Stay Healthy A wellness program of the Madison, NJ Senior Center

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Sponsored by CVS/pharmacy and the National
Council on Aging
CVS Prescription for Better Health Wellness
Briefing Series
WELCOME!
This session will begin promptly at 130pm
ESTPlease mute your phonePersonal
introductions are not necessaryThe moderator
will be on the line shortly
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Stay Healthy

• A Wellness Program in Madison, NJ
• Edna Ierley-Byrne, Senior Citizen Coordinator
• Sandra B. Fielo, EdD, RN, BC, Gerontological
  Nurse Administrator

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Madison Senior Center

• Structure
• Community Services
• Outreach

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Origin of the Stay Healthy Program

• The Nursing Center,
• a collaborative effort between the College of
• Nursing, State University of NY at Brooklyn,
• and
• Heights and Hill Community Council, a social work
• agency providing service to elderly clients
• in their homes

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Is there a need?

• Population 2000
• Morris County, NJ 470,212
• Madison 16,350
• Population 65
• Morris County, NJ 11.6
• Madison, NJ 13
• 65 by gender in Madison
• Female 1,279
• Male 878
• Total 2,157

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Stay Healthy Overview

• Living with chronic disease age-related change
• Maintenance of healthy lifestyle
• Bridges the medical knowledge gap
• Conducted by a qualified, board-certified
  gerontological nurse

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Program Concepts

• Nurse-managed care
• Complements medical care, does not replace it
• Confidentiality
• Community partnerships
• Manage existing and emerging health needs
• Maintain functioning ability
• Differentiate age-related changes from pathology

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Health Promotion/Risk Reduction

• Reduces or eliminates health-related risk through
  behavioral change
• Increases socialization, reduces isolation,
  depression
• Encompasses individual, family, group, community

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Getting Started

• 1. Describe program and outline goals
• 2. Identify qualified ANCC-certified nurse
• 3. Identify receptionist
• 4. Build partnerships with relevant local
  officials and
• community resource leaders
• 5. Verify insurance coverage for personnel

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Getting Started

• 6. Locate space with hand washing facilities
• 7. Transportation
• 8. Determine funding sources
• 9. Publicize program

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Promotion
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Scheduling

• Outreach introductory sessions
• By appointment
• Home visits

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Health Indicators in the US

• Indicator Problem
• Physical activity Mobility problems, knee
  replacements, arthritis
• Overweight obesity Comorbidity
  diabetes, heart disease, high blood
  pressure
• Tobacco use Heart and lung problems
• Substance abuse Disorientation
• Mental health Depression, sleep problems
• Environmental quality Inadequate
  housing
• Communicable illness Flu, infection,
  hygiene
• Access to health care Medical
  communication
• Source Office of Disease Prevention and
  Health Promotion, US Dept. of Health and Human
  Services

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Stay Healthy by the Numbers

• Program Expenses
• 560 medical equipment
• 300 promotional printing
• Client visits, 2004-2007 500
• Clients
• 77 women 30 widows (39)
• 17 men 2 widowers (2.6)
• 94 total

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Issues and Implications

• Medical literacy
• Shortage of gerontologists
• Aging baby boomers
• -population shift
• -civic engagement

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Additional Information

• Fielo, Sandra B. and Rae Lord Crowe. A Nursing
  Center in Brooklyn. Nursing and Health Care.
  139, November 1992.
• Fielo, Sandra B. Stay Healthy, Active and
  Involved. Nursing Spectrum. Scheduled for
  publication May 9, 2008
• The American Psychological Association, Older
  Adults Health and Age-Related Changes Reality
  versus Myth. httpwww.apa.org Accessed
  April 2, 2008
• Madison Senior Center
• 28 Walnut Street
• Madison, NJ 07940
• 973-593-3094

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Volunteer Health Coach Program
Nicole Batsch, Program Coordinator TMC Senior
Resource Center
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Program Goal

• Trained volunteer health coaches provide
  one-on-one support to help older adults set
  health goals and stay motivated during the
  process of improving their lifestyles.

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Identified Need

• Short doctors visits
• Current knowledge vs. action
• Barriers/fear
• Trust support
• Personal cheerleader vs. personal trainer
• Not duplication of existing programs

No intention to change
Contemplation Preparation
Action Maintenance
Bandura, A. (1977). Self-Efficacy Toward a
unifying theory of behavior change.
Psychological   Review, 84, 191-215.
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Implementation

• Utilizes volunteers
• Changing paradigm of healthy senior volunteer
• Safe/comfortable
  environment
• Marketing
  message

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Volunteer Training

• Volunteer interview
• Utilize existing resources and
  structure
• Plus develop skills around
• problem solving
• practice goal setting
• defying age myths
• six dimensions of wellness (Natl Wellness
  Institute)
• cultural implications
• individual barriers to overcome

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Tools

• Intake forms
• Goal setting form
• Senior Resource Center
• Calendar of health events and topics
• Cross referral into other programs like Living
  Well with Chronic Conditions, Enhance Fitness and
  Matter of Balance (3 locally implemented AoA
  grants)

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• Nicole Batsch
• Program Coordinator
• TMC Senior Resource Center
• [phone]
• nicole.batsch_at_tmcaz.com

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Wellness Report Card

• A fitness program evaluation tool
• By Dana Oar, M.Ed, CHES
• Wellness Coordinator
• Cabarrus County Department of Aging
• 331 Corban Ave. SE
• Concord, NC 28026
• dioar_at_cabarruscounty.us

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What is it?

• An evaluation tool to measure changes in
  endurance, strength, blood pressure, BMI and
  flexibility over time
• Free to senior center participants engaging in
  fitness and/or dance programs
• Offered once a month and
• encouraged to complete on
• a quarterly basis

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What is looks like

• ½ page spiral bound book
• Carbon copy style
• Includes monthly logs to keep track of daily
  exercise/ walking goals
• 4 quarterly assessment sheets

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(No Transcript)
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Wellness Report Card- Quarter 1 Name_________
________ Date______________
Blood Pressure/Heart rate ____/____
______ Height ____inches Weight ___lbs Body
Mass Index_____
Lower Body Strength- Sit-Stand Test Time_________
_ (minutes or seconds)
6 Minute Endurance Walk Test ( 1
lap______feet) Distance traveled _____laps
____Feet Total feet walked______
Measurements (inches) Waist ______
Hip ______
Flexibility (Sit N Reach) _______
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How is it used?

• Baseline measurements (1st Q)
• Interpretation of scores
• Goal Setting/Coaching-What does the participant
  need to work on?
• Set date for next quarterly assessment
• Monitor changes throughout
• the year

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Helpful Hints

• Do your Research-
• Choose the appropriate assessment to measure the
  programs your facility offers
• Recommend Senior Fitness Test Manual by Rikli
  Jones
• Test Administration-
• Adequate training is extremely important for
  test-retest reliability
• Use volunteers with health fitness background

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Added benefits

• One on one interaction
• Great motivational tool
• Great evidence based data to use when applying
  for grants

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By Dana Oar, M.Ed, CHESWellness
CoordinatorCabarrus County Department of
Aging331 Corban Ave. SEConcord, NC
28026dioar_at_cabarruscounty.us
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QUESTIONS?
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To be continued

• Dont miss our next three award winners
• on Thursday, May 22nd at 130 EST
• Mecosta Senior Center Personal Action Toward
  Health (P.A.T.H.) is an evidence based, eight
  week class created by Stanford Universitys
  Patient Education Center and made available to
  Mecosta County Senior Center through Area Agency
  on Aging West Michigan.
• Grantsville Senior Center - Standing Strong is
  a six-week Evidence Based Fall Prevention Program
  for adults 60 and over.
• City of Two Rivers - Breakfast for your Brain
  encourages the elderly to realize the benefits of
  consistent mental exercise combined with a
  commitment for physical activity and good
  nutrition.

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Contact Information Presentation 1 Madison
Senior Center, from Madison, New Jersey Stay
Healthy Program Sandra Fielo, Gerontological
Nurse Edna Ierly-Byrne, Coordinator Questions
write Edna at ierleybyrnee_at_sen.rosenet.org 973-593
-3095 Presentation 2 TMC Senior Resource
Center, Tuscon, Arizona Healthy Living
Connections Volunteer Health Coach
Program Nicole Batsch, Program Coordinator (520)
324-3746 nicole.batsch_at_tmcaz.com Presentation 3
Cabarrus County Senior Center, Concord, North
Carolina Wellness Report Card

Dana Oar, M.Ed, CHES, Wellness
Coordinatordioar_at_cabarruscounty.us 704-920-3484