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REHAB/WELLNESS – AN ALTERNATIVE

REHAB/WELLNESS – AN ALTERNATIVE. Presented By: CDR Michael LaPlante PT, DSC, ECS Physical Rehabilitation Director Tuba City Regional Health Care Corporation. Presentation Objectives. The evolution of health care provided by the Indian Health Service.

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REHAB/WELLNESS – AN ALTERNATIVE

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  1. REHAB/WELLNESS – AN ALTERNATIVE Presented By: CDR Michael LaPlante PT, DSC, ECS Physical Rehabilitation Director Tuba City Regional Health Care Corporation

  2. Presentation Objectives • The evolution of health care provided by the Indian Health Service. • Understand the basic framework of a rehab/wellness program. • Introduction of outcome measures documenting possible impact of program.

  3. Increasing Rate of Diabetes Mellitus • Currently, the incidence rate of diabetes continues to rise, as does the rate for obesity. • Higher numbers of children at ever-younger ages are being diagnosed with Type II diabetes. • Native American four year olds are twice as likely to suffer from obesity compared to their non-Hispanic white peers.

  4. Increased Rates of Diabetes Mellitus • During the date range for data collection in the Rehab/Wellness program, the incidence rate for Diabetes rose to a total of 16.5% of all the Native American population, compared to a level of 12% in 1998. • Comparatively, the incidence rate for the overall American population in 2007 was 7.8%. • Neel (1962) proposed the "thrifty" genotype model to explain why diabetes mellitus occurs at such high rates in some populations.

  5. Increasing Rate of Obesity • During the date range for data collection, from June 2007 to June 2009, there was a 28% increase in the incidence rate of obesity among the Native Americans in our service area.

  6. Current Interventions • Medications • Counseling • Dietary Education • Exercise Recommendations

  7. What Can Physical Rehabilitation Do? • Rehab/Wellness could be called ‘DPP Light’, which has as a primary goal manageable lifestyle change. • Successful goal setting can be moderate weight loss and decreased percent body fat. • Successful goal setting can also include prevention of weight gain and stable body fat – for certain ‘age and weight’ patient groups.

  8. The Rehab/Wellness Program • Available for those having the risk of, and the diagnosis of, Diabetes. • Patient receives a full musculoskeletal examination by a physical therapist. • Therapeutic exercise program is introduced to patient which helps meet their functional and measurable goals, and addresses weaknesses and accommodative requirements.

  9. Pre/Post Ther-ex Blood Glucose Testing

  10. Percent Body Fat Measures

  11. Patient Education and Feedback • If patients can see the changes in their body, they can appreciate the positive impact it has on their lives.

  12. Group Therapeutic Exercise

  13. Example of Rehab/WellnessFlow Sheet XXXXXXXXXXXXX

  14. Medication Use in the Management of Diabetes

  15. Rehab/Wellness Outcomes Data • Time Period Data Collected: 2 Years • N = 43 • Mean Weight Change: -4.1lbs • Change in Percent Body Fat: -1.1%

  16. Other Possible Program Uses • A place to ‘graduate’ high-level patients who are quite independent but will benefit from continued intervention. • Don’t wince – Chronic Pain • Provides a option for pain management that can reduce the amount and strength of pain meds needed by patients on a daily basis.

  17. Have Questions? You can find me here: 928-283-1347 Here: Michael.laplante@TCHEALTH.org Or Here…

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