Color ado State F air
Aug ust 24th – Se pte mb e r 3rd, 2018
He alth Pr
- fe ssions Inte r
pr
- fe ssional T
r aining
Color ado State F air Aug ust 24 th Se pte mb e r 3 rd , 2018 He - - PowerPoint PPT Presentation
Color ado State F air Aug ust 24 th Se pte mb e r 3 rd , 2018 He alth Pr ofe ssions Inte r pr ofe ssional T r aining What do I ne e d to do? Re c ruit pa rtic ipa nts & he lp the m fe e l a t e a se Have mate r ials r e ady
He alth Pr
pr
r aining
Pulse Oxyme te r
Vision sc r
e e ne r
nte r the following infor mation
Ag e Ge nde r Ge nde r ide ntity E
thnic ity (re q ’ d b y HRSA): Hispa nic o r no n-Hispa nic
Ra c e (re q ’ d b y HRSA): ma y de c line to a nswe r He ig ht We ig ht iPa d will Ca lc ula te BMI
?
me a ns?
if (No)
BMI
is a n indic a to r o f b o dy fa t. I t is use d a s a sc re e ning to o l to ide ntify whe the r a n a dult is a t a he a lthy we ig ht. Altho ug h BMI do e s no t me a sure b o dy fa t dire c tly, re se a rc h ha s sho wn tha t BMI do e s c o rre la te with ma inta ining impro ve d q ua lity o f life .
F
individuals with a BMI ove r 30: Re se a rc h ha s sho wn tha t individua ls with a BMI
ha ve a n inc re a se d risk o f de ve lo ping hig h b lo o d pre ssure , hig h c ho le ste ro l, T ype I I dia b e te s, stro ke , o ste o a rthritis a nd so me c a nc e rs inc luding b re a st c a nc e r a nd c o lo n c a nc e r in a dditio n to sle e p a pne a .
Do you snor e ? Ha ve yo u e ve r b e e n te ste d fo r sle e p a pne a ? Sle e p a pne a is a diso rde r
whe re the re is a pa use in b re a thing tha t la sts fro m a fe w se c o nds to minute s. As a re sult, the q ua lity o f yo ur sle e p is po o r, whic h ma ke s yo u tire d during the da y. Sle e p a pne a is a le a ding c a use o f e xc e ssive da ytime sle e pine ss
Uninsure d I
nsure d
Re fuse d
I
f no – ple a se pro vide with re fe rra l info rma tio n
a mily me dic a l histo ry?
Do yo u re g ula rly we a r yo ur se a tb e lt? Do yo u ride a b ike / mo to rc yc le / AT
V/ ho rse ? Pa rtic ipa te in ro de o e ve nts?
Do yo u we a r a he lme t?
We aring a he lme t while partic ipating in ac tivitie s like riding a bic yc le , motorc yc le or AT V c an drastic ally le sse n the c hanc e of suffe ring a se rious brain injury or de ath. On a
da ily b a sis, pe o ple ta king pa rt in the se a c tivitie s a re se rio usly injure d o r die d b e c a use the y c ho se no t to we a r a he lme t.
In a ma jo rity o f b ic yc list de a ths, the mo st se rio us injurie s a re to the he a d, hig hlig hting the impo rta nc e
e stimate d to re duc e the odds of he ad injury by 50 pe rc e nt, and the odds of he ad, fac e , or ne c k injury by 33 pe rc e nt.
Bic yc le la ne s a nd he lme ts ma y a lso re duc e the risk o f de a th. Almo st thre e -q ua rte rs o f fa ta l c ra she s (74%) invo lve d a he a d injury. Ne a rly 97% o f b ic yc lists who die do no t we a r a he lme t. He lme t use a mo ng tho se b ic yc lists with se rio us injurie s wa s lo w (13%), b ut it wa s e ve n lo we r a mo ng b ic yc lists kille d (3%)
Be c ause se rious he ad injury is c ommon among fatally injure d motorc yc lists, he lme t use is important. He lme ts a re
a b o ut 37 pe rc e nt e ffe c tive in pre ve nting mo to rc yc le de a ths a nd a b o ut 67 pe rc e nt e ffe c tive in pre ve nting b ra in injurie s.
T
a ke BP
If the ir
Blood pr e ssur e is > 130 systolic OR >80 diastolic - r e c he c k for late r in the sc r e e n.
Any pe rso n who is hype rte nsive AND who is ha ving c he st pa in,
tro ub le b re a thing , c o nfusio n o r dizzine ss re fe r to the fa c ulty supe rviso r
Four different size cuffs to choose from
y: Pla c e o xime te r o n the inde x o r middle fing e r &
pre ss b utto n
Oxyg e n sa tura tio n o f 90% is no rma l in Pue b lo in c o ntra st to 95 to 98
a t se a le ve l
I
f so me o ne is b e lo w 90 a nd the y a re fe e ling a ny sympto ms, a le rt the fa c ulty supe rviso r
a st te ta nus?
f 65+
Do yo u usua lly g e t the pne umo nia va c c ine ? Note T
he CDC re c o mme nds tha t individua ls o ve r the a g e o f 65 g e t a pne umo nia va c c ine . Che c k with yo ur pe rso na l physic ia n o r c linic to g e t o ne .
lu sho t e ve ry ye a r?
f 50+
Ha ve yo u ha d c o lo n c a nc e r sc re e ning o f so me kind
(c o lo no sc o py, F OBT – fe c a l o c c ult b lo o d te st o r F I T
DNA te st i.e . Co lo g ua rd) within the la st 10 ye a rs?
I
f no , it is re c o mme nde d tha t individua ls unde rg o sc re e ning fo r c o lo n c a nc e r b e g inning a t a g e 50 & e ve ry 10 ye a rs the re a fte r unle ss re c o mme nde d mo re fre q ue ntly b y the ir pe rso na l he a lthc a re pro vide r
I
f F e ma le unde r 50
Co uld yo u b e pre g na nt? (pre na ta l c a re ? ) Ha ve yo u ha d c e rvic a l c a nc e r sc re e ning (Pa p Sme a r)within the la st 3
ye a rs?
If no - re c o mme nda tio n tha t wo me n b e twe e n the a g e s o f 21 & 30
unde rg o a c e rvic a l c a nc e r sc re e n e ve ry thre e ye a rs
Sta rting a t a g e 30, wo me n sho uld unde rg o a c e rvic a l c a nc e r sc re e n
e ve ry 3 ye a rs or5 ye a rs with HPV c o te sting
I
f F e ma le & 50+
Ha ve yo u ha d a ma mmo g ra m? F
e vide nc e tha t unde rg o ing a ma mmo g ra m e ve ry two ye a rs re duc e s b re a st c a nc e r mo rta lity.
T
he re is limite d e vide nc e o f b e ne fit fo r wo me n unde r the a g e o f 50 a nd is de te rmine d b y the pre se nc e o f kno wn g e ne tic histo ry o r histo ry
Inc r
e a sing a g e is the most c ommon r isk fa c tor for most wome n.
a sting > 8 ho urs)
No n-dia b e tic s:
I f fa sting b lo o d sug a r is > 100 o r no n-fa sting > 140 a dvise the pe rso n to g e t it re c he c ke d b y the ir do c to r o r c linic .
K
no wn to b e dia b e tic : fa sting b lo o d sug a r sho uld b e 130 o r le ss o r 180 o r le ss if no n-fa sting
I
f numb e rs a re hig he r tha n tho se liste d a b o ve , c o nta c t c linic a l supe rviso r fo r c o nsulta tio n
Glo ve up Pla c e g luc o se te st strip in g luc o me te r
F
r e e style : b utte rfly up/ wid e e nd in g luc o me te r
Pr
e c ision Xtr a : Blue sid e up/ stripe d e nd in
g luc o me te r
Wipe pa rtic ipa nt fing e r with a lc o ho l swa b Use dispo sa b le la nc e t to dra w b lo o d fro m
side o f fing e r
Sta rt flo w (ma y ne e d to g e ntly sq ue e ze
fing e r) – will ne e d mo re fo r Pre c isio n Xtra
F
r e e style : Pla c e g luc o se te st strip (b la c k
do t) ne xt to b lo o d o n fing e r
Pr
e c ision Xtr a: fill e nd o f te st strip with b lo o d
Ab o ut 99 pe rc e nt o f yo ur b o d y's c a lc ium re sid e s in yo ur b o ne s & te e th. Ca lc ium
g ive s b o ne s d e nsity & stre ng th. Milk se rve s a s a n e xc e lle nt so urc e o f c a lc ium. T
e e 8 oz g la sse s pe r da y be twe e n a g e s 19 & 50 & four 8 oz g la sse s a fte r a g e 51. F
me n, thr e e 8 oz g la sse s pe r da y be twe e n a g e 19 & 70 & four 8 oz g la sse s the r e a fte r pr
ne e de d.
Ca lc ium r
e quir e s vita min D for the body to a bsor b it. If yo u d o n't g e t e no ug h
vita min D, yo u c a n c o nsume la rg e a mo unts o f c a lc ium & still lo se b o ne d e nsity. Mo st c o mme rc ia lly pro d uc e d milk in the Unite d Sta te s is fo rtifie d with vita min D, to e nsure tha t yo u will a b so rb the c a lc ium yo u g e t fro m milk. An 8-o unc e se rving o f milk supplie s a ro und 30 pe rc e nt o f yo ur d a ily vita min D ne e d s. T hre e g la sse s o f milk pe r d a y wo uld me e t yo ur vita min D ne e d s.
If you don't like milk or
c a n't dr ink it due to la c tose intole r a nc e or a lle r g y, yo u c a n
c ho o se fro m a va rie ty o f fo o d s -- d a iry & no nd a iry -- to he lp me e t yo ur nutritio na l ne e d s & ke e p yo ur b o ne s stro ng . Yog ur
t c onta ins mor e c a lc ium pe r se r ving tha n milk but typic a lly isn't for tifie d with vita min D. Diffe r e nt type s of c he e se , suc h a s c he dda r & mozza r e lla , a lso e qua l milk in c a lc ium c onte nt. F ish, inc luding sa lmon or sa r dine s c a nne d with bone s, c a n he lp me e t both your c a lc ium & vita min D ne e ds without milk. If yo u fo llo w a ve g a n d ie t & d o n't c o nsume d a iry, tofu, for tifie d c e r e a ls & ve g e ta ble s suc h a s ka le , tur nip g r e e ns & bok c hoy c a n he lp you me e t you c a lc ium ne e ds. F
tifie d c e r e a ls ofte n c onta in both c a lc ium & vita min D.
ruits & ve g e ta b le s da ily?
e xe rc ise fo r a t le a st 20 minute s? T his c a n inc lude b risk wa lking , b ic yc ling , va c uuming , g a rde ning , o r a nything e lse tha t c a use s a n inc re a se in b re a thing o r he a rt ra te
Are yo u a fra id o f fa lling ? Ha ve yo u fa lle n in the pa st 3 mo nths? Ha ve yo u ha d a ne a r fa ll in the pa st 3 mo nths?
One le g sta nc e (e ye s ope n: 10 se c o nds e a c h le g ) Ab le / Una b le Ro mb e rg T
e st (e ye s c lose d: 30 se c o nds e a c h po sitio n)
F
e e t to g e the r (e xc e ss swa y, lo ss o f b a la nc e , dizzine ss)
F
e e t ta nde m – he e l to to e (e xc e ss swa y, lo ss o f b a la nc e , dizzine ss)
f re spo nse is ye s to a ny o f the a b o ve e nc o ura g e the m to ta lk to the ir PCP
Ac c o rd ing to the Na tio na l Institute o n Drug Ab use (NIDA) ma r
ijua na impa ir s shor t- te r m me mor y & judg me nt & distor ts pe r c e ption. It c a n impa ir pe r for ma nc e in sc hool & a t wor k & ma ke it da ng e r
a in syste ms tha t a r e still ma tur ing thr
lo ng -la sting e ffe c ts o n the ir c o g nitive d e ve lo pme nt. Ma rijua na c a n b e a d d ic tive , & its use d uring a d o le sc e nc e ma y ma ke o the r fo rms o f pro b le m use o r a d d ic tio n mo re like ly.
Stud ie s sho w tha t pa r
tic ipa nts who use d ma r ijua na in the ir te e ns & c ontinue d thr
a ve ra g e o f 8 po ints. (F
a ve ra g e inte llig e nc e into the lo we st third o f the inte llig e nc e ra ng e .) T
hose who sta r te d using ma r ijua na r e g ula r ly or he a vily a fte r a g e 18 showe d minor de c line s. By c ompa r ison, those who ne ve r use d ma r ijua na showe d no de c line s in IQ.
a mily histo ry?
T he re is c o mpe lling e vide nc e to sho w tha t individua ls suffe ring fro m a c ute o r c hro nic pa in who ha ve a fa mily o r pe rso na l histo ry
Bipo la r diso rde r, sc hizo phre nia o r de pre ssio n ar
e c onside r e d at high r isk for futur e abusive dr ug-r e late d be havior inc luding pr e sc r iption opioids.
e ssur e Re take (if ne e de d)
I
f the ir Blo o d pre ssure c o ntinue s to b e > 130 systo lic OR >80 dia sto lic re c o mme nd tha t the pe rso n ha ve it re c he c ke d a t the ir do c to r’ s
I
f the ir Blo o d pre ssure > 160 systo lic OR >100 dia sto lic , a le rt the supe rvising fa c ulty AND re c o mme nd tha t the pe rso n fo llo w up with the ir do c to r o r c linic b e c a use the y ma y b e a t risk fo r de ve lo ping c o mplic a tio ns o f hig h b lo o d pre ssure
Do g s Ca sts Ho rse s She e p Co ws Go a ts Chic ke ns Pig s Amphib ia ns (sna ke s, fro g s, turtle s, e tc )
s ar e ye s, no, I don’t know)
s (any ye s answe r is c onside r e d at r isk)
Ha ve yo u ha d a c a vity in the pa st ye a r? Ha ve yo u e ve r b e e n to ld tha t yo u ha ve “po c ke ts” o r g um dise a se ? Ha ve yo u ha d a to o th re mo ve d fo r de c a y o r g um dise a se in the
pa st ye a r?
Do yo u ha ve a histo ry o f dia b e te s, he a rt dise a se , stro ke , COPD o r
de pre ssio n?
Do yo u ta ke me dic a tio n tha t c a use s dry mo uth? Do yo u ha ve a histo ry o f to b a c c o , a lc o ho l o r o the r sub sta nc e
a b use ?
Do yo u ha ve a mo uth so re tha t ha s la ste d mo re tha n two we e ks?
s a r e ye s, no, I don’t know)
Pr
s (any no answe r is c onside r e d high r isk) Do yo u live in a c o mmunity tha t ha s fluo ride in its wa te r?
Ac c o rd ing to the CDC , fluor
ide ha s be e n pr
ta nt for pr e ve nting tooth de c a y & pr
a l he a lth. Or a l he a lth ha s be e n linke d to othe r c hr
t dise a se & dia be te s.
Bottle d wa te r
pr
ide , de pe nding on the sour c e of the wa te r. F
luo rid e c a n b e na tura lly pre se nt in the o rig ina l so urc e o f the wa te r, & ma ny pub lic wa te r syste ms a d d fluo rid e to the ir wa te r. T he U.S. F
Ad ministra tio n (F DA) se ts limits fo r fluo rid e in b o ttle d wa te r, b a se d o n se ve ra l fa c to rs, inc lud ing the so urc e o f the wa te r. Bo ttle d wa te r pro d uc ts la b e le d a s d e - io nize d , purifie d , d e mine ra lize d , o r d istille d ha ve b e e n tre a te d in suc h a wa y tha t the y c o nta in no o r o nly tra c e a mo unts o f fluo rid e , unle ss the y spe c ific a lly list fluo rid e a s a n a d d e d ing re d ie nt.
City (munic ipa l) wa te r
, filte r e d wa te r (via the r e fr ig e r a tor ) or BRIT A syste m doe s c onta in r e c omme nde d a mounts of fluor ide . We ll wa te r ma y or ma y not c onta in the r e c omme nde d a mount of fluor ide & should be te ste d.
da y?
f yo u ha ve a pa rtia l o r de nture s, do yo u ta ke the m o ut a nd c le a n the m a t nig ht?
e tc )
E : F
will inc lude a g ro wth c ha rt fo r tho se 21& o ve r a BMI sc a le will b e inc lude d
do no t ha ve a PCP in the ir a re a
ID: 13530 Age: 45 years, 7 months Height: 74in/188cm Weight: 185lbs/84.1kg BMI: 23.8 Weight for BMI 25: 194 lbs/ 88.2 kg BP: 121/75 Prehypertensive BP: 120/80 Glucose (nonfasting): 134 Pulse Ox: 98 Vision (L/R): 20/30 : 20/30 Family history: unknown Smoking: No Activity: 4 day(s) Sweet beverages: 8oz Milk: 0.0 cups Eats out: 5/week Fruits/vege: 5/day Cavity: Yes Gum Disease: No Removed Tooth: No Dry Mouth: No Substance Abuse: No Mouth Sore: No Dentist: No Dental Insurance: No Fear of Falling: No Recent Fall: No Recent Near Fall: No One Leg Balance: Yes Fluoride Toothpaste: Yes Floss: Yes Romberg Together Balance Loss: Yes Romberg Tandem Within Normal Limits: Yes Balance Follow-up: No Water type: Well Tap Water: No
Initials: NWSS Bir thday: 04/ 23/ 1972 Visit: 11/ 30/ 2017 Your Re c omme ndations
Cho o se o ne o r two c ha ng e s to wo rk o n fo r se ve ra l we e ks. E xpe rts a dvise no t ma king ma ny c ha ng e s a t the sa me time .
Ac tivity
I t se e ms yo u a re do ing a g o o d jo b ke e ping a c tive . Be ing a c tive is ve ry impo rta nt fo r yo u he a lth
Nutr ition
Orde r po rtio n size s tha t fit yo ur a g e . Re sta ura nts o fte n g ive mo re fo o d tha n yo u ne e d. Do no t e a t o ut mo re tha n two time s pe r we e k. Give yo ur b o dy a g la ss o f milk with e a c h me a l. E a t me a ls to g e the r a s a fa mily whe ne ve r yo u c a n.
Milk & o the r d a iry pro d uc ts a re g o o d so urc e s o f
pro te in & c a lc ium; nutrie nts impo rta nt fo r no rma l g ro wth & d e ve lo pme nt in c hild re n. T
he a mount of milk a c hild should c onsume e a c h da y de pe nds on the ir a g e . A se rving size o f milk is e q uiva le nt to 1 c up,
r
e n ne e d 2 c ups of milk or its e quiva le nt e a c h da y. Childr e n a g e s 9–18 ne e d 3 c ups. F a t-fr e e & low-fa t da ir y foods a r e r e c omme nde d. Ad o le sc e nt g irls a g e s 9 to
18 o fte n d o n’ t c o nsume e no ug h c a lc ium.
If the y don’t like to dr
ink milk, o the r pro te in- &
c a lc ium-ric h d a iry pro d uc ts c a n re pla c e c o w’ s milk in a he a lthy d ie t. T he se ma y inc lud e yo g urt, c he e se , c o tta g e c he e se & so y milk. Ac c o rd ing to the U.S. De pa rtme nt o f Ag ric ulture , 1 c up fr
y g r
soy milk, 1 c up of yog ur t, 2 c ups of c otta g e c he e se , 2 ounc e s of pr
1.5 ounc e s of ha r d c he e se suc h a s c he dda r .
e le visio n, mo vie s, vide o g a me s o r c o mpute r?
s (any ye s answe r is c onside r e d high r isk) – ask only age appr
iate que stions:
Ha ve yo u e ve r ha d a c a vity? Do yo u e a t c a ndy, o r drink so da o r juic e mo re tha n thre e time s a
da y?
Do yo u ta ke da ily liq uid me dic ine ? Ha ve yo u e ve r b e e n to ld tha t yo u a re a ne mic o r ne e d to ta ke iro n? Ha ve yo u use d to b a c c o / ma rijua na pro duc ts in the pa st mo nth
(inc luding c he w, snuff, c ig a re tte s, e -c ig s o r c ig a rs) – r
e fe r to adult guide line s
Do e s the c hild a ppe a r to ha ve a ny de ve lo pme nta l pro b le ms? Do yo u ha ve a ny pie rc ing s in yo ur mo uth?
s (any no answe r is c onside r e d high r isk) -
Do yo u live in a c o mmunity tha t ha s fluo ride in its wa te r? – r
e fe r to adult guide line s
Do yo u b rush yo ur te e th with a fluo ride to o thpa ste twic e a da y? Ha ve yo u se e n a De nta l Pro fe ssio na l (De ntist, De nta l Hyg ie nist, e tc )
in the pa st ye a r?
Do yo u we a r a mo uth g ua rd fo r spo rts a c tivitie s?
a ir lo t so uth o f F a irg ro unds b e twe e n Me sa & No rthe rn Ave nue ($7.00)
do wnto wn Pue b lo
T
he shuttle runs fro m Ma in Stre e t Pa rking Ga ra g e - 110 S. Ma in Stre e t to the Sta te F a ir Ga te o n Be ula h Ave nue
Runs e ve ry 15 to 30 minute s Co st: $2 pe r pe rso n, ro und-trip, fo r e ve ryo ne a g e s 7 & o lde r Pa rking in the g a ra g e is F
RE E
the CU Ansc hutz Co lle g e o f Nursing g uide line s
Sta te F a ir due to the he a t
D Ba dg e MUST
b e wo rn a t a ll time s time
C Pro g ra m Offic e in E d 2 No rth, Ro o m 5318 o n F rida y Aug ust 24th o r prio r to shift
mstr
a t the Be ula h Stre e t e ntra nc e & so me o ne will me e t yo u the re with a tic ke t
b a g s
e a ve va lua b le s a t ho me
No o utside fo o d o r drink is a llo we d o n fa ir g ro unds Wa te r will b e pro vide d a t the b o o th