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This document states the guidelines and procedures for the U. They can also produce organizational and employee benefits, such as lower healthcare costs, increased productivity, improved recruitment and retention, reduced absenteeism and presenteeism, and enhanced employee engagement. This is the number of calories you need to maintain your current weight. If using a manual device it may be helpful to demonstrate the noise the monitor will make when it is used. In many States, only licensed practitioners can order lab work, check your State laws.

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The session covers healthy portion sizes, how to read nutrition panels and common obstacles. Stress Management is an examination of stress, how it affects individual performance and what common stressors are.

The session explores signs and symptoms of stress and offers a range of stress management techniques. It details risk factors and ways to reduce them, offering knowledge on how to maintain good heart health and improve lifestyle choices. The Sun Care session explains what skin cancer is, what skin cancer looks like and how to self examine your skin.

The best ways to protect against UV radiation and how to balance the need for Vitamin D are explored in depth. This session is tailored to smokers who are contemplating quitting, and involves discussion about tools for quitting, putting plans into action and managing cravings.

Delivered over two sessions and presented by a qualified Psychologist, these sessions are designed to help workers achieve positive mental wellbeing in the workplace. Nabenet is a leading provider of occupational rehabilitation services, assisting employees who have sustained an injury at work return to work safely and productively.

To find out more about our range of services, click here. Meta-evaluation of worksite health promotion economic return studies: Website by Megawatt Media. The 15 minute private assessment is conducted by a qualified health professional and includes: A blood pressure check A capillary finger prick which tests for blood glucose, total and HDL cholesterol check non-fasting Waist circumference Lifestyle questionnaire Tip sheets and advice All assessments are conducted at the workplace and are completely voluntary and all data is confidential.

Pre-Employment Screening Our pre-employment screening is very focussed on determining a potential employees capability to undertake the physical demands of the position. A Nabenet Health pre-employment screen includes; Previous injury analysis and risk assessment Biomedical assessment blood pressure, heart rate, weight, height, BMI Grip strength assessment Flexibility assessment Strength and manual handling assessment Functional tests — shoulder, wrist, knees, back We are able to conduct audiometry assessments, vision testing, spirometry, vaccinations and drug and alcohol testing.

Ergonomic Workstation Assessment Ergonomic workstation assessments promote a safe working environment and deliver the knowledge and techniques to increase productivity and decrease lost time due to injuries.

Flu Vaccines and Immunisations Nabenet Health can provide your organisation with flu vaccinations for the flu season. The benefits of flu vaccination include: A Nabenet Health qualified nurse conducts the immunisations at your workplace. Drug and Alcohol Screening The Nabenet Health team provide on-site drug and alcohol screening to address the needs and policies of your organisation to deliver the screening you require. To find out more about our full range of drug and alcohol services call 03 Workplace Education and Intervention Sessions Education Systems Physical Activity Presented by an Exercise Physiologist or Physiotherapist, this session offers detailed explanations on the types of exercise that are most beneficial and why physical activity is vital, with a focus on managing time to exercise within a busy schedule.

Fatigue Management Fatigue Management explores the concept of fatigue and the problems it can cause in a workplace setting. Healthy Eating — Cooking Demonstration This session includes a demonstration on quick, easy and nutritious lunch meals for the workplace.

Nutrition Healthy Eating Habits offers information on Australian Dietary Guidelines, with practical information about how the guidelines can be applied in daily life. Stress Management Stress Management is an examination of stress, how it affects individual performance and what common stressors are. Appropriate referral and diagnosis may enable access to appropriate interventions, services and information.

Explore particular concerns of the individual, parents or carers. Note the range of possible verbal and non-verbal behaviours that are currently present or described during development. These may vary, depending on the age of the patient and level of intellectual ability. Refer to the relevant team for multidisciplinary assessment in your area. Families and carers can find it difficult to maintain contact with a range of professionals. It is helpful if they can come back to the GP as a link person.

If the person has been referred for multidisciplinary assessment, it is useful if the GP stays fully informed about progress with the assessment, through links with a key-worker. Where the patient is an adult without learning disability, gain consent for information to be shared with parent or carer to ensure onward referrals and appointments are managed. If a parent expresses concern, there is likely to be a strong basis for this concern. Early diagnosis may improve outcomes so find out the nature and timings of the first concerns, professionals that have been seen, views of the wider family, feelings about advice they have been given to date.

See section on Identification and Diagnosis for more information. The chronic stress associated with ASD leads to stress-related disorders and the individual with ASD will benefit from preventative treatments aimed at stress reduction. The symptoms of any acute illness may lead to additional anxiety and stress because the individual does not understand what is happening and because the symptoms cause changes in appearance and sensation e.

Effects of stress and anxiety may interfere with the way a consultation is received and understood, for example:. The interaction between symptoms of stress and the symptoms of ASD will affect identification and treatment:. Sarah is sixteen years old. She has ASD and moderate learning difficulties and has come to see you for ongoing treatment.

A keyworker from her care establishment has accompanied her on previous visits but the keyworker often varies. Sarah has come with someone who knows her very well this time but Sarah is responding as if it is her first visit. She asks your name and your date of birth. She appears anxious and is unwilling to sit down or answer your questions.

Each time you begin to ask her how she is feeling, she talks over you and does not let you finish. She appears to have a fascination for dates and birthdays and lists of dates are what she keeps repeating.

Honey is a month old child on the autism spectrum who attends the appointment with her childminder. She has been rubbing her eyes a lot and has developed an infection in both eyes. Indviduals with ASD are more likely than others to suffer from a range of mental health problems e. These may be acute or chronic.

A level of anxiety is chronic in ASD but it can increase and lead to additional high anxiety states, which may manifest as:. The person with an ASD may have little self-awareness so the practitioner cannot rely on verbal reports and has instead to infer the mental health problem from behaviour. Mental health problems may be helped by medication but behavioural and educational methods can also be effective, either on their own or in conjunction with a temporary period of medication.

Appointments Any appointment will inevitably involve the disruption of normal routines and this is likely to be a source of anxiety for the patient with ASD. Practical Strategies Consider if the venue and time of the appointment is likely to be problematic for your patient, and the potential impact of any anxieties related to attending the appointment.

Waiting in a busy waiting room can increase anxiety. If possible, offer a quiet space or allow individuals to wait outside until the clinician is ready to see them. Identify what individuals and agencies, if any, are supporting the patient. Offer an appointment time during a quiet part of the day or outside of usual appointment times.

The individual with ASD may only be able to endure one such intrusion per day, or even per week. Any regular treatment programme will need to take this into account, or the patient may simply not be able to attend.

Check if the patient uses a hospital passport to help communicate their needs. A home visit may be a necessary option for some patients. If so, there are important considerations surrounding the inevitable invasion of personal space.

Often, individuals with ASD lead fairly solitary lives and are not used to visitors in their home. Their personal environments need to be treated with respect. They may have collections of everyday items which are untidy or even unhygienic, but which are valued highly. It may be necessary to ignore such unusual aspects of the environment if a successful consultation is to take place. Refer to appropriate support agencies if a home visit reveals health or welfare issues.

Before The Visit Conduct an initial assessment over the phone, finding out about strengths, limitations and previous experiences of appointments. Seek guidance on types of communication that will work best for the patient with an ASD. Find out if there are behavioural strategies you should use with the person. Find out about any calming techniques that help the person. They can then prepare the person with an ASD. Putting The Patient At Ease Adult patients will have had experience of medical appointments and examinations.

Communicate directly with the patient wherever possible. Plan the appointment carefully to ensure the patient is not rushed. Practical Strategies Allow the patient time to settle. Talk quietly and slowly. Check that the patient understands - if the patient is too young or does not speak, there may be a symbolic communication that they use. Check on how the patient feels. Explain what you are going to do.

Show the patient any equipment you are going to use and allow them to touch the items. Ask if the person is ready. Young Child - Jake Calming Techniques If patients are already physically stressed then it may be necessary to wait until they are calmer in order to gain their confidence sufficiently to go ahead with a physical examination or to gain a true picture of their health. Ask the patient to breathe slowly and deeply and the practitioner then attempts to control the rate by slow counting.

Concentrate on relaxing shoulders and facial muscles by flexing and releasing. Only proceed with the examination or procedure once the patient looks or says they feel calmer. Reflexes Eliciting the reflex response may cause puzzlement and anxiety to the patient with an ASD.

Other checks The process of gaining medical information may also include other measurement such as that of head circumference. Taking a medical history This should be approached in a logical and systematic way. Practical Strategies Keep your voice even and measured. Ask factual questions to help determine patient circumstances e.

If the patient with an ASD does not know, ask them for another source, e. Recap on the basic procedure and tell the patient the order in which it is going to proceed.

Explain one task at a time and keep it simple to avoid causing stress. Talk quietly to the patient telling them what you are doing as you undertake the task. Show each implement in turn and explain where it will be placed and what for, in simple terms.

Put each implement in a visual order so that the patient can anticipate what is coming next. Repeat and reinforce the order of the examination in clear simple terms as it proceeds. Remove each item in the visual order as it is used. Be prepared to postpone the examination if the patient becomes distressed.

Types Of Physical Examination The same general principles apply whatever kind of physical examination is to be carried out Blood pressure checks The taking of a blood pressure reading can follow the basic guidelines of asking, checking, explaining and reinforcing. Temperature checks Measuring body temperature will be greatly eased by using one of the types of non-intrusive thermometers.

Visual checks For visual checks on eyes, hands, nails or glands, make sure the patient with ASD knows what is going to happen before you approach them to start the examination. Full Physical Examination A full physical or intimate examination requires a degree of intrusion which can make the patient feel vulnerable or uncomfortable, and may cause pain or discomfort.

Be prepared to postpone the examination if there are signs of distress. Supporting the patient It is important that you as a practitioner secure the comfort and confidence of a patient with ASD before you start a procedure.

Direct family to resources that give advice on toileting, relaxation techniques, food and diet, sleep and dealing with anxiety. These are available elsewhere on this resource. After The Consultation Afterwards Provide a written summary after the appointment for the patient.

Treatment The process of undertaking treatment can be problematic for adults with ASD. Individuals may need support to: Practical Strategies Explain clearly but simply the implications of different treatment options.

Explain the consequences of declining treatment or following treatment incorrectly. Give clear instructions, supported by written or visual forms. Supervise the patient taking initial treatment to assess competency. Provide a medication box or other means of prompting. Agree how treatment is to be monitored so that the patient is not reliant on recall, e.

Agree a clear follow-up plan. This will enable the patient to revisit and clarify these points as necessary. Agree a strategy of what the patient should do if treatment is not effective, including clear guidance on how long recovery is expected to take. Where treatment involves a number of meetings, follow a similar format at each appointment to provide structure and clarity.

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