Health Management (10)

Note: If you previously downloaded the app, check that you have version 7.0.1 with 2020 schedules and footnotes.

Health Guardians who recommend or administer vaccines can access all recommended immunization schedules and footnotes using the CDC Vaccine Schedules app. Optimized for tablets and useful on smartphones, the app shows child, adolescent, and adult vaccines recommended by the Advisory Committee on Immunization Practices. (ACIP)

GENERAL CONSIDERATIONS: Health records used to support Second-Level Priority problems are the second type of health records the Health Guardian collects. To those new to maintaining their own health records, it can seem like a quagmire of paperwork. Prioritization can bring peace of mind, to the otherwise nightmare.

ISSUES: There are just too many, time consuming records, that could add value in the complimentary health care practice, and most of them are best maintained in the home. For beginners, how do you know which to start with, and which can wait until later. Of course, product vendors will tell you the records that build the case for their product are the most important. How can the Health Guardian know the truth?

STRATEGY: This prioritization method is based on the same criteria found in many emergency rooms, but here we are triaging records instead of bodies. Priority setting can also evolve overtime, with changes in priority depending on the relationships between and severity of problems the Health Guardian is addressing.

  1. FIRST-LEVEL We assign higher priority to the health records supporting first-level priority problems such as airway, breathing, and circulation pathologies.
  2. SECOND-LEVEL Next assign a lessor priority to the health records supporting second-level priority problems, which include mental status changes, acute pain, infection risk, abnormal laboratory values, chronic illness, and elimination problems.
  3. THIRD-LEVEL Then we might address the health records of third-level priority problems such as lack of knowledge, mobility problems, strengthening organ systems, and family responses.

Each of these types of records, first, second, and third level records have different purposes and use. It makes sense to treat them differently. In this post Second-Level Priority Records will be considered, followed by other posts describing Third-Level Health Records.

THE BASE-LINE RECORDS The Second-Level problems are those that are next to the first-level problems in urgency- those requiring your prompt intervention to forestall further deterioration. There are more Health Records used to prevent and treat second-level problems. Dental records are the most common example used here. But there are many more types, and together they form your health base-line to be compared against measurements during temporary health issues.

Some Examples of second-level records include:

  • Immunization Records
  • Self-Examination Records
  • Vital Readings such as Blood Pressure, Pulse
  • Blood Lab Work 
  • Sugar Levels
  • Exercise Record 
  • Nutrition Record
  • Vision Records
  • Weight, height, BMI and other physical and mental characteristics

Often, these records are referred to as the “Base-Line” database. The base-line is combined with your focused or PROBLEM-CENTERED Database as a complete set of second-level health records. This is used for a limited or short-term problem. Here you collect a “mini” data base, smaller in scope and more targeted than your complete set of health records or complete database. It concerns mainly with one problem, one cue complex, or one body system. It is used in all settings- Hospital, primary care, or long-term care. Its use is for comparing your base-line characteristics against a current “Single Problem Onset” set of characteristics.

The second-level set of records also includes the “FOLLOW-UP” database of records, and are used to record answers to questions such as:

  • What change has occurred?
  • Is the problem getting better or worse?
  • Which coping strategies are used?

This type of database is used in all settings to follow up both short-term and the chronic health problems found with level-three problems. The “Follow-Up” database helps bridge level-two and level-three problem records.

GENERAL CONSIDERATIONS: Health records used to support First-Level Priority problems are the first health records the Health Guardian collects. To those new to maintaining their own health records, it can seem like a quagmire of paperwork. Prioritization can bring peace of mind, to the otherwise nightmare.

ISSUES: There are just too many, time consuming records, that could add value in the complimentary health care practice, and most of them are best maintained in the home. For beginners, how do you know which to start with, and which can wait until later. Of course, product vendors will tell you the records that build the case for their product are the most important. How can the Health Guardian know the truth?

STRATEGY: This prioritization method is based on the same criteria found in many emergency rooms, but here we are triaging records instead of bodies. Priority setting can also evolve overtime, with changes in priority depending on the relationships between and severity of problems the Health Guardian is addressing. 

  1. FIRST-LEVEL We assign higher priority to the health records supporting first-level priority problems such as airway, breathing, and circulation pathologies.
  2. SECOND-LEVEL Next assign a lessor priority to the health records supporting second-level priority problems, which include mental status changes, acute pain, infection risk, abnormal laboratory values, chronic illness, and elimination problems.
  3. THIRD-LEVEL Then we might address the health records of third-level priority problems such as lack of knowledge, mobility problems, strengthening organ systems, and family responses.

Each of these types of records, first, second, and third level records have different purposes and use. It makes sense to treat them differently. In this post First-Level Priority Records will be considered, followed by other posts describing Second-Level and Third-Level health records.

The First-Level problems are those that are emergent, life threatening, and immediate, such as establishing an airway or supporting breathing. These records form an emergency database. This is a collect of crucial information and is often compiled with concurrently with lifesaving measures. To increase our current state of readiness for first-level problems, we may decide to create a list of emergency health providers and their contact information. Of course, you may want to train in first aid, or CPR, but when talking about health records, it's more about documents than about Epinephrine injection protocols.

THE EMERGENCY CONTACT FORM typically lists all those on your Primary Care Team which not only provides the contact information of your Primary Care physician but also those such as your Dentist, Chiropractor, Nutritionist, Pharmacist, Physical Trainer, Psychologist, and Ophthalmologist. This contact form should also include others such as babysitter, next of kin, pastor or clergy member, school teachers and administrator, and employer. 
The phone number to a local ambulance and EMS team is also a good idea.
Now if this EMERGENCY CONTACT FORM is completed, and then tucked in a desk drawer that no one can find, it will not be as effective as if it were posted in plain sight and clearly labeled so it can be found in an emergency.

Another First-Level health record is one section of your PANTRY INVENTORY LIST. Pathology Prevention is about readiness. You might have all the best intentions in the world, but your readiness for an emergency is what counts when you are the one losing blood in a lawnmower accident. You need to have a section in your pantry dedicated to emergency preparedness.
The Pantry Inventory List is used to assure that the things you plan on having access to will be there when needed, whether it is a cup of flour, a pinch of spice, or medical supplies. Typical items found on the Pantry Inventory List that support First-Level problems for the Health Guardian are bandages, an eye patch, limb braces, inhalers, injection supplies, and medication.

You might also consider EMERGENCY MEDICAL LEGAL FORMS, waivers, advance directives, and permission slips. When using a first-level prioritization system, begin with these types of Medical Records. Once completed to your satisfaction, it would make sense to consider second-level problem support.

GENERAL CONSIDERATIONS: Holistic health requires more management than other approaches to wellness. This management responsibility is normally left to the individual who is aware of all the separated efforts, e.g. family and friend hygiene practices, primary health care providers, pharmacists, health care team specialists such as nutritionists, chiropractors, dentists, and physical therapists to name a few. A common language, format, level of granularity and style between specialists helps coordinate pathology prevention efforts and communication. There is a great synergistic effect when primary health care is combined into one holistic front, leveraging time and resources to your increased wellness.

   There are standards and guidelines that can be used to help formulate insurance selection criteria used by the Health Guardian. The objective of this practice is to provide access to these practices and help the Health Guardian optimize their healthcare decisions, and formulate practical budgets. If your Primary Care provider's eyes glass over, as if your talking in a different language when you ask how much a procedure will cost, its time to study this material.

   The goal of this practice is to provide information and examples of practices that the Health Guardian can use in both short-term and long-term clinical practices to address chronic illness and pathology prevention while supporting self-reliance and increasing wellness. You need the capability to be on-time and on-budget if you expect to complete any of your health objectives.

   In the Software Practice, we help keep the Health Guardian informed of the current software market. You will find product comparisons, strengths and weaknesses, along with usage recommendations based on various scenarios. The ideal combinations of technology and software are defined. The objective of this, is to provide the Health Guardian with quality information for decision support.

   Medical devices such as blood analysis, heart monitoring, and blood pressure devices are examples of objects we review. Portable health sensing devices used in conjunction with smart phones and their associated software are examples of things within this department’s scope.

   Medical records provide stability and continuity between the Health Guardian’s practices and pathology prevention activities. They help connect past health achievements with future potential. As the Health Guardian strives to continually increase wellness and quality of life, the health records help prevent repeating the same efforts, while expecting different results. They provide insight into what should be expected and what should be done to achieve those expectations. They provide a medium of communication to other health professionals, and when standardized, they can quickly become invaluable during the diagnostics, treatment, and post evaluation lifecycles. Other articles will cover the creation, maintenance, and use of specific health records. Here, we'll identify the potential depth, breadth, and importance of health records, and critical responsibility of the Health Guardian to perform this practice in pathology prevention efforts.

GENERAL CONSIDERATIONS: For the moment consider the pantry to be an abstract container. This container delivers everything your plan requires. You choose what’s in the plan, the ‘pantry’ delivers it, thus enabling choice. This ‘pantry’ also consumes resources dependent on your choices. Your pantry is the base camp for the Health Guardian's journey to health, self-reliance, well-being, and a higher quality of life.