VCH Week 9 GM

Intern Final Projects

 Health Site Statistics

● 6 sites so far
● 71 patients
● 87 volunteers
Thank you to all of our volunteers
and your hard work and dedication
to VCH and the community! We
could not have achieved this
without you! •ᴗ•
 Health Fair Statistics
Served over 140 Patients!
Demographic Data Glucose
16.4% pre-diabetic
23% had no insurance 12.7% diabetic
22% had Medi-Cal
Cholesterol
13% had Medicare
19% borderline high
cholesterol
47% had an income bracket of
$0-$10,000 Hemoglobin
52% anemic
14% had an income bracket of Hypertension
$10,000-$20,000 70% Hypertensive
Volunteers of The Week (Week 7)- Vincent Le and Jordan Nguyen
"I joined VCH because of all the
opportunities the club provides to
“I joined vch because I
get involved with the Vietnamese wanted to give back to
community, ranging from patient
outreach to health screening
my community and
services. I have been able to interact learn more about
with a lot of patients in Vietnamese
as well as gain greater insight into Vietnamese culture
various aspects of healthcare. My and language. I like
favorite part of VCH is the amazing
people and community! I have been that in VCH especially
able to create so many friendships that you can help the
with the most caring and
down-to-earth people who all come community in different
together to make a powerful impact ways. During this
on the community. Health site is
always a great time, and I really health site I got to help
enjoy the hustle of handing out
flyers as well as the team work to
flyer and had a good
provide quality health screenings for time with my group.”
patients."
Volunteer of The Week (Week 8) - Allyson Pham
“I joined VCH to find a community of like
minded individuals who wanted to help others
and have similar career interests and goals as
me. In addition, I come from OC, and I wanted
to give back to the Vietnamese community
where my grandparents live. I've really
enjoyed getting to know
patients at our events and all the wonderful
friendships I've made through VCH! My
favorite part of this past health fair was
helping to translate at the cholesterol station
and talking to the providers from Western U.”
Volunteer of The Quarter - Alvin Lai
"At first I didn't think much about VCH when I
joined over COVID, with everything on zoom. But
as I started going to general meetings, signing up
for health sites and health fairs, I realized how
amazing VCH and the community that surrounds
it really is. Everyone is so inclusive and a joy to get
along with! At health sites/fairs, I love interacting
with patients and health care providers, despite
not being able to understand or speak any
Vietnamese. Even so, I can't wait to continue my
college experience with everyone else in VCH!"
 CSR Hours
1. Log into myUCLA
2. Go to “Finances and Jobs”
3. Select “Community Service” under “Jobs and
Community”
 4. Go to Submit Request

5. Select the current term and search

“Vietnamese Community Health”
6. Select the event you want to record from
the drop down menu
7. Give a summary of what you did
8. Enter the number of hours based on the
following slide
9. Select “No” for leadership verification
10. Click “submit”
 Hours For Winter Quarter
● Health Fair: 6 hours
● Health Site: 4 hours
● Special Site (Shower of Hope): 4 hours
● Mentorship: 2 hours (mentors only)
● Fundraiser: 1 hour per shift
● Committees: 4 hours (Subtract 1 hour per missed meeting)
● Canned Food Drive: Refer to email from Canned Food Drive
● Committee Heads: 6 hours
Intern Final
Projects
SPIROMETRY TESTS
By: Triston Dinh, Adelyne Tran, Thomas Tran,
Jesus Gonzalez-Ramirez, Minh-Anh Pham
What is Spirometry?
● Most common type of pulmonary
function/breathing test
○ Records lung capacity
○ How much air you can breathe
in and out
○ How fast you can blow air out
● May be recommended for patients
with symptoms such as wheezing,
shortness of breath, or cough
● Helps diagnose issues such as
asthma and other pulmonary
diseases.
 Why Spirometry?
02
01 03
Demographic Culture
Lack of Vulnerability
equitable Higher susceptibility
Older
access to to asthma and chronic
populations =
health-care obstructive
higher risk of
services, high pulmonary disease
lung disease
smoking
prevalence
Materials

● Purchase two spirometers for use at

health fair and health sites
○ Purchase one extra spirometer for
backup
● COVID-19 safety
○ Disposable mouthpieces (replace
after each individual use)

OR alcohol wipes (clean

spirometer after each individual
use)
Procedure
● Volunteers will instruct patients to
sit down and hold spirometer
mouthpiece between their lips
○ Replace disposable
mouthpieces
● Patients will take a deep breath and
exhale as hard as they can into the
machine for as long as possible
● Perform three times for accuracy,
allow patients to rest in between
trials
● Have volunteers record the highest
numbers
Spirometry Chart/Results
 Interpreting Results

Beyond just colors: What are the next steps?

● Patients will be able to get ● Volunteers use readings to inform
flyers made by PEW or patient of weak/normal/strong
providers to help them lung strength
understand the implications ● Providers who are present on-site
of their results and tips for are able to help the patient
improvement! determine next steps in protecting
their health
 Layout
Key:

Chair=

Spirometer=

Pamphlets/
Provider Tables Screening Tables Information
sheets =
 Volunteer Training/Certification
Without Provider: With Provider:
● Use Home Test Version of
● The volunteers will assist
Spirometry
with the testing in
● No Official Certification needed
since we are using a home whatever way needed
spirometer (self-administration) ● Help with translation and
● Volunteers will be required to positioning
watch training videos of how to
perform a spirometry test (health
site/fair refresher videos)
 Feasibility

Cost:
- Each peak flow device: $52
- Battery operated
- 50-pack of disposable
mouthpieces: $27.99
- 60-pack AA batteries: $21.98

Portability
- 5.3 ounces
- Small and compact
 Patient Risks
Patient Risk:
- Requires exertion, may cause
dizziness
- Increases pressure within the
head, eyes, and stomach
- Not recommended if had a
heart attack recently
- However, generally safe test

Risk of Error:
- Meets American Thoracic
Society standards
Potential Providers
Dr. John Saito
- Physician practicing at Children’s Hospital of
Orange County
- Board certified in both Pulmonology and
Pediatrics
- Specializes in respiratory disorders such as
asthma, chronic lung disease, and obstructive
sleep apnea
- Fluent in Vietnamese, Japanese, and English

12555 Garden Grove Blvd, Suite 307 17150 Euclid St, Suite 316
Garden Grove, CA 92843 Fountain Valley, CA 92708
Phone: 714-537-7718 Phone: 714-486-3996
 Potential Providers
Dr. Hoang Le
- Physician practicing at Fountain Valley Regional
Hospital
- Specialized in Pulmonology
- Subspecialized in Asthma and COPD, and
sleep medicine
- Fluent in Vietnamese and English

11190 Warner Ave Suite 403,

Fountain Valley, CA 92708
Phone: (714) 964-9060
Revamping the
Sticker System
Week 9 General Meeting
New Sticker System 20 5

Certain stations at previous Health Fairs have been backed up due to popularity or a
limited number of providers. 31

How to solve?
- scheduling for certain high-volume stations/times for better patient flow
- allow patients the flexibility to receive other services
- shorter wait time during scheduled slot (which will incentivize patients to return)

This new system will be used in conjunction with the old sticker system for stations that
typically have longer wait times (dental screenings, vision screenings, chiropractic
services)

17
The Basics VCH
For those extra busy stations with long wait
times, patients will have the option to schedule
a time in advance to come back to the station
and have a shorter wait time.

Patients who come at their scheduled time will

get priority.

FOR FREE !!!

 2. Give patient a sticker and assigned time
1. Schedule patient

31

Patient packet

3. Add time to half-sheet and process patient when

they arrive

Station timesheet
Numbered half-sheet
Stations Affected
Popular stations + Long screening times
(Dental screenings, vision screenings, chiropractic services, etc.)

- Stations that have quick screening times and/or don’t typically have a line should
generally maintain old sticker system

- Note: stations utilizing new sticker system are not restricted to those listed above,
and can be adjusted based on specific circumstances!
Implementation
Who?

Patients Volunteers

Waiters Returners Guides Translator Recorders

numbered stickers direct patient flow,
stickers w/time & provides additional track patient order
& main waiting maintain seating
labeled seating help to patients and times
area system
Example Layout: Vision Screening

Legend:
scheduled patients

provider & treated

patients

on-call patients
 Scenarios
The following flow charts demonstrate two possible
scenarios people would run into using the new
system
Scenario 1:
Scenario 2:
to recap…
OFFER to schedule patients at busy stations

RECORD scheduled patients

PRIORITIZE scheduled patients when they return

other considerations:
➔ include a brief description of the new system in patient packets for reference
➔ train volunteers on the system either at the Health Fair GM or at HF itself during individual
station debriefs
HEALTH SITE
STATION:
FLEXIBILITY
EDUCATION
By: Cameron, Dylan,
Gerardo, Rich, &
Vincent
Stretching
time!
Remain seated
(or take a seat)
Side stretch
● Lift up one arm high above your head
● Lean over to the opposite side
● Hold onto the chair with the other hand if you
need to
● Hold for 20 seconds and repeat with the other
side
Hamstring
stretch
● Sit on the edge of the chair
● Straighten one leg in front of you with the heel on the floor
● With your back straight, lean forward from the hip until a stretch is felt
in the back of the leg
● Hold for 20 seconds and repeat for the other leg
Seated hip
stretch
● Keep 1 foot flat on the floor
● Cross the opposite leg
● Lean forward until you feel a
stretch in your hip
● Keep back straight
● Hold each side for 20 seconds
Seated
knee hug
● Keep 1 foot flat on the floor
● Hold opposite knee and pull it
towards your chest
● Keep back straight
● Hold each side for 20 seconds
Why is Stretching
Important?
You have no idea…
 The Benefits
● Stretching can help improve flexibility
○ Creates a range of motion for your joints
○ Allows you to be less prone to injury
■ If you’re in a sport/workout often, this goes a long way

● As you grow older, it becomes more difficult to stay physically

healthy, so stretches provide maintenance to your quality of life
○ Improves your posture
○ Better circulation/blood flow throughout the body
○ Overall lowers stress
 Some Statistics Because we Love Numbers
● Survey of 1,000 Americans conducted by the American Osteopathic Association:
○ 71% reported stretching to relieve stress and improve well-being.
● Survey by the American Physical Therapy Association:
○ 72% of physical therapists believe stretching is essential to well-rounded exercise
● The Journal of Physical Therapy Science:
○ Stretching improved flexibility in 89% of participants with low back pain.
● These numbers are great, but strive to bump them up!
This could be you AND our patients!
 The Purpose

LEARNING ENGAGEMENT BENEFITS

Educates patients on High volunteer-patient Encourages both patients

importance of flexibility interaction and volunteers to make a
long term habit
 The Process
Volunteers will demonstrate
and instruct how to do the Patient is seated to stretch in
stretches/dynamic a safer manner
movements
All stretches are Ending: we provide
non-intensive to avoid pamphlets for patients to
any injuries to patients continue stretching at home
 Pamphlet Contents

Pamphlet format
● Stretching-routine consisting of 6-8 pictures of
Recommended Daily
stretches and poses Routine:
● Indicating how long each pose should be held or
Arm stretches for _ min
how many repetitions should be done Wrist stretches _ reps
● Provides resources for staying physically active
(physical trainers, gyms, parks, etc) Side stretches: __ min
each

Knee stretches for _ min

Leg stretches _ times

Auditory Screenings
at Health Fair
Meghan Do, Nhi Pham, James Pham, Matthew
Nguyen, Thomas Luong
 HEARING LOSS AND HEALTH
Hearing loss can be an indicator of
a number of health conditions.

Cognitive Impairment Chronic Disease (Ex.

Heart Conditions
& Alzheimer’s Disease Hypertension)
 EFFECTS OF HEARING LOSS

DEMENTIA HEART DISEASE

Hearing loss increases the Individuals with hearing loss
risk of dementia and 3 to 5 times more likely to
cognitive decline. self-report heart disease.

TINNITUS QUALITY OF LIFE

Tinnitus is 8.6 times more Higher rates of
likely for individuals with unemployment and
hearing loss. social isolation.
 HEARING LOSS AND OLDER POPULATIONS
Prevalence of hearing
loss increases with age.

91% Risk of falls Hospitalizations

91% of adults with hearing loss

are aged 50 or older.

IMPACT OF HEARING LOSS ON

Independence Communication

OLDER POPULATIONS
 WIDER REACH

● More people at Health Fair

● Can reach a wider
demographic of people
 SPECIALIZATION

● Access to specialists who

can assist
● Doesn’t have to rely on
training volunteers
● Providers will be plentiful at
Health Fair
 EQUIPMENT

● Equipment is expensive
● Can be heavy and hard to
move around
● Better suited for the one
big event
 What we need:

01 02
Audiometer Provider
Most clinics and hospitals To operate these
are equipped with these machines you must be
and there are portable certified as an
options around $1,300. audiologist.
 Audiometers
The machine consists of
headphones that are connected
to a machine. The audiologist
will deliver a series of different
toned sounds and the patient is
asked to click a button or raise
their hand.
 An Important Note

Nurses are not automatically

trained as audiologists so this
is an important part of
contacting potential
providers.
Saban Community
Clinic
A free clinic partnered with
UCLA that offers auditory
screenings.
“Quality healthcare is a right,
not a privilege.”
Saban Community
Clinic
There are multiple established
free clinics in LA and have
nurses and physicians that
provide “Street” medicine.
“Whatever it takes”
 Considerations for Implementation

● Must be used in a quiet

environment
● Solution: Place station in a
private room together with
doctor consultations and
endocrinology
● Equipment is expensive and
may not be readily available
● Solution: Ask providers as early
as possible
 Alternative Plan

General Physician
Roles
● Performing regular in-ear
check ups
● Recommend patients to their
outside clinics
 Committee Involvement

PEW Committee
● Create infographics with
resources for patients to find
auditory
support/hearing-aids
● Educate patients about
maintaining ear and auditory
health
Health Counseling
 25%
of community-dwelling seniors aged 65
and older are socially isolated
 Lack of connection is
associated with…

50% higher risk of dementia

29% higher risk of coronary heart disease events

32% higher risk of stroke

 Reasons Behind Stigmas

Taboo Cultural “Model Influence on

Norms Minority” Children
Myth
 Combating the stigma
● How we advertise our service: Health
Counseling
● Serving to expand and sustain mental health
services in the community
● Our impact: big step towards destigmatizing
mental health and getting patients the support
they deserve
 Julie Diep
Contact:
● director@ocautismfoundation.org
● 7441 Garden Grove Blvd, Suite #M Garden Grove,
CA 92841

Specialties:
● Developmental Delays and Medical/Behavioral
Speech-Language Pathology
● Working with Pediatric and Geriatric population

Services:
● Vocational and independent living skills for adults
● Provides complimentary on-call mental health
support to patients

Languages:
● English, Vietnamese, and Spanish
 Council on Aging
Contact:
(714) 749 - 0107
2 Executive Circle, Suite 175, Irvine, CA 92614

Mission:
A non-profit organization promoting the independence,
health, and dignity of older adults through
compassion, education, and advocacy.
Council on Aging: Programs
Health Insurance
Answers
Counseling (HICAP)

Concierge Care Long-Term Care

Navigators Ombudsman

Friendly Visitor ReConnect

Program Program (EIOSA)
 How feasible is this project?
Locality Language
Providers will be from the No translators will be
Orange County area. needed.

Cost
Non-profit organizations
and therapists.
 Volunteers

Same flow and location as

other health fair
consultations!

Volunteers will be directing

Volunteer translator will
patients using the sticker
be on standby
system
 Supplies
Table and chairs Cleaning
1
● Table Covered ● Disinfectant wipes to
and taped! clean chairs / tables /
supplies after each
● Chairs for patient!
provider and
patient!
4 2

Miscellaneous Curtain stands

● Supplies as needed ● Three black curtain
by therapist! 3 stands to ensure
privacy!