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Archive for the ‘Health Equity’ Category

Tuesday, August 10, 2010 @ 03:08 PM Ballywho News

The face of the United States is changing, literally. As a nation, we are becoming more diverse and the individual subgroups that make up our country are changing in size and influence. You can look around Hillsborough County and see how diverse we are. We are lucky enough to have many different cultural groups providing insight and helping to shape our community. While it is great to have the benefit of being able to weigh multiple points of view when making decisions that affect us all, we must learn to work together. We do not want anyone to forget where they come from; we want them to bring their own cultural ideas to the table so that we can find a variety of ways to make our county better.

Basically culture is what binds people together. Culture itself is comprised of many elements: language, religion, family structure, beliefs and values are all factors that help determine culture. Culture plays a huge role in determining who we are and how we see the world. We all must remember that even though we share the same geographic area, our community is made up of many different cultures with different schools of thought. Finding and implementing ways for different cultures to work together successfully towards common goals is called cultural competency. Everyone must respect the fact that we are all a little different and keep this in mind when working alongside our neighbors who have slightly different backgrounds than ourselves.

Try These Ways to Achieve Cultural Competency in Hillsborough County

  • Make an honest effort to learn about the beliefs and social practices of different cultures. You would be surprised how much we learn about how alike we really are when we find out about some of our differences.
  • Become aware of the factors that are involved when different cultures work together. Look for ways to find common ground instead of focusing on differences.
  • Remember that your culture is as different to someone from another background as theirs may be to you. Be able to evaluate your own culture so you can begin to see how others might view you.

One factor that does affect everyone, regardless of culture, is health. To live happy and successful lives we must all be healthy. While there are definitely differences in the health concerns and rates at which different cultural groups are affected by particular medical conditions, we must work together. In order to put together a series of changes that will make Hillsborough County healthier for us all, we must understand cultural competence. Take diet, for example. Food is a huge part of culture. Different cultures eat different things. One great thing that we can do to improve our health is to provide healthy snack options in vending machines. In making these changes to vending machines we have to think about everyone. Some cultures do not eat meat, while others avoid dairy products. We have to make sure that our vending machines have healthy options for everyone. If we don’t, the work we put into changing snack choices will not benefit everyone. We might be from different cultures but we are all in this together. Sharing what is important to our individual cultures with each other is vital when working towards achieving cultural competence.

Thursday, July 29, 2010 @ 01:07 PM Ballywho News

The recent outbreak of pertussis (whooping cough) in California raises an important health issue: adult vaccinations. Often we equate immunizations with babies and school children, but adults need them, too. Not only are unimmunized adults risking their own health, but they can also act as carriers for infectious diseases.

Who Needs Adult Immunizations

Although adults don’t need the numerous boosters and shots that children do, they do need some vaccines on a regular basis. Certain factors like overall health, certain medical conditions, occupation, and travel plans may influence a patient’s vaccination schedule, so it’s important to discuss them with your healthcare provider. The CDC also recommends immunizations based on patient age:

Ages 18-49

  • Influenza vaccine before the start of every flu season reduces risk and prevents the spread of flu to people whose immune systems are more vulnerable.
  • One to two doses of pneumonia immunization for smokers is highly recommended.
  • A TdaP, which protects against tetanus, diphtheria, and pertussis (whooping cough) is necessary at least three times during a patient’s life, with boosters of Td every ten years.
  • For women 26 and under, an HPV vaccination is recommended. Men under 26 can also take the Gardasil brand of HPV immunization.
  • Any young adult who will be staying in a college dorm must be immunized against meningitis.

Ages 50-64

  • Get a flu shot before the season gets into gear, usually in the late fall or early winter.
  • Smokers may need another dose of the pneumonia immunization.
  • Whether patients need another TdaP depends on immunization history. Most patients will need another dose during this time. At the very least, patients still need that Td every ten years.
  • Patients who have never had chickenpox (varicella) will want to discuss this vaccination option with a doctor.
  • Patients born in 1957 or earlier will need another dose of the measles/mumps/rubella (MMR) vaccine.

Ages 65 and up

  • For older adults, an influenza vaccination every flu season is extremely important.
  • Adults who reach age 65 and have never been vaccinated against pneumonia should get the immunization. It sometimes requires two doses.
  • Whether a patient needs another TdaP depends on medical history.
  • Any patient in this age bracket who hasn’t had chickenpox should discuss the vaccine with a healthcare provider.
  • Everyone 65 and older should get immunized for Zoster, commonly known as shingles.

Some patients may also need immunization against Hepatitis A and Hepatitis B, depending on medical history, risk for contracting the diseases, and other factors.

Get Your Immunizations in August

August is National Adult Immunization Month, so now is the perfect time to schedule a doctor’s visit. Ask your healthcare provider if you need any vaccinations, and get answers to any questions you may have about how vaccinations work, what they’re made of, and how they protect you and your family from preventable illnesses.

If you have questions about immunizations, please contact us at Central Florida Regional Hospital. Visit us online or call Consult-a-Nurse® at 1-800-445-3392 for free physician referrals and answers to your health questions.

Tuesday, July 27, 2010 @ 02:07 PM Ballywho News

During a stroke, every minute means potential loss of brain function. Traditionally patients who had suffered a stroke had a short time frame to get treatment. However, new technology offers new hope for a medical condition that often goes undetected until hours—or even days—later. Since a stroke occurs when blood flow is cut off in the brain, these new treatment options can help prevent damage, and even salvage brain tissue.

Traditional Stroke Treatment

In the past, one of the only available options for treating stroke was the clot-busting drug tPa. Administered intravenously, this drug would dissolve the clot causing the arterial blockage. But tPa has its limitations:

  • The drug can be administered only in the first 3 to 4.5 hours after a stroke. Since many stroke patients do not recognize their symptoms immediately, or suffer a stroke in their sleep (a “wake-up stroke”) , most come in after this three-hour window.
  • There are many contraindications for tPa. Patients who have even one medical consideration from a very long list cannot receive the medication.
  • Even among patients who are candidates for intravenous tPa, side effects remain a significant risk. After all, the drug thins the blood all over the body, not only in the brain.

Innovations in Stroke Treatment

Fortunately, an elite group of hospitals now has access to cutting-edge technology for stroke treatment. Called neurological interventions, or neurointerventions, these methods are far more effective at treating stroke and preserving patients’ brain function.

The first of these new tools is called a CT profusion scan. A regular CT shows only one-dimensional pictures of the brain. However, a CT profusion scan creates a three-dimensional picture of the brain, color coded in green and red, to represent living and dead tissue. The scan can help doctors locate the blocked artery causing the stroke and determine how much brain tissue can still be saved.

Once the blockage has been identified, neurologists have three high-tech options for restoring blood flow to the brain:

  • Delivering tPa directly to the site of the clot: This can be done with a catheter, inserted in a vein in the patient’s leg and threaded to the brain. This method delivers a much smaller dose of the drug, much more precisely. Doctors have about a six-hour window for this treatment option.
  • Removing the clot with the Merci Retrieval device®: This device is fitted to the end of a catheter. When the doctor has placed the catheter next to the clot, he releases the tool, which comes out like a corkscrew and grabs the clot. The tool is then pulled back inside the catheter, bringing the clot with it. Doctors can use this approach until about eight hours after a stroke.
  • Suctioning the clot with the Penumbra device®: Like the Merci Retrieval device, the Penumbra fits at the end of the catheter. It is placed next to the clot, and sucks the clot inside the catheter. The Penumbra can also be used until about eight hours after a stroke.

It’s important for patients to note that very few hospitals have the equipment and medical staff to deliver these stroke interventions. Northside Hospital and Tampa Bay Heart Institute is one of the few hospitals in west Florida that offers these neurointerventions. At the Neuroscience Institute, their team of experts has perfected the techniques that save stroke patients’ lives and preserve their brain function.

For more information about stroke care, please contact us at HCA West Florida. Visit us online or call Consult-a-Nurse® at 1-877-442-2362 for answers to your questions and free physician referrals.

Monday, July 26, 2010 @ 01:07 PM Ballywho News

Being healthy isn’t just trendy, it’s a way to improve our lives. If we work together as a community, we can improve ourselves, our loved ones and our community in general. We are lucky to have a new resource in Hillsborough County that will help us work toward our goal of being a more healthy community. Hillsborough County Health Department’s Office of Health Equity has combined forces with the Center for Disease Control and Prevention and local leaders from: government, private business as well as community and religious organizations. This group of leaders from all parts of Hillsborough county are working together to create a healthy community by first using a program called CHANGE, to evaluate some of the practices in our community and together we will develop improvements that will benefit all of us.

Community
Health
Assessment
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Evaluation

CHANGE has been used in other communities and has had great results. It is a tool that we can use to do things like keeping our children at all of our 243 public schools safe from second hand smoke by agreeing on making our schools tobacco free. The truth is, we all need to make some changes to our lifestyles that will make us healthier people. If we work together it will be easier because there is strength in numbers. Before we can make any changes, we need to have a little bit better idea of what we are doing now. We need to decide which of the things that we are already doing are good for us, and which things we should make some changes to in order to better ourselves. This is where the CHANGE tool comes into play. It is an organized plan that we can follow that will help us decide on a plan of action that will make Hillsborough County better for all of us. The CHANGE tool will help us get a clear idea of where we are at and where we need to go. The program is set up so that the people who are responsible for it, work with all sorts of members of the community. There is a plan in place and they begin by dividing the area into five groups.

  • Community at Large- These are things that relate to areas all over the community such as shopping centers, grocery stores, parks and other places where people gather for one reason or another. It is a way of making sure that our neighborhoods are set up so that it is easier to be healthy. It includes things like: having public parks and trails set up so that people have places to play and exercise and even working with our grocery stores; asking them to provide us with healthy food options.
  • Schools- This includes every school, both public and private, in the area.
  • Worksites- Once again we want to include everyone. Anywhere people work; from office buildings to restaurants and even outside work places like construction sites.
  • Healthcare- Keeping with the theme of not leaving anyone out, the program includes any place that people can go to for medical care. We mean: hospitals, clinics and any other medical center. It does not matter who owns them or what they specialize in.
  • Community Institutions and Organization- This is anyplace that provides a service that is intended to help people. It includes community centers, senior centers, religious institutions and social clubs.

Now that we have divided up the areas to be looked at, it will be easier to see where we are at. The CHANGE tool has a plan that will be used to evaluate these five areas individually. The Hillsborough County Office of Health Equity will work with the community and use the CHANGE tool to make Hillsborough County better and healthier. It will provide us with information that lets us work directly with you, the community, so we can improve our county.