“ stir-fried” strategies for women’s health
DESCRIPTION
“ Stir-Fried” Strategies for Women’s Health. Jennifer Opalek, R.N., M.S.N., M.P.H. and Jane Bambace, M.Ed. St. Petersburg, Florida. Part 1: Utilizing PPOR Results to Develop Strategic Interventions. Pinellas County PPOR analysis conducted during 1998-2000. Local Results. - PowerPoint PPT PresentationTRANSCRIPT
![Page 1: “ Stir-Fried” Strategies for Women’s Health](https://reader035.vdocument.in/reader035/viewer/2022062520/56815be1550346895dc9d260/html5/thumbnails/1.jpg)
“Stir-Fried” Strategies for Women’s Health
Jennifer Opalek, R.N., M.S.N., M.P.H. and Jane Bambace, M.Ed. St. Petersburg, Florida
![Page 2: “ Stir-Fried” Strategies for Women’s Health](https://reader035.vdocument.in/reader035/viewer/2022062520/56815be1550346895dc9d260/html5/thumbnails/2.jpg)
Part 1:
Utilizing PPOR Results to Develop Strategic Interventions
Pinellas County PPOR analysis conducted during 1998-2000.
![Page 3: “ Stir-Fried” Strategies for Women’s Health](https://reader035.vdocument.in/reader035/viewer/2022062520/56815be1550346895dc9d260/html5/thumbnails/3.jpg)
Local Results. . .
![Page 4: “ Stir-Fried” Strategies for Women’s Health](https://reader035.vdocument.in/reader035/viewer/2022062520/56815be1550346895dc9d260/html5/thumbnails/4.jpg)
Feto-Infant Mortality All Births, Pinellas County, 1998-00
291Feto-Infant
Deaths
29,085Fetal Deaths
& Live Births
Maternal Health & Prematurity136 deaths
4.7Maternal Care68 deaths
2.3
Newborn Care41 deaths
1.4
Infant Care46 deaths
1.6
Overall Rate: 10.0
![Page 5: “ Stir-Fried” Strategies for Women’s Health](https://reader035.vdocument.in/reader035/viewer/2022062520/56815be1550346895dc9d260/html5/thumbnails/5.jpg)
Feto-Infant Mortality Black Race, Pinellas County, 1998-
00
82Feto-Infant
Deaths
4,569Fetal Deaths
& Live Births
Maternal Health & Prematurity46 deaths
10.1Maternal Care14 deaths
3.1
Newborn Care6 deaths
1.3
Infant Care16 deaths
3.5
Overall Rate: 17.9
![Page 6: “ Stir-Fried” Strategies for Women’s Health](https://reader035.vdocument.in/reader035/viewer/2022062520/56815be1550346895dc9d260/html5/thumbnails/6.jpg)
Excess Feto-Infant Mortality Pinellas County 1998-00
_ =
All RacesFlorida DOH Reference Excess
4.7
2.3 1.4 1.6
10.010.0
2.3
1.6 0.9 1.0
5.85.8 4.24.2
2.4
0.7 0.5 0.6
![Page 7: “ Stir-Fried” Strategies for Women’s Health](https://reader035.vdocument.in/reader035/viewer/2022062520/56815be1550346895dc9d260/html5/thumbnails/7.jpg)
Phase 2 Analysis Findings• Kitagawa: Over HALF of excess feto-infant mortality
is due to the LARGE NUMBER of VLBW births
From Birth Certificate
AnemiaChr. HypertensionSmokingAlcohol/Drugs3rd Trimester PNCNo PNC
•Risk Factors Examined included:Risk Factors Examined included:
From Prenatal Screen
AppointmentsMovedUnsafeHungryHigh StressUnwanted Pregnancy
![Page 8: “ Stir-Fried” Strategies for Women’s Health](https://reader035.vdocument.in/reader035/viewer/2022062520/56815be1550346895dc9d260/html5/thumbnails/8.jpg)
Leading Prevention Strategy
• Provide preconceptional and interconceptional care to women of reproductive age
![Page 9: “ Stir-Fried” Strategies for Women’s Health](https://reader035.vdocument.in/reader035/viewer/2022062520/56815be1550346895dc9d260/html5/thumbnails/9.jpg)
Program MapInpu
tActiviti
esOutput
sPhysician Referral for High Score
Outreach
Pregnancy Testing
Self Referral
Results
Physician Referral for Other Factors
Care CoordinationInterconceptional Care
Community Consortium BuildingFamily Planning
Identify stress and mental health issues
Improved Access to Healthcare for WCBA
Education on Women’s Health IssuesCounseling/Referrals
Peer Support Groups
Early Entry into Prenatal Care
Targeted Outreach
Repeat Births at Least 2 years after LastFewer Women SmokersImproved Maternal Nutrition
Fewer GU Infections during Pregnancy
Improved Mental Health during Pregnancy/Postpartum
Fewer LBW and VLBW Births
Fewer Premature Births
Lower Fetal and Infant Mortality
Social Agency Referral for Other Factors
PPOR Findings
Improved Women’s Health
![Page 10: “ Stir-Fried” Strategies for Women’s Health](https://reader035.vdocument.in/reader035/viewer/2022062520/56815be1550346895dc9d260/html5/thumbnails/10.jpg)
Mapping revealed addressing Maternal Health
was vital to reducing the poor birth outcomes
experienced in Pinellas County
Maternal Maternal Health/ Health/
PrematuritPrematurityy
Preconceptional HealthHealthy BehaviorsPerinatal Care Before Pregnancy
![Page 11: “ Stir-Fried” Strategies for Women’s Health](https://reader035.vdocument.in/reader035/viewer/2022062520/56815be1550346895dc9d260/html5/thumbnails/11.jpg)
4 Opportunities
Healthy Healthy Start Home Start Home
VisitingVisiting
Screening Screening Tool for Tool for WomenWomen
Linkage to Linkage to Existing Existing Health Health
ProgramsPrograms
Community Community Health Health
EducationEducation
![Page 12: “ Stir-Fried” Strategies for Women’s Health](https://reader035.vdocument.in/reader035/viewer/2022062520/56815be1550346895dc9d260/html5/thumbnails/12.jpg)
Pre/Interconceptional Current and Future
Activities
1-on-1 Education
Chronic Disease and Obesity Prevention Programs
![Page 13: “ Stir-Fried” Strategies for Women’s Health](https://reader035.vdocument.in/reader035/viewer/2022062520/56815be1550346895dc9d260/html5/thumbnails/13.jpg)
“What About Mom”
“Beauty Talk”
![Page 14: “ Stir-Fried” Strategies for Women’s Health](https://reader035.vdocument.in/reader035/viewer/2022062520/56815be1550346895dc9d260/html5/thumbnails/14.jpg)
Women’s Health Questionnaire
“While You Wait”
![Page 15: “ Stir-Fried” Strategies for Women’s Health](https://reader035.vdocument.in/reader035/viewer/2022062520/56815be1550346895dc9d260/html5/thumbnails/15.jpg)
Part 2:
Integrating Interconceptional Education and Counseling into Healthy
Start: A+ Best Practice
Pinellas County Home Visiting Program for Pregnant Women and Infants
![Page 16: “ Stir-Fried” Strategies for Women’s Health](https://reader035.vdocument.in/reader035/viewer/2022062520/56815be1550346895dc9d260/html5/thumbnails/16.jpg)
Why develop another Healthy Start Enhanced
Service? More than 50% of pregnancies are unplanned.
Untreated/Unmanaged Chronic Health conditions prior to pregnancy may increase risk of poor birth outcomes.
Healthy Start participants need correct information about their personal health.
![Page 17: “ Stir-Fried” Strategies for Women’s Health](https://reader035.vdocument.in/reader035/viewer/2022062520/56815be1550346895dc9d260/html5/thumbnails/17.jpg)
Including Interconceptional Education and Counseling in
Pinellas County
Primary Goals X 2Ensure Annual Well-Woman
VisitAchieve Baby Spacing
![Page 18: “ Stir-Fried” Strategies for Women’s Health](https://reader035.vdocument.in/reader035/viewer/2022062520/56815be1550346895dc9d260/html5/thumbnails/18.jpg)
• Interconceptional Care is what we know as “Women’s Health” which includes family planning, healthy
lifestyles, and medical care of any health problems.
Interconceptional Care
![Page 19: “ Stir-Fried” Strategies for Women’s Health](https://reader035.vdocument.in/reader035/viewer/2022062520/56815be1550346895dc9d260/html5/thumbnails/19.jpg)
Interconceptional Education and Counseling
1. Assesses the women’s current health status using a
Women’s Health Questionnaire.
![Page 20: “ Stir-Fried” Strategies for Women’s Health](https://reader035.vdocument.in/reader035/viewer/2022062520/56815be1550346895dc9d260/html5/thumbnails/20.jpg)
Interconceptional Education and Counseling
2. provides activities that educate and inform the
Healthy Start woman about specific topics related to
Women’s Health.
![Page 21: “ Stir-Fried” Strategies for Women’s Health](https://reader035.vdocument.in/reader035/viewer/2022062520/56815be1550346895dc9d260/html5/thumbnails/21.jpg)
Interconceptional Education and CounselingTopics
Environmental risk factors
Stress & Mental Health
Substance use/smoking
Chronic Health Problems
Physical ActivityNutrition
Baby spacingMaternal Infection
Access to Health careWomen’s Health
![Page 22: “ Stir-Fried” Strategies for Women’s Health](https://reader035.vdocument.in/reader035/viewer/2022062520/56815be1550346895dc9d260/html5/thumbnails/22.jpg)
10 Brochures to prompt
discussions in each risk factor
topic area.
![Page 23: “ Stir-Fried” Strategies for Women’s Health](https://reader035.vdocument.in/reader035/viewer/2022062520/56815be1550346895dc9d260/html5/thumbnails/23.jpg)
Interconceptional Education and Counseling
3. Uses a Risk Reduction Approach.
![Page 24: “ Stir-Fried” Strategies for Women’s Health](https://reader035.vdocument.in/reader035/viewer/2022062520/56815be1550346895dc9d260/html5/thumbnails/24.jpg)
Risk Reduction Approach Frequent and routine
assessment of progress is made during home visiting.
![Page 25: “ Stir-Fried” Strategies for Women’s Health](https://reader035.vdocument.in/reader035/viewer/2022062520/56815be1550346895dc9d260/html5/thumbnails/25.jpg)
Care Coordinator/Home Visitor
• Focus on linking mother to an on-going medical home.
• Heavy emphasis on baby spacing and step by step risk reduction.
![Page 26: “ Stir-Fried” Strategies for Women’s Health](https://reader035.vdocument.in/reader035/viewer/2022062520/56815be1550346895dc9d260/html5/thumbnails/26.jpg)
Health StatisticsFacts about Women’s Health
Leading Causes of DeathPinellas County 2002
Heart Disease 3,345 Pneumonia/Influenza 254Cancer 2,683 Liver Disease 132Stroke 728 SIDS/HIV 65Emphysema 739 Suicide 154Accidents 423 Homicide 59Diabetes Mellitus 296
![Page 27: “ Stir-Fried” Strategies for Women’s Health](https://reader035.vdocument.in/reader035/viewer/2022062520/56815be1550346895dc9d260/html5/thumbnails/27.jpg)
Routine Health Maintenance and Family Planning for Women• Health status screening and physical activity• Physical exam, including STD screening• Dietary/nutritional assessment• Screening for tobacco, alcohol and other
drugs• Screening for domestic violence
![Page 28: “ Stir-Fried” Strategies for Women’s Health](https://reader035.vdocument.in/reader035/viewer/2022062520/56815be1550346895dc9d260/html5/thumbnails/28.jpg)
Documentation in Healthy Start Records Establish separate
record for woman and baby.
![Page 29: “ Stir-Fried” Strategies for Women’s Health](https://reader035.vdocument.in/reader035/viewer/2022062520/56815be1550346895dc9d260/html5/thumbnails/29.jpg)
MEASUREABLE RESULTS New Encounter Code 8013
Information Given
Referral Made
Services Received
![Page 30: “ Stir-Fried” Strategies for Women’s Health](https://reader035.vdocument.in/reader035/viewer/2022062520/56815be1550346895dc9d260/html5/thumbnails/30.jpg)
Low Birthweight accounts for 10 percent of all health care costs for children.
Hospital stays for newborns typically averaged $4,300 in 2001. For LBW, the costs were $58,000.
Cost Saving
s
![Page 31: “ Stir-Fried” Strategies for Women’s Health](https://reader035.vdocument.in/reader035/viewer/2022062520/56815be1550346895dc9d260/html5/thumbnails/31.jpg)
Promotion of women’s health needs should be a collaborative approach within the medical community and community-at-large.
What else is there to know?
![Page 32: “ Stir-Fried” Strategies for Women’s Health](https://reader035.vdocument.in/reader035/viewer/2022062520/56815be1550346895dc9d260/html5/thumbnails/32.jpg)
Statewide agency support was gained through the efforts of Florida’s Perinatal Periods of Risk Practice Collaborative model.A new chapter has been added to the HS Standards and Guidelines.
What barriers might be experienced?
![Page 33: “ Stir-Fried” Strategies for Women’s Health](https://reader035.vdocument.in/reader035/viewer/2022062520/56815be1550346895dc9d260/html5/thumbnails/33.jpg)
Women are concerned less for themselves when the baby is born and often forget to pay attention to their own needs. Interconceptional education and counseling is an opportunity to focus on the health needs of the entire family.
Remaining Advice?