HLA - BP, BMI, blood results

Question 1

What is HLA

Answer 1

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

Question 2

HLA Mark Scheme: Summary

Answer 2

1. Introduce
2. Explain the overview of procedures
3. Consent forms - verbal and written consent
4. Confirm medical history/ taking any meds/ P or BF?
5. BP monitoring
6. Height + weight
7. Calculate BMI
8. Establish pt current lifestyle: exercise, diet, smoking, alcohol
9. Give healthy lifestyle advice
10. Check pt understanding
11. Do you have any questions?
12. Safety net
13. Agree health goals with pt
14. Conclude

Question 3

Blood pressure monitoring

Answer 3

1. Check pt:
   - has been sitting for 5 minutes
   - is relaxed
   - has not consumed caffeine or had a cig for 30 minutes
2. Ask pt to remove high heels (if appropriate)
3. Confirm there is no phone/ key in pockets
4. Wrap cuff
5. Rest the pt arm on the table
6. Ensure feet are flat on the floor AND ensure their hand is relaxed
7. Press the START button.
8. 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.
9. Remove cuff at end
10. Document results

Question 4

Explaining bp results

Answer 4

Explain whether blood pressure is:
LOW: < 90/60
Normal: 120/80
HIGH: >140/90

Question 5

Taking height

Answer 5

1. Remove shoes
2. Stand straight as possible, looking straight ahead with the back of their head against the plate.
3. Lower the head plate to rest gently on the highest part of the head.
4. Document height

Question 6

Taking weight

Answer 6

1. Ask pt to step onto the scales, standing in the centre of the footplate.
2. Document weight

Question 7

BMI

Answer 7

Calculate patient’s BMI (kg/m2)

Question 8

Explaining BMI results

Answer 8

Explains whether they are:
underweight: <18.5
normal weight: 18.5 - 24.9
overweight: 25 - 29.9
obese: 30+

Question 9

Taking blood glucose + cholesterol

Answer 9

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

Question 10

Explaining blood glucose results

Answer 10

Explain if their blood glucose is normal
LOW: <3.5mmol/L
Normal: 4-9 mmol/L
HIGH: 11mmol/L