Shasta College Student Health & Wellness Office

1. Shasta College Student Health & Wellness Office Facilitating college success Debbie Goodman MSN, RN, PHNCollege Nurse / Coordinator Becky Bogener MSW, LCSWPsychological Counselor Shelley LowryHealth & Wellness Technician Updated January 2014

2. Want to revisit this presentation? 1. Visit the Health & Wellness Webpage at: www.shastacollege.edu/wellness 2. Click on “Learn more about…..”

3. Most underlined text in this presentation provides a link to health websites and additional health information. Learning outcomes At the end of this presentation, students will be able to: • List the services available through the Student Health & Wellness office. • List 5 health habits that contribute to student success • Identify the Student Health & Wellness office as a resource that facilitates academic retention and success. • Identify additional community health resources

4. 5 Health Habits that contribute to Student Success Eat Right Exercise daily Get quality sleep! Manage stressSet goals….and write them down (goals related to academics, physical activity, nutrition, mental health, etc.)

5. Shasta CollegeStudent Health & Wellness Office • Location Room 2020 2000 building, Student Center w/ Cafeteria • Hours of Service Monday - Friday 8:00am-4:00pm Closed 12:00-1:00 daily Call the office before driving to campus hoping for a “walk-in” appt. – there are times we must close early and we want to minimize unnecessary travel for you.

6. Shasta CollegeStudent Health & Wellness Office A “student health fee” supported service whose purpose is to: • Assist students with short-term / temporary health and related challenges which might create a barrier to success in their academic program. • Promote lifetime wellness and health maintenance

7. Important to learning…. Staying emotionally & physically healthy Improves your ability to learn College success !! When students fail it’s typically not because they can’t do the work, but because physical and emotional stressors “get in the way”.

8. Important to note: All students (and employees) are required to show a government issued photo ID (driver's license, state issued ID, Passport, Matricula Consular card)prior to receiving services with providers, except in the case of emergency. This does not pertain to accessing lobby services (OTC machine, lobby self-help supplies)

9. Shasta CollegeStudent Health & Wellness Office Services: • Physician Clinic • Psychological Counseling • Planned Parenthood Health Educator • Nurse provided services / wellness opportunities • Dental Hygiene program (off-campus, not supported by health fee) • Webpage resources To help with physical and emotional stressors

10. Shasta CollegeStudent Health & Wellness Office Physician Clinic2013-2014 School Year One day / week – most WEDNESDAYS (check Events Calendar on college homepage) 8:00am – 12:00pm & 1:00pm-4:00pm, last appt. is 3:00pm • Frederick David, MD • Appointments recommended • Walk-in’s assisted as time allows • Short-term, temporary illness,i.e. -irritations and infections • Limited stock of antibiotics, etc. at no cost to you • Prescriptions filled at your / insurance expense If Dr. David is your primary care provider elsewhere, please know that our policies do not allow him to address your chronic conditions at the college.

11. Shasta CollegeStudent Health & Wellness Office Students find that physician clinic is helpful with…. • Academic program physicals • Non-complicated, class-related physicals • Non-complicated work physicals (we cannot drug or endurance test) • Diagnosis & treatment of uncomplicated Irritations and Infections of: Ear-nose-throat,sinus,respiratory tract, eye, bladder, skin, etc.

12. Clarification: We are a student health service, not a traditional “doctor’s office” • Physician access is 7 hours or less per week during semesters • No physician access during holidays, semester breaks or summer • The Student Health & Wellness office is not a comprehensive health care provider and is not structured to address all the healthcare needs of District students. • It is not the intention, nor contained in the scope of practice, of the healthcare professionals in this office to be identified as primary healthcare providers. • If, after the initial visit, it appears a health concern will require care beyond a third (3rd) follow-up visit, the Student Health & Wellness office will provide a referral to another healthcare provider in the community and your health concern will thereafter no longer be the responsibility of the Student Health & Wellness office.

13. Connecting you to the community… • When you are in need of a primary healthcare provider for the management of an on-going health condition we will do as much as possible to assist you. • Ask for our list of community walk-in clinics

14. Examples of Community Healthcare Resources (not complete list) • Shasta Community Health Center Urgent Care Clinic – Sliding-scale fee programs • HOPE van – Not just for the homeless (next slide) • Target “discount” prescription list • Wal-Mart “discount” prescription list HINT – Take a recent copy of the low-cost prescription list with you to your next MD appt. Ask the MD / NP / PA if one of the very low cost meds will meet your needs!

15. Call (530) 246-5710 for HOPE van location-of-the-day.

16. The Affordable Care Act and You Starting January 1, 2014, EVERYONE is required to have health coverage either through an employer, Medi-Cal, state health programs, or the Marketplace. If you don’t have health coverage, you may have to pay a penalty. • What do I do to find out what coverage I’m eligible for? • In Shasta County you can either: 1. Call 1-877-652-0731 to speak with a “Covered Shasta” representative. or • 2. Visit https://www.c4yourself.com to complete an online application which will first determine if you qualify for the new, expanded MediCal program. • You can also go to: • Covered California (www.CoveredCA.com)or • The Health Insurance Marketplace (www.HealthCare.gov ) Shasta College Health & Wellness Office (paying the health fee) is not considered “coverage” 1/2014

17. Check the Health & Wellness Office’s homepage for online, anonymous Brain & Body Health screening links. Shasta CollegeStudent Health & Wellness Office • Psychological Counseling • Brief, solution-focused therapy Available by appointment (50 min. visit) Crisis walk-in “hour” available daily (15 min. visit) Stress & anxiety reduction Depression Test anxiety Relationships Loneliness / Homesickness Difficulty managing anger Drug / alcohol use - abuse Becky Bogener LCSWclinical counselor and trainee supervisor

18. Reasons students withdraw….. Personal problems #1 reason for withdrawal. From: “Emotional Intelligence in Higher Education” ACHA 2008 Conference Presentation

19. Mental Health & College Success • “It is clear that academic success goes hand in hand with emotional and physical well-being… • College is a fresh start for many students, but dysfunctional coping styles can cripple their efforts… • Even students who “get by” or succeed academically can be at risk ifunhealthy behavioral patterns follow them after college… • Promoting emotional health in students is an investment in the future. It should be part of the mission of all colleges and universities.” Dr. Richard Kadison, Chief of Mental Health, Harvard University

20. How stress affects the body…(check out this online resource by Helpguide.org ) Coping tools help minimize the effects of stress on the body, which improves your ability to learn.

21. Becky’s favorite handout for students…

22. Strengthening Your Resilience Think about a time you overcame a major obstacle. What strengths and skills helped you? These are part of your natural resilience. And they’re something you can build on.  Resilience is the ability to push forward and adapt when things don’t go as planned. It means being able to overcome past hardships, keep going in the face of daily challenges, and bounce back when you face major setbacks.   These steps can help strengthen your resilience in the face of a challenge:  • Tune in to your thoughts and beliefs. How you think plays a big part in how you react to situations. Do your thoughts make you feel hopeful or hopeless?  • Reach out. Take time to strengthen your connections with loved ones or make new connections.  • Pat yourself on the back. A positive view of yourself is key. Take time to reflect on your strengths, skills, and accomplishments.  • Think of one thing you can do. Even in challenging situations, there’s usually at least one thing you can do, even if it’s just changing how you react.  • Make a plan. Set a goal and make a plan to get there. Try to do something each day to work toward your goal.   There is no magic formula for resilience, but each of the above steps can help you bounce back in some way. Find the mix that helps you feel strong and more able to adapt.

23. Consider our counseling services if you would like help learning tools to improve resilience and coping. Think Positive Thoughts Life is full of challenges. And when you have trouble tackling one, it’s easy to slip into negative thoughts about yourself. But letting those thoughts define you can take a real toll on your health. Take back control with positive affirmations. An affirmation is a simple, positive statement that you repeat to yourself. An example is, “I am a smart and resourceful person.” Statements like this can help you feel worthy and capable. They can also help change your thinking pattern. Feeling good about yourself is key for optimal health. That’s because high self-esteem is linked to optimism. And research shows optimistic people: • Get sick less often • Heal faster after illness • Live longer lives To help turn affirmations into beliefs, repeat them to yourself throughout the day. Here are some tips to lift your spirits: • Jot down positive thoughts on sticky notes. Hang them on your fridge, calendar, or desk at work. These simple reminders will help cheer you on throughout the day. • Use your own voice as a coach. Keep a small tape recorder with you. Use it to create an audio collection of positive thoughts. You can tune in whenever you get down on yourself. • Remind yourself of past accomplishments. Write out a list of all the things you have achieved. Refer to this list each time you need a boost. • Your thoughts can quickly turn into your worst enemy. Or they can become your best friends. Make more room for happy, healthy thoughts in your head.

24. ​ Supporting a struggling friend or classmate… See “KOGNITO” link on Health & Wellness Webpage • Peer-to-Peer Support of struggling classmates, roommates and / or friends

25. Monthly on-Campus reproductive health educationfor men & women Base your activities and choices on accurate information – don’t “get caught” because you “thought it was OK”… Call Planned Parenthood for more information abouttheir Redding clinic services: Planned Parenthood: Shasta-DiabloRedding Regional Center2935 Bechelli Lane, Suite CRedding, CA   96002-1905Phone: 530-351-7100

26. Dental Hygiene Serviceshttp://www.shastacollege.edu/HSUP/DNTL/clinichours/ • Services Provided Students provide all services under the supervision of instructors. Basic to advanced cleanings are available with x-rays at no cost to registered Shasta College students and at low cost to the general public. • Screening:    Call for information Patients must be screened to qualify for the clinic prior to scheduling a cleaning appointment. The Dental Hygiene Clinic holds screenings several times a week.  There is no cost for the screening visit, however not all patients will qualify for treatment at the dental hygiene clinic. Screenings are limited to 5 patients each session, on a first come first served basis. • Office staff is available to answer questions at 530-339-3608. Shasta College Dental Hygiene Clinic Health Sciences Building, Downtown 1400 Market Street St. 8106 Redding, CA 96001 (530) 339-3608 Services Not Provided Dental fillings Dental extractions Root canals Dentures Other services provided by a Dentist

27. The importance of dental health… Over the past decade, evidence has been gathered to strongly suggest that the inflammation of periodontal (gum) disease contributes to: • Premature and very small babies - Oral bacteria found in the placenta and amniotic fluid can affect fetal growth and cause early labor. • Worsens diabetes - Type 2 diabetes TRIPLES risk of developing gum disease and infection, and gum disease worsens control of blood sugar • Plays a part in heart, brain and lung diseases – Increases by 20% risk for heart disease, heart attack and stroke; oral bacteria are easily carried to the lungs and worsen existing lung disease, especially COPD .

28. Nurse provided services / wellness • TB testing and verification • Vision / hearing screening • Body Composition analysis • Illness assessment & referral • Urinalysis (bladder infection check) • Pregnancy testing (35 days since LMP) • First aid / student injury reporting process • Tobacco Cessation counseling • Blood pressure screening • Cholesterol screening ($20.00 fee) • Blood sugar screening Know your numbers by the time you are 20 years old!

29. Each of these numbers can be screened in the Health & Wellness office! New blood sugar goals are less than 100, fasting

30. Shasta College Smoking & Tobacco Use PolicyBoard Policy #3810 We are a non-smoking campus with the exception of designated areas. Please….. • Smoke ONLY in designated smoking gazebos near the: • Walkway east of 1100 building • North parking lot, in front of Bookstore • Dorms have designated area for residents • Wait to light up until you are IN the gazebo! Includes e-cigarettes !!

31. About e-cigarettes….. • The vapor emitted from an e-cigarette is not just water vapor.  At the very least, it contains a propellant.  If it is a nicotine e-cigarette then it also emits nicotine particles in the vapor. So – for those nearby there is a “second-hand” exposure to chemicals, similar to other smoked products. • Due to the lack of regulation, no one knows how much nicotine and other substances are in the different e-cigarettes, and manufacturers have not had to provide any scientific evidence to support their claims or to comply with public health regulations intended to protect consumers from deceptive claims. Centers for Disease Control and Prevention (CDC) 2/28/13 • "E-cigarettes have not been scientifically shown to be effective tobacco cessation tools, yet some distributors are marketing them either directly or indirectly for that purpose," Chris Hansen, president of the American Cancer Society Cancer Action Network (ACS CAN) 3/2/2013

32. What are the symptoms of Influenza-like Illness (ILI aka Flu)? • Sudden onset fever over 100.0 F • Headache • Body pain • Cough • Fatigue And, in the case of some, but not all, viruses • Nausea and / or vomiting • Flu peaks in the spring months – February, March, April. • It takes 10 -14 days to develop immunity after a flu shot • January / Winter Break is not too late to get a flu shot • Call Public Health @ 225-5591 for vaccine information or visit your local pharmacy for a flu shot

33. January-March is not too late to get a flu shot! Call Public Health 225-5591 for more information. Flu Vaccination…. • Does NOT cause you to get the flu • Protects your family, the elderly, the very young, and those that • cannot receive vaccination, as well as yourself • Protects you from missing school or work ($$) because of the flu • Is the cheapest health insurance you can buy…usually ~$10 to $20 • Vaccination is critical for those with asthma or other respiratory conditions, persons who are confined to bed or wheelchair, as well as those having diabetes, heart conditions, or who are pregnant.

34. How flu vaccines and antivirals work • Vaccines works to prevent attachment of the virus to the cells of the body (“H” portion of H#N#) • Antivirals works to stop the replication of the virus in the cells of the body (“N” portion of H#N#)

35. What can I do to not get the flu? • Wash hands and use 60+% alcohol-based hand sanitizers between washings – ESPECIALLY AFTER TOUCHING COMMONLY TOUCHED AREAS. • Cover coughs and sneezes with your sleeve / dispose of tissue in the waste basket – then wash / sanitize hands. • Don’t touch your nose, mouth, and eyes with hands • Stay home when you are sick • Get Vaccinated! • Pneumonia vaccine – Strongly recommended for adults 19 years and older who have asthma or smoke cigarettes (new), as well as adults 65 years and older, and those 2-64 years with chronic illness (heart, lung, diabetes, alcoholism, liver, kidney, and immune-compromising conditions.) Source – CDC and Shasta County Public Health

36. The Goal = Stay Healthy, complete college ! Wash your hands after touching items everyone touches…

37. What if I get an ILI / Flu? • Stay home Most people will recover without using an antiviral However, antivirals can be prescribed by your healthcare provider to lessen the impact of the flu • Are you in a “high-risk” group ? • If you get the flu and become short of breath or have difficulty breathing, immediately contact your physician or go to the nearest emergency room.

38. The winter-break is not too late to get a flu shot! Call Public Health 225-5591 for more information. Measures to stay healthy • Keep your immune system strong - Daily multivitamin with meals, eat fruit and vegetables, get enough sleep, and take a 20-30 minute walk each day. • Stay current with adult vaccinations – Flu, pneumonia, Menactra (meningitis), Mumps (MMR), TDaP (tetanus / pertussis),Shasta County Public Health Vaccination Services • Shingles shot (herpes zoster) now approved for persons over 50! • Avoid close contact with people who are sick. • Cover your mouth and nose - cough into your sleeve. (5 minute DVD) http://www.coughsafe.com/media.html • If possible, stay home from work, school, and errands when you are sick. You will help prevent others from catching your illness.

39. The Goal = Stay Healthy, complete college ! The importance of sleep… • Less than 6 hours per night contributes to 50% reduction in T cell (immune system) production = more illness • Students with fewer than 8 hours of sleep / night may also miss sleep cycles that play a key role in the ability to store newly learned information. • With too little sleep, the body accumulates a “sleep debt.” Eventually, this debt must be paid, even if this means falling asleep at a bad time, such as while driving or in class . • Many students who experience academic difficulties do not realize that poor sleep habits may be contributing to their problems.Journal of American College Health Jan/Feb 2006

40. Blue light limits melatonin production • Red light has no effect on melatonin • production How technology interferes with sleep:Bright screens can confuse ‘sleep switch’ • There is a part of the brain that sits right above the optic nerves called the pineal gland. • The light or dark that our eyes sense triggers the optic nerve, which triggers the pineal gland to turn on melatonin production when the eyes sense darkness and shut it off when the eyes sense light. • Melatonin, a natural hormone, is often called the “Dracula Hormone – it only comes out in the dark.” • During the day the pineal gland is inactive. When the sun goes down and darkness occurs, the pineal is "turned on" and begins to actively produce melatonin, which is released into the blood. Usually, this occurs around 9 pm. As a result, melatonin levels in the blood rise sharply and you begin to feel less alert. Sleep becomes more inviting. Melatonin levels in the blood stay elevated for about 12 hours - all through the night - before the light of a new day when they fall back to low daytime levels by about 9 am. Daytime levels of melatonin are barely detectable. Pineal Gland

41. The Goal = Stay Healthy, complete college ! The importance of sleep… In fact…. A significant number of people going to a health provider (MD, NP, LCSW) with symptoms of depression and anxiety are actually suffering from sleep deprivation and not an actual mental health diagnosis. B. Bogener LCSW / per recent studies (Harvard / Mayo Clinic / ASU) Healthy Sleep Tips from the National Heart/Lung/Blood Institute (NHLBI)

42. The Goal = Stay Healthy, complete college ! To learn better - make sleep a priority!Check out the Go to BedSnooze Letter • Don’t vary by more than 2 hours from day-to-day your going to sleep or waking times. Even with 8 hours of sleep, shifting sleep schedules by more than 2 hours results in greater depressive symptoms, attention and concentration difficulties. • Students with increased REM sleep following intensive learning periods perform better on exams. Memory consolidation takes place during the REM stage (last 2 hours) of sleep. • Students with more consistent week and weekend wake times have better sleep quality and academic performance. You can’t recover lost sleep.

43. More tips: • Blue light limits melatonin production • Red light has no effect on melatonin • production…use clocks with red digital displays Persons working during the night must take extra measures to be sure sleep environment is totally dark during normal daylight hours!! Secrets to Better SleepClick here Determine when you need to stop evening use of computers to allow melatonin production Turn off / cover iLights Use noise buffers

44. RECAP - How to stay physically and academically healthy Get adequate sleep!!!

45. Alcohol’s impact & harm reduction Student-reported negative consequences of alcohol use, starting with highest # reported: • Doing something they regretted • Forgetting locations / actions • Being physically injured • Physically injured another • Trouble with the police • Seriously considered suicide Student-reported alcohol harm reduction strategies, starting with highest # reported: • Use a designated driver • Eat before and/or during drinking • Determine in advance a set number of drinks • Choose not to drink alcohol • Alternate non-alcoholic with alcoholic beverages Source: National College Health Assessment

46. Webpage Resources Various screenings and info: • Suicide prevention • eCHUG & eTOKE • Online Brain / Body Health Screenings • Sexual assault prevention • KOGNITO student-to-student support • First Aid guide and Symptom checker • Virtual brochure rack • Many, Many more resources Confidentiality protected – anonymous

47. Additional health resources Shasta County Health & Human Services Agency(aka Public Health) Quitting Tobacco assistance MRSA /Staph information West Nile Virus information HIV / AIDS testing & services Emergency preparedness Public Health services for families & Older adults Vaccines And much, much more…. Retail Food Facility Inspection Results (Shasta County) Centers for Disease Control http://www.cdc.gov/

48. In our office lobby as well as Intermountain, Tehama & Trinity offices & HSUP (downtown) Provided at no charge to students: • Over the counter (OTC) token vending machine – Ibuprofen, Tylenol, aspirin, etc. • Cough drops • Minor first aid supplies • Feminine hygiene products • Condoms

49. What about goal setting? Writing down your goals is an important first step towards achieving them. 1. By writing them down, you visualize your goals. 2. The act of writing down goals creates a commitment on your part. Only about 5% of the population actually takes the time to write down their goals. 3. Setting goals leads to planning, which can reduce symptoms of anxiety What are your health goals for this semester? Can the Student Health & Wellness Office help? http://www.goal-setting-guide.com/goal-writing.html

50. Shasta CollegeStudent Health & Wellness Office Have a great semester!