Na tiona l We ste rn Stoc k Show Ja nua ry 9-24, 2016 He alth Pr - PowerPoint PPT Presentation

Na tiona l We ste rn Stoc k Show Ja nua ry 9-24, 2016 He alth Pr ofe ssions Inte r pr ofe ssional T r aining

F r e e He alth Sc r e e nings  Go a ls:  Sc re e n fo r Dia b e te s, Hype rte nsio n, E le va te d BMI , Visio n, Ora l He a lth & Ba la nc e de fic its  T a rg e t po pula tio n – a dult (18 & o lde r) fa rme rs & ra nc he rs witho ut a re g ula r so urc e o f prima ry c a re , b ut will sc re e n a ll c o me rs a t the NWSS  I nc re a se a wa re ne ss o f o b e sity, o ra l he a lth, b a la nc e , a nd visio n a mo ng c hildre n (2-17 ye a rs o ld) & the ir pa re nts thro ug h the He art Smart Kids He art Risk

What is my r ole ?  Re c ruit pa tie nts fo r F re e He a lth Sc re e n  Sig n wa ive r  Me a sure he ig ht (inc he s) & we ig ht (po unds)  Adults  iPa d I nta ke inte rvie w  Ca lc ula te BMI  Blo o d pre ssure  Blo o d g luc o se  Visio n te st  Ba la nc e te st  Ora l he a lth sc re e n

What is my r ole ?  Childre n & Ado le sc e nts  He ig ht  We ig ht  iPad: He art Smart Kid: he a rt risk a sse ssme nt  Visio n te st  Ora l He a lth Sc re e n  Ba la nc e te st

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  E ntic e the m with a fre e b a nda na

He a lth Sc re e ning T ra ining

Have mate r ials r e ady BMI: Blood Pr e ssur e :  Sta dio me te r  Blo o d Pre ssure Mo nito r  Sc a le

Have mate r ials r e ady Blood Gluc ose te sting  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

He alth Sc r e e ning: Adults  De mogr aphic s and me asur e me nts  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  Or de r of que stions:  Do yo u kno w yo ur BMI ?  Do yo u kno w wha t BMI me a ns?  Ca lc ula te BMI  City, to wn, rura l?  He a lth insura nc e sta tus?  L a st me dic a l visit?  F a mily histo ry?

Adult Sc r e e n c ont.  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 ? Do yo u we a r a he lme t?  Do yo u kno w yo ur BP?  T a ke a nd c a lc ula te BP  L a st te ta nus?  F lu sho t this ye a r?  Do yo u kno w yo ur b lo o d sug a r le ve ls?  Do g luc o se te sting  F a sting / no n fa sting  Re pe a t BP if ne e de d?  Cha ng e in visio n?  Che c k visio n

Adult Sc r e e n c ont.  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?  E xe rc ise pe r we e k?  Ba la nc e ?  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 ne a r fa lls in the pa st thre e mo nths?  T e st b a la nc e  I mpo rta nc e to ma ke c ha ng e s to he a lth?  Ora l He a lth Sc re e ning

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

Blood Pr e ssur e Instr uc tions  Re c o rd Blo o d Pre ssure re sults o n iPa d  De te rmine if pre ssure is within no rma l g uide line s:  <140/ 90  18-59 ye a rs o f a g e witho ut ma jo r c o mo rb iditie s  60+ ye a rs who ha ve dia b e te s, c hro nic kidne y dise a se , o r b o th c o nditio ns  <150/ 90  60+ ye a rs o f a g e who do no t ha ve dia b e te s o r c hro nic kidne y dise a se  I f the re sults a re a b o ve no rma l limits a sk pa rtic ipa nt if tha t is typic a l fo r the m the n wa it ~5 min & re pe a t

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  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  Sta rt flo w (ma y ne e d to g e ntly sq ue e ze fing e r)  Pla c e fing e r ne xt to g luc o se te st strip to pla c e b lo o d o n strip

Blood Dr aw for Gluc ose le ve l  I f pe r son is fasting (no fo o d o r b e ve ra g e s in la st 8 ho urs), the n a no rma l b lo o d g luc o se sho uld b e <100  I f pe r son is non- fasting (ha ve ha d fo o d o r b e ve ra g e s within the la st fe w ho urs), the n a no rma l b lo o d g luc o se sho uld b e <140  Any numb e r hig he r tha n no rma l ra ng e , e nc o ura g e pa rtic ipa nt to fo llo w-up with the ir pro vide r

Vision sc r e e n  T e sting do ne with g la sse s if ne c e ssa ry  Pla c e rule r o n fo re he a d (14 inc he s)  Ha ve the m c lo se o ne e ye & re a d lo we st (mo st c le a r)numb e r line  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 o pto me trist o r o phtha lmo lo g ist (>20/ 40)

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

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 ote 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)?

Re c or d Data on iPad  Print o ut pa tie nt she e t  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 ar t Smar t Kids Instr uc tions  He a rt risk a sse ssme nts a re pe rfo rme d o n c hildre n & a do le sc e nts a g e s 2-17 ye a rs  E ng lish & Spa nish Asse ssme nts

He ar t Smar t Kids Instr uc tions  Re c ruit fa milie s, e spe c ia lly tho se o f pa re nts pa rtic ipa ting in a dult he a lth sc re e ning s  Childre n who pa rtic ipa te will re c e ive a fre e b a nda na

He ar t Smar t Kids Instr uc tions  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 ar t Smar t Kids Instr uc tions  Ope n pro g ra m & e nte r the ir he ig ht & we ig ht o n the iPa ds  I nc lude pa re nts o r fa milie s in the disc ussio n if po ssib le

He ar t Smar t Kids Instr uc tions  F o llo w g uide d q ue stio ns o n iPa d  Visio n sc re e n (sa me a s a dult)  Ba la nc e sc re e n (sa me a s a dult)  Ora l he a lth sc re e n  Skip q ue stio n tha t a re no t a g e a ppro pria te

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?