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Clinical and client care


The aim of Clinical and Client Care is to provide essential health care to First Nations community members – who live primarily in remote/isolated communities – so they can receive care in their home communities. When the provincial health system can’t provide the services, there is a contribution agreement with a Band or Tribal Council to provide services.

Some key points about Clinical and Client Care:

• It is often the first point of contact an individual has with the health system
• It is delivered by health care teams that work collaboratively and are mostly led by nurses
• Community members receive a diagnosis and treatment, as well as services for rehabilitation and prevention, for urgent and non-urgent cases
• Health promotion and disease prevention support is offered to individuals and families
• When necessary, community members are referred for provincial care outside the community
• Physician visits, as well as outpatient care (not requiring a hospital stay) and emergency services, are provided in some communities

Kinds of services offered:

Urgent/Emergency Care
• For a seriously injured or ill individual, emergency care determines how serious the condition is and the type of care needed
• It may involve treating or keeping an individual under observation or arranging a transfer to another care centre
• Where available, decisions about an individual’s care are made by consulting a physician; in more isolated/remote communities, nursing staff consult with physicians by phone or internet to determine the best course of care​

Non-Urgent Care/Health Promotion and Prevention
• This care is for an individual seeking treatment for a specific health concern that is not life-threatening
• Care includes identifying the problem(s) and providing the individual with a plan to manage the particular issue/condition
• Depending on the condition, other health care providers might be consulted

Coordination and Case Management
• Individuals may be linked to other health, social and education programs available in or outside the community
• Individuals may be referred for hospital care, therapy or to a physician or nurse

Patients also benefit from the following services:
• Access to medical equipment, supplies and pharmaceuticals to meet the needs of community members in home and community care
• A system for keeping health records that allows for the ongoing monitoring, planning and evaluation of an individual’s health
• The capacity to make a diagnosis through, for example, an EKG (an electrocardiogram to check heart activity) or blood sampling for urgent and non-urgent cases
• A system of continuous quality improvement so community members benefit from the best and most efficient care possible



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