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Health Screening: Planning & Implementation


The following is intended to help in planning health fairs as part of the Agape/Community Care clinical. Material is divided into several functional sections. In each section there are pointers for planning and implementation. Last update 9/2006

It is essential that planning and taking care of details begin as soon as possible. Problems often arise at the last minute, and if details are left until then the situation quickly deteriorates.

The basic health problems/diseases to be screened are hypertension, diabetes, asthma, body mass index, and breast cancer. More may be added if resources and people are available. Examples of additional areas include poison control, accident prevention, Hispanic Nurses Association, Agape volunteer recruitment, CHIP/Medicaid assistance (via Concilio), and others. Photo: Screening event

Current resources (these are being updated) include UTSW Mobile Mammogram Screening Program, YWCA Mobile Mammograms, EDHC community liaison, Agape director, Agape lay health promoter, Dallas Independent School District (including PTAs and school nurses), American Heart Association, American Diabetes Association, other national organizations, and (for favors) cosmetics managers at large department stores. Also, see above. In every case, contact must be made as soon as possible. Find new resources - be creative!

Possible new or undeveloped resources or tactics include holding a screening event at one of the schools with whom we work (in conjunction with PTA meeting or school event), Saturday screening, partnering with other churches, developing additional resources for screening, and others.

The roles to be filled are listed below. Volunteers are needed. Some will be able to commit only to 2-3 hour blocks, which is just fine (greatest need for volunteers is in the morning).

Manager: Does planning & coordination. Important to involve others. Critical tasks include:

Volunteer Recruitment & Personnel: Ensures that the following are in place. Important to begin working on this as soon as possible.

Non-health resources needed include the below. See specific areas for health-related supplies and equipment

Preparation

Immediate steps

Four Weeks Before Event

By two weeks before the event, all tasks and equipment should be in place

One week before the event

The day before the event

The morning of the event

The week after the event

Basic order of operations is as follows (change according to need/situation):

  1. Client sign-in (name, address, phone number, and date of birth)
  2. History-taking (ask clients questions from questionnaires) and blood pressures (BP are taken early to prevent elevations r/t anxiety)
  3. Weight and height/calculate BMI/diet and exercise teaching
  4. DFS if needed
  5. Asthma
  6. BSE teaching
  7. Collect data sheet & give favors
  8. Mammograms in the van

*If client has high blood pressure, high blood glucose, or other urgent health problem, instruct them to complete the screenings and have an escort take them to the Agape clinic with a copy of the data sheet for the chart. This has been an area of confusion in the past and it is important that everyone involved understand the procedure.

It is important that there be a walk-through prior to the event and that everyone in the Agape group participate. The walk-through should include patient(s) needing sick care.

Screening Areas

Overview: there should be one file folder or box for each station/job and these should contain (in sheet protectors):

It is important that each clinical group leave behind updated folders and materials.

Hypertension (alta presion) and healthy heart teaching need

Height, weight and heart risks (la altura, el peso, y reisgo del Corazon) need

Diabetes (la diabetes) need

Immunizations (las inmunizaciones) need - We usually do not offer immunizations as this results in a marked increase in complexity

Asthma (el asma) need - We have had little return on asthma screening and for most events will not screen for asthma

Mammogram and BSE (examiner los pechos) need

Depression (an important screening area - significant numbers of positives in fall 2004)

The clinic

The clinic will operate as on other days, except that there will be two students from the Agape clinical group to concentrate on the clinic and assist volunteers in working in the clinic. We would like for as many volunteers as possible to rotate through the clinic so that they can see how Agape operates.

Other

A children's area with play and related materials, especially crayons and the like is needed for most events. With some lead time and sufficient resources this can be used as a developmental screening area and opportunity to teach parents about developmental enhancement.

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