Debbie Goodman

Nicole Houghtby

Shelley Lowry

•MSN RN PHN•College Nurse / Coordinator

•MA LCSW•Psychological Counselor

• Health & Wellness Technician

Updated 9.2018

Supporting studentsuccess

Want to revisit this presentation?

1• Visit the Health & Wellness webpage at: www.shastacollege.edu/wellness

2• Click on “Wellness Services

PowerPoint...”

Learning outcomes for this presentation are that you should be able to…

Locate the Student Health & Wellness office and list services available in the office.

Locate Doctor Clinic dates on the college homepage

Locate the Health & Wellness Office webpage

Engage in a health habit that contributes to student success and explain how the Student Health & Wellness office can support developing those habits.

Health Habits that contribute to Student Success

Eat right & exercise

Sleep!

Get help when needed

Manage stress

Set goals….and write them down!

Location and service hours

LocationRoom 2020 2000 building, Student Center with Cafeteria

Hours of Service*Monday - Friday 8:00am-4:00pm Closed 12:00-1:00 daily

We are happy to accommodate walk-ins when possible but recommend appointments as there will be times:

• The office must close for all staff to attend a meeting.

• The College Nurse and / or Psychological Counselor are out of the office during regular office hours.

* The Student Health & Wellness Office maintainshours different than that ofother student service offices.

Student Health & Wellness OfficeWhy do I pay a health fee?

You have access to a student health fee supported service whose purpose is to:

Assist students with short-term / temporary health and related challenges which might create a barrier to success in their academic program.

Promote lifetime wellness andhealth maintenance Students +

health = SUCCESS!

Top 10 issue student-reported issues impacting academic

performance

Percentage of students reporting they are affected by

the issue (n=17,271)Stress 28.8%Work 20.5%Sleep difficulties 19.5%Anxiety 18.3%Cold / Flu / Sore throat 14.5%Depression 13.5%Finances 11.1%Internet use /computer games 11.0%Concern for a troubled friend or family member

10.6%

Relationship difficulties 10.6%

National College Health AssessmentCalifornia Community College Students

The Health & Wellness Office can help with strategies / interventionsto address these issues so they don’t interrupt your college success!

Spring 2013 data

Student Health & Wellness OfficeOverview:

Doctor Clinic Psychological Counseling

Nurse Services

Health Screenings

Webpage Resources

Dental hygiene services : Not supported by the health fee, but too awesomenot to know about!!

Each box linked to applicable webpage

Doctor ClinicFREE visit with licensed physician.

• One day a week – check Events Calendar on college homepage

• 8:00am – 12:00pm & 1:00pm-4:00pm, last appt. is 3:30pm

The Student Health & Wellness Office is not a traditional “Doctor Office”.Doctor services are contracted and limited. No access on weekends, holidays, breaks or summer.Care of chronic, long-term conditions is not within this office’s scope of services.Community resource information available upon request.

If you need community medical resources

Carry your insurance ID card, or store a pic of front & back in your photos.

Read the front and back of your card

Identify, before there is a need, where your insurance is accepted, especially Urgent Care Clinics. Staying “in-network” with your insurance keeps your costs lower.

Health Insurance OptionsHOW DO I FIND OUT WHAT’S AVAILABLE FOR ME?

In Shasta County: www.coveredshasta.com orhttps://www.c4yourself.com/c4yourself/index.jsp

You can also go to:• Covered California www.CoveredCA.com• The Health Insurance Marketplace

www.HealthCare.gov

A Community Health Advocate comes to campus once a month. Call to schedule a meeting for assistance with health insurance and food stamps.

…About food….. About food…..

To assist our students having difficulty

Psychological CounselingNicole Houghtby LCSW

FREE, 50 min. visits with licensed clinical therapist Brief, solution-focused therapy – most concerns can be

resolved in just a few visits!! Crisis-walk in times at 11am & 3pm Complete the intake packet, bring to our office to schedule an

appointment.

Prefer doing your own “check-up from the neck-up”before speaking with someone?Check out our Online Screenings

Stress & AnxietyDepressionTest AnxietyRelationshipsLoneliness / HomesicknessManaging AngerDrug / Alcohol use - abuse

Reasons students withdraw…..

Personal problems

Change of programs

Economic/healthproblemsOther

From: “Emotional Intelligence in Higher Education” American College Health Association

Personal problems #1 reason for withdrawal.

How stress affects the body Helpguide.org

Learn coping tools to help minimize the effects of stress on the body, which improves your ability to learn.

See the link Manage stress for student success! on our website.

Apps can be a portable coach to help with challenging situations.MindShift: evidence-based resource for managing anxiety and stress.

Consider H&W counseling services if you would like help learning tools to improve resilience and coping.

Additional resources:

Manage that stress for student success!

Stress Quiz, Resilience and the Power of Positive Thoughts

Make time to care for yourself!

Being kind

Boosts healthy brain chemistry for the giver and receiver of kindness

Those around us have struggles of which you may never know – your kindness could be the best, most healing part of their day.

And just FYI….(not health fee supported but an importantcommunity resource)

Comprehensive reproductive health clinics for women and men:

Redding Regional Center2935 Bechelli Lane, Suite CRedding, CA 96002-1905Phone: (530) 351-7100

Women’s Health Specialists1901 Victor AveRedding, CA 96002Phone:(530) 221-0193

This image cannot currently be displayed.

www.bedsider.org Free support network for birth control

Yikes!

And just FYI….(not health fee supported but an important student resource)

Shasta College Dental Hygiene ServicesDental Hygiene Clinic Fall SemesterDental Hygiene Clinic Spring Semester

Students provide all services under the supervision of instructors.Basic to advanced cleanings are available with x-rays at no cost to registered Shasta College students

and at low cost to the general public.

Screening: Call for informationPatients must be screened to qualify for the clinic prior to scheduling a cleaning appointment. The Dental Hygiene Clinic holds screenings several times a week. There is no cost for the screening visit, however not all patients will qualify for treatment at the dental hygiene clinic. Screenings are limited to 5 patients each session, on a first come first served basis.

Office staff is available to answer questions at 530-339-3608.

Shasta College Dental Hygiene ClinicHealth Sciences Building, Downtown1400 Market Street St. 8106 Redding, CA 96001(530) 339-3608

The importance of dental health

Evidence has been gathered to strongly suggest that the inflammation of periodontal (gum) disease contributes to:

Premature and very small babies - Oral bacteria found inthe placenta and amniotic fluid can affect fetal growth and cause early labor.

Worsens diabetes - Type 2 diabetes TRIPLES risk of developing gum disease and infection, and gum disease worsens control of blood sugar

Plays a part in heart, brain and lung diseases –Increases by 20% risk for heart disease, heart attack and stroke; oral bacteria are easily carried to the lungs and worsen existing lung disease, especially COPD .

Nurse services / wellness

Illness assessment & referral First aid / student injury reporting process TB testing and verification Hemoglobin / Anemia screening Vision / hearing screening Body Composition analysis Urinalysis (bladder infection check) Pregnancy testing (35 days since LMP) Tobacco Cessation counseling Carbon Monoxide (CO) breath screening Blood pressure screening Cholesterol screening ($20.00 fee) Blood sugar screening

How are YOU programmed to

handle cholesterol?

Know your numbers! Each of these can be screened in the Health & Wellness Office

Credit: CDC

Body Composition

American Heart Association – Diabetes info

Credible sites promoting healthy eating and activity

NIH Body Weight Planner

http://www.sparkpeople.com/

Shasta College Smoking & Tobacco Use PolicyBoard Policy #3810

1. Smoke ONLY in designated smoking gazebos near the:

• Walkway east of 1100 building

• North parking lot, in front of Bookstore

• Dorms have designated area for residents

2. Wait to light up until you are IN the gazebo!

Includes e-cigarettes, vapes, cigars, hookahs,

bidis, cloves, etc.

We are a non-smoking campus with the exception of designated areas.Please…..

“A growing number of studies find that some of the liquids used in e-cigarettes contain flavorings whose inhalation has been associated with lung problems, ranging from irritation to a rare but serious lung disease. For example, diacetyl, a butter-flavored chemical, has been linked to dozens of cases of bronchiolitis obliterans, a life-threatening obstructive lung disease.” Washington Post 8.31.2015 http://wapo.st/1LP4NhH

The vapor emitted from an e-cigarette is not just water vapor. At the very least, it contains a propellant. If it is a nicotine e-cigarette then it also emits nicotine particles in the vapor. So – for those nearby there is a “second-hand” exposure to chemicals, similar to other smoked products.

Why eCigs have to be used in smoking gazebos…

Risk of heart attack is:

x2 for daily e-cigarette users

x5 for those who daily use both cigarettes and e-cigarettes

Help with quitting tobacco and vaping

https://www.quitterscircle.com/

http://tobaccofreeca.com/e-cigarettes/vaping-help-people-quit/

https://www.nobutts.org/

The seasonal illness that causes the most interruptions to class, work, studies, family…

The…..

FLU!https://www.cdc.gov/flu/

Sudden onset fever over 100.0 F Headache Body pain Cough FatigueAnd, in the case of some, but not all, viruses Nausea and / or vomiting

Symptoms of “Influenza-like Illness” (“ILI”, aka Flu)

• Flu peaks in the spring months – February, March, April.

• It takes 10 -14 days to develop immunity after a flu shot

•January / Winter Break is not too late to get a flu shot

•Call Public Health @ 225-5591 for vaccine information or visit your local pharmacy for a flu shot

Flu Vaccination….

• Does NOT cause you to get the flu• Protects your family, the elderly, the very young, and those that cannot receive vaccination, as well as yourself (increases “Herd Immunity”)

• May help protect you from missing school or work ($$)• Cost: usually ~$10 to $20, may be free in certain insurance plans • Vaccination is critical for those with asthma or other respiratory conditions, persons who are confined to bed or wheelchair, as well as those having diabetes, heart conditions, or who are pregnant.

January is not too late to get a flu shot!

Our office annually has a limited quantity of 4-stain flu vaccine available forstudents for $20. Call or visit our office for more information

What can I do to not get the flu? Cover coughs and sneezes with your sleeve / dispose of tissue in the

waste basket – then wash / sanitize hands. Don’t touch your nose, mouth, and eyes with unwashed hands Get Vaccinated! Consider the pneumonia vaccine – Recommended for adults 19 years

and older who have asthma or smoke cigarettes as well as adults 65 years and older, and those 2-64 years with chronic illness (heart, lung, diabetes, alcoholism, liver, kidney, and immune-compromising conditions.)Source – CDC and Shasta County Public Health

Wash hands ESPECIALLY AFTER TOUCHING COMMONLY TOUCHED AREAS. Alcohol sanitizers ok but not as good as washing.

What if I get an ILI / Flu?

• Stay home! Most people will recover from the flu with good self-care.

• Call your doctor to see if an antiviral is indicated

Take care of yourself!

• Difficulty breathing is NOTnormal

• See your doctor or go to an urgent care clinic or emergency room

Get help for breathing problems!

Measures to stay healthy

Keep your immune system strong - Daily multivitamin with meals, eat fruit and vegetables, get enough sleep, and take a 20-30 minute walk each day.

Stay current with adult vaccinations – Flu, pneumonia, meningitis, Mumps (MMR), TDaP (tetanus / pertussis), Shingles

Avoid close contact with people who are ill.

Cough and sneeze into your sleeve – don’t let your “door knob” hands touch your face

If possible, stay home from work, school, and errands when you are sick. You will recover faster with rest as well as prevent spreading illness.

Get adequate sleep…about that…..

The importance of sleep…

• Less than 6 hours per night contributes to 50% reduction in T cell (immune system) production = more illness

•Students with fewer than 8 hours of sleep / night may also miss sleep cycles that play a key role in the ability to store newly learned information.

•With too little sleep, the body accumulates a “sleep debt.” Eventually, this debt must be paid, even if this means falling asleep at a bad time,such as while driving or in class .

• Many students who experience academic difficulties do not realize thatpoor sleep habits may be contributing to their problems.

Journal of American College Health

How technology interferes with sleep:Bright screens can confuse ‘sleep switch’

There is a part of the brain that sits right above the optic nerves called the pineal gland.

The light or dark that our eyes sense triggers the optic nerve, which triggers the pineal gland to turn on melatonin production when the eyes sense darkness and shut it off when the eyes sense light.

Melatonin, a natural hormone, is often called the “Dracula Hormone – it only comes out in the dark.”

During the day the pineal gland is inactive. When the sun goes down and darkness occurs, the pineal is "turned on" and begins to actively produce melatonin, which is released into the blood. Usually, this occurs around 9 pm. As a result, melatonin levels in the blood rise sharply and you begin to feel less alert. Sleep becomes more inviting. Melatonin levels in the blood stay elevated for about 12 hours - all through the night - before the light of a new day when they fall back to low daytime levels by about 9 am. Daytime levels of melatonin are barely detectable.

Pineal Gland

• Blue light limits melatonin production• Red light has no effect on melatonin

production

To learn better - make sleep a priority!Check out the Go to Bed Snooze Letter

• Don’t vary by more than 2 hours from day-to-day your going to sleep or waking times. Even with 8 hours of sleep, shifting sleep schedules by more than 2 hours results in greater depressive symptoms, attention and concentration difficulties.

• Students with increased REM sleep following intensive learning periods perform better on exams. Memory consolidation takes place during the REM stage (last 2 hours) of sleep.

• Students with more consistent week and weekend wake times have better sleep quality and academic performance. You can’t recover lost sleep.

RECAP - How to stay physically and academically healthy

Get adequate sleep!!!

Alcohol….not a good stress-management strategy

Student-reported negativeconsequences of alcohol use,starting with highest # reported:

1. Doing something they regretted2. Forgetting locations / actions3. Being physically injured4. Physically injured another5. Trouble with the police6. Seriously considered suicide

Student-reported alcohol harmreduction strategies, starting withhighest # reported:

1. Use a designated driver2. Eat before and/or during drinking3. Determine in advance a set number of

drinks4. Choose not to drink alcohol5. Alternate non-alcoholic with alcoholic

beverages

Source: National College Health Assessment

Online Health Screenings

Mental Health ScreeningseCHUG (alcohol)

eTOKE (marijuana)Internet Gaming and Gambling

Military Support

eCHUG & eTOKE funded by Shasta County Department of Health & Human Services

Like us on Facebook www.facebook.com/ShastaCollegeStudentHealthWellness1

FREE Training! Learn skills to help connect with struggling friends or classmates

Digital health magazinehttp://shastacollege.readsh101.com/Download the FREE Student Health 101 app!

More Online Resources

Office lobby resourcesAlso Intermountain, Tehama & Trinity offices & HSUP (downtown)

Provided at no charge to students:

Over the counter (OTC) token vending machine –Ibuprofen, Tylenol, aspirin, etc.

Cough drops Minor first aid supplies Feminine hygiene products Condoms

What about goal setting?

Writing down your goals is an important first step towards achieving them.

1. When you put pen to paper you turn your thoughts into something tangible.

2. The act of writing down goals creates a commitment on your part. Only about 5% of the population actually takes the time to write down their goals.

3. Setting goals leads to planning, which can reduce symptoms of anxiety

What are your health goals for this semester? Can the Student Health & Wellness Office help?

http://www.goal-setting-guide.com/goal-writing.html

Have a great semester!