Saturday, December 10, 2011

Special Thanks to a Special Agency Mentor

I would like to thank my mentor, Beverly Bartlett, RN, CRNP, for enabling me to have a meaningful, enriching service-learning project.

I also enjoyed working with the exercise trainer, Alison Acton, and Registered Dietician, Karin Crowell.

Together, these three individuals create a powerful team to help those who are truly diligent in pursuing optimal health.

L to R: Alison Acton, Karin Crowell, and Beverly Bartlett



Friday, December 2, 2011

Results of the "Healthier Holidays" Seminar Quality Improvement Survey

The "Healthier Holidays" Risk Reduction Clinic seminar offered participants the opportunity to discover new strategies to combat poor health choices during the holidays, and it gave those who held the seminar an opportunity to gauge the satisfaction of participants. The Quality Improvement survey focused on both the seminar content and the health goals of the participants.

Results of the "Healthier Holidays" post-seminar survey  indicate that weight loss is a top health priority area for most of the attendees. Of the attending seminar participants, 93% indicated weight loss as a primary health focus.

This is an interesting result since the drive to decrease weight essentially steers risk reduction. Adipose ("fat") tissue is metabolically reactive and research suggests that it influences the development of chronic disease, such as type 2 diabetes. The measures that effect weight loss, primarily improved diet and exercise, decrease the risk of developing other chronic diseases, such as hypertension, dyslipidemia, osteoporosis, and cardiovascular disease.

Attendees were asked to select all that apply regarding their primary health focus, and the following results were obtained.

(Healthier Holidays Quality Improvement Survey, 11/17/11)
The seminar attendees were also asked to rate aspects of the seminar, and the following graph indicates those overall results.
(Healthier Holidays Quality Improvement Survey, 11/17/11)



Sunday, November 20, 2011

"Healthier Holidays" Risk Reduction Seminar Was A Success

On Thursday, November 17 at 11 am, the seminar that I assisted my mentor, Beverly Bartlett, in devising and planning finally took place. Of 36 formal invitees who are active in the clinic, we had an attendance of 15 clinic participants and one guest.

Mrs. Bartlett welcomed the participants, then Registered Dietician Karin Crowell gave information to help the participants deal with the various food issues that arise during the holiday time. An important point was to be sure that the plate proportions were kept in check - remember, one quarter of the plate should be protein, another quarter should be a starch, and a full half of the plate should consist of colorful vegetable and fruit components. She reminded participants to avoid a plate that is completely "brown and white." Another important pointer for the attendees was to avoid foods that are available all throughout the year and enjoy special foods -- in moderation.

Dr. Stuart Cohen of The Kirklin Clinic's Patient-Centered Medical Home (PCMH)  presented some information regarding the PCMH and how it exists to fully involve patients and their primary care providers in the patients' care.  He also spoke about the importance of the Risk Reduction Clinic in the prevention and treatment of chronic conditions.

One of the current participants in the program gave an account of her experience in the program thus far, sharing with the other participants that motivation was difficult to muster at times, especially when the scale doesn't budge during a plateau period. She was a tremendously motivational role model for the entire room.

The next speaker was the exercise trainer, Alison Acton. She told the participants that one of her favorite definitions of exercise is "doing something that you didn't do yesterday." A major impact point from her presentation was that our bodies require a varied routine to optimally burn fat and calories. For example, if we get on a treadmill and go at a speed that is consistent or if we do the same monotonous exercise routine every day, our bodies will just adapt to that routine without burning additional fat or calories. What we really need to do is switch up our exercise routines and push our current limits. If we are using a treadmill, we need to "play with the buttons" and vary the speed and incline to make our bodies react to the different levels of exertion. Ms. Acton also led a series of exercises using exercise bands to demonstrate the various ways the bands can be used to isolate different muscle groups. All attendees participated in the exercises.

I closed the seminar with a talk about the importance of managing stress. I told the participants about the most important word we can use during the busy holidays - "no" -  when to use it, and how to use it gracefully. I also spent a few minutes talking about the importance of sleep in achieving optimum health. New studies suggest that the body cannot adequately use the energy stored as fat without a minimum of 6-8 hours of sleep; therefore, if a health goal involves weight reduction as part of risk reduction, adequate sleep should be a prime goal.

The participants were provided with a brochure chock full of tips related to diet, exercise and stress interventions to help them maintain balance during the holidays, as well as recipes for healthier versions of two very easy-to-prepare foods for gatherings,  cold pumpkin dip and peanut butter pie. These delicious treats were provided to the participants as well as a fresh vegetable tray with light ranch dressing. Two beverages were provided, a light cranberry punch as well as Crystal Light.  Participants were provided with cookbooks and stress balls as thank-you gifts for attending.

The seminar participants finally completed a post-seminar survey that I designed. The results of the survey will be evaluated and will be taken into consideration by the Risk Reduction Clinic staff for future programs. I will be sharing some of the primary results on the blog in the near future!



Wednesday, October 19, 2011

Planning Ahead Means Averting a few Holiday Temptations

The Kirklin Clinic
Reducing the risks that can lead to debilitating chronic disease is hard work, but it doesn't have to be drudgery. Dietary changes are usually in order, and increases in physical activity is necessary more often than not. Motivation can be a problem since many of the factors that lead to elevated risks of disease are steadfast habits and sources of comfort for many people.

The staff of the Risk Reduction Clinic and I are working together to plan and host a seminar for clients of the clinic. It is called "Healthier Holidays: Making Health a Priority During the Most Wonderful Time of the Year." The free, one-hour seminar will feature lifestyle tips that will help clients make choices that can keep them on track throughout the holiday season. We will focus on staying active even while the days are jam-packed with activities, healthier snack and dessert choices, and I will present timely information regarding stress reduction techniques. Snacks, recipes, prizes and take-home tips will be provided to all attendees.  The hour will fly by, I am sure.

As part of my efforts to explore quality improvement in client education, I intend to design a brief survey for the clients to complete. The Risk Reduction Clinic will be able to use the opinions of its clients to design future seminars and programs that promise to engage its clients and better facilitate the clients' transitions into healthier lifestyles.

Saturday, October 1, 2011

Reducing Health Risks = Improving Quality of Life
Most people living with chronic disease are required to work diligently to achieve or maintain optimal quality of life. The health issues facing patients living with diabetes, cardiovascular disease, renal disease, and liver disease can be difficult to manage. Prescription drugs and medical care expenses can exert extreme burden on personal budgets. Since people with chronic disease require frequent health care appointments, work and personal schedules can be adversely affected. Severe chronic disease can result in permanent physical and/or emotional disability, which can severely impact quality of life and life span. What often happens is poor management of chronic disease as a result of scheduling conflicts, financial issues, and lack of communication between patient and physician.

In an effort to reduce the risk of the development of chronic disease and to manage chronic disease at the early stages, the Department of Internal Medicine-1 at The Kirklin Clinic (a member of the UAB Health System),  has initiated a Risk Reduction Clinic to specifically provide support to people with risk factors for developing chronic disease.  The Risk Reduction Clinic combines progressive medical care with multifaceted, positive lifestyle adjustments to provide structure, motivation, and accountability. Together, these factors help the participant achieve success in reducing or eliminating risks for chronic disease.

The Kirklin Clinic's Department of Internal Medicine-1 Patient-Centered Medical Home is an innovative approach to patient care that links patients to their doctors and nurse practitioners to facilitate efficiency of care and communication. An online portal allows patients to contact members of their medical team to request an appointment, ask a question, or refill a prescription.

As my experiences at the Risk Reduction Clinic continue, I will update this blog with successes, advice, and information about an upcoming seminar focusing on making healthy choices during the fast-approaching holiday season.

Link to Kirklin Clinic, Internal Medicine-1, Patient-Centered Medical Home

View this video produced by the American Association of Family Physicians for information on Patient-Centered Medical Homes