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Special Diabetes Program for Indians Competitive Grant

Special Diabetes Program for Indians Competitive Grant. Cardiovascular Wagner Indian Health Service Yankton Sioux Tribe 2005 – 2007 Overview. Yankton Healthy Hearts 2007. w. Staff Program Goals Accomplishments. Staff 2007. Program Staff Program Director Gretchen Esplund, MD

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Special Diabetes Program for Indians Competitive Grant

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  1. Special Diabetes Program for Indians Competitive Grant Cardiovascular Wagner Indian Health Service Yankton Sioux Tribe 2005 – 2007 Overview

  2. Yankton Healthy Hearts 2007 • w • Staff • Program Goals • Accomplishments

  3. Staff 2007 Program Staff Program Director Gretchen Esplund, MD Diabetes Coordinator Colleen Permann, CDE, PHN Registered Dietitian Janet DeLoughery, RD, LN Nurse Case Manager AnnaMarie Bosma, RN, CDE Medical Provider Linda Goller, PA,C Part-time Public Health Nurse Lori Oster, RN Data Entry Clerk Zachary Hare

  4. Support Staff 2007 Consulting Cardiologistl Michael McVay, MD Pharmacist Shelly Clayton Fitness Director Mark Small Family Counselor Estelline St. John Performance Improvement Officer Michael Horned Eagle, RN

  5. Point of Care - Service • HH staff provide diabetes education during general diabetes clinics every Tues and Friday morning. • Fosters relationship with persons with diabetes • Good avenue for recruiting

  6. Take Care of Your Heart and Diabetes NAME___________________________________________DATE____________ • means withinTARGET range!! • Reduce Your Risk of Heart Disease: • Talk to your provider about getting your • numbers in target. • Join the YST/Wagner Healthy HeartProgram • Have fun, learn healthy habits and get in shape • Prevent heart disease

  7. ~Act In Time~Learn the Warning Signs of a Heart Attack • Chest discomfort. Discomfort in the center of the chest that lasts for more than a few minutes, or goes away and comes back. The discomfort can feel like uncomfortable pressure, squeezing, fullness, or pain. • Discomfort in other areas of the upper body. Can include pain or discomfort in one or both arms, the back, neck, jaw, or stomach. • Shortness of breath. Often comes along with chest discomfort. But it also can occur before chest discomfort. • Other symptoms. May include breaking out in a cold sweat, nausea, or light-headedness. ~DON’T Drive Yourself~ ~ Get Help Immediately~ ~Call 911~ Brought to you by the Healthy Heart Program YST/Wagner Indian Health Service Special Diabetes Program for Indians Healthy Heart Program W a g n e r I n d i a n H e a l t h S e r v i c e

  8. WAGNER INDIAN HEALTH SERVICE ~ Health Heroes ~ IN RECOGNITION OF YOUR ACCOMPLISHMENTS FOR YOUR HEALTH! Wagner Indian Health service Wagner Indian Health service ~ Health Heroes ~ ~ Health Heroes ~ IN RECOGNITION OF YOUR ACCOMPLISHMENTS FOR YOUR HEALTH! Name:______________________________________ IN RECOGNITION OF YOUR ACCOMPLISHMENTS FOR YOUR HEALTH! Name:______________________________________ Date Signature Date Signature Date Signature Date Signature

  9. Successful Weight Loss:The Art ofVolumeTrics Janet DeLoughery, RD, LN Healthy Heart Diabetes Program Wagner Indian Health Service South Dakota

  10. The Volumetrics Eating Plan • Book and Research by Barbara Rolls • The key to hunger control is the feeling of fullness. • Shows how to fit your favorite foods into the Volumetrics Eating Plan. • No denial • No deprivation

  11. Portion Control + Energy Density= 800 calories • The VolumeTrics Strategy: Substituting low energy dense foods in place of high energy dense foods For fewer calories.

  12. What Is Energy Density? • It’s the calories (energy) in a gram of food

  13. Foods are in three categories: • High-energy-dense foods: 4 - 9 calories per gram e.g., cookies, crackers, butter, bacon • Medium-energy-dense foods: 1.5 - 4 calories per gram e.g., bagels, dried fruit, meat, low-fat mozzarella • Very Low and Low-energy-dense foods: 0 - 1.5 calories per gram e.g., most fresh fruits and vegetables, fat-free yogurt, broth-based soups

  14. Volume, Density, and Calories in Weight Management • Feeling full is one reason people stop eating. • Volume affects the feeling of being full. • Water and fiber increase volume and reduce energy density.

  15. Water + Fiber + Protein = Fullness • Drinking water will not reduce hunger. Water has to be in the food. • Fiber helps you feel fuller and has been shown to reduce calorie intake. • High-protein foods low in fat • decrease hunger • prolong fullness • more than high fat or carbohydrate foods

  16. Water, Energy Density, and the Feeling of Being Full 24 women ate the same foods over 3 days, but prepared differently each day • Day 1: chicken-rice casserole • Day 2: chicken-rice casserole with a glass of water. • Day 3: chicken-rice soup made with water and casserole ingredients

  17. Water Content of Foods

  18. Without Water vs. With Water

  19. Regular Sandwich VolumeTrics Style Sandwich 

  20. OR VolumeTrics Style Soup  Regular Soup…

  21. VolumeTrics Pow Wow Foods

  22. Two Day Event Locale: Fort Randall Casino Report on HH Project Goals and Accomplishments n Annual Community Diabetes Conference

  23. “A Healthy Walk Through Life” 5th Annual Diabetes Prevention Conference Sponsored by: Yankton Sioux Tribe Wagner IHS Diabetes Prevention Project & Healthy Heart Project Day 1 July 25 Day 2 July 26

  24. k Program Activities

  25. Participant Status as of 7/24/07 Recruitment Registry: 320

  26. 1 Year Participants as of 7/24/07 ~ Health Accomplishments ~

  27. 1 Year Participants as of 7/24/07 ~ Health Accomplishments ~

  28. 1 Year Participants as of 7/24/07 ~ Health Accomplishments ~

  29. Honoring the Gift of Heart Health Classes & Participants (10 lessons/series)

  30. Other Program Activities • Monthly Support Group • Follows HGHH curriculum + fun/interactive activities, such as walks, picnics, and shopping tours • Wear Red Day • Cardiology clinic • Incentives

  31. v a More Program Activities

  32. v a More Program Activities

  33. v a More Program Activities

  34. v a More Program Activities

  35. v a Cardiology Clinic has benefited 124 Patients, both those in Healthy Heart & Non-Healthy Heart Participants More Program Activities

  36. SDPI: HEALTHY HEART DEMONSTRATION PROJECT (Competitive Grants Program)

  37. You also can earn one of these gifts by entering the Healthy Heart Program at one of the monthly Open Houses, completing your baseline physical and second coaching visit by the end of the second month from the Open House. OR You are currently an active participant who brings a new participant into the program and meeting the above criteria by the end of the second month. Wagner Healthy Heart Program Incentives

  38. m m June 2007 Support Group Look What I Earned and I had a lot of Fun Doing It

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