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A Proposal for a Case Management Program for Chronic Disease at Touro University’s Student Run Health Clinic. By Sarah Rose New Touro University- California Advisor: Dr. Thairu. Capstone Objectives.
By Sarah Rose New
Touro University- California
Advisor: Dr. Thairu
To present a proposal for a Case Management Program that monitors hypertension, diabetes, obesity, and cardiovascular disease at the Touro University’s Student Run Health Clinic
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Typical patient coming in for screening physical, OMM treatment etc.
PROTOCOL FOR RISK ASSESSMENT
CP, SOB, BP>180/120 Notify Dr. Lopes to access urgency
Triage: get BMI, BP, Random Glucose test, recent weight loss, thirst +FH (DM, CVD, HTN)
H and P
SD/PA: Evaluate, discuss with Dr. Lopes after H and P and Refer to case managerif BS> 126 0r BMI>25 0r BP >130/85, and/or by Dr. Lopes’s discretion
Overweight and no other risk
Random BS >126
Identify risks for metabolic syndrome
Identify other risks for CVD
RF 1: abdominal obesity (waist circumference >40 inches in men or >35 inches in women) *
RF 2: glucose intolerance (fasting glucose >100 mg/dL), *
RF 3: BP >130/85 mmHg, *
RF 4: high triglycerides (>150mg/dL)
RF 5: low HDL (<40 mg/dL in men or <50 mg/dL in women).
1. Cigarette smoking
2. Obesity (body mass index ≥30 kg/m2)
3. Physical inactivity
5. Diabetes mellitus
6. Age (older than 55 for men, 65 for women)
7. Family history of premature cardiovascular disease
8. Sleep apnea
At risk weight BMI>25
FH of DM
High blood sugar
Case Management Program only
County referral (per Dr. Lopes) and Case Management Program
If more than 1 Risk Factors, if not please refer to box 1