COPD Program

COPD (Chronic Obstructive Pulmonary Disease) is a respiratory disorder largely caused by smoking and is characterized by progressive, partially reversible, airway obstruction, lung hyperinflation (air trapped in the lungs) and increasing frequency and severity of exacerbations or “flare ups”. Typical symptoms include progressive shortness of breath with exertion, cough, and/or sputum production, and frequent respiratory tract infections.

The overarching goal of the COPD Management Program is to improve the health outcomes of our patients living with COPD as well as those at risk of developing COPD. The holistic approach utilizes the skills of our multi-disciplinary team with our patients of the family health team as the lead for their own healthcare.

The key objectives our program will be to:

  • Prevent disease progression.

  • Alleviate or decrease breathlessness and other respiratory symptoms.

  • Reduce the frequency and severity of flare ups.

  • Treat flare ups and complications of disease promptly.

  • Improve health status.

  • Smoking Cessation (if applicable).

  • Reduce mortality.

COPD appointments are offered in an individual basis as well as in a group style appointment of 4-8 patients. The group offers a great sharing opportunity for patients amongst other patients living with the same condition.


Diabetes Program

The purpose of the Diabetes Program is to improve outcomes for individuals living with diabetes by providing a focused diabetes visit that is patient centered, provides support and encourages self-management through education. This is done by aiding the patient in identifying behavioural changes needing to be made, offered in both the group and individual appointment type setting. The holistic approach utilizes the skills of the diabetic team (a Registered Dietitian, and a Registered Nurse) a physician, registered practical nurse, and a health educator with the patients as the lead for their own health.

The values of the Diabetes Program are:

  • To ensure productive interactions between our patients and the health care team.

  • To enable informed activated patients to guide themselves in their diabetes management.

  • Maintain the patient at the center of care.

  • Provide organized diabetes care using a holistic, multi-disciplinary approach.

  • Empower individuals to take ownership of their health (i.e., self-management)

The diabetes program supports patients in their diabetes management by utilizing partnerships with community agencies such as Rideau Valley Diabetes Services and offering both individual and group medical visits as well as self-management resources/programs (exercise, and grocery store tours, etc.) when available.

The average group consists of 5-8 patients all living with diabetes, and is facilitated by our diabetic team from Rideau Valley Diabetes Services, but also offers a team approach to supporting patients in their diabetes management. The Athens District Family Health Team prides itself on its partnership with the community agency Rideau Valley Diabetes Services, which aides in the further support patient care needs, patient education, and self-management resources.

All patients of the group and individual appointments are provided with a Diabetes Controls and Targets Report Card, educational resources pertinent to the topic of discussion during the appointment. The team will also support the patient to manage their chronic condition through self-management strategies (i.e., goal setting and action plans).

Smoking Cessation

The Smoking Cessation program offers individual counselling and guidance to patients looking for support with their smoking cessation. The Health Educator, trained in smoking cessation, will aid the patient in the healthy but often difficult journey of smoking cessation.

The Smoking Cessation Visit Process:
Assess the patient's willingness to quit smoking.
Assist the patient to develop a “quit plan” and identify appropriate quit supports and strategies.
Empower the patients to not be discouraged, and continue to motivate for betterment of their health.
Discuss options available for chemical or pharmaceutical supports if applicable
Arrange follow up support appointments for the patient.

The Athens Family Health Team is proud to collaborate with The STOP with FHT smoking cessation program. through the Centre for Addictions and Mental Health/CAMH. This program offers FREE nicotine replacement therapy i.e.; patches, gum, lozenges, to enrolled patients of the Family Health Team. (Certain conditions apply)


Cholesterol Class

1 in 3 adults have high blood cholesterol, increasing the chances of a cardiovascular accident (heart attack or stroke) or cardiovascular disease significantly. High blood cholesterol is a major modifiable or changeable (in most cases) risk factor for heart disease. A 10% decrease in total blood cholesterol levels can reduce the chance of heart disease by as much as 30%. The Cholesterol class offers information and advice on how to decrease this risk factor before needing or in conjunction with medications.

The class is offered in a group setting of 4-8 patients or on an individual basis.

Cholesterol Class Purpose:
  • “What” cholesterol is, and where it can be found.
  • What are the Risk Factors associated with elevated cholesterol, and which ones can be changed.
  • Teaching patients about taking control of their own health, through diet and lifestyle, to lessen their risk factors.

The class is led by the Health Educator, and each patient is provided with a recent review of their own Cholesterol levels, as well as an information package or materials to help them implement changes into their own life.
Healthy Weight

If you are interested in losing weight and maintaining a healthy weight through a program that provides support and education with good lifestyle choices, please ask us about scheduling an appointment with our Health Educator.

Eye Disease Assessments

We're pleased to have Euclid Telehealth onsite two Thursdays each month to provide OHIP-covered eye disease assessments.
You should have an annual Eye Screening if any of the below apply:
  • You are age 40 or older
  • You are diabetic
  • Family history of eye disease
  • You experience any of the following:
  1. Blurred vision
  2. Gradual change in vision
  3. Increased difficulty driving at night
Ask your health care provider for a referral.