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 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 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 Vision sc r Pulse Oxyme te r e e ne r
He alth Sc r e e ning: Adults iPa d Ob ta in c o nse nt to pe rfo rm the sc re e n E 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
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 . 30: Re se a rc h ha s sho wn tha t individua ls with a BMI o ve r 30 F or individuals with a BMI ove r 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 . 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 Do you snor 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 o 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? 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 o f we a ring a b ic yc le he lme t . He lme t use has be e n 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.
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 Note : 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
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 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
He alth Sc r e e ning: Adults L a st te ta nus? I 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 . Did yo u usua lly g e t a F lu sho t e ve ry 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 (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 – Sto o l 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
He alth Sc r e e ning: Adults 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 or 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 o r wo me n b e twe e n the a g e s o f 50 & 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. Inc r e a sing a g e is the most c ommon r isk fa c tor for most wome 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? (F a sting > 8 ho urs) Me a sure b lo o d g luc o se 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 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
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 F e e style : b utte rfly up/ wid e e nd in g luc o me te r r Pr a : Blue sid e up/ stripe d e nd in e c ision Xtr 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 e e style : Pla c e g luc o se te st strip (b la c k r do t) ne xt to b lo o d o n fing e r Pr a : fill e nd o f te st strip with b lo o d e c ision Xtr
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 o pto me trist o r o phtha lmo lo g ist (>20/ 40)
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