health and maintenance -nudi 1013

7/25/2019 Health and Maintenance -NUDI 1013

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Health andMaintenance


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Birth-17Check up

1,2,4,6,9,12,15 and 18 months

annually check up for 2-6 times per monthVision Screening and BMI! for a"es 6-17

Screening Tests

Assessment for risk for TB:#o determine riskfactor


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HIV Screening! Bet$een a"es 16-25

Immunization

%epatitis B Birth, 1-6 months &a&y

%aemophilus in'uen(a type B 2,4,6,12 months &a&y

)olio 2,4,6 months &a&y

*iphtheria, tetanus +

cellular )ertussis

2,4,6,18 months &a&y

ota.irus 2,4,6 months &a&y

)neumococcal 2,4,6,12 months &a&y

#dap/ #d 2,4,6,12 months &a&y


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0easles, 0umps + u&ella 1 year old &a&y

aricella 3hicken )o 1 year old &a&y

%epatitis 1 year old &a&y

n'uen(a yearly 6 months &a&y

3onu"ated 0enin"ococcal 11-16 years old

%uman )apilloma.irus 11 years old


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"e 18- 9Wellness Check

3heck Blood pressure, $ei"ht and hei"ht to

calculate &ody mass inde B0 and health risk Screening Test

Diabetes! ll non-3aucasians ll 3aucasians

$ith sustained &lood pressure :reater than

15/8;, or B0 "reater than or e


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IMMUNIZATIN

Inuenza! yearly

Varicella (!icken "o#$ Vaccine:ndi.iduals &ornin 198; or later should recei.e a =econdaccine

H"V! >emales a"es 11-26 and males 11-21should recei.e the %) .accine at 2-6 monthsinter.al


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M!N"S H!A#TH

%i&id Test! t a"e 5

WM!N"S H!A#TH

!lam'dia! ?early throu"h a"e 24 for =eually acti.e

$omen"a& Test! @.ery years startin" from a"e 21 &et$eena"es 21-;, may &e more often t the a"e ;, mays$itch to e.ery 5 years $ith %) screenin"

)%I AID! ll "irls plannin" or capa&le of pre"nancytake daily supplement containin" ;4-;8m" of folic

acid


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"e 4;-49Wellness Check

3heck Blood pressure, $ei"ht and hei"ht to calculate&ody mass inde B0 and health risk

Screening Test

He& ! =creenin" for those &orn &et$een 1945-1965

Diabetes! ll non-3aucasians ll 3aucasians $ith

sustained &lood pressure :reater than 15/8;, or B0"reater than or e


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M!N"S H!A#TH%i&id Test! t a"e 5

WM!N"S H!A#TH

"a& Test! @.ery years startin" from a"e 21&et$een a"es 21-;, may &e more often tthe a"e ;, may s$itch to e.ery 5 years $ith%) screenin"

)%I AID! ll "irls plannin" or capa&le ofpre"nancy take daily supplement containin" ;4-;8m" of folic acid

Mammogram! Aptional yearly


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"e 5;-74Wellness Check

3heck Blood pressure, $ei"ht and hei"ht tocalculate &ody mass inde B0 and health risk

Screening Test

He& ! =creenin" for those &orn &et$een 1945-1965

Diabetes: ll non-3aucasians ll 3aucasians $ithsustained &lood pressure :reater than 15/8;, orB0 "reater than or e


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olorectal ancer(o&tions$: 3olonoscopy e.ery 1;years >ecal occult Blood #estin" e.ery years $ithsi"moidoscopy e.ery or annual >ecal Accult Blood

#estin"

IMMUNIZATIN

Inuenza! ?early

Tda&*Td! dults under 65 $ho ha.e ne.er recei.e#dap should "et a #dap &ooster, re"ardless of

$hen a prior #d $as "i.en fter this , #d is re


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M!N"S H!A#TH

%i&id Test! @.ery 1; years

"rostate S&eci,c Antigen ("SA$! 3urrente.idence does not recommend routine )=screenin" for a.era"e risk men

WM!N"S H!A#TH

"a& Test! @.ery years startin" from a"e 21&et$een a"es 21-;, may &e more often t

the a"e ;, may s$itch to e.ery 5 years $ith%) screenin"

Mammogram! @.ery 2 years

Bone Densit'! t a"e 65


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"e 75 + o.erWellness Check

3heck Blood pressure, $ei"ht and hei"ht to

calculate &ody mass inde B0 and healthrisk

Screening Test

Diabetes: ll non-3aucasians ll 3aucasians

$ith sustained &lood pressure :reater than15/8;, or B0 "reater than or e


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olorectal ancer(o&tions$: 3olonoscopy e.ery

1; years >ecal occult Blood #estin" e.ery years $ith si"moidoscopy e.ery or annual>ecal Accult Blood #estin"

M!N"S H!A#TH

"rostate S&eci,c Antigen ("SA$! 3urrente.idence does not recommend routine )=screenin" for a.era"e risk men

WM!N"S H!A#TH

Mammogram! @.ery 2 years


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$isease %re&ention


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!'Health resolution on e-%ealth standardi(ation and

interopera&ility notes the importance ofstandardi(ed, accurate, timely data andhealth information to the functionin" of healthsystems and ser.ices, $hile also hi"hli"htin"that the security of this information, andpri.acy of personal clinical data, must &e

protected lso noted $as e.aluation ofinformation and communications technolo"iesin health inter.entions


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(lo)al *accine Action %lan0em&er =tates reiterated their support to the

:lo&al accine ction )lan to pre.ent millionsof deaths &y 2;2; throu"h more erame$orkfor 0onitorin", @.aluation and ccounta&ility$hich is linked to the 3ommission on

nformation and ccounta&ility for omenCsand 3hildrenCs %ealth


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#i+e'Sa&ing Commodities +or

Women and Children#he adopted resolution ur"es 0em&er =tates to

impro.e the


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Malaria*ele"ates noted the report on pro"ress in

implementation of the resolution on "lo&al eDorts topre.ent, control and eliminate malaria 0ortality rates

decreased &y more than 25E $orld$ide &et$een 2;;;and 2;1;, &ut a "lo&al fundin" shortfall threatens toeopardi(e further pro"ress #he report hi"hli"htssur.eillance challen"es in many endemic countries andnotes ne$ %A-led initiati.es to address emer"in" dru"

and insecticide resistance t also underlines that furtherpro"ress can only &e made if malaria inter.entions aresu&stantially epanded in the 17 most aDectedcountries, $hich account for an estimated 8;E ofmalaria cases


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Mental Health Action %lan,

-./0'-.-.0aor o&ecti.es

1 stren"then eDecti.e leadership and"o.ernance for mental health

2 pro.ide comprehensi.e, inte"rated andresponsi.e mental health and social careser.ices in community-&ased settin"s

implement strate"ies for promotion andpre.ention in mental health, and stren"theninformation systems, e.idence and researchfor mental health


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Non communica)le $iseases

1NC$s2 "lo&al action plan for the pre.ention and control of

F3*s includin" heart disease, stroke, dia&etes, cancerand chronic lun" diseases comprises a set of actions

hen performed collecti.ely &y 0em&er =tates, GFor"ani(ations and other international partners, and %Athese actions $ill set the $orld on a ne$ course toachie.e nine "lo&ally a"reed tar"ets for F3*s includin"a reduction in premature mortality from F3*s &y 25E in

2;25 #he action plan also contains a monitorin"frame$ork, includin" 25 indicators to track mortality andmor&idity assess pro"ress in addressin" risk factors,and e.aluate the implementation of national strate"iesand plans


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%oliom3elitis, intensi4cation o+

the glo)al eradication initiati&e*ele"ates endorsed the ne$ )olio @radication and

@nd"ame =trate"ic )lan 2;1-2;18 to secure a lastin"polio-free $orld and ur"ed for its full implementation and

Hnancin" t the same time, the ssem&ly recei.ed stark$arnin" of the on"oin" risk the disease poses to childrene.ery$here, $ith conHrmation of a ne$ polio out&reak inthe %orn of frica =omalia and Ienya Fotin" the"enerous pled"es made to support polio eradication at the:lo&al accine =ummit, dele"ates ur"ed donors to rapidlycon.ert these pled"es into contri&utions #he %pointed out that this fundin" $as critical for acceleratedimplementation of the )lan, "i.en the compleity andscale of introducin" inacti.ated polio .accine $orld$ide


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%re&ention o+ a&oida)le )lindness

and &isual impairment -./56-./7n the resolution J#o$ards uni.ersal eye

health! a "lo&al action plan 2;14-2;19K

dele"ates endorsed an action plan thataims to further impro.e eye health, reducea.oida&le .isual impairment and secureaccess to reha&ilitation ser.ices #he

"lo&al tar"et is to reduce the pre.alence ofa.oida&le .isual impairment &y 25E &y2;19


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Steps in HealthCare %rocess


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1 Luality impro.ement is thescience of process mana"ement

#he approach they de.eloped toimpro.ement 75 years a"o $as remarka&lysimple, yet etraordinary po$erful tCs

centered on the fact that


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2 f you cannot measure itM ?ou

cannot impro.e it

0eanin"ful


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0ana"ed care means mana"in"the processes of care, notmana"in" physicians and nurses

N0ana"ed careC mo.ement $as nai.elythinkin" that mana"in" care meant tellin"physician and nurses $hat to do #he reality

is that you need to en"a"e clinicians in theprocess and they are the &est e


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4#he ri"ht data in the ri"ht formatat the ri"ht time in the ri"ht hand

f a clinicians are "oin" to mana"e care,they need the ri"ht data deli.ered in theri"ht time and in the ri"ht place nd the

data has to &e deli.ered into the ri"hthands- the clinicians in.ol.ed in operatin"and impro.in" any "i.en process of care


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5 @n"a"in" the J smart co"sK ofhealthcare

Jsmart co"sK O they are the frontline$orkers $ho understand and o$n theprocess of care


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Assessment o+health pro)lems


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%ealth mpact

assessment)romotin" health across of acti.ity

@conomic sectors such as transport, a"ricultureand housin" ha.e profound impacts on health>or instance, transport is a maor factor intraPc inuries, air pollution and noise ButJhealthy transport policiesK can help reducethese risk, as $ell as promotin" $alkin" andcyclin" n a"riculture, fertili(ers and pesticidesmay &oost crop yields But $ise use isimportant to protect farm $orkers andconsumers ecessi.e chemical epose


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H!A#TH CA8!STAT!(I!S AN$

INT!8*!NTIN


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CA8!'

!NHANC!M!NT9UA#ITI!S


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3are-enhancement

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health and maintenance -nudi 1013

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