family members, next-of-kin/guardians, as appropriate - i.e. counselling, referral, accessing services
- Consultation and information-sharing with team members re: client/family issues (in team conference or individually)
- Arrangement for family participation in team conference/social activities and support for same
- On-going assessment of client readiness for community placement
- Arrangement for and/or accompaniment of clients on:
- pre-discharge planning visits
- coordination of joint-meetings in preparation for community placement, i.e. staff of receiving facilities/care coordinators/facility staff
- preparation for Classification/ Discharge with clients and, where appropriate, with family members
- finalizing arrangements for client’s discharge from the agency.
- Taking each client’s photo for identification purposes
PSYCHOLOGY
- Diagnostic Assessment of personality and of cognitive and intellectual capabilities using psychological instruments
- Clinical interviews
- Pre and post treatment evaluation using specific assessment techniques
- Functional Analysis/Behavioural Assessment for pinpointing any required interventions
- Behavioural Interventions (non-aversive only)
OCCUPATIONAL THERAPY:
- Assessment of occupational functioning i.e. self-care, productivity, leisure
- Planning and implementation of individualized programs
- Evaluation of client progress
- Supervision of structured community outings
- Communication with members of the interdisciplinary team
- Referrals to community agencies
- Visits to community agencies/residences as necessary
CLINICAL DIETETIC SERVICE:
- Nutritional assessments and individual nutritional profiles
- Diet history, determination of likes, dislikes, allergies
- Implementation of regular and therapeutic diet orders
- Charting of nutritional care plans
- Communication and consultation with nursing, medical staff and the clinical team
- Maintenance of individual nutrition kardexes
- Counselling of clients and families on nutritional matters
- Education of clients and staff
PHYSIOTHERAPY:
- Assessment of musculoskeletal status, e.g. range of motion, strength
- Assessment of functional ability, e.g. balance, transfers, walking
- Planning and implementation of individualized programs
- Regular evaluation and modification of programs as necessary
- Prescription of assistive devices (e.g. crutches, braces) as appropriate
- Communications with interdisciplinary team members and family
