HLA - BP, BMI, blood results Flashcards
What is HLA
Healthy living assessment is a general health check which involves:
BP
BMI
Blood test: glucose and cholesterol
Discussion on lifestyle factors: alcohol, smoking, diet and physical activity
The HLA is a screening tool to spot early signs and help prevent patients from developing high blood pressure, diabetes and heart disease
HLA Mark Scheme: Summary
- Introduce
- Explain the overview of procedures
- Consent forms - verbal and written consent
- Confirm medical history/ taking any meds/ P or BF?
- BP monitoring
- Height + weight
- Calculate BMI
- Blood testing: cholesterol + glucose
- Establish pt current lifestyle: exercise, smoking, diet, alcohol
- Give healthy lifestyle advice
- Check pt understanding
- Do you have any questions?
- Safety net
- Agree health goals with pt
- Conclude
Blood pressure monitoring
- Check pt:
- has been sitting for 5 minutes
- is relaxed
- has not consumed caffeine or had a cig for 30 minutes - Ask pt to remove high heels (if appropriate)
- Confirm there is no phone/ key in pockets
- Wrap cuff
- Rest the pt arm on the table
- Ensure feet are flat on the floor AND ensure their hand is relaxed
- Press the START button.
- Reassure patient that the cuff will become very tight and this is normal AND Ask patient not to talk or move whilst the cuff is inflating and deflating.
- Remove cuff at end
- Document results
Explaining bp results
Explain whether blood pressure is:
LOW: < 90/60
Normal: 120/80
HIGH: >140/90
Taking height
- Remove shoes
- Stand straight as possible, looking straight ahead with the back of their head against the plate.
- Lower the head plate to rest gently on the highest part of the head.
- Document height
Taking weight
- Ask pt to step onto the scales, standing in the centre of the footplate.
- Document weight
BMI
Calculate patient’s BMI (kg/m2)
Using height and weight to provide a comparison to normal values giving as an indicator of whether and individual is under or over weight or of normal weight
Explaining BMI results
Explains whether they are:
underweight: <18.5
normal weight: 18.5 - 24.9
overweight: 25 - 29.9
obese: 30+
Taking blood glucose + cholesterol
1) Ask to to wash hands
2) Turn on monitor and insert strip, select run test
3) Obtain blood sample using a lancet
4) Use pipette to draw up the blood up to the black line
5) Apply blood to the test strip by squeezing the teat
6) Dispose of lancet, pipette and test strip into clinical waste box
Explaining blood glucose results
Explain if their blood glucose is normal
LOW: <3.5mmol/L
Normal: 4-9 mmol/L
HIGH: 11mmol/L
