PASSPORT TO WELLNESS - Active Seniors' Options · format. It can be used as a ... Welcome to the...

PASSPORT TO WELLNESS

ByDr. William Gingold

What is Passport to Wellness?

A community-based comprehensive screening and assessment program and service for wellness promotion, risk reduction, and disease prevention for mature adults (55+) and their significant others.

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How Does the Passport to WellnessProgram Work?

The program can be implemented in a variety of ways, but it is best used in a “fair” or “expo” format. It can be used as a free-standing event or integrated within an existing senor expo or health fair, (i.e., Mature Lifestyle Expo, Senior Health Fair, etc.).

At most events, select exhibitors can be easily integrated within the program.

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Passport to Wellness Inherent Strengths

The program is flexible and adaptable to sponsoring organization’s needs and objectives.

Can be customized for desired target group(s) by selecting appropriate choices from an extensive menu (120+) of screening and assessment tools and protocols.

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Menu Screening and Assessment

•Nutrition•Grip Strength•Gait

•Body Fat (BMI)•Fiber Intake•Hydration

•Balance•Upper Extremities•Lower Extremities

•Fall Risk•Memory•Stress

•Waist to Hip Ratio•Migraine•Pain

•Bone Density•Weight•Height

•Cholesterol•Glucose•Blood Pressure

•Pulse Rate•Temperature•Propriception

•Pain•Smell•Taste

•Touch•Vision•Hearing

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Menu Screening and Assessment(continued)

•Caregiver Burden•Flexibility-Reach•Flexibility-Trunk

•Self-Concept•Mobility/Motility•Socialization

•Sleep•Arthritis•Alcohol

•Polypharmacy•Loneliness•Hoarding

•Stress•Anxiety•Depression

•Finger Strength/ FineMotor Coordination

•Spiritual•Five Wishes

•Power of Attorney– Financial

•Power of Attorney – Health•Advance Directives

•Motor Reaction•Dental•Eating/Chewing

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•Language•Delayed Recall•Orientation

•Attention•Visual Spatial/ Executive•Hypertension

•Thyroid Function•Incontinence•Skin Exam

•Immunizations•Herbals and Supplements•IADL’s

•ADL’s•Home Safety•Internet Addiction

•Humor Index•Self-Neglect•Abuse and Neglect

•Visual Tracking•Depth Perception•Feet Assessment

•Figure – Ground•Executive Decision Making•Grief and Bereavement

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•Impulse Control•Retire Planning and/or Update

•Security and Safety

•Smoking•Roles/Relationships•Living Situation

•Social Activity•Economics•Assistive Devices

•General HealthPerception

•Sexual Function•Leisure Time

•Spiritual Well- Being•Quality of Life•Social Network

•Social Support•Social Functioning•Hope Index

•Affect Balance•Life Satisfaction•Problem-Solving/Judgement

•MCI•Caregiver Grief•Comprehension

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Menu Screening and Assessment(Continued)

•Get-Up and Go•Clock Test•Crazy Sevens

•Stick Drop•Hands•Face-Hand

•Small Change•Animals in 60”•Amler Grid – Vision

•MedicationManagement

•Functional Activities•Stroke Risks

•Appetite•Neck Rotation•Dominance

•Free vs. Cued vs.RecognitionRecall, Verbal,Visual, Numerical

•Working Memory•Phobia

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Menu Screening and Assessment(Continued)

•Living Skills (ALSAR)

•Musculoskeletal

•Mental Status•Ear Wax•Fatigue

•Romberg, Modified•Hand Activities•Physical Fitness(Flexibility)

•Life Satisfaction•Contrast Sensitivity

•Heart Screen

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Why Use the Passport Program?

You and your organization can reap many of the following benefits when using the program and services:

• Generate New referrals• Increase Market Share• Generate Incremental Revenue• Increase Community Awareness• Enhance Public Relations and

Image• Facilitate Wellness Promotion, Risk Reduction, and Disease Prevention for your Target Group(s)

• Empower Consumers for Better Decision-Making

• Provide a Fun-Filled, Enjoyable Experience for Participants

• Benefit from a High Return-On-Investment (ROI)

• Needs Assessments• Collaboration Opportunities• Outreach and Good Will• Leadership and/or Ego Needs 11

Screening Considerations

• Availability • Discriminating Power• Awareness • Sensitive• Accessibility • Precise• Extensiveness • Increased Knowledge• Appropriateness (Individual, Normative,• Efficiency and Institutional)• Effectiveness • Increase Self-Awareness• Acceptability • Active Involvement• Beneficial • Interactive• Positive/Fun/ • Intergenerational

Enjoyable/Upbeat • Scope Variability• Valid• Reliable• Versatile/Flexible (Subject, Structure and Setting)• Norm Comprehensiveness

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Who Needs the Passport Program?

Any entity or organization wanting the benefits of the program can sponsor and implement the program event. The following is a small sampling of the type of entities who can sponsor and implement the program

• Health and Allied Health Care Organizations

• Hospitals and Medical clinics• Social service and mental health

agencies• Senior Services Organizations• Financial Institutions and Insurance

Companies• Nursing Homes• Assisted Living Facilities• Retirement communities• Community Colleges and

Universities• Senior Housing Organizations and

Firms• Employers• Advocacy Organizations• Other: _______________________

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Participant Benefits

• A Fun, Enjoyable Relaxing Event• Opportunity to Socialize• Learning Opportunities• Opportunity to Ask Questions• Increase Self-Awareness of: Functional

Abilities, Wellness Status, Quality of Life Factors, Cognitive Functions, Other: ________

• Receive “Facts to Act Upon”• Build Affinity• Empower Decision-Making• Intergenerational• Other: __________________________

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Staff/Volunteer Benefits

• Self Promotion• Learning and Knowledge Gains• Share Expertise• Support Sponsor• Fun and Enjoyment• Socialization and Networking• Desire to Help and Serve• Recognition• Pay• Feel Good/Satisfaction• Other: ______________________

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Passport to Wellness

Considerations for Screeners• Relax and have fun! Accentuate the positive• Ask, ask, and ask! Advisors are always ready to help• Give the benefit of the doubt to participants. Be patient.

Remember*This is screening – not diagnostic• Any recommendations are for educational purposes• Activities are designed to empower participants to make

better decisions on their own behalf.• Anything that is done at this event is not intended to

replace or substitute advice or diagnosis from the participant’s physician or health or allied health care provider.

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When Should the Passport Program be Held?

It’s desirable to have the program held at least bi-annually. Your target group’s availability to participate should guide your decision making, (i.e., for retiree (65+), 9:00 a.m. – 3:00 p.m.mid-week or Saturday; for employed (55-64+) 7:00-9:00 p.m. mid-week or 9:00 a.m. – noon, Saturday)

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Where is the Passport Program Implemented?

The program should be held in a spacious and pleasant environment, sufficient in size to comfortably accommodate 20-30 screening stations and the anticipated number of participants. Convenient parking and easy building accessibility is recommended.

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Participant Flow*• Greet Participants and direct to registration (Check-in/

Embarkation)• Get Passport with photo (optional)• “Custom Agent” guides participants to Ports (Screening

Stations)• Participants move, with guidance, from one Port to another

after each screening is recorded on the Passport• Rest areas for smoking and relaxation and socialization are

provided. Participants are encouraged to enjoy and relax. Some “quick” games may also be provided. Fun, fun, fun!!

• Participants are guided to check-out/debarkation area when all screens are completed

• Supervising Custom Agent(s) review Passport (Screening Record form) with each participant. Follow-up (“what next?”) instructions are provided to all participants.

* Adjust and modify to your specific needs and environment.21

DomainsMajor Domains Other Domains• Behavioral • Communication• Cognitive • Continence/Toileting• Economics • Intimacy and Sexuality• Gait/Balance/Falls • Medication• Legal • Mobility/Motility• Medical • Nutrition/Hydration/Eating• Physical • Security• Physical Environment • Other: ________________• Psychological • Other: ________________• Quality of Life• Social• Spiritual

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Themes1. Around the World in 80 Minutes2. Believe3. Camelot4. Challenges and Choices5. Enchanted6. Fantastics7. I’m Ready8. If Wishes Come True9. Life’s Puzzles10. Lifestyles11. Magic Garden12. Magic Kingdom13. Memory Lane14. Never Ending Story15. Now and Forever

16. Passport to Wellness17. Perfect Picture18. Place in This World19. Reflections20. Reminisce21. River of Dreams22. Splash of Color23. Timeless24. To Life La’Charm’25. Trails26. Unforgettable27. Vitality for Life28. Wonderful Moments29. Other: ____________30. Other: ____________31. Other: ____________

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Passport to Wellness

Sponsored By

CRIS Senior Services

And

Community Education

Danville Area Community College25

Welcome

Welcome to the Passport to Wellness program!

We know that by actively participating at each “port” you will gain meaningful and important information about your wellness.

At the last “port” or “check-out” area someone will discuss the “visa” information that you have been collecting.

If at any time during your “travels” you have a question or suggestion, please see one of the “customs agents or guides.”

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Name:______________________________________________________

Address: ___________________________________________________

City: ______________________ State: ________ Zip: _____________

Phone: _______________ Age: _____ Male or Female (circle one)

Date: ________________ Location: _____________________________

Welcome(continued)

Sponsored ByCRIS Senior Services

AndCommunity Education

Danville Area Community College27

Ports of Call

21. Memory LaneRecall

_____OK _____ Revisit

20. Neat Feet/Precious Touch (LOFC)

Foot Screen


19. Seeing to HearOtovideoscope(Beltone)


18. Lighten UpBlood Pressure and Heart Rate


17. Fleeting MomentReaction / V-M


16. I am What I Eat Nutrition


15. Right TimeCognitive Function


14. Head and ShouldersUpper Body


13. Does It FloatFiber


12. Grin and Bear ItStress


11. Water, WaterHydration


10. Get a GripHand Strength


9. Get-Up and Go Balance


8. Measuring Up: Height: ___ Weight: _____ BMI: _____


7. Memory LaneRecall


6. Slow and SteadyReach


5. Control and HoldContinence


4. Funny BoneHumor


3. Say What?Hearing


2. Tell the Smell Smell


1. To See or Not to SeeVision: Near and Far


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Screening - Example

Port (Station) _____: Caps, Caps, and More Caps

DirectionsPresent the five pill bottles in descending order from largest to smallest. Ask participants to remove the cap from each bottle in sequence.

Let him/her do it at their own pace.

Scoring: Mark OK if they remove lids of four (4) or more bottles

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Screening - Sample

Port (Station) 7: Finger – to – Nose

DirectionsHave person close eyes. Hold out hands laterally and then touch tip of his/her nose.

Have person do this three times for each hand separately.

Scoring: Mark OK if person is on target without hesitancy = 4 times for combined (4 out of 6).

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Passport to Wellness(Screen Reliability)

.86 .85.79 .70.85 .86.84 .81.89 .853.

.90 .85.89 .81.90 .87.89 .85.91 .922.

.92 .89.81 .72.93 .90.91 .87.94 .911.

Original

T/RT I-RT/RT I-RR/RT I-RT/RT I-RT/RT I-RScreen

Group EGroup DGroup CGroup BGroup A

Group A (n = 28)High School Seniors

Group B (n = 34)Senior Volunteers (CA 66-79)

Group C (n = 22)College Students (Psychology and Social Work

Group D (n = 18)Licensed Clinicians (Social Work, Rehab, Counselors, Occupational Therapists, Speech Pathologists, and others)

Group E (n = 16)

Nursing Students (2nd year in Assoc. Degree Program)

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Quick Screen Record Formby

Dr. William Gingold, PhD, MHA, CSA, CHE, LP

Name: ________________________________________ Age: ________ Sex: ___________Date Screened: _________________________________ Date of Birth: __________________Education Level: ________________ Examiner’s Name: ______________________________

To Score: Check OK (pass) or R (Re-evaluate), if “other” Mark O (Omit), CR (Collateral Report)or NR (No Response or Refused)

Hearing – Left Ear5

Hearing – Right Ear6

Depth Perception3Far Point Visual Acuity2

Other

Contrast Sensitivity4

Hearing – Bi-Neural7

Near Point Visual1

ROKItem TitleItem No.

NotesScore

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Quick Screen Record Form(continued)

Smell – Three Odors16

Touch – Other: ___________________15

Touch – Lips14

Touch – Finger Tips13

Taste – Savory12

Taste – Bitter11

Taste – Sour10

Taste – Salty9

Taste – Sweet8

Propriception – Finger to Nose18

Upper Extremity – Left Hand on Left Shoulder19

Upper Extremity – Right hand on Right Shoulder20

Upper Extremity – Both Hands Behind Head21

Other

Propriception – Hands Together17


NotesScore

33


IADL – “Can You Make Meals?”34

Depression – “What Makes You Happy?”30Polypharmacy - ≤ 431ADL – “Can You Get Out of Bed?”32ADL – “Can You Dress Yourself?”33

Incontinence – Ask!29

Lower Extremity – Rise from Chair, Walk Ten Feet, Turn Around, Walk Back, Sit Down

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Grip Strength – Right Hand24

Grip Strength – Left Hand25

Memory, Short – Digits26

Memory, Working – Three Objects27

Other

Visual Spatial – Clock28

Lower Extremity – One Foot Balance22


NotesScore

34


Attention – Spell W.O.R.L.D. backwards42

Social Support – Getting?41

Nutrition - ≥ 5 Pound Weight Loss in 3 Months36

Home Environment – Stairs?37

Home Environment – Hazards?38

Social Support – Need?39

Social Support – Available?40

Other

Language – Name Animals in 1 minute43

IADL – “Can You Shop?”35


NotesScore

35

Criteria for Screening/Assessment

15. ?

Positive, fun, enjoyable, upbeat14. Pleasurable

Capable of giving a true measure13. Validity (Accuracy

Yield consistent results12. Reliability (Precision)

Reasonable and inexpensive11. Cost

Easy to do10. Simplicity

Outcomes obtained match provider and user intents

9. Outcomes/Benefits/Imports

Service goals match consumer8. Effectiveness

Costs of services match consumer outcomes7. Efficiency

Services match service needs6. Extensiveness

Services that reflect age, functional levels, and diversity needs

5. Appropriateness

Users and providers are satisfied with services4. Acceptability

Available services are easily reached/penetrated3. Assessment

Users are aware of available services2. Awareness

Services can be obtained1. Availability

Disagree(1)

Neutral(2)

Agree (1)SERVICE INDICATOR

RATING

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