Development and Pilot Testing of a Bilingual Environmental Health Assessment Tool to Promote Asthma-friendly Childcares

2018 ◽  
Vol 12 (1) ◽  
pp. 35-44 ◽  
Author(s):  
Robin A. Evans-Agnew ◽  
Julie Postma ◽  
Ariana Ochoa Camacho ◽  
Rachel M. Hershberg ◽  
Elsa Trujilio ◽  
...  
Keyword(s):  
Environmental Health ◽  
Assessment Tool ◽  
Health Assessment ◽  
Pilot Testing

151 Optimising Bone Health on Sheffield Frailty Unit Through Quality Improvement

2021 ◽  
Vol 50 (Supplement_1) ◽  
pp. i12-i42
Author(s):  
C M Orton ◽  
N E Sinson ◽  
R Blythe ◽  
J Hogan ◽  
N A Vethanayagam ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Fracture Risk ◽  
Fragility Fracture ◽  
Bone Health ◽  
Assessment Tool ◽  
Health Assessment ◽  
Fragility Fractures ◽  
Improvement Project ◽  
Number Of Patients ◽  
Fracture Risk Assessment Tool

Abstract Introduction NICE and the National Osteoporosis Guidance Group (NOGG) advise on evaluation of fracture risk and osteoporosis treatment1,2, with evidence suggesting that screening and treatment reduces the risk of fragility fractures 3,4,5. However, it is often overlooked in the management of older patients within secondary care. Audit data from Sheffield Frailty Unit (SFU) in 2018 showed that national guidance was not routinely followed. Fracture Risk Assessment Tool (FRAX®) scores were not calculated and bone health was poorly managed. Therefore, we undertook a quality improvement project aiming to optimise bone health in patients presenting to SFU. Method & Intervention In January 2019 we collaborated with Sheffield Metabolic Bone Centre (MBC) to develop a pathway aiming to improve bone health assessment and management in patients presenting to SFU with a fall or fragility fracture. This included a user-friendly flow chart with accompanying guidelines, alongside education for staff. Performance was re-evaluated in May 2019, following which a tick box prompt was added to post take ward round documentation. A re-audit was performed in March 2020. Results In March 2018 0% of patients presenting with a fall had a FRAX® score calculated and only 40% of those with a new fragility fracture were managed according to guidelines. In May 2019, this had improved to 18% and 100% respectively. In March 2020 86% of patients had a FRAX® score calculated appropriately and 100% of fragility fractures were managed according to guidelines. In both re-audits 100% of FRAX® scores were acted on appropriately. Conclusions There has been a significant increase in the number of patients who have their bone health appropriately assessed and managed after presenting to SFU. However, achieving optimum care is under constant review with the aim to deliver more treatment on SFU, thereby reducing the need for repeat visits to the MBC.

scholarly journals Analysis of Nursing Clinical Practice of Oral Hygiene on Patient with Hemorraghic Stroke – A Case Study

2020 ◽  
Vol 4 (1) ◽  
Author(s):  
Yuyun Durhayati ◽  
Cut Sarida Pompey
Keyword(s):  
Oral Hygiene ◽  
Assessment Tool ◽  
Health Assessment ◽  
Hygiene Intervention ◽  
The Family ◽  
Before And After ◽  
Nursing Clinical Practice ◽  
Nursing Clinical ◽  
Neurological Ward

<p><strong>Objective</strong>: The  purpose  of  this  case  study  was  to  analyze  the  oral  hygiene intervention performed by  nurse  in  stroke  hemorrhagic  patient  in  neurological  ward</p><p> </p><p><strong>Methods:</strong> .Oral hygiene interventions were performed by using 0.2% chlorhexidine twice daily for seven days. This case study used oral health assessment tool (OHAT) which the measurements were taken before and after the intervention every day</p><p> </p><p><strong>Results</strong>: There was a decrease in oral hygiene assessment score from 9 to 1 which implied an improvement in oral hygiene condition. This study also showed that family of stroke patient was able to perform oral hygiene practice to the patient after simulation performed firstly by nurses</p><p> </p><p><strong>Conclusion</strong>: The study recommends that oral hygiene by using 0.2% chlorhexidine needs to be delivered routinely by nurses and continues by the family at home care.</p><p> </p><p><strong>Keywords</strong>: chlorhexidine 0.2%, oral hygiene, stroke.</p>

scholarly journals Online Child’s Health Assessment Tool for Obesity Prevention Programming

2018 ◽  
Vol 13 (3) ◽  
pp. 237-258
Author(s):  
Laura A. Palmer ◽  
Kimberly J. McCarthy ◽  
Daniel F. Perkins ◽  
Lynne M. Borden ◽  
Jennifer M. DiNallo
Keyword(s):  
Online Survey ◽  
Technical Assistance ◽  
Assessment Tool ◽  
Health Assessment ◽  
Well Being ◽  
Program Improvement ◽  
Quality Improvements ◽  
Survey Tool ◽  
Continuous Quality ◽  
Physical Activity Programming

To optimize public health in the next decade, prevention of childhood obesity will remain a central focus. To impact behavioral change, data must be linked to continuous quality improvements within existing nutrition and physical activity programming. The Children, Youth, and Families At-Risk Professional Development and Technical Assistance Center has developed a picture-based, online survey tool, the CYFAR Health Assessment Tool (CHAT), to assess health behaviors in youth ages 6 to18 years of age. Used for continuous program improvement, aggregate data results are coupled with tailored health recommendations in 4 domains (behavior and environmental modifications, education, and direct strategies) and evidence-informed resources for dissemination to youth and parents. Program implementers use the data and resources for targeted programmatic improvements that more effectively promote health and well-being. CHAT also informs our collective understanding of youth’s perceptions of health in comparison to their actual behaviors.  

Plants as a Tool for the Environmental Health Assessment

2019 ◽  
pp. 239-248
Author(s):  
Stanislav Geras’kin ◽  
Tatiana Evseeva ◽  
Alla Oudalova
Keyword(s):  
Environmental Health ◽  
Health Assessment

scholarly journals The Washington State Environmental Health Disparities Map: Development of a Community-Responsive Cumulative Impacts Assessment Tool

2019 ◽  
Vol 16 (22) ◽  
pp. 4470 ◽  
Author(s):  
Esther Min ◽  
Deric Gruen ◽  
Debolina Banerjee ◽  
Tina Echeverria ◽  
Lauren Freelander ◽  
...  
Keyword(s):  
Health Disparities ◽  
Environmental Health ◽  
Lived Experience ◽  
Assessment Tool ◽  
Washington State ◽  
Cumulative Impacts ◽  
Cumulative Impact ◽  
Community Voice ◽  
Mapping Tool ◽  
Interactive Map

Communities across Washington State have expressed the need for neighborhood-level information on the cumulative impact of environmental hazards and social conditions to illuminate disparities and address environmental justice issues. Many existing mapping tools have not explicitly integrated community voice and lived experience as an integral part of their development. The goals of this project were to create a new community–academic–government partnership to collect and summarize community concerns and to develop a publicly available mapping tool that ranks relative environmental health disparities for populations across Washington State. Using a community-driven framework, we developed the Washington Environmental Health Disparities Map, a cumulative environmental health impacts assessment tool. Nineteen regularly updated environmental and population indicators were integrated into the geospatial tool that allows for comparisons of the cumulative impacts between census tracts. This interactive map provides critical information for the public, agencies, policymakers, and community-based organizations to make informed decisions. The unique community–academic–government partnership and the community-driven framework can be used as a template for other environmental and social justice mapping endeavors.

scholarly journals How to Educate Pregnant Women about Endocrine Disruptors?

2020 ◽  
Vol 17 (6) ◽  
pp. 2156 ◽  
Author(s):  
Steeve Rouillon ◽  
Houria El Ouazzani ◽  
Jean-Benoit Hardouin ◽  
Line Enjalbert ◽  
Sylvie Rabouan ◽  
...  
Keyword(s):  
Health Education ◽  
Pregnant Women ◽  
Environmental Health ◽  
Endocrine Disruptors ◽  
Assessment Tool ◽  
Attitudes And Practices ◽  
Population Health Intervention Research ◽  
Population Health Intervention ◽  
Study Results ◽  
Individual Consultation

Background: Despite mediatization, only half of pregnant women are informed about endocrine disruptors (EDs). We wished to inquire about appropriate environmental health education procedures during pregnancy: Who, when, and how? Methods: The question stems from a comprehensive population health intervention research project. It includes qualitative studies aimed at constructing an educational program in environmental health and an accompanying assessment tool. The validation of a customized questionnaire (PREVED© for Pregnancy Prevention Endocrine Disruptors) about the knowledge, attitudes, and practices (KAP) of pregnant women regarding exposure to EDs was carried out in a quantitative study. Results: Health education by a prenatal professional with communication skills should take place as early as possible, during the preconception period or early pregnancy, as part of individual consultation or group workshops. In order to customize the discourse and to develop women’s empowerment, concomitant presentation of the risks by the products used in each room and of previous solutions is recommended. Conclusion: Appropriate health education procedures on EDs should be done at every contact but taking the KAP of pregnant women into account first. We propose all educational actions should be accompanied by questioning of the KAP of pregnant women; for example, with questions from the PREVED© questionnaire.

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