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  QUICK REFERRAL

  Referral is easy. Please contact us using the form below. We will respond within 2 days setting out the options for referral, including whether the patient is eligible to be covered by any DHB funding, according to our contracts.

  Referrer:

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  Referrers Address:

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  Referrers Email:

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  Patient Name:

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  Patient NHI Number:

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  Patient DOB: Sex M/F: MF

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  Ethnicity:

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  Main Diagnosis:

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  Why the patient needs QE:

  Rheumatology Specialist
  Physiotherapy
  Occupational Therapy
  Orthotics
  Psych/Counselling
  Spa
  

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  Comorbilities, allergies:

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  Additional Info:

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Our History | Our Approach | Meet the Team | Queen Elizabeth Hospital Community Trust

Our approach

QE Health Model of Practice

It asserts that:

• To be healthy, a person needs to experience optimal levels of functioning in their physical, mental and social lives from their perspective.
• People don’t see themselves nor experience things as physical, mental and social ‘bits’ – they experience life holistically. Pain effects the whole person and there is no separation in the mind between past, present and future. Past events, whether that physical (disease/injury), relationship (abuse/loss) or mental (loneliness, uncertainty, fear) affect present experiences of pain.
• Physical, mental and social states are constantly changing – the reality of this is painful because it is scary.
• Change is not only about gaining something new – it also involves the loss of old, familiar things. Change is a mixture of gain and loss, of happiness and sadness. Change is painful.
• The only thing that is constant and continuous for people throughout their life is the essence of self, their sense of ‘I’, the spirit of the person.
• People feel well when they are gaining something that grows and strengthens their ‘I’ and outweighs what they are losing.
• For a person to feel well in all the aspects of their self, they have to take responsibility for their health; they have to be the leader in the process of moving towards full health.
• Health professionals cannot make change, they can facilitate change.
• Individuals need to be shown the possible health choices, which are:
  1. Focus on regaining all lost functioning – physical, mental and social – be past orientated
  2. Focus on the tragedy of the situation, surrender and immerse oneself in emotions – be present orientated
  3. Focus on the future and exploring what can be gained out of the situation – be future orientated
• Only the individual can make the choice which of these are his/her predominant focus.
• Health professionals are responsible to provide information that give people the knowledge of these choices but in a manner that respects where the person is and their right to either remain there or change.
• Health professionals are responsible to acknowledge, reinforce, encourage and help people identify their potential.
• Health professionals must understand and respect the magnitude of the uncertainty, emotional and mental turmoil of letting go of what is familiar and moving into a completely new zone; they need to understand that change is traumatic.
• The QE Model of Health Change is not a one-step process, it’s a life time spiral of development.
• Health professionals need to acknowledge that they often are the ones with power in health interactions. People are vulnerable because health professionals have the right to intervene in their lives.