Na tiona l We ste rn Stoc k Show Ja nua ry 7-22, 2017 He alth Pr - - PowerPoint PPT Presentation

Na tiona l We ste rn Stoc k Show

Ja nua ry 7-22, 2017

He alth Pr

• fe ssions Inte r

pr

• fe 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

Blood Pr e ssur e :

Blo o d Pre ssure Mo nito r

Have mate r ials r e ady

BMI:

Sta dio me te r Sc a le

Have mate r ials r e ady

Blood Gluc ose Co tto n Ba lls Ba nd-Aid Alc o ho l Swa b L

a nc e t

Gluc o me te r Gluc o me te r T

e st Strip

Ha ve ma te ria ls re a dy

Pulse Oxyme te r

Vision sc r

e e ne r

He alth Sc r e e ning: Adults

iPa d: Inte rvie w

 De mogr

aphic s

 Ag e  Ge nde r  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  Ca lc ula te BMI

He alth Sc r e e ning: Adults

 Do yo u kno w yo ur BMI

?

 Do yo u kno w wha t 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

• r

individuals with a BMI ove r 30: Re se a rc h ha s sho wn tha t individua ls with a BMI

• ve r 30

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

He alth Sc r e e ning: Adults

 Wo uld yo u sa y yo u live in a City, T

• wn o r Rura l a re a ?

 Wha t is yo ur he a lth insura nc e sta tus?

 Uninsure d  I

nsure d

 Re fuse d

 Do yo u ha ve a Prima ry Ca re Pro vide r (MD, DO, PA o r NP)?

 I

f no – ple a se pro vide with re fe rra l info rma tio n

 Whe n wa s yo ur la st me dic a l visit?  F

a mily me dic a l histo ry?

He alth Sc r e e ning: Adults

 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?

He alth Sc r e e ning: Adults

 Do yo u kno w wha t yo ur Blo o d Pre ssure typic a lly runs?

 T

a ke BP (I f a b o ve 140/ 90 – re c he c k)

 Note :

 I

f the ir Blo o d pre ssure c o ntinue s to b e > 140 systo lic OR >90 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

• ffic e o r c linic in the ne a r future .

 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 a sk the m to ta lk to the pe rso n a b o ut b e ing se e n b y the ir do c to r o r c linic b e c a use the y a re 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 .

 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 a nd ta ke n to the first a id sta tio n

Blood Pr e ssur e Instr uc tions

 Pla c e c uff o n pa tie nt & pre ss sta rt

Four different size cuffs to choose from

He alth Sc r e e ning: Adults

 Pulse Oxime tr

y: Pla c e o xime te r o n the inde x o r middle fing e r &

pre ss b utto n

 Note :

 Oxyg e n sa tura tio n o f 90% is no rma l in De nve r 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 nd se nd the m to the first a id sta tio n

He alth Sc r e e ning: Adults

 L

a st te ta nus?

 I

f 65+

 Ha ve yo u ha d the pne umo nia va c c ine this ye a r?  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 .

 Did yo u g e t a F

lu sho t this ye a r?

 We ma y o r ma y no t ha ve the m a t the b o o th this ye a r.

He alth Sc r e e ning: Adults

 I

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 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 a nd 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

He alth Sc r e e ning: Adults

 I

f F e ma le

 Ha ve yo u ha d c e rvic a l c a nc e r sc re e ning within the la st 3 ye a rs?  I

f no , it is re c o mme nde d tha t wo me n b e twe e n the a g e s o f 21 a nd 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 a nd 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 o r 5 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

• r wo me n b e twe e n the a g e s o f 50 a nd 74 the re is c o nvinc ing

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 o f c he st ra dia tio n. I nc re a sing a g e is the mo st impo rta nt risk fa c to r fo r mo st wo me n.

He alth Sc r e e ning: Adults

 Do yo u kno w yo ur b lo o d sug a r?  Ha ve yo u ha d a nything to e a t to da y?  T

a ke b lo o d sug a r

 Note :

 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 g re a t tha n tho se liste d a b o ve , c o nta c t fa c ulty supe rviso r fo r c o nsulta tio n

Blood Dr aw for Gluc ose

 Glo ve up  Pla c e g luc o se te st strip in

g luc o me te r (b utte rfly up/ wide 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 la nc e t pro vide d se pa ra te ly

(no t in kit) 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)

 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

Vision sc r e e n

 Ha ve yo u no tic e d a ny re c e nt c ha ng e s

in yo ur visio n?

 T

e sting do ne with g la sse s if wo rn

 Pla c e rule r o n fo re he a d (14 inc he s)  Ha ve the m c o ve r o ne e ye & re a d lo we st

(mo st c le a r)numb e r line (le ft ha nd c o lumn)

 Re pe a t fo r o the r e ye  T

e st is a g uide line & do e s no t o ffe r a true pre sc riptio n

 Ha ve the pe rso n fo llo w-up with a n

• pto me trist o r o phtha lmo lo g ist (>20/ 40)

He alth Sc r e e ning: Adults

 Curre nt to b a c c o use ?  Do yo u drink a lc o ho l?  Do yo u use ma rijua na ?  Milk c o nsumptio n?  Swe e te ne d Be ve ra g e s?  F

ruits & ve g e ta b le s da ily?

 Re sta ura nts pe r we e k? Sit do wn & fa st fo o d?

He alth Sc r e e ning: Adults

 On a ve ra g e , ho w ma ny time s pe r we e k do yo u do mo de ra te

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 .

He alth Sc r e e ning: Adults

 Blood Pr

e ssur e Re take

 I

f the ir Blo o d pre ssure c o ntinue s to b e > 140 systo lic OR >90 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 o ffic e o r c linic in the ne a r future .

 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 a sk the m to ta lk to the pe rso n a b o ut b e ing se e n b y the ir do c to r o r c linic b e c a use the y a re 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 .

 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 & ta ke n to the first a id sta tio n.

Balanc e Sc r e e n

 Que stio ns

 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?

 Ba la nc e sc re e n

 One le g sta nc e (e ye s o pe 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 lo se d: 30 se c o nds e a c h)

 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 (e xc e ss swa y, lo ss o f b a la nc e , dizzine ss)

 I

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

He alth Sc r e e ning: Adults

 Wha t Anima ls a re yo u re g ula rly e xpo se d to ?

 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 )

Or al He alth Sc r e e n

Adult (answe r

s ar e ye s, no, I don’t know)

 Risk fac tor

s (any ye s answe r is c onside r e d high 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?

Or al He alth Sc r e e n c ont.

Adult (answe r

s ar e ye s, no, I don’t know)

 Pr

• te c tive fac tor

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?  Do yo u drink ta p wa te r?  Do yo u b rush yo ur te e th with a fluo ride to o thpa ste twic e a da y?  Do yo u flo ss yo ur te e th da ily?  I

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?

 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 )  Do yo u ha ve De nta l insura nc e (inc luding Me dic a id)?

He alth Sc r e e ning: Adults

 On a sc a le fro m 1-10, ho w impo rta nt is it to

c hange a nything a b o ut yo ur he a lth?

 Print o ut pa tie nt she e t (still wo rking o n e -ma il

• ptio n)

 Disc uss a ny fo llo w-up the y ma y ne e d  Pro vide the m with Me dic a l o r De nta l re fe rra l so urc e s if

the y do no t ha ve a PCP in the ir a re a

 E

xit the pro g ra m

He alth Sc r e e ning: Child/ Adole sc e nt

 Me a sure he ig ht (inc he s) & we ig ht (po unds)  Re c o rd b o th o n a stic ky

no te to e nte r into iPa d

He alth Sc r e e ning: Child/ Adole sc e nt

 Birthda te  Ag e  Ge nde r  Do the y live in a b ig c ity, sma ll

to wn o r o n a ra nc h?

He alth Sc r e e ning: Child/ Adole sc e nt

 F

a mily histo ry?

 E

a t b re a kfa st?

 E

a t a t re sta ura nt o r fa st fo o d?

 Sna c ks?  Swe e te ne d b e ve ra g e s?  Milk?  F

ruits & ve g e ta b le s?

He alth Sc r e e ning: Child/ Adole sc e nt

 Do e s a nyo ne smo ke a ro und yo u?  Ac tive pla y o r spo rts?  T

e le visio n, mo vie s, vide o g a me s o r c o mpute r?

He alth Sc r e e ning: Child/ Adole sc e nt

 Ha ve yo u no tic e d a ny c ha ng e s in yo ur visio n?  Visio n sc re e n: sa me a s a dult  Ba la nc e sc re e ning : sa me a s a dult

Or al He alth Sc r e e n

Childr e n (answe r s ar e ye s, no, I don’t know or n/ a)

 Risk fac tor

s (any ye s answe r is c onside r e d high r isk)

 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)

 Ha ve yo u b e e n dia g no se d with 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?

Or al He alth Sc r e e n

Childr e n (answe r s ar e ye s, no, I don’t know or n/ a)

 Pr

• te c tive fac tor

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?  Do yo u drink ta p wa te r e ve ry da y?  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?

He alth Sc r e e ning: Child/ Adole sc e nt

 Print fo rm & g o o ve r with c hild &/ o r pa re nts-g ua rdia ns  Re sults ma y b e printe d in E

ng lish & Spa nish

Closur e

 DO  E

xpla in the po we r o f sma ll c ha ng e s

 E

nc o ura g e the m to fo llo w up with the ir he a lthc a re pro vide rs a s ne e de d

 Be se nsitive to we ig ht issue s – e spe c ia lly with kids  Co nsult fa c ulty supe rviso r if unsure o f ho w to

a nswe r q ue stio ns

 DON’T  Give a la undry list o f thing s the y a re do ing wro ng

PRACT ICE T IME !!

Whe r e is the booth?

4655 Humb o ldt Stre e t, De nve r, CO

80216

E

xit Brig hto n Blvd

Big b ro wn b uilding with b la c k a nima ls

Whe r e is the booth?

E

xpo sitio n Ha ll: Bo o th # 217

Par king?

 Pa rking o n the sto c k sho w g ro unds is F

RE E in de sig na te d a re a s

 Allo w 30 minute s b e fo re yo ur shift to find pa rking

& shuttle to the b uilding

 Go to the Na tio na l We ste rn Sto c k Sho w we b site

fo r a dditio na l dire c tio ns: www.na tio na lwe ste rn.c o m

What do I we ar ?

 We ste rn a ppa re l o r b usine ss c a sua l  Nursing stude nts must we a r a ppro ve d unifo rm a s pe r the AMC

Co lle g e o f Nursing g uide line s

 A white c o a t will b e pro vide d a t the b o o th

 Yo u do no t ne e d to b ring yo ur o wn

 Stude nt I

D Ba dg e MUST

b e wo rn a t a ll time s time

Re quir e d for admission into the E xpo Building

What do I br ing?

 Wa te r Bo ttle & lunc h/ dinne r (a sma ll re frig e ra to r is pro vide d

fo r vo lunte e rs)

 No thing E

lse

 T

he re is ve ry little ro o m fo r sto ra g e (e ve n yo ur c o a t)

 L

e a ve va lua b le s a t ho me NOT I N YOUR CAR; e ve ry ye a r the re a re the fts fro m c a rs during the NWSS

Contac t infor mation

Co nta c t Cindy Armstro ng if yo u ha ve a ny q ue stio ns o r if yo u ha ve a n e me rg e nc y & c a n’ s ma ke yo ur shift:

 Cynthia .Armstro ng @ uc de nve r.e du 303.724.8927  c e ll: 303-888-0580

Que stions?