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<strong>The</strong> <strong>Wellness</strong> <strong>Department</strong><br />
<strong>ONLINE</strong><br />
PHN <strong>Guide</strong> <strong>for</strong> Members
About Online <strong>Wellness</strong><br />
<strong>The</strong> <strong>Wellness</strong> department now provides services<br />
via<br />
telephone, video visits and e-mail!<br />
Registered Dietitian, Yoga Instructor, Personal Trainers and<br />
<strong>Wellness</strong> Chef work together as an interdisciplinary team to help<br />
treat and prevent chronic diseases as well as improve quality of<br />
well-being.
How to Schedule a <strong>Wellness</strong>Appointment<br />
Online Services<br />
If a member would like to use one of our online services, please contact the corresponding<br />
wellness staff through skype, triage, or e-mail to coordinate appointment times (do not<br />
schedule without approval from <strong>Wellness</strong> staff member or Director of <strong>Wellness</strong>, Deanna)<br />
1. Smokers’ Quitline-Deanna (TRIAGE ONLY-NO APPOINTMENT NEEDED)<br />
2. Nutrition Coaching-Deanna<br />
1. Must first fill out an initial nutrition/cooking questionnaire with Martin<br />
3. Meditation-Deanna<br />
4. Yoga-Deanna<br />
5. Recipe Assistance/Development-Martin<br />
6. Personal Training/Health Coaching- Andre andDanette
Location: 01<br />
Provider:29<br />
PersonalTraining<br />
Type:GYM<br />
Nutrition/Recipe Assistance<br />
Type: NUTR<br />
Note: Name of<strong>Wellness</strong> Staff andType of Service<br />
Ex: “Danette-Personal TrainingAppt.”<br />
Other Services (meditation, yoga, etc)<br />
Type:WELL
• Schedule member <strong>for</strong> every appointment in wellness<br />
• Ex: If a member has 2 appointments, schedule them twice under the<br />
appropriate names
Nutrition Coaching/Consultation<br />
Medical Nutrition <strong>The</strong>rapy<br />
About:<br />
Medical Nutrition <strong>The</strong>rapy, often abbreviated as MNT, is an evidence-based medical approach to treating<br />
certain chronic conditions through the use of an individually- tailored nutrition plan. This nutrition plan is<br />
ordered and approved by a primary care physician and implemented by a Registered Dietitian.<br />
Why do I need Medical Nutrition<strong>The</strong>rapy?<br />
Diet is an important part of everything we do. Food gives our bodies and our minds the fuel to think clearly and<br />
execute daily tasks. Everyone should see a dietitian every year, in the same way that you see the dentist or general<br />
practitioner every year. Diet affects every facet of our lives, from how we look, to how we feel, to how we sleep, to<br />
how we move, and even to how we think. With diet affecting our lives in so many ways, it’s important to have regular<br />
check-ups and interventions with a dietitian to assure that your diet is in good condition in the same way that you<br />
have check-ups and interventions with a doctor to make sure your body is in good condition. MNT can play a lifechanging<br />
role in reducing complications associated with certain chronic conditions, such and Type 2 Diabetes and<br />
Chronic Kidney Disease (CKD).Our dietitians use the Academy of Nutrition and Dietetics’ Evidence-Based Nutrition<br />
Practice <strong>Guide</strong>lines to counsel patients on lifestyle changes and self- management skills.<br />
*Reach out to our Dietitian to inquire about the chronic conditions she can help manage*<br />
*Recommend parsing labs*
Nutrition Coaching/Consultation<br />
New members must first schedule an appointment with <strong>Wellness</strong> Chef Martin to complete their first set<br />
of documents called, “Initial Nutrition Questionnaire” where food preferences and food frequency<br />
questionnaires are completed. This not only assists the Registered Dietitian with her consultation but<br />
also promotes awareness <strong>for</strong> the member of their current dietary issues. This document also indicates<br />
the members’ health patterns and behavior prior to <strong>Wellness</strong>. After this document is completed in<br />
Medent, Martin will then review USDA’s Choose My Plate, schedule nutrition appointment over the<br />
phone, and recommend the member to log dietary intake in a food journal <strong>for</strong> upcoming telephone<br />
appointment.<br />
<strong>The</strong> Registered Dietitian will review members’ medications, conditions, vitals, and labs to provide<br />
individualized medical nutrition therapy. A nutrition note/assessment is completed <strong>for</strong> each initial and<br />
follow up appointment in Medent where goals are developed and progress is noted. Follow ups are<br />
scheduled as needed-weekly or biweekly.<br />
After nutrition appointment, the Registered Dietitian will triage one of the Personal Trainers, either<br />
Danette or Andre, to create an individualized exercise plan as well as triage <strong>Wellness</strong> chef, Martin to<br />
create meals/distribute recipes based on given nutrition recommendations and members’ food
Recipe Assistance & Development<br />
OBJECTIVE: Continue promoting healthy cooking and eating habits of GBUAHN members<br />
through the setting of achievable goals.<br />
PLAN: Members work with the Chef to add new dishes to their diets based on the Dietitians<br />
recommendations and goals<br />
PARTICIPATION: Members were chosen to participate in this program based on referrals to the<br />
<strong>Wellness</strong> department and member outreach. Members are contacted by the Chef via telephone to<br />
personalize the Dietitians recommendations based on their personal food preferences and cooking<br />
abilities. Members are also encouraged to use the available on line resources such as the live sessions<br />
and cooking videos on the GBUAHN Facebook page or the recipes available on the GBUAHN<br />
Instagram page.<br />
FOLLOW UP: Contact via telephone with members bi-weekly checking on their successes,<br />
failures and attempts. At the same time assistance and encouragement is given along with<br />
practical advice in the <strong>for</strong>m of emails containing recipes or suggestions on how to go about<br />
changing their eating habits. This in<strong>for</strong>mation is tracked in the Well Recipe document in Medent.<br />
EVALUATION: Members are encouraged to provide pictures or videos of their finished recipes to<br />
be evaluated and to give feedback to members. Every six months members are given a follow up<br />
assessment to evaluate how they have improved their nutrition/cooking knowledge, behavior,<br />
skills, and self-efficacy.
FOLLOW UP: Follow up is done over the phone weekly to monitor<br />
progress and success of work outs.<br />
Personal Training/HealthCoaching<br />
OBJECTIVE: To promote physical fitness through coordination and<br />
distribution of weekly at home work outs plans to members. Also to<br />
access members needs and limitations to come up with an individualized<br />
plan to assess, plan, and monitor weekly goals.<br />
PLAN: To keep members motivated, active, and physically and mentally happy<br />
while at home. Recordings of workout videos to demontrate proper <strong>for</strong>m and<br />
challenge members. <strong>The</strong>se video include cardio based, seated, in<strong>for</strong>mation,<br />
and Yoga. <strong>The</strong>se workouts will challenge members and push them to stay<br />
moving. Member can access videos through Facebook, Youtube, Vimeo,<br />
Gbuahn app, and Email.<br />
PARTICIPATION: Participants are chosen based on regular attendance of gym<br />
and wellness center and accessibility to email. However, all members have been<br />
contacted through wellness or phns through promotion of online services.<br />
Registered Dietitian also triages personal trainers <strong>for</strong> interdisciplinary work.<br />
TRACKING: Personal trainer track members progress by filling out<br />
Fitness Trackers after every workout.
Yoga LIVE<br />
Free Beginner Yoga class<br />
<strong>Guide</strong>: Deanna, your Director of <strong>Wellness</strong><br />
Via Facebook LIVE<br />
Search: Greater Buffalo<br />
United Accountable<br />
Healthcare Network
Fitness Challenge LIVE
Cooking Class LIVE
Meditation<br />
OBJECTIVE: Help improve mental health and wellbeing.<br />
• Reduces Stress.<br />
• Controls Anxiety<br />
• Promotes Emotional Health.<br />
• Enhances Self-Awareness<br />
• Lengthens Attention Span<br />
• May Reduce Age-Related Memory Loss<br />
• Can Generate Kindness<br />
• May Help Fight Addictions<br />
• Improves Sleep<br />
• Helps Control Pain<br />
• Can Decrease Blood Pressure<br />
PLAN: 15 minute or less mediation sessions via telephone or video apt with our yoga<br />
instructor
Smokers’ Quitline<br />
OBJECTIVE: Assist in the smoking cessation of members to improve overall health<br />
PLAN: Referral members to NYStateSmokers’ Quitline<br />
• <strong>The</strong> New York State Smokers’ Quitline (NYSSQL) is a service of the New York State<br />
<strong>Department</strong> of Health Tobacco Control Program and based at Roswell Park Comprehensive<br />
Cancer Center in Buffalo, N.Y. It is a free and confidential program providing evidencebased<br />
services to New York State residents who want to stop smoking or using other <strong>for</strong>ms<br />
of tobacco. A program with experience, care, and expertise.
Emergency Food Pantry<br />
• SentTriage toYaritza Dejesus<br />
• Do not promote and market these services<br />
as they are <strong>for</strong> emergencies ONLY<br />
• Member has no food and has no funds to<br />
obtain food<br />
• Member is incapacitated (not able to travel<br />
due to medical reasons)<br />
• Member has transportation issues<br />
• Member is new to this country (refugee,<br />
immigrant, etc.) and has not learned to<br />
navigate the system.<br />
• Other food pantries are closed or not<br />
available<br />
• Language barrier<br />
• *Always accepting donations*
Data & Reports: New Protocols<br />
Hemoglobin A1c
Data & Reports: New Protocols<br />
Blood PressureTriage
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