Transcript PT Assessments

Lions District 24-A & American Diabetes Association
Diabetes Education and Eye Screening Training
July 14, 2012 8 am to 4 pm Fairfax Government Center
Suzanne Tolson, BS, MSEd, CC-NREMT-P
Why are we here???
To learn more about
Diabetes
Patient Assessment
Questions
Imagine this: You are going on a medical mission to underserved
area in the USA or maybe even abroad.
And you are asked to gather baseline
data on each of the individuals who
comes to the ADA/Lions Club clinic.
Patient Assessment Questions
Let’s look at
an example.
(Insert Patient Data Collection
Sheet here.)
Body Mass Index
• What is Body Mass Index?
http://www.nhlbisupport.com/bmi/bmicalc.htm
What is your
Body Mass Index ?
Body Mass Index
• What does BMI have to do with diabetes?
If your BMI is above the
normal range then
you are at greater risk
for developing
type 2 diabetes.
Blood Pressure Screening
Blood Pressure Screening
• What is blood pressure?
Systolic ?
Diastolic ?
What is a “normal”
blood pressure?
Blood Pressure Screening
Normal Blood Pressure Ranges for ADULTS per
The American Heart Association:
Category
systolic, mmHg
diastolic, mmHg
Hypotension
< 90
< 60
Desired
90–119
60–79
Prehypertension
120–139
or 80–89
Stage 1 Hypertension
140–159
or 90–99
Stage 2 Hypertension
160–179
or 100–109
Hypertensive Crisis
≥ 180
or ≥ 110
Blood Pressure Screening
What about children???
Systolic
Infants 1 to 12 months
75–100
Toddlers 1 to 4 years
80–110
Preschoolers 3 to 5 years 80–110
School age 6 to 13 years 85–120
Adolescents 13 to 18 years 95–140
Diastolic
50–70
50–80
50–80
50–80
60–90
The Mayo Clinic says:
• Using a blood pressure cuff that's too large or too
small can give you inaccurate blood pressure
readings. You should have several sizes of cuffs to
ensure an accurate blood pressure reading.
• The inflatable part of the blood pressure cuff
should cover about 80 percent of the
circumference of your upper arm. The cuff should
cover two-thirds of the distance from your elbow
to your shoulder.
TIME TO VOLUNTEER
Blood Sugar Levels
Random blood sugar test:
This test can be conducted
throughout the day,
irrespective of the meal
times. The blood sugar
levels should be between
70 and 125 mg/dL to be
declared 'normal' in case of
random testing method.
Blood Sugar Levels
Fasting blood sugar:
This test is commonly
conducted to check the rise
or fall in the glucose levels
after a prescribed eighthour fast. The levels are
required to fall and get
recorded between 70 and
99 mg/dL to be declared as
normal blood glucose
levels.
VOLUNTEERS ???
GLAUCOMA
• Glaucoma is a complicated
disease in which damage to the
optic nerve results in vision loss.
There are 2 types.
open-angle glaucoma
• In
,
the angle in your eye where the iris
meets the cornea is as wide and open as
it should be, but the eye’s drainage
canals become clogged over time,
causing an increase in internal eye
pressure and subsequent damage to the
optic nerve. It is the most common type
of glaucoma, affecting about four million
Americans, many of whom do not know
they have the disease.
GLAUCOMA
Angle-closure glaucoma
is caused by blocked drainage canals in
the eye, resulting in a sudden rise in
intraocular pressure. This is a much
more rare form of glaucoma, which
develops very quickly and demands
immediate medical attention.
In contrast with open-angle glaucoma,
symptoms of acute angle-closure
glaucoma are very noticeable and
damage occurs quickly.
GLAUCOMA
GLAUCOMA
• What is normal intraocular pressure?
– Current consensus among ophthalmologists and
optometrists define normal intraocular pressure
as that between 10 mmHg and 20 mmHg.
– Intraocular pressure >20 mmHg (ocular
hypertension) is the primary indicator for
glaucoma diagnosis.
Testing for Glaucoma
Diaton
Transpalpebral
Tonometer
PASCAL Dynamic
Contour Tonometer
What is it???
Audience Response, Questions
and Recommendations