Shasta College Student Health & Wellness Office Services

Shasta CollegeStudent Health & Wellness OfficeFacilitating college successUpdated March 2013Debbie Goodman MSN, RN, PHNCollege Nurse / CoordinatorBecky Bogener MSW, LCSWPsychological CounselorShelley LowryHealth & Wellness Technician

Want to revisit this presentation?1. Visit the Health & WellnessWebpage at:www.shastacollege.edu/wellness2. Click on “Learn more about…..”

Learning outcomesMost underlined text in this presentationprovides a link to health websites andadditional health information.At the end of this presentation, students will beable to:• List the services available through the Student Health &Wellness office.• List 5 health habits that contribute to student success• Identify the Student Health & Wellness office as aresource that facilitates academic retention and success.• Identify additional community health resources

Shasta CollegeStudent Health & Wellness Office• LocationRoom 2020Call the office before driving to campushoping for a “walk-in” appt. – there aretimes we must close early and we wantto minimize unnecessary travel for you.2000 building, Student Center w/ Cafeteria• Hours of ServiceMonday - Friday 8:00am-4:00pmClosed 12:00-1:00 daily

Shasta CollegeStudent Health & Wellness OfficeA “student health fee” supported service whosepurpose is to:• Assist students with short-term / temporaryhealth and related challenges which mightcreate a barrier to success in their academicprogram.• Promote lifetime wellness and healthmaintenance

Important to learning….Staying emotionally & physically healthyImproves your ability to learnCollege success !!When students fail it’s typically not because they can’t do the work,but because physical and emotional stressors “get in the way”.

Important to note:All students (and employees) are required toshow a government issued photo ID (driver'slicense, state issued ID, Passport, MatriculaConsular card) prior to receiving services withproviders, except in the case of emergency.This does not pertain to accessing lobby services(OTC machine, lobby self-help supplies)

Shasta CollegeStudent Health & Wellness OfficeStudents find that physician clinic is helpfulwith….• Academic program physicals• Non-complicated, class-related DMV physicals• Non-complicated work physicals (we cannot drug orendurance test)• Diagnosis & treatment of uncomplicated Irritationsand Infections of: Ear-nose-throat, sinus, respiratorytract, eye, bladder, skin, etc.

Shasta CollegeStudent Health & Wellness OfficeClarification:We are a student health service, not a traditional“doctor’s office”• Physician access is 7 hours or less per week during semesters• No physician access during holidays, semester breaks or summerThe Student Health & Wellness Office is prohibited frommanaging chronic illness or conditions* that requireregular, long-term follow-up with routine medicationrefills.* Asthma, allergies, diabetes, blood pressure, thyroid disorder,hepatitis, TB, high cholesterol, hormones, mental health meds, etc.

Connecting you to the community…When you are in need of a primary healthcareprovider for the management of an on-goinghealth condition we will do as much aspossible to connect you with a communityprovider…• MediCal / CMSP applications in our office• List of community walk-in clinics

Examples of Community HealthcareResources (not complete list)• Shasta Community Health Center UrgentCare Clinic – Sliding-scale fee programs• HOPE van – Not just for the homeless (next slide)• Target “discount” prescription list• Wal-Mart “discount” prescription listHINT – Take a recent copy of the low-costprescription list with you to your next MDappt. Ask the MD / NP / PA if one of the verylow cost meds will meet your needs!

Call (530) 246-5710 forHOPE van location-ofthe-day.

Shasta CollegeStudent Health & Wellness OfficeCheck the Health & WellnessOffice’s homepage for online,anonymous Brain & BodyHealth screening links.• Psychological Counseling• Brief, solution-focused therapyAvailable by appointment (50 min. visit)Crisis walk-in “hour” available daily (15 min. visit)Stress & anxiety reductionDepressionTest anxietyRelationshipsLoneliness / HomesicknessDifficulty managing angerDrug / alcohol use - abuseBecky Bogener LCSW

Reasons students withdraw…..Personal problemsChange of programsEconomic/healthproblemsOtherFrom: “Emotional Intelligence in Higher Education”ACHA 2008 Conference Presentation

Mental Health & College Success• “It is clear that academic success goes hand in hand with emotional andphysical well-being…• College is a fresh start for many students, but dysfunctional coping stylescan cripple their efforts…•Even students who “get by” or succeed academically can be at risk ifunhealthy behavioral patterns follow them after college…• Promoting emotional health in students is an investment in the future.It should be part of the mission of all colleges and universities.”Dr. Richard Kadison, Chief of Mental Health,Harvard University

How stressaffects thebody… (check outthis online resource byHelpguide.org )Coping toolshelp minimizethe effects ofstress on thebody, whichimproves yourability to learn.

Becky’s favorite handout for students…

Strengthening Your ResilienceThink about a time you overcame a major obstacle. What strengths and skills helped you? Theseare part of your natural resilience. And they’re something you can build on.Resilience is the ability to push forward and adapt when things don’t go as planned. It meansbeing able to overcome past hardships, keep going in the face of daily challenges, and bounceback when you face major setbacks.These steps can help strengthen your resilience in the face of a challenge:• Tune in to your thoughts and beliefs. How you think plays a big part in how you react tosituations. Do your thoughts make you feel hopeful or hopeless?• Reach out. Take time to strengthen your connections with loved ones or make newconnections.• Pat yourself on the back. A positive view of yourself is key. Take time to reflect on yourstrengths, skills, and accomplishments.• Think of one thing you can do. Even in challenging situations, there’s usually at least onething you can do, even if it’s just changing how you react.• Make a plan. Set a goal and make a plan to get there. Try to do something each day to worktoward your goal.There is no magic formula for resilience, but each of the above steps can help you bounce back insome way. Find the mix that helps you feel strong and more able to adapt.

Consider our counseling services if you would like helplearning tools to improve resilience and coping.Think Positive ThoughtsLife is full of challenges. And when you have trouble tackling one, it’s easy to slip into negative thoughts about yourself.But letting those thoughts define you can take a real toll on your health. Take back control with positive affirmations.An affirmation is a simple, positive statement that you repeat to yourself. An example is, “I am a smart and resourcefulperson.” Statements like this can help you feel worthy and capable. They can also help change your thinkingpattern.Feeling good about yourself is key for optimal health. That’s because high self-esteem is linked to optimism.And research shows optimistic people:• Get sick less often• Heal faster after illness• Live longer livesTo help turn affirmations into beliefs, repeat them to yourself throughout the day. Here are some tips to lift your spirits:• Jot down positive thoughts on sticky notes. Hang them on your fridge, calendar, or desk at work. These simplereminders will help cheer you on throughout the day.• Use your own voice as a coach. Keep a small tape recorder with you. Use it to create an audio collection ofpositive thoughts. You can tune in whenever you get down on yourself.• Remind yourself of past accomplishments. Write out a list of all the things you have achieved. Refer to this listeach time you need a boost.• Your thoughts can quickly turn into your worst enemy. Or they can become your best friends. Make more roomfor happy, healthy thoughts in your head.

Monthly on-Campusreproductive healtheducationfor men & womenBase your activities and choices on accurateinformation – don’t “get caught” because you“thought it was OK”…Call Planned Parenthood for more informationabout their Redding clinic services:Planned Parenthood: Shasta-DiabloRedding Regional Center2935 Bechelli Lane, Suite CRedding, CA 96002-1905Phone: 530-351-7100

Dental Hygiene Serviceshttp://www.shastacollege.edu/HSUP/DNTL/clinichours/• Services ProvidedStudents provide all services under the supervision of instructors.Basic to advanced cleanings are available with x-rays at no cost to registered ShastaCollege 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 cleaningappointment.The Dental Hygiene Clinic holds screenings several times a week. There is no cost forthe screening visit, however not all patients will qualify for treatment at the dentalhygiene clinic. Screenings are limited to 5 patients each session, on a first come firstserved basis.• Office staff is available to answer questions at 530-339-3608.Shasta College Dental Hygiene ClinicHealth Sciences Building, Downtown1400 Market Street St. 8106Redding, CA 96001(530) 339-3608Services Not ProvidedDental fillingsDental extractionsRoot canalsDenturesOther services provided by a Dentist

The importance of dental health…Over the past decade, evidence has been gathered to strongly suggestthat 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 developinggum 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 bacteriaare easily carried to the lungs and worsen existing lung disease, especiallyCOPD .

Nurse provided services / wellness• TB testing and verification• Vision / hearing screening• Body Composition analysis• Illness assessment & referral• Urinalysis (bladder infection check)• Pregnancy testing (35 days since LMP)• First aid / student injury reporting process• Tobacco Cessation counseling• Blood pressure screening• Cholesterol screening ($20.00 fee)• Blood sugar screeningKnow your numbersby the time you are20 years old!

Shasta College Smoking & Tobacco Use PolicyBoard Policy #3810We are a non-smoking campus with the exception ofdesignated areas.Please…..1. Smoke ONLY in designated smokinggazebos near the:Includes e-cigarettes !!• Walkway east of 1100 building• North parking lot, in front of Bookstore• Dorms have designated area forresidents2. Wait to light up until you are IN the gazebo!

About e-cigarettes…..• The vapor emitted from an e-cigarette is not just water vapor. At the very least, itcontains a propellant. If it is a nicotine e-cigarette then it also emits nicotine particles inthe vapor. So – for those nearby there is a “second-hand” exposure to chemicals,similar to other smoked products.• Due to the lack of regulation, no one knows how much nicotine and other substancesare in the different e-cigarettes, and manufacturers have not had to provide anyscientific evidence to support their claims or to comply with public health regulationsintended to protect consumers from deceptive claims. Centers for Disease Control andPrevention (CDC) 2/28/13• "E-cigarettes have not been scientifically shown to be effective tobacco cessation tools,yet some distributors are marketing them either directly or indirectly for that purpose,"Chris Hansen, president of the American Cancer Society Cancer Action Network (ACSCAN) 3/2/2013

What are the symptoms ofInfluenza-like Illness (ILI aka Flu)?• Sudden onset fever over 100.0 F• Headache• Body pain• Cough• Fatigue• 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 more infoAnd, in the case of H1N1 – possibly add….• Nausea and / or vomiting

January-March is not too late to get a flu shot!Call Public Health 225-5591 for more information.Flu Vaccination….• Does NOT cause you to get the flu• Protects your family, the elderly, the very young, and those thatcannot receive vaccination, as well as yourself• Protects you from missing school or work ($$) because of the flu• Is the cheapest health insurance you can buy…usually ~$10 to $20• Vaccination is critical for those with asthma or other respiratoryconditions, persons who are confined to bed or wheelchair, as well asthose having diabetes, heart conditions, or who are pregnant.

How flu vaccines and antivirals work• Vaccines works to prevent attachment of thevirus to the cells of the body (“H” portion ofH#N#)• Antivirals works to stop the replication of thevirus in the cells of the body (“N” portion ofH#N#)

What can I do to not get the flu?• Wash hands and use 60+% alcohol-based hand sanitizers betweenwashings – ESPECIALLY AFTER TOUCHING COMMONLY TOUCHEDAREAS.• Cover coughs and sneezes with your sleeve / dispose of tissue in thewaste basket – then wash / sanitize hands.• Don’t touch your nose, mouth, and eyes with hands• Stay home when you are sick• Get Vaccinated!• Pneumonia vaccine – Strongly recommended for adults 19 years and olderwho have asthma or smoke cigarettes (new), as well as adults 65 years andolder, 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

The Goal = Stay Healthy, complete college !Wash your hands after touching itemseveryone touches…

What if I get an ILI / Flu?• Stay homeMost people will recover without using an antiviralHowever, antivirals can be prescribed by yourhealthcare provider to lessen the impact of the flu• Are you in a “high-risk” group ?• If you get the flu and become short of breath or havedifficulty breathing, immediately contact yourphysician or go to the nearest emergency room.

The winter-break is not too late to get a flu shot!Call Public Health 225-5591 for more information.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 minutewalk each day.• Stay current with adult vaccinations – Flu, pneumonia, Menactra(meningitis), Mumps (MMR), TDaP (tetanus / pertussis), ShastaCounty Public Health Vaccination Services• Shingles shot (herpes zoster) now approved for persons over 50!• Avoid close contact with people who are sick.• Cover your mouth and nose - cough into your sleeve.(5 minute DVD) http://www.coughsafe.com/media.html• If possible, stay home from work, school, and errands when you aresick. You will help prevent others from catching your illness.

The Goal = Stay Healthy, complete college !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 misssleep cycles that play a key role in the ability to store newlylearned 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 Jan/Feb 2006

How technology interferes with sleep:Bright screens can confuse ‘sleep switch’PinealGland• There is a part of the brain that sits right above the optic nervescalled the pineal gland.• The light or dark that our eyes sense triggers the optic nerve,which triggers the pineal gland to turn on melatonin productionwhen the eyes sense darkness and shut it off when the eyessense light.• Melatonin, a natural hormone, is often called the “DraculaHormone – it only comes out in the dark.”• During the day the pineal gland is inactive. When the sun goesdown and darkness occurs, the pineal is "turned on" and begins toactively produce melatonin, which is released into the blood.Usually, this occurs around 9 pm. As a result, melatonin levelsin the blood rise sharply and you begin to feel less alert. Sleepbecomes more inviting. Melatonin levels in the blood stayelevated for about 12 hours - all through the night - before thelight of a new day when they fall back to low daytime levels byabout 9 am. Daytime levels of melatonin are barely detectable.

The Goal = Stay Healthy, complete college !The importance of sleep…In fact….A significant number of people going to a health provider(MD, NP, LCSW) with symptoms of depression and anxietyare actually suffering from sleep deprivation and not anactual mental health diagnosis.B. Bogener LCSW / per recent studies(Harvard / Mayo Clinic / ASU)Healthy Sleep Tips from the NationalHeart/Lung/Blood Institute (NHLBI)

The Goal = Stay Healthy, complete college !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 tosleep or waking times. Even with 8 hours of sleep, shifting sleepschedules by more than 2 hours results in greater depressivesymptoms, attention and concentration difficulties.• Students with increased REM sleep following intensive learningperiods perform better on exams. Memory consolidation takesplace during the REM stage (last 2 hours) of sleep.• Students with more consistent week and weekend wake timeshave better sleep quality and academic performance.You can’t recover lost sleep.

The Goal = Stay Healthy, complete college !The remedy….Persons workingduring the nightmust take extrameasures to besure sleepenvironment istotally darkduring normaldaylight hours!!In addition to tips1. Determine whenyou need to stopevening use ofcomputers toallow melatoninproduction2. Turn off / coveriLights3. Use noise buffers• Blue light limits melatonin production• Red light has no effect on melatoninproduction

RECAP - How to stay physically and academically healthyGet adequate sleep!!!

Alcohol’s impact & harm reductionStudent-reported negativeconsequences of alcohol use,starting with highest # reported:Student-reported alcohol harmreduction strategies, starting withhighest # reported:1. Doing something they regretted2. Forgetting locations / actions3. Being physically injured4. Physically injured another5. Trouble with the police6. Seriously considered suicide1. Use a designated driver2. Eat before and/or during drinking3. Determine in advance a set number ofdrinks4. Choose not to drink alcohol5. Alternate non-alcoholic with alcoholicbeveragesSource: National College Health Assessment

Webpage ResourcesVarious screenings and info:• eCHUG• eTOKE• Online Brain / Body Health Screenings• Ulifeline• Suicide prevention• First Aid guide and Symptom checker• Virtual brochure rack• Many, Many more resources

Additional health resourcesShasta County Health & Human Services Agency(aka Public Health)Quitting Tobacco assistanceMRSA /Staph informationWest Nile Virus informationHIV / AIDS testing & servicesEmergency preparednessPublic Health services for families & Older adultsVaccinesAnd much, much more….Retail Food Facility Inspection Results (Shasta County)Centers for Disease Control http://www.cdc.gov/

In our office lobby as well as 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 towardsachieving them.1. By writing them down, you visualize your goals.2. The act of writing down goals creates a commitment on yourpart. Only about 5% of the population actually takes the time towrite down their goals.3. Setting goals leads to planning, which can reduce symptoms ofanxietyWhat are your health goals for this semester?Can the Student Health & Wellness Office help?http://www.goal-setting-guide.com/goal-writing.html

The Goal = Stay Healthy, complete college !Lots of health information…• Pamphlet racks – library, counseling center,outside our office (room 2020)• Check out our homepage website:http://www.shastacollege.edu/wellness/

Shasta CollegeStudent Health & Wellness OfficeHave a greatsemester!