 |
 |
IDS
is held every Wednesday from 2-4 pm. The
sessions rotate between Roane and Jackson counties depending on where
the preceptor/facilitator is located.
| Date |
Session Description |
Facilitator |
Hours |
| 1/8/2003 |
Health Screening
The facilitator and students went to Sunset apartments for a
Health Screening for the residents. Blood sugar testing, blood
pressures and diabetes risk tests were all given to those
residents who wanted to participate |
Barbara Smith |
2 |
| |
Okey Iloegbunam |
Medicine |
OUT |
| |
James B. Knopp |
Medicine |
WVSOM |
| |
Erin M Maynard |
Medicine |
WVSOM |
| |
Akela Neumaier |
Medicine |
OUT |
| |
Fortune Okonkwo |
Medicine |
OUT |
| |
David P Spears |
Medicine |
WVSOM |
| |
Other Participants: Chuck Conner
(Site Coordinator), Kim Reichard (Administrative Assistant),
Sabrina Parkin (Office Assistant). |
| 1/22/2003 |
Dementia
Students were asked to review and discuss the following topics:
Types of Dementia, Alzheimer?s Dementia Causes, Incident/Burden in
Society, How to diagnosis Alzheimer Dementia, Effect on caregiver,
Behavioral Treatment and Strategies, Pharmacological Treatment and
Strategies, Treatment of Dementia in other countries, and New
Research. There was also a guest speaker. A patient with
Alzheimer?s along with her daughter came. The daughter answered
many of the student?s questions. The session ended with a tour of
Roane General Hospital?s Long Term Facility where many of the
patients have some type of dementia |
Carroll Christiansen |
2 |
| |
Justin J Hare |
PharmD |
WVU |
| |
Okey Iloegbunam |
Medicine |
OUT |
| |
Emily C Judy |
PharmD |
WVU |
| |
James B. Knopp |
Medicine |
WVSOM |
| |
Erin M Maynard |
Medicine |
WVSOM |
| |
Akela Neumaier |
Medicine |
OUT |
| |
Fortune Okonkwo |
Medicine |
OUT |
| |
David P Spears |
Medicine |
WVSOM |
| |
Other Participants: Kathryn
Barker (Roane-Jackson School of Practical Nursing), Sabrina Parkin
(Office Assistant). |
| 1/29/2003 |
Patient with Complex Medical Problems
Patient is a 60 year old moderately obese female who has been
experiencing headaches which have been relieved in the past with
Motrin but have gotten more severe in the last 2 weeks. She also
states that she has had to get up more frequently during the night
to urinate. Students concluded that the patient was probably
having headaches because of her high blood pressure, stress or
hypoxia. They suggested a lifestyle modification for her and said
she should quit smoking, lose some weight and exercise. |
Chris Mealey |
2 |
| |
Justin J Hare |
PharmD |
WVU |
| |
Okey Iloegbunam |
Medicine |
OUT |
| |
Emily C Judy |
PharmD |
WVU |
| |
James B. Knopp |
Medicine |
WVSOM |
| |
Erin M Maynard |
Medicine |
WVSOM |
| |
Akela Neumaier |
Medicine |
OUT |
| |
Fortune Okonkwo |
Medicine |
OUT |
| |
Other Participants: Chuck Conner
(Site Coordinator) Sabrina Parkin (Office Assistant) |
| 2/5/2003 |
Suturing
Students were given the following topics: Types of Suture
Material, Types of Needles, Physiology of skin healing, Types of
Anesthetic (Local), History of suturing/wound closure, Skin
Staples (Types and Indicators), Skin Glue (Indicators and
Methods). After reviewing the topics the students were then told
to determine what types of cuts were made in their pigs feet or to
determine what type of melanoma was present and how to cut it out
and then they were able to start suturing. |
Carroll Christiansen |
2 |
| |
Justin J Hare |
PharmD |
WVU |
| |
Jamie M Hyer |
PharmD |
WVU |
| |
Okey Iloegbunam |
Medicine |
OUT |
| |
Emily C Judy |
PharmD |
WVU |
| |
Jeffrey R Looney |
PharmD |
WVU |
| |
Akela Neumaier |
Medicine |
OUT |
| |
Fortune Okonkwo |
Medicine |
OUT |
| |
Other Participants: Loretta Koon
(Roane-Jackson School of Practical Nursing), Chuck Conner (Site
Coordinator), Kim Reichard (Administrative Assistant), Sabrina
Parkin (Office Assistant). |
| 2/12/2003 |
Community Acquired Pneumonia
The case study was of a 30 y/o Caucasian female with a history of
mental retardation, hypothyroidism, poorly control DM-II and below
the right knee amputation. She was brought to the clinic
complaining of chest pain that worsens with inspiration cough with
sputum production, fever, nausea and left earache. It was found
she had pneumonia along with her other previous health problems.
Students were given the following topics to research: Case
Presentation, Definition, Incidents and Demographic
Characteristics, Diagnosis, Immunizations/Prevention,
Pathogenesis, Clinical Features (signs and symptoms), and
Treatment. |
Vishal Malpani |
2 |
| |
Paul D Edwards |
PharmD |
WVU |
| |
Jennifer S Hildebrand |
PharmD |
WVU |
| |
Okey Iloegbunam |
Medicine |
OUT |
| |
Emily C Judy |
PharmD |
WVU |
| |
Monica LaMonte |
Medicine |
MU |
| |
Jeffrey R Looney |
PharmD |
WVU |
| |
Akela Neumaier |
Medicine |
OUT |
| |
Fortune Okonkwo |
Medicine |
OUT |
| |
Other Participants: Chuck Conner
(Site Coordinator), Sabrina Parkin (Office Assistant) |
| 2/26/2003 |
Case Discussions
Cases included: A 55 year old man who presented in the ER
complaining of fever and severe body aches. The conclusion was
that he was taking 2 medications for the same condition and these
were side effects of these medications. A 50 year-old-woman
brought to hospital because of changes in her metal status. The
conclusion was that she had stopped her prednisone, which can lead
to change in mental status. A Pharmacist receives a phone call
from brother asking about a recurrence of lice in his daughter?s
hair. One empty egg casing was found. Students concluded that the
egg casing was old and that there was no need to treat again. A
frantic mother rushes into a pharmacy asking the pharmacist about
her son?s have been scratching their bottoms. She and her husband
also noticed that there were cream-colored thread-like worms
protruding from the anus. Students concluded that they were
pinworms and that all family members needed to be treated and
bedding washed. A man comes into a pharmacy asking about
motion-sickness remedies. He does not want anything that will make
him drowsy or dizzy and does not want to wear a wristband. The
students concluded that the man should take ginger to help with
his motion sickness. Students were also give two prescriptions and
were asked to read them and figure out what the prescriptions were
for. |
John E. Corkrean |
2 |
| |
Paul D Edwards |
PharmD |
WVU |
| |
Jennifer S Hildebrand |
PharmD |
WVU |
| |
Emily C Judy |
PharmD |
WVU |
| |
Monica LaMonte |
Medicine |
MU |
| |
Jeffrey R Looney |
PharmD |
WVU |
| |
Akela Neumaier |
Medicine |
OUT |
| |
Other Participants: Sharon Jamie
(St Matthew?s), Chuck Conner (Site Coordinator), Kim Reichard
(Administrative Assistant), Sabrina Parkin (Office Assistant) |
| 3/5/2003 |
Health Screening
?Know Your Numbers? Health Screening for the residents of Marcap
Manor and Sunset Apartments. They offered the following free
screenings: Blood Pressure, Blood Sugar Finger Stick and Diabetes
Risk Test. |
Barbara Smith |
2 |
| |
Paul D Edwards |
PharmD |
WVU |
| |
Jennifer S Hildebrand |
PharmD |
WVU |
| |
Okey Iloegbunam |
Medicine |
OUT |
| |
Emily C Judy |
PharmD |
WVU |
| |
Monica LaMonte |
Medicine |
MU |
| |
Jeffrey R Looney |
PharmD |
WVU |
| |
Fortune Okonkwo |
Medicine |
OUT |
| |
Nathan Walls |
Dentistry |
WVU |
| |
Other Participants: Akela
Neumaier (Spartan), Chuck Conner (Site Coordinator), Kim Reichard
(Administrative Assistant). |
| 3/12/2003 |
Various cases
1. Nathan- In a pregnant mom the heart works more. Give patients
with heart problems amoxicillin before dental procedures to take
precautions against bleeding. 2. Fortune- High blood pressure
evaluation of patient should be any signs of headaches, blurred
vision, flushed, family history. History suggests secondary
hypertension would be social history, smoking stress, exercise,
and medications. Patient may need a lifestyle modification which
would include exercise, eating habits, low sodium, saturated fat
diet. What level of systolic HTN should be treated- anything over
140 and aging will increase the BP. 3. Okey- Influenza,
Bronchitis, Allergies, Nasal pulps are all infections that play a
role in the exacerbation of asthma. Asthma can be triggered by
exercise because of the increased demand for oxygen and stress,
you should treat it with terdulal 10 a.m. and 10 p.m. or
Chroliline if pets in the house. 4. Amy- Treatment of GERD would
be lifestyle issues, meals, not late into the evening, ft foods,
onions, chocolate, alcohol, make worse. Lose weight and H2
Blockers. 5. Sharon- What are common street names of drugs- Boom,
Hash, Pot, Mary Jane, Redbirds, Yellows, Yellow Jackets, Candy
Downs, Tranks, Liquid Estacy, Quad, Cat, Special K, Angel Dust and
many more. Stages of cocaine use are the compulsion to use and
fear of being without, out of control and cannot stop, denial of
drug and say they can quit anytime and they ignore the effects of
usage. 6. Seyed- Hypothermia- loss of heat to the body, age
reduces sweating so body does not cool. Cardiovascular Patients-
increase in fat, decrease in water- 22-80 15 % in Fat and 20%
decrease in water. 7. Akela- Somatizstion Disorder- Enduring
pattern- experience of stable over time- culture distress in daily
infections. Panic Attack- intense fear- severe depression-
problems to function- greater than one-month alterations in
behavior. |
Karen Fahey |
2 |
| |
Okey Iloegbunam |
Medicine |
OUT |
| |
Sharon Jamie |
Medicine |
OUT |
| |
Fortune Okonkwo |
Medicine |
OUT |
| |
Amy D Patton |
Medicine |
MU |
| |
Seyed shahmehdi |
Medicine |
OUT |
| |
Nathan Walls |
Dentistry |
WVU |
| |
Other Participants: Akela
Neumaier (Spartan), Kim Reichard (Administrative Assistant). |
| 3/19/2003 |
Occupational Safety- Farming
Students were given the following topics to discuss: Sharon:
Statistics/Degree of Risk in Farming- Every 5 years the statistics
are produced. Nathan: Machine Safety- Roll over protection, need
to wear seat belt if there is one if not it?s better chance not to
be injured. Make sure the equipment is up to date. Fortune: Human
Health Risks- Tapeworms, flat worms, scarlet fever, rabies,
e-coli, antraks. Amy- Animal Habits and Hazards- 1 out of 8 animal
accidents- 90% farm families. Akela- Herbicides/Pesticides- Safety
first, wear gloves to elbows, gown and face mask, notify people
when in use, read all labels which tell you all you need to know,
keep good records. Seyed- Environmental Hazards- Hearing,
sunlight, dust, there are over 85 hazards. Students also went to 2
farms in the county to see the machinery used in farming and also
to view the animals. |
Carroll Christiansen |
3 |
| |
Okey Iloegbunam |
Medicine |
OUT |
| |
Sharon Jamie |
Medicine |
OUT |
| |
Fortune Okonkwo |
Medicine |
OUT |
| |
Amy D Patton |
Medicine |
MU |
| |
Seyed shahmehdi |
Medicine |
OUT |
| |
Nathan Walls |
Dentistry |
WVU |
| |
Other Participants: Akela
Neumaier (SPARTAN), Chuck Conner (Site Coordinator), Kim Reichard
(Administrative Assistant), Sabrina Parkin (Office Assistant).
|
| 3/26/2003 |
Roane County High School Healthfair
Students were given the following assignments: Blood pressures-
Okey and Sharon Risk Assessment Screening- Seyed Tobacco/Nutrition
Display- Nathan Height/Weight- Fortune Exit Table- Amy and Akela
|
Chuck Conner |
8 |
| |
Okey Iloegbunam |
Medicine |
OUT |
| |
Sharon Jamie |
Medicine |
OUT |
| |
Fortune Okonkwo |
Medicine |
OUT |
| |
Amy D Patton |
Medicine |
MU |
| |
Seyed shahmehdi |
Medicine |
OUT |
| |
Nathan Walls |
Dentistry |
WVU |
| |
Other Participants: Akela
Neumaier (Spartan), Kim Reichard (Administrative Assistant),
Sabrina Parkin (Office Assistant). |
| 4/1/2003 |
Ripley County High School Healthfair
Students were given the following assignments: Blood pressures-
Okey and Fortune Risk Assessment Screening- Seyed Height/Weight-
Sharon Exit Table- Amy and Akela |
Chuck Conner |
5 |
| |
Okey Iloegbunam |
Medicine |
OUT |
| |
Sharon Jamie |
Medicine |
OUT |
| |
Fortune Okonkwo |
Medicine |
OUT |
| |
Amy D Patton |
Medicine |
MU |
| |
Seyed shahmehdi |
Medicine |
OUT |
| |
Other Participants: Akela
Neumaier (Spartan Medical Student), Chuck Conner (Site
Coordinator), Kim Reichard (Administrative Assistant) |
| 4/9/2003 |
Hypothyroidism
Akela Neumaier- Brief Physiology of Thyroid Gland Fortune Okonkwo-
Etiology of Hypothyroidism Okey Iloegbunam- Clinical Signs and
Symptoms Sharon Jamie- Diagnosis of Hypothyroidism Seyed Shahmehdi-
Treatment Jeremy Mills- Complications- including Myxedema Nathan
Walls- Monitoring Brandon Wolfe-- Sub clinical Hypothyroidism |
Vishal Malpani |
2 |
| |
Okey Iloegbunam |
Medicine |
OUT |
| |
Sharon Jamie |
Medicine |
OUT |
| |
Fortune Okonkwo |
Medicine |
OUT |
| |
Seyed shahmehdi |
Medicine |
OUT |
| |
Nathan Walls |
Dentistry |
WVU |
| |
Brandon M Wolfe |
Medicine |
WVSOM |
| |
Other Participants: Akela
Neumaier (Spartan Medical Student), Kim Reichard (Administrative
Assistant), Sabrina Parkin (Office Assistant) |
| 4/16/2003 |
Attention Deficit Hyperactivity Disorder
The students were given the following topics. 1.) Joanna Stollings-
ADHD- Incidence and prevalence in child & adult population 2.)
Tabitha Jones- What is the DSMIVR? How does it help make
psychiatric diagnosis? 3.) Jeremy Mills- Determination of ADHD.
See these sub-types of ADHD: How does it present in - childhood -
adolescence - teenagers - adults 4.) Okey Iloegbunam- Causes of
ADHD 5.) Jason Jones and Christina Edwards- Treatments available
A. Dietary/ non medicinal B. Stimulant Medication C. Non Stimulant
medication (eg. Strattera, wellbutrin, clonidine D. Behavioral /
environmental / educational 6.) Akela Neumaier- Educational Issues
of ADHD 1. ADA Section 504 2. Teaching 7.) Fortune Okonkwo- Legal
Issues 8.) Sharon Jamie- Parenting & ADHD 9.) Seyed Shahmehdi-
Prognosis for ADHD 10.)Brandon Wolfe- Resources for learning more
about ADHD |
Carroll Christiansen |
2 |
| |
Christina B Edwards |
PharmD |
WVU |
| |
Okey Iloegbunam |
Medicine |
OUT |
| |
Sharon Jamie |
Medicine |
OUT |
| |
Jason M Jones |
PharmD |
WVU |
| |
Tabitha G Jones |
PharmD |
WVU |
| |
Fortune Okonkwo |
Medicine |
OUT |
| |
Seyed shahmehdi |
Medicine |
OUT |
| |
Joanna L Stollings |
PharmD |
WVU |
| |
Brandon M Wolfe |
Medicine |
WVSOM |
| |
Other Participants: Akela
Neumaier (Spartan, )Kim Reichard (Administrative Assistant),
Sabrina Parkin (Office Assistant) |
| 4/30/2003 |
Osteoporosis
Students were given topics to research and discuss. Risk factors
for osteoporosis are: Family History, Females, European are at
greater risk, many medications, small in frame, weighing less than
127 pounds, smoking, caffeine and alcohol. 21 million people in
the United States have Osteoporosis. Prevention of Osteoporosis is
easy, anything with calcium, make sure children get enough calcium
also, exercises, vitamin D. 17 billion dollars are used annually
to treat bone fractures caused by Osteoporosis. There were 10
million people with Osteoporosis in 2002 with 80% of them being
women. In the U.S. 1 in 8 men will suffer a fracture caused by
Osteoporosis. There are dietary supplements that are helpful which
include; Tums which is recommended by the National Osteoporosis
Association, Ipriflavone works like estrogen and it only works in
bones and can cause other health risks, Black Cohosh is all
natural and it has estrogen like hormones and can also have side
effects, Soy Protein is safe and Asian Cultures use it and 4-6
servings daily are recommended. Bisphosphonates like Fosomax and
Actonel help prevent and treat Osteoporosis. The recommended dose
is 1200 a day but your body only absorbs 600 at one time. Calcium
Products are whole milk, skim milk, yogurt, sardines, salmon,
spinach, Tofu. Calcitonin comes in Injection and Nasal Spray, 50%
of the users have nausea and vomiting but after 5-7 days it
sub-sides. Forteo works like the parathyroid hormone but it has a
black box warning from FDA and it should not be used for more than
2 years. The Sahara Clinical Bone Sonometer was demonstrated and a
BMD screening was performed on students who wanted one done. |
Barbara Smith |
2 |
| |
Christina B Edwards |
PharmD |
WVU |
| |
Sharon Jamie |
Medicine |
OUT |
| |
Jason M Jones |
PharmD |
WVU |
| |
Tabitha G Jones |
PharmD |
WVU |
| |
Fortune Okonkwo |
Medicine |
OUT |
| |
Seyed shahmehdi |
Medicine |
OUT |
| |
Joanna L Stollings |
PharmD |
WVU |
| |
Other Participants: Kim Reichard
(Administrative Assistant), Sabrina Parkin (Office Assistant). |
| 5/7/2003 |
Jackson County Health Fair
Students were given the following assignments: Brian- Exit Table
Christina- Registration Table Jason- Bone Density Sharon- Skin
Cancer Screenings Fortune- Blood Pressures |
Chuck Conner |
3 |
| |
Christina B Edwards |
PharmD |
WVU |
| |
Sharon Jamie |
Medicine |
OUT |
| |
Jason M Jones |
PharmD |
WVU |
| |
Fortune Okonkwo |
Medicine |
OUT |
| |
Brian Schoeneberger |
Physician Assistant |
OUT |
| |
Seyed shahmehdi |
Medicine |
OUT |
| |
Other Participants: Kim Reichard
(Administrative Assistant) |
| 5/14/2003 |
Jackson County Health Fair
Students were given the following assignments: Brian and Okey-
Exit Table Fortune and Seyed- Helped Bone Density |
Chuck Conner |
3 |
| |
Okey Iloegbunam |
Medicine |
OUT |
| |
Fortune Okonkwo |
Medicine |
OUT |
| |
Brian Schoeneberger |
Physician Assistant |
OUT |
| |
Seyed shahmehdi |
Medicine |
OUT |
| |
Other Participants: Kim Reichard
(Administrative Assistant) |
| 5/28/2003 |
Preeclampsia and Toxemia in Pregnancy
Definition- High blood pressure due to pregnancy after 20 to 24
weeks gestation. 140/90 above to be diagnosed. Etiology- Pregnancy
induced- no specific cause known- cause increased to vessel,
elements unknown, unpredictable diagnosis. Pathogenesis- in
balance- increased placenta tissue, strong with twin pregnancy.
Risk Factors- mother/sister had Preeclampsia, more common in
African American, twins, diabetes and renal failure, older than
35. Epidemiology- Statistics- 7% of all pregnancies range 5 – 7%
in first pregnancy, 1 – 2% after 1st pregnancy. Maternal
Complications- Review patient charts Possible stroke for mother
and kiney failure, 24 hour protein test. Fetal Complications-
death to mother, kidney failure, pre-delivery, retardation, do not
grow to expected size, possible birth defects, cardiac problems,
blindness and even death. Pharmacological interventions/ Side
effects- low dose Hyroize for blood pressure, continue to monitor.
Seizure medication- magnesium but it afflicts baby. Medical
Interventions- treatment is to deliver baby if pregnancy is
term-37 weeks- and baby’s lungs are developed fully. Bed rest too.
General discussion/ Questions- For 2nd pregnancy chance goes down.
No common in older group. Magnesium Sulfate to lower pressure has
terrible side effects like nausea, diarrhea and dizziness.
Delivery of baby as soon as developed lungs. How do you explain to
patient that they can do other things if bed rest is ordered
besides lying in bed all day? If contractions start it’s hard to
reverse. Be specific when talking to patient, make them understand
what it means. |
Okey Iloegbunam |
2 |
| |
Okey Iloegbunam |
Medicine |
OUT |
| |
Linsey R McPheeters |
PharmD |
WVU |
| |
Fortune Okonkwo |
Medicine |
OUT |
| |
Jason S Price |
PharmD |
WVU |
| |
Amanda Samples |
Nursing |
WVU |
| |
Brian Schoeneberger |
Physician Assistant |
OUT |
| |
Seyed shahmehdi |
Medicine |
OUT |
| |
Melissa Soriano |
Dental Hygiene |
WVU |
| |
Michael R White |
PharmD |
WVU |
| |
Ashley Wilson |
Physical Therapy |
WVU |
| |
Other Participants: Kim Reichard
(Administrative Assistant) |
| 6/4/2003 |
Suturing
Students were given the following topics to research and discuss
and then they practiced suturing on pigs feet. Types of suture
material, types of needles, psychology of skin healing, types of
anesthetic (local), history of suturing/ wound closure, skin
staples (types and indicators), skin glue (indicators and
methods), indication of when to get a tetanus shot, types of skin
dressing, topical anesthetic (on skin). |
Carroll Christiansen |
2 |
| |
Okey Iloegbunam |
Medicine |
OUT |
| |
Sharon Jamie |
Medicine |
OUT |
| |
Linsey R McPheeters |
PharmD |
WVU |
| |
Fortune Okonkwo |
Medicine |
OUT |
| |
Jason S Price |
PharmD |
WVU |
| |
Amanda Samples |
Nursing |
WVU |
| |
Brian Schoeneberger |
Physician Assistant |
OUT |
| |
Melissa Soriano |
Dental Hygiene |
WVU |
| |
Michael R White |
PharmD |
WVU |
| |
Ashley Wilson |
Physical Therapy |
WVU |
| |
Other Participants: Seyed
Shahmehdi (St. Matthew), Chuck Conner (Site Coordinator), Kim
Reichard (Administrative Assistant), Sabrina Parkin (Office
Assistant). |
TOTALS between 1/1/2003 and 6/12/2003:
29 student(s) attended 18 session(s),
for a total of 48 hour(s).
|
|
 |
 |
 |
 |
