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This healthcare service has 1 current healthcare service locations.
Pediatric Tone Management Service   at
Glenrose Rehabilitation Hospital
Specialty: Rehabilitation
Connect Care Department: EDM GRH PED TONE MANAGEMENT
Estimated time to routine appointment: Within 3 months
Alberta Health Services - Edmonton Zone
SERVICE DESCRIPTION
The Pediatric Tone Management Service provides medical care for kids with tight muscles (spasticity) and muscle spasms (dystonia).The service helps children with tight muscles or muscle spasms due to cerebral palsy, brain injuries, or (neurological) conditions that affect the brain as well as nerves throughout the body and spinal cord. The team helps families to understand how these muscle changes affect comfort, daily activities, and participation.

Treatment options include:
  • injections of botulinum toxin type A (drug used for relaxing muscle spasms and tightness)
  • therapy using intrathecal baclofen (medicine is sent into the spinal fluid through a pump under the skin)
  • selective dorsal rhizotomy (surgery done by cutting certain nerve roots in the spinal cord to release tightness)
  • corrective casting (special cast is placed on the leg or arm to allow for proper position of bones and joints to grow over time)
  • bracing (to stabilize joints and muscles and improve movement and function
  • medication
The Pediatric Tone Management Service provides medical care for kids with tight muscles (spasticity) and muscle spasms (dystonia).The service helps children with tight muscles or muscle spasms due to cerebral palsy, brain injuries, or (neurological) conditions that affect the brain as well as nerves throughout the body and spinal cord. The team helps families to understand how these muscle changes affect comfort, daily activities, and participation.

Treatment options include:
  • injections of botulinum toxin type A (drug used for relaxing muscle spasms and tightness)
  • therapy using intrathecal baclofen (medicine is sent into the spinal fluid through a pump under the skin)
  • selective dorsal rhizotomy (surgery done by cutting certain nerve roots in the spinal cord to release tightness)
  • corrective casting (special cast is placed on the leg or arm to allow for proper position of bones and joints to grow over time)
  • bracing (to stabilize joints and muscles and improve movement and function
  • medication
ELIGIBILITY REQUIREMENTS
This outpatient service is for children up to age 18 years of age with spasticity, dystonia or other forms of hypertonia who exhibit changes in muscle tone (e.g. related to cerebral palsy, acquired brain injury, neurodevelopmental or neurodegenerative disorders).
  • After a child's 17th birthday, the referral may be discussed with the Spasticty Program for Adults.  A decision will be made to determine which clinic is most appropriate to assess the patient.   
This outpatient service is for children up to age 18 years of age with spasticity, dystonia or other forms of hypertonia who exhibit changes in muscle tone (e.g. related to cerebral palsy, acquired brain injury, neurodevelopmental or neurodegenerative disorders).
  • After a child's 17th birthday, the referral may be discussed with the Spasticty Program for Adults.  A decision will be made to determine which clinic is most appropriate to assess the patient.   
ROUTINE REFERRAL PROCESS
Connect Care Department Specialty:  Rehabilitation
Connect Care Department:  EDM GRH PED TONE MANAGEMENT

Completion of a Connect Care Ambulatory Referral to Rehabilitation and specify EDM GRH PED TONE MANAGEMENT as the department with supporting medical documentation to accompany the referral.
Connect Care Department Specialty:  Rehabilitation
Connect Care Department:  EDM GRH PED TONE MANAGEMENT

Completion of a Connect Care Ambulatory Referral to Rehabilitation and specify EDM GRH PED TONE MANAGEMENT as the department with supporting medical documentation to accompany the referral.
URGENT REFERRAL PROCESS
Please complete the Connect Care internal referral and mark it as "Urgent". 
Please indicate any information that you feel would impact the urgency of consultation, i.e., pain or discomfort related to spasticity or orthopedic deformity, patient/family goals, provider concerns, current and previous spasticity management, and relevant investigations with your referral.
Please complete the Connect Care internal referral and mark it as "Urgent". 
Please indicate any information that you feel would impact the urgency of consultation, i.e., pain or discomfort related to spasticity or orthopedic deformity, patient/family goals, provider concerns, current and previous spasticity management, and relevant investigations with your referral.
EMERGENCY REFERRAL PROCESS
Please direct patients to the nearest Emergency Department or Urgent Care Facility.
Please direct patients to the nearest Emergency Department or Urgent Care Facility.
ADDITIONAL SERVICE DETAILS
  • Service providers may include:  developmental pediatricians, neurosurgeons, occupational therapists, pediatric physiatrists, physical therapists, registered nurses, social workers, and nurse practitioners.
  • Available treatment options may include:  Oral medications, Botulinum Toxin Type A injections, Intrathecal Baclofen therapy, selective dorsal rhizotomy, corrective casting and/or bracing.  
  • Service providers may include:  developmental pediatricians, neurosurgeons, occupational therapists, pediatric physiatrists, physical therapists, registered nurses, social workers, and nurse practitioners.
  • Available treatment options may include:  Oral medications, Botulinum Toxin Type A injections, Intrathecal Baclofen therapy, selective dorsal rhizotomy, corrective casting and/or bracing.  
COMMUNICATION PROCESS
  • Referral receipt to referring source within 7 days.
  • Acceptance via appointment details or wait list status letter to referring source and patient within 14 days.
  • Appointment outcome to referral source within 30 days.
 
PHONE
780-735-8276 (Referral and Schedule Information)
780-735-6289 (Clinical Inquiries)
FAX
780-735-6104 (Fax referral)
REFERRAL PHONE
780-735-8276
REFERRAL FAX
780-735-6104
REFERRAL FORM
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
+-
Dystonia
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
History of clinical finding in subject
 
Within 3 months
+-
Increased muscle tone
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
History of clinical finding in subject
 
Within 3 months
+-
Spasticity
Medication List (dose, frequency, route)
 
Within 1 month
Past medical history
 
Within 1 month
History of clinical finding in subject
 
Within 3 months
PATIENT APPOINTMENT INFORMATION
Email
Print
 
MISSED APPOINTMENT GUIDELINES
It may take several months to reschedule an appointment due to no-shows.  After three missed appointments, the referral will be routed back to the referring physician.
It may take several months to reschedule an appointment due to no-shows.  After three missed appointments, the referral will be routed back to the referring physician.
 
HOURS OF OPERATION
Monday: 8:00 am - 4:00 pm
Tuesday: 8:00 am - 4:00 pm
Wednesday: 8:00 am - 4:00 pm
Thursday: 8:00 am - 4:00 pm
Friday:
Description:
A registered nurse is available during regular work hours on Mondays, Tuesdays, Wednesdays, and Thursdays.
   
 
ADDRESS
Glen East Building
10230 111 Avenue NW
Edmonton Alberta
T5G 0B7
PATIENT APPOINTMENT INSTRUCTIONS
 
DIRECTIONS
Please report to the Glenrose Hospital 102 Street Entrance, (10230 - 111 Avenue) and check in with Admitting/Front Desk.
Please report to the Glenrose Hospital 102 Street Entrance, (10230 - 111 Avenue) and check in with Admitting/Front Desk.
 
PHONE
780-735-8276 (Referral and Schedule Information)
780-735-6289 (Clinical Inquiries)
 
PARKING INSTRUCTIONS
Disabled and public parking is available in the underground parkade and at designated surface stalls.  Public transportation is available.  Pay by plate parking is available.
Disabled and public parking is available in the underground parkade and at designated surface stalls.  Public transportation is available.  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.

 

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