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This healthcare service has 1 current healthcare service locations.
Adult Feeding / Swallowing Service   at
Glenrose Rehabilitation Hospital
Specialty: Rehabilitation
Connect Care Department: EDM GRH ADULT FEED/SWALLOW
Estimated time to routine appointment: Not Available
Alberta Health Services - Edmonton Zone
SERVICE DESCRIPTION
The Adult Feeding / Swallowing Service offers help to adults who have eating and swallowing problems.This service offers help to adults to:
  • Be able to eat and drink safely
  • Get the nutrition and fluids they need, and
  • Have a good eating experience with their families / caregivers.
The Adult Feeding / Swallowing Service offers help to adults who have eating and swallowing problems.This service offers help to adults to:
  • Be able to eat and drink safely
  • Get the nutrition and fluids they need, and
  • Have a good eating experience with their families / caregivers.
ELIGIBILITY REQUIREMENTS
Persons 18 years of age and older:
  • Requiring assessment of swallowing physiology and anatomy to determine mode of intake (oral, alternative to oral intake) and optimal diet/consistencies/textures and management strategies.
  • At-risk for adverse health outcomes such as: aspiration, choking and possible airway obstruction, chest infections, pulmonary complications, malnutrition, dehydration, impaired growth/nutrition.
Required Elements
  • Medically stable.
  • Must be able to maintain adequate positioning to take food/fluid by mouth.
  • Patient needs adequate alertness to take food/fluid by mouth.
  • Patient has complex needs requiring specialized service or multidisciplinary team (tertiary-level care).
  • Caregiver who attends appointment needs to:
    • Be able to attend to all patient care needs (eg. toileting, transfers, medications, tube feeds, oxygen, suctioning).
    • Supply all necessary equipment (eg. tube feeds, medications, incontinence supplies, wheelchair, oxygen).
  • Legal guardian must consent to assessment and release of information.
  • Signed physician or nurse practitioner order/referral form.
  • Copy of documentation from community providers (eg. Home care, specialized service/private provider) if available

Exclusion Criteria
  • Previously followed by another dysphagia team and appropriate follow up is available at that institution.
  • Eating disorders without signs/symptoms of oropharyngeal dysphagia or sensory intolerance.
  • Drooling as sole concern.
  • Appropriate service available elsewhere.
Persons 18 years of age and older:
  • Requiring assessment of swallowing physiology and anatomy to determine mode of intake (oral, alternative to oral intake) and optimal diet/consistencies/textures and management strategies.
  • At-risk for adverse health outcomes such as: aspiration, choking and possible airway obstruction, chest infections, pulmonary complications, malnutrition, dehydration, impaired growth/nutrition.
Required Elements
  • Medically stable.
  • Must be able to maintain adequate positioning to take food/fluid by mouth.
  • Patient needs adequate alertness to take food/fluid by mouth.
  • Patient has complex needs requiring specialized service or multidisciplinary team (tertiary-level care).
  • Caregiver who attends appointment needs to:
    • Be able to attend to all patient care needs (eg. toileting, transfers, medications, tube feeds, oxygen, suctioning).
    • Supply all necessary equipment (eg. tube feeds, medications, incontinence supplies, wheelchair, oxygen).
  • Legal guardian must consent to assessment and release of information.
  • Signed physician or nurse practitioner order/referral form.
  • Copy of documentation from community providers (eg. Home care, specialized service/private provider) if available

Exclusion Criteria
  • Previously followed by another dysphagia team and appropriate follow up is available at that institution.
  • Eating disorders without signs/symptoms of oropharyngeal dysphagia or sensory intolerance.
  • Drooling as sole concern.
  • Appropriate service available elsewhere.
Referral instructions for primary care, community care, private
providers etc. who do not send referrals via Connect Care.
REFERRAL PROCESS - FOR NON-CONNECT CARE USERS
Referral must come from a Physician or Nurse practitioner who agrees to order "Feeding/Swallowing assessment and management with videofluoroscopy and/or endoscopy".

Complete the referral form and fax it to the service using the contact information in this profile.
Referral must come from a Physician or Nurse practitioner who agrees to order "Feeding/Swallowing assessment and management with videofluoroscopy and/or endoscopy".

Complete the referral form and fax it to the service using the contact information in this profile.
REFERRAL PROCESS - FOR CONNECT CARE USERS
Send an Internal Referral using the Ambulatory Referral Order to Rehabilitation, type EDM GRH ADULT FEED/SWALLOW in the “To Department” section and complete order.  
Send an Internal Referral using the Ambulatory Referral Order to Rehabilitation, type EDM GRH ADULT FEED/SWALLOW in the “To Department” section and complete order.  
COMMUNICATION PROCESS
  • Referral receipt to referring source within 7 days.
  • Wait list status update every 14 days.
  • Appointment outcome to referral source within 30 days.
 
PHONE
780-735-6066
FAX
780-735-7930
REFERRAL PHONE
780-735-6066
REFERRAL FAX
780-735-7930
LINKED SPECIALISTS
CLICK + TO VIEW REFERRAL GUIDELINES
Routine Reason for Referral
Access Targets convey the clinically appropriate timeframe patients should be seen within, by reason for referral and priority level.
Access Target
Required Information/Investigations
Investigation Timing
Additional Details
At risk for aspiration
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

clinical question and primary eating, feeding or swallowing concern
 
Within 6 months

current feeding and nutrition information including feeding method i.e. enteral, oral or both and diet texture, fluid consistency, type of enteral tube
 
Within 6 months

relevant consults (neurology, gastroenterology, otolaryngology, psychology, psychiatry, allergy)
 
Within 6 months

texture, fluid consistency, type of enteral tube, feeding method, e.g. enteral, oral or both
 
Within 6 months

Choking
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

clinical question and primary eating, feeding or swallowing concern
 
Within 6 months

relevant consults (neurology, gastroenterology, otolaryngology, psychology, psychiatry, allergy)
 
Within 6 months

relevant medical diagnoses, other clinics/programs involved
 
Within 6 months

texture, fluid consistency, type of enteral tube, feeding method, e.g. enteral, oral or both
 
Within 6 months

Congenital anomaly
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Coughing
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

clinical question and primary eating, feeding or swallowing concern
 
Within 6 months

relevant consults (neurology, gastroenterology, otolaryngology, psychology, psychiatry, allergy)
 
Within 6 months

relevant medical diagnoses, other clinics/programs involved
 
Within 6 months

texture, fluid consistency, type of enteral tube, feeding method, e.g. enteral, oral or both
 
Within 6 months

Developmental
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Diet/texture progression difficulty
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

clinical question and primary eating, feeding or swallowing concern
 
Within 6 months

relevant consults (neurology, gastroenterology, otolaryngology, psychology, psychiatry, allergy)
 
Within 6 months

relevant medical diagnoses, other clinics/programs involved
 
Within 6 months

texture, fluid consistency, type of enteral tube, feeding method, e.g. enteral, oral or both
 
Within 6 months

Dysphagia
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

clinical question and primary eating, feeding or swallowing concern
 
Within 6 months

relevant consults (neurology, gastroenterology, otolaryngology, psychology, psychiatry, allergy)
 
Within 6 months

relevant medical diagnoses, other clinics/programs involved
 
Within 6 months

texture, fluid consistency, type of enteral tube, feeding method, e.g. enteral, oral or both
 
Within 6 months

Enteral feeding
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

clinical question and primary eating, feeding or swallowing concern
 
Within 6 months

relevant consults (neurology, gastroenterology, otolaryngology, psychology, psychiatry, allergy)
 
Within 6 months

relevant medical diagnoses, other clinics/programs involved
 
Within 6 months

texture, fluid consistency, type of enteral tube, feeding method, e.g. enteral, oral or both
 
Within 6 months

Gagging
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

clinical question and primary eating, feeding or swallowing concern
 
Within 6 months

relevant consults (neurology, gastroenterology, otolaryngology, psychology, psychiatry, allergy)
 
Within 6 months

relevant medical diagnoses, other clinics/programs involved
 
Within 6 months

texture, fluid consistency, type of enteral tube, feeding method, e.g. enteral, oral or both
 
Within 6 months

History of aspiration pneumonia
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

clinical question and primary eating, feeding or swallowing concern
 
Within 6 months

relevant consults (neurology, gastroenterology, otolaryngology, psychology, psychiatry, allergy)
 
Within 6 months

relevant medical diagnoses, other clinics/programs involved
 
Within 6 months

texture, fluid consistency, type of enteral tube, feeding method, e.g. enteral, oral or both
 
Within 6 months

Hydration status
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

clinical question and primary eating, feeding or swallowing concern
 
Within 6 months

relevant consults (neurology, gastroenterology, otolaryngology, psychology, psychiatry, allergy)
 
Within 6 months

relevant medical diagnoses, other clinics/programs involved
 
Within 6 months

texture, fluid consistency, type of enteral tube, feeding method, e.g. enteral, oral or both
 
Within 6 months

Nutritionally compromised
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

clinical question and primary eating, feeding or swallowing concern
 
Within 6 months

relevant consults (neurology, gastroenterology, otolaryngology, psychology, psychiatry, allergy)
 
Within 6 months

relevant medical diagnoses, other clinics/programs involved
 
Within 6 months

texture, fluid consistency, type of enteral tube, feeding method, e.g. enteral, oral or both
 
Within 6 months

Recurrent pneumonia
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

clinical question and primary eating, feeding or swallowing concern
 
Within 6 months

relevant consults (neurology, gastroenterology, otolaryngology, psychology, psychiatry, allergy)
 
Within 6 months

relevant medical diagnoses, other clinics/programs involved
 
Within 6 months

texture, fluid consistency, type of enteral tube, feeding method, e.g. enteral, oral or both
 
Within 6 months

Regurgitation
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

clinical question and primary eating, feeding or swallowing concern
 
Within 6 months

relevant consults (neurology, gastroenterology, otolaryngology, psychology, psychiatry, allergy)
 
Within 6 months

relevant medical diagnoses, other clinics/programs involved
 
Within 6 months

texture, fluid consistency, type of enteral tube, feeding method, e.g. enteral, oral or both
 
Within 6 months

Traumatic AND/OR non-traumatic injury
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

clinical question and primary eating, feeding or swallowing concern
 
Within 6 months

relevant consults (neurology, gastroenterology, otolaryngology, psychology, psychiatry, allergy)
 
Within 6 months

relevant medical diagnoses, other clinics/programs involved
 
Within 6 months

texture, fluid consistency, type of enteral tube, feeding method, e.g. enteral, oral or both
 
Within 6 months
e.g. spinal, facial, neck

Vomiting
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

clinical question and primary eating, feeding or swallowing concern
 
Within 6 months

relevant consults (neurology, gastroenterology, otolaryngology, psychology, psychiatry, allergy)
 
Within 6 months

relevant medical diagnoses, other clinics/programs involved
 
Within 6 months

texture, fluid consistency, type of enteral tube, feeding method, e.g. enteral, oral or both
 
Within 6 months

Wet voice
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

clinical question and primary eating, feeding or swallowing concern
 
Within 6 months

relevant consults (neurology, gastroenterology, otolaryngology, psychology, psychiatry, allergy)
 
Within 6 months

relevant medical diagnoses, other clinics/programs involved
 
Within 6 months

texture, fluid consistency, type of enteral tube, feeding method, e.g. enteral, oral or both
 
Within 6 months
Urgent Reason for Referral
Access Targets convey the clinically appropriate timeframe patients should be seen within, by reason for referral and priority level.
Access Target
Required Information/Investigations
Investigation Timing
Additional Details
At risk for aspiration
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Guardianship information
 
Within 1 month

clinical question and primary eating, feeding or swallowing concern
 
Within 6 months

relevant consults (neurology, gastroenterology, otolaryngology, psychology, psychiatry, allergy)
 
Within 6 months

relevant medical diagnoses, other clinics/programs involved
 
Within 6 months

texture, fluid consistency, type of enteral tube, feeding method, e.g. enteral, oral or both
 
Within 6 months

Choking
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Guardianship information
 
Within 1 month

clinical question and primary eating, feeding or swallowing concern
 
Within 6 months

relevant consults (neurology, gastroenterology, otolaryngology, psychology, psychiatry, allergy)
 
Within 6 months

relevant medical diagnoses, other clinics/programs involved
 
Within 6 months

texture, fluid consistency, type of enteral tube, feeding method, e.g. enteral, oral or both
 
Within 6 months

Coughing
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Guardianship information
 
Within 1 month

clinical question and primary eating, feeding or swallowing concern
 
Within 6 months

relevant consults (neurology, gastroenterology, otolaryngology, psychology, psychiatry, allergy)
 
Within 6 months

relevant medical diagnoses, other clinics/programs involved
 
Within 6 months

texture, fluid consistency, type of enteral tube, feeding method, e.g. enteral, oral or both
 
Within 6 months

Dysphagia
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Guardianship information
 
Within 1 month

clinical question and primary eating, feeding or swallowing concern
 
Within 6 months

relevant consults (neurology, gastroenterology, otolaryngology, psychology, psychiatry, allergy)
 
Within 6 months

relevant medical diagnoses, other clinics/programs involved
 
Within 6 months

texture, fluid consistency, type of enteral tube, feeding method, e.g. enteral, oral or both
 
Within 6 months

Enteral feeding
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Guardianship information
 
Within 1 month

clinical question and primary eating, feeding or swallowing concern
 
Within 6 months

relevant consults (neurology, gastroenterology, otolaryngology, psychology, psychiatry, allergy)
 
Within 6 months

relevant medical diagnoses, other clinics/programs involved
 
Within 6 months

texture, fluid consistency, type of enteral tube, feeding method, e.g. enteral, oral or both
 
Within 6 months

Hydration status
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Guardianship information
 
Within 1 month

clinical question and primary eating, feeding or swallowing concern
 
Within 6 months

relevant consults (neurology, gastroenterology, otolaryngology, psychology, psychiatry, allergy)
 
Within 6 months

relevant medical diagnoses, other clinics/programs involved
 
Within 6 months

texture, fluid consistency, type of enteral tube, feeding method, e.g. enteral, oral or both
 
Within 6 months

Nutritionally compromised
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Guardianship information
 
Within 1 month

clinical question and primary eating, feeding or swallowing concern
 
Within 6 months

relevant consults (neurology, gastroenterology, otolaryngology, psychology, psychiatry, allergy)
 
Within 6 months

relevant medical diagnoses, other clinics/programs involved
 
Within 6 months

texture, fluid consistency, type of enteral tube, feeding method, e.g. enteral, oral or both
 
Within 6 months

Recurrent pneumonia
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Guardianship information
 
Within 1 month

clinical question and primary eating, feeding or swallowing concern
 
Within 6 months

relevant consults (neurology, gastroenterology, otolaryngology, psychology, psychiatry, allergy)
 
Within 6 months

relevant medical diagnoses, other clinics/programs involved
 
Within 6 months

texture, fluid consistency, type of enteral tube, feeding method, e.g. enteral, oral or both
 
Within 6 months

Regurgitation
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Guardianship information
 
Within 1 month

clinical question and primary eating, feeding or swallowing concern
 
Within 6 months

relevant consults (neurology, gastroenterology, otolaryngology, psychology, psychiatry, allergy)
 
Within 6 months

relevant medical diagnoses, other clinics/programs involved
 
Within 6 months

texture, fluid consistency, type of enteral tube, feeding method, e.g. enteral, oral or both
 
Within 6 months

Restricted diet pattern
Medication List (dose, frequency, route)
 
Within 1 month

Past medical history
 
Within 1 month

Guardianship information
 
Within 1 month

clinical question and primary eating, feeding or swallowing concern
 
Within 6 months

relevant consults (neurology, gastroenterology, otolaryngology, psychology, psychiatry, allergy)
 
Within 6 months

relevant medical diagnoses, other clinics/programs involved
 
Within 6 months

texture, fluid consistency, type of enteral tube, feeding method, e.g. enteral, oral or both
 
Within 6 months
PATIENT APPOINTMENT INFORMATION
 
MISSED APPOINTMENT GUIDELINES
If you are unable to attend a scheduled appointment, please contact the clinic a minimum of 48 hours in advance to reschedule.  Patients who miss multiple appointments without notifying the clinic may require a new referral.
If you are unable to attend a scheduled appointment, please contact the clinic a minimum of 48 hours in advance to reschedule.  Patients who miss multiple appointments without notifying the clinic may require a new referral.
 
HOURS OF OPERATION
Monday: 8:00 am - 4:15 pm
Tuesday: 8:00 am - 4:15 pm
Wednesday: 8:00 am - 4:15 pm
Thursday: 8:00 am - 4:15 pm
Friday: 8:00 am - 4:15 pm
   
 
ADDRESS
Outpatient Clinics, GlenWest
10230 111 Avenue NW
Edmonton Alberta
T5G 0B7
PATIENT APPOINTMENT INSTRUCTIONS
  • Bring your Alberta health care card and a piece of government-issued photo ID.
  • Check in at reception 15 minutes prior to your scheduled appointment time.
  • You may bring a family member or significant other during your consultation.
  • An appointment letter with detailed appointment instructions will be sent to the patient prior to the appointment date.
  • Bring your Alberta health care card and a piece of government-issued photo ID.
  • Check in at reception 15 minutes prior to your scheduled appointment time.
  • You may bring a family member or significant other during your consultation.
  • An appointment letter with detailed appointment instructions will be sent to the patient prior to the appointment date.
 
DIRECTIONS
Please go to the Main Entrance of the Glenrose Rehabilitation Hospital at 10230 - 111 Avenue and check-in with Information/Admitting.  Directions will be provided.
Please go to the Main Entrance of the Glenrose Rehabilitation Hospital at 10230 - 111 Avenue and check-in with Information/Admitting.  Directions will be provided.
 
PHONE
780-735-6066
 
PARKING INSTRUCTIONS
Accessible and public parking are available on designated surface lots and in the underground parkade.  Pay by plate parking is available.
Accessible and public parking are available on designated surface lots and in the underground parkade.  Pay by plate parking is available.
 
EMAIL
VIRTUAL APPOINTMENT INFORMATION
 
PARKING MAP
 
WHEELCHAIR ACCESSIBILITY
Yes

Accessible and public parking are available on designated surface and underground parking stalls.

Pay by plate parking is available.


The primary purpose of the All Locations list is to let the user easily access any location of a healthcare service without going back to the main search screen.

The locations listed have 3 background colors:
  • Green means the healthcare service@location has referral information attached to it.
  • Brown means the healthcare service@location never had referral information attached to it, or it has unpublished referral information.
  • Red means
    • IA changed the healthcare service@location's status to something other than Current
    • It was deleted if it is an ARD healthcare service@location.
Green  and Brown are always at the top of the list. These are the Healthcare Service@Locations with the status of Current.
The Red list at the bottom consists of non-current Healthcare Service@locations that once had Published referral information in the ARD.
If the referral information was never published in ARD the Healthcare Service@location will not show in the Red list.

The secondary purpose of the All Locations list is to allow ARD Administrators to recover (copy) referral information from the non-current Healthcare Service@Locations to ones that are current.

Common Scenario:
A Healthcare Service moves from one location to another. In this case the IA Healthcare Service@Location record will be made defunct (non-current) and a new Healthcare Service@Location record will be created with a current status. In this scenario the captured referral guidelines in ARD can become "orphaned" as they are not attached to any current IA healthcare service.

Categories of non-current or orphaned referral guidelines: INDIVIDUAL and COMMON.
The REFERRAL GUIDELINES section of the profile has the prefix INDIVIDUAL or COMMON to help you choose the method below when transferring referral guidelines from a non-current Healthcare Service@Location to a current healthcare service@location.

Individual referral process
  1. Click on a non-current (Red) Healthcare Service@Location at the bottom of the All Locations list.
  2. The non-current referral info is displayed with the link Copy this Referral Process to another Healthcare Service@Location link on the upper right hand corner. Click on the copy link.
  3. Choose a current location (Green or Brown) from the All Locations list. This will be the Healthcare Service@Location you are pasting the referral info into.
  4. The system will display the Edit Referral Info screen populated with the referral info from the non-current Healthcare Service@Location you viewed in the first step.
  5. Click Save and the referral info is transferred from the non-current Healthcare Service@Location to the current one.
  6. Repeat these steps for each Healthcare Service@Location that needs attention.

Common referral process - 2 sub cases.
Case 1: At least 1 current Healthcare Service@Location with common referral info is with current status for this healthcare service; One or more Healthcare Healthcare Service@Locations where replaced by new one.
  1. Click on any current Healthcare Service@Location whether it has referral info (Green) or not (Brown).
  2. The healthcare service location opens in the Edit Referral Info screen populated with the current common referral info.
  3. Save it. 
  4. All locations will be updated with the common referral information, including all the locations that don't have referral info yet (Brown). The non-current referrals (Red) will also be updated.
Case 2:  All Healthcare Healthcare Service@Locations for a healthcare service are set to a non-current status and replaced by new ones. In this case there is no current additional referral info to copy from, so the only alternative is to pick up the non-current common referral process (Red). Follow the steps described in the section Individual Referral Process above to copy/paste the non-current common referral info to the current healthcare service locations.
Generally we want to replicate current common referral info to new or replaced healthcare service locations. We only resort to copying non-current common referral info if there is no other option.

Remember: Some fields can be location specific with the common referral process:
Parking Instructions, Directions, Parking Map, Wait Time, Referral Phone or Referral Fax.
To update these items you have to edit each Healthcare Service@Location separately.

ADDITONAL NOTES:
  • The info icon after the All Locations drop down will be visible to ARD Administrators.
  • The system doesn't allow you to copy referral information from one non-current Healthcare Service@Location to another.

 

V6.6