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PUBLIC HEALTH OUTREACH AND DIABETES DEPARTMENT

PUBLIC HEALTH OUTREACH AND DIABETES DEPARTMENT. JANUARY 2010. WHO IS THE OUTREACH TEAM?. Outreach and Diabetes Director Community Health Nurse 2 CHR’s , Disaster Preparedness Coordinator Diabetes Prevention Assistant Fitness Trainer.

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PUBLIC HEALTH OUTREACH AND DIABETES DEPARTMENT

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  1. PUBLIC HEALTH OUTREACH AND DIABETES DEPARTMENT JANUARY 2010

  2. WHO IS THE OUTREACH TEAM? • Outreach and Diabetes Director • Community Health Nurse • 2 CHR’s , Disaster Preparedness Coordinator • Diabetes Prevention Assistant • Fitness Trainer

  3. WHAT IS THE PURPOSE OF PUBLIC HEALTH OUTREACH IN COMMUNITY? • Promoting Healthy Practices: Monthly Health Screens • Preventing Disease and Injury: Providing Mass Immunization Clinics • Advancing the Health of the Community: Educating Community with flyers, posters, handouts, & presentations • The Outreach Department received 100% on the state Community Health Services Audit this spring, and were complemented on program organization and management.

  4. WHAT DOES OUTREACH DO FOR THE COMMUNITY? Lots! • IN-HOUSE RETINAL SCANS • HEALTH SCREENINGS MONTHLY with COMMODITIES DISTRIBUTION • CAR SEAT CLASSES for FAMILIES • DIABETES WELLNESS SUPPORT GROUP • DIABETES CASE MANAGEMENT • HOME VISIT PROGRAM • WELLNESS GARDEN • EMERGENCY PREPAREDNESS • FITNESS AND WELLNESS CENTER with PERSONAL TRAINER • MEN’s WELLNESS AND SUPPORT GROUP

  5. HOME VISIT PROGRAM • A home visit may include weekly blood pressure and blood sugar checks, community resource assistance, Diabetes education, nutrition counseling, transport to a medical appointment, or medication pill-box set-up. • We see 33 patients regularly each week by Outreach Team, the majority have chronic disease and/or Diabetes.

  6. WELLNESS GARDEN • A Medicine Wheel Garden was planted near Community Wellness Center. • Herbs, fruits, and vegetables were plentiful this summer. • We planted the garden to symbolize the Native Medicine Wheel—offering balance to the community. • Many elders received garden veggies over the summer it was not much but-- greatly appreciated by all. The four spheres represent: • Mental • Spiritual • Physical • Emotional Health

  7. FITNESS AND WELLNESS CENTER • Johnny Gonzales operates the gym, and serves as the Fitness Trainer. He provides 1:1 fitness and nutritional education to Native American patients. • 27 people utilize the gym on a regular basis, from ages 8- 84. • The California Indian Health Service’s Diabetes Director complemented Lake County Tribal Health on our Community Fitness and Wellness initiative and will be sending a representative from “NATIVE LIFE” magazine, who will be writing an article for the January 2010 publication.

  8. FITNESS AND WELLNESS CENTER WELLNESS CENTER: WEIGHT LOSS Patient A: Sept-March 2009- 6 months • Loss of 36 pounds, 6 inch loss/abdomen Patient B: Sept-March 2009- 6 months • Loss of 33 pounds, 6 inch loss/abdomen Patient C: February-April 2009- 2 months • Loss of 20 pounds, 2 inch loss/abdomen

  9. RETINAL SCANS • Retinal Scans performed by Outreach staff, photo forwarded to a UC Davis physician for interpretation. • When we began program in early February only 12% of Diabetic population had received eye screens. We are now at 62%--many have received cataract/laser surgery, reducing the need for eye glasses. • Diabetic patients have been our target, over half of those screened at LCTHC have been diagnosed with Diabetic Retinopathy, Macular Edema, Glaucoma, or Cataracts.

  10. HEALTH SCREENINGS • Monthly Screens: • Robinson • Big Valley • Scotts Valley • Upper Lake • Elem • Other Locations: • WIC • Tribal TANF • Local Community events

  11. CAR SEAT & SAFETY EDUCATION • Ferlun/CHR provides car seat safety class, the 2nd and 4th Thursday of each month. • Bike Helmets and Smoke Alarms are also available.

  12. DIABETES WELLNESS SUPPORT GROUP • Provide Diabetes Education for the adult population over 50, twice a month. • Outreach Staff to provide a multifaceted approach to decreasing the complications of Diabetes by offering: • Traditional Cooking Class • Preparing Healthy Quick Bites • Chair-Robics • Tai Chi for Beginners • Understanding your Medications sessions • Diabetes Management sessions, quarterly doctor appointments • Emergency Preparedness for elders, and Fall Prevention Tips

  13. DIABETES CASE MANAGEMENT • Joyce/Diabetes Prevention Assistant sends out reminders to those in the community needing diabetes management labs, eye appointments, foot screenings, etc. • Performs monthly audits, analyzes diabetes statistics and outcomes for the community. • Work closely with Medical Team.

  14. EMERGENCY PREPAREDNESS • Tom/CHR and Disaster Preparedness Coordinator attends local and state emergency preparedness meetings. • Attends Pandemic Flu and other Emergency Preparedness/Communication Drills, representing the tribal community. • Procures/maintains emergency/disaster supplies for the community • Prepared mass flu clinics for all rancherias this fall and a successful drive-thru at LCTHC.

  15. COMMUNITY EVENTS • UC BERKELEY EYE SCREENING AND EYE GLASS CLINIC- Spring 2009- A collaboration with Lake County Tribal Health Outreach Department and Sue Feliz from Scotts Valley. Over 75 people received eye screening from Berkeley Team. • JUST MOVE IT”- May through September 2009 A Community Walking Program, encouraging fitness and good health. Participants received t-shirts, water bottles, and pedometers. Prizes awarded to top-walkers with most mileage. • TCOYD CONFERENCE- June 2009 Members from the community attended Native Diabetes conference with Outreach Department staff. Meals, registration, and transportation provided. 2009 location was in Sacramento. • TRIBAL OLYMPICS- July 2009An excellent program for young children to exercise in friendly competition with local rancherias. A huge event offering good food, gathering of tribes, a fun day for the family! Over 300 gathered this year for event. • TULE BOAT RACES- July 2009Outreach staff provide blood pressure and blood sugar screenings, health education, and a healthy snack for 2 day event. • FLU CLINICS- Fall 2009Each year flu clinics are offered at each rancheria, in addition to flu shots for the elderly/disabled per home visit. Over 350 were immunized in September. Plus, we launched a successful Drive Thru Flu Clinic.

  16. SUMMARY • The Outreach Department works to support the mission statement of Lake County Tribal Health by: Improving the physical, spiritual, emotional and social status of Native Americans through culturally sensitive health care services.

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