The Annual

Health Check-up

Presented by

Donna Clare MN NP

Nurse Practitioner

Jan 27, 2013

What’s it for?

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Two people go into a room…..

Where do I fit on the scale of healthy to unhealthy?

What do Patients Value,

Expect & Need from an Annual Check-up ?

Based on culture, education, acquired knowledge and previous experiences:

•Current ailments dealt with•Perceived vulnerability to illness

recognized in some way•A physical examination•Reassurance, advice, self care

information•Some expect tests, referrals, Rx

Health Status &Early Detection

What does a doctor or

nurse practitioner

Value, Expect & Need when providing an

annual check-up?

A review of lifestyleA review of genetic influencesA review of body functionsA determination of risk factorsA physical examinationA review of chronic disease management

and medication reviewPreventative screeningHealth promotion

Risk Assessment& Prevention

Determinants of Risk

Blue: Family history/geneticsDark Green: LifestyleLight Green: Environment

Genetic Endowment –

the Family History

Focuses on prevalent diseases with a known genetic basis

Also includes tendencies to early death or longevity

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Determines risk factors for certain diseases and when to begin screening

The Environment

Informs risk factor assessment for mood disorders, hearing impairment, obesity, poor health, communicable disease risk,

safety issues, occupation-related injuries.

Inquires about the living situation and environmental exposures particular to the individual

Included: relationships, employment, occupational exposures, living

arrangements, pets, food availability .

LifestyleYou will be asked

about your •Diet• exercise •alcohol use•smoking, •sexual history •drug use•immunizations •seat belt use •dental care •eye exams•mood, •work/life balance, •spiritual life.

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Identifies risk factors for certain health issues and

identifies modifiable risk factors

What is a Modifiable Risk Factor?

Something that you can change that can improve your health in the short AND long term. They include:

Never smoking or quitting smoking ExerciseImmunizations Oral hygieneGood Hygiene Safe sexEating vegetables (Canada Food Guide) Seat BeltsNormal weight FluorideSun protection Friends

What does a doctor or

nurse practitioner

Value, Expect & Need when providing an

annual check-up?

A review of lifestyleA review of genetic influencesA determination of risk factorsA review of body functionsA physical examinationPreventative screeningHealth promotion

Prevention

The doctor or nurse practitioner will as you about your body inquiring about SYMPTOMS that

may point to a problem

The doctor or nurse practitioner will then look for SIGNS of illness in your body based on all of the

data collected thus far :

based on the identified risk factors for disease

Focus on the Body

1)Review of Systems

2) The Physical Examination

Adjustment in the ProcessAccording to Age

Infants & Children

Growth and development are important indicators of a child’s health and well-being.

Anticipatory Guidance like:•Toilet training•Safety•Behaviour problems•Learning or attention difficulties•Food jags•Bullying

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Adjustment in the ProcessAccording to Age

Teenagers

Issues related to:•Pubertal changes•Family relationships•Sexuality and relationships

•Contraception, safe sex, sexual identity•Risk taking incl. drugs and alcohol•Driving safety•Internet Safety•Bullying•Mental Health•School

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Adjustment in the ProcessAccording to Age

Women of Childbearing Age

Issues related to:•Contraception•Anemia/ Iron deficiency•Family Planning•Preconception counseling•Immunizations•Folic Acid supplements•Pap smears, sexual health

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Adjustment in the ProcessAccording to Age

Older AdultsIssues include:

•Fall risk•Nutrition•Cognition•Driving•Osteoporosis•Senses: hearing and vision•Immunization: flu, pneumonia and shingles•Polypharmacy

Everyone is Screened for:

High blood pressureHeart Disease RiskDiabetes RiskStroke riskCancer riskSafety: •Smoke and CO detectors•Hot water temp•Poison control and prevention•Domestic abuse

Expectations

•What are your risk factors?

•What needs to be screened for according to risk, gender and age?

•What prevention strategies can be offered?

Two people go into a room…..

Expectations

•Early detection and screening

•Advice for improving health

•How am I doing?

THANK YOU