JANUARY 2010 PUBLIC HEALTH OUTREACH AND DIABETES DEPARTMENT.

JANUARY 2010

PUBLIC HEALTH OUTREACH AND DIABETES DEPARTMENT

WHO IS THE OUTREACH TEAM?

Outreach and Diabetes DirectorCommunity Health Nurse2 CHR’s , Disaster Preparedness

CoordinatorDiabetes Prevention AssistantFitness Trainer

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.

WHAT DOES OUTREACH DO FOR THE COMMUNITY? Lots!IN-HOUSE RETINAL SCANSHEALTH SCREENINGS MONTHLY with

COMMODITIES DISTRIBUTIONCAR SEAT CLASSES for FAMILIESDIABETES WELLNESS SUPPORT GROUPDIABETES CASE MANAGEMENTHOME VISIT PROGRAMWELLNESS GARDENEMERGENCY PREPAREDNESSFITNESS AND WELLNESS CENTER with

PERSONAL TRAINERMEN’s WELLNESS AND SUPPORT

GROUP

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.

WELLNESS GARDENA 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: MentalSpiritualPhysicalEmotional Health

FITNESS AND WELLNESS CENTERJohnny 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.

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

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.

HEALTH SCREENINGSMonthly Screens: Robinson Big ValleyScotts ValleyUpper LakeElemOther Locations:WICTribal TANFLocal Community events

CAR SEAT & SAFETY EDUCATIONFerlun/CHR provides car seat safety class,

the 2nd and 4th Thursday of each month.

Bike Helmets and Smoke Alarms are also available.

DIABETES WELLNESS SUPPORT GROUPProvide 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 ClassPreparing Healthy Quick BitesChair-RobicsTai Chi for BeginnersUnderstanding your Medications sessionsDiabetes Management sessions, quarterly doctor

appointmentsEmergency Preparedness for elders, and Fall

Prevention Tips

DIABETES CASE MANAGEMENTJoyce/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.

EMERGENCY PREPAREDNESSTom/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.

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 2009 An 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 2009 Outreach staff provide blood pressure and blood sugar screenings, health education, and a healthy snack for 2 day event.

FLU CLINICS- Fall 2009 Each 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.

SUMMARYThe 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.