Shasta College
Student Health & Wellness Office
Facilitating college success
Debbie Goodman MSN, RN, PHN
College Nurse / Coordinator
Becky Bogener MSW, LCSW
Psychological Counselor
Updated January 2014
Shelley Lowry
Health & Wellness Technician
Want to revisit this presentation?
1. Visit the Health & Wellness
Webpage at:
www.shastacollege.edu/wellness
2. Click on “Learn more about…..”
Most underlined text in this presentation
provides a link to health websites and
additional health information.
Learning outcomes
At the end of this presentation, students will be
able to:
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List the services available through the Student Health &
Wellness office.
List 5 health habits that contribute to student success
Identify the Student Health & Wellness office as a
resource that facilitates academic retention and success.
Identify additional community health resources
5 Health Habits that contribute to
Student Success
Eat Right
Exercise daily
Get quality sleep!
Manage stress
Set goals….and write them down
(goals related to academics, physical
activity, nutrition, mental health, etc.)
Shasta College
Student Health & Wellness Office
Call the office before driving to campus
hoping for a “walk-in” appt. – there are
times we must close early and we want
to minimize unnecessary travel for you.
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Location
Room 2020
2000 building, Student Center w/ Cafeteria
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Hours of Service
Monday - Friday 8:00am-4:00pm
Closed 12:00-1:00 daily
Shasta College
Student Health & Wellness Office
A “student health fee” supported service whose
purpose is to:
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Assist students with short-term / temporary
health and related challenges which might
create a barrier to success in their academic
program.
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Promote lifetime wellness and health
maintenance
Important to learning….
Staying emotionally & physically healthy
Improves your ability to learn
College success !!
When students fail it’s typically not because they can’t do the work,
but because physical and emotional stressors “get in the way”.
Important to note:
All students (and employees) are required to
show a government issued photo ID (driver's
license, state issued ID, Passport, Matricula
Consular card) prior to receiving services with
providers, except in the case of emergency.
This does not pertain to accessing lobby services
(OTC machine, lobby self-help supplies)
Shasta College
Student Health & Wellness Office
Services:
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To help with physical and emotional stressors
Physician Clinic
Psychological Counseling
Planned Parenthood Health Educator
Nurse provided services / wellness opportunities
Dental Hygiene program (off-campus, not supported
by health fee)
Webpage resources
Shasta College
Student Health & Wellness Office
Physician Clinic 2013-2014 School Year
One day / week – most WEDNESDAYS (check Events Calendar
on college homepage)
8:00am – 12:00pm & 1:00pm-4:00pm, last appt. is 3:00pm
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Frederick David, MD
If Dr. David is your primary care
Appointments recommended
provider elsewhere, please know
Walk-in’s assisted as time allows that our policies do not allow him
to address your chronic
Short-term, temporary illness,
conditions at the college.
i.e. - irritations and infections
Limited stock of antibiotics, etc. at no cost to you
Prescriptions filled at your / insurance expense
Shasta College
Student Health & Wellness Office
Students find that physician clinic is helpful
with….
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Academic program physicals
Non-complicated, class-related physicals
Non-complicated work physicals (we cannot drug or
endurance test)
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Diagnosis & treatment of uncomplicated Irritations
and Infections of: Ear-nose-throat, sinus, respiratory
tract, eye, bladder, skin, etc.
Clarification:
We are a student health service, not a traditional “doctor’s office”
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Physician access is 7 hours or less per week during semesters
No physician access during holidays, semester breaks or summer
The Student Health & Wellness office is not a comprehensive health care
provider and is not structured to address all the healthcare needs of District
students.
It is not the intention, nor contained in the scope of practice, of the
healthcare professionals in this office to be identified as primary healthcare
providers.
If, after the initial visit, it appears a health concern will require care beyond a
third (3rd) follow-up visit, the Student Health & Wellness office will provide a
referral to another healthcare provider in the community and your health
concern will thereafter no longer be the responsibility of the Student Health
& Wellness office.
Connecting you to the community…
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When you are in need of a primary
healthcare provider for the management of
an on-going health condition we will do as
much as possible to assist you.
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Ask for our list of community walk-in clinics
Examples of Community Healthcare
Resources (not complete list)
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Shasta Community Health Center Urgent
Care Clinic – Sliding-scale fee programs
HOPE van – Not just for the homeless (next slide)
Target “discount” prescription list
Wal-Mart “discount” prescription list
HINT – Take a recent copy of the low-cost
prescription list with you to your next MD
appt. Ask the MD / NP / PA if one of the very
low cost meds will meet your needs!
Call (530) 246-5710 for
HOPE van location-ofthe-day.
The Affordable Care Act and You
Starting January 1, 2014, EVERYONE is required to have health coverage either through an employer,
Medi-Cal, state health programs, or the Marketplace.
If you don’t have health coverage, you may have to pay a penalty.
WHAT DO I DO TO FIND OUT WHAT COVERAGE I’M ELIGIBLE FOR?
In Shasta County you can either:
1. Call 1-877-652-0731 to speak with a “Covered Shasta” representative.
or
2. Visit https://www.c4yourself.com to complete an online application which
will first determine if you qualify for the new, expanded MediCal program.
You can also go to:
• Covered California (www.CoveredCA.com) or
• The Health Insurance Marketplace (www.HealthCare.gov )
Shasta College Health & Wellness Office (paying the health fee)
is not considered “coverage”
1/2014
Check the Health & Wellness
Office’s homepage for online,
anonymous Brain & Body
Health screening links.
Shasta College
Student Health & Wellness Office
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Psychological Counseling
Brief, solution-focused therapy
Available by appointment (50 min. visit)
Crisis walk-in “hour” available daily (15 min. visit)
Stress & anxiety reduction
Depression
Becky Bogener LCSW
clinical counselor and
Test anxiety
trainee supervisor
Relationships
Loneliness / Homesickness
Difficulty managing anger
Drug / alcohol use - abuse
Reasons students withdraw…..
Personal problems
Change of programs
Personal problems
#1 reason for
withdrawal.
Economic/health
problems
Other
From: “Emotional Intelligence in Higher Education”
ACHA 2008 Conference Presentation
Mental Health & College Success
• “It is clear that academic success goes hand in hand with emotional and
physical well-being…
• College is a fresh start for many students, but dysfunctional coping styles
can cripple their efforts…
•Even students who “get by” or succeed academically can be at risk if
unhealthy behavioral patterns follow them after college…
• Promoting emotional health in students is an investment in the future.
It should be part of the mission of all colleges and universities.”
Dr. Richard Kadison, Chief of Mental Health,
Harvard University
How stress
affects the
body… (check out
this online resource by
Helpguide.org )
Coping tools
help minimize
the effects of
stress on the
body, which
improves your
ability to learn.
Becky’s favorite handout for students…
Strengthening Your Resilience
Think about a time you overcame a major obstacle. What strengths and skills helped you? These
are part of your natural resilience. And they’re something you can build on.
Resilience is the ability to push forward and adapt when things don’t go as planned. It means
being able to overcome past hardships, keep going in the face of daily challenges, and bounce
back when you face major setbacks.
These steps can help strengthen your resilience in the face of a challenge:
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Tune in to your thoughts and beliefs. How you think plays a big part in how you react to
situations. Do your thoughts make you feel hopeful or hopeless?
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Reach out. Take time to strengthen your connections with loved ones or make new
connections.
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Pat yourself on the back. A positive view of yourself is key. Take time to reflect on your
strengths, skills, and accomplishments.
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Think of one thing you can do. Even in challenging situations, there’s usually at least one
thing you can do, even if it’s just changing how you react.
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Make a plan. Set a goal and make a plan to get there. Try to do something each day to work
toward your goal.
There is no magic formula for resilience, but each of the above steps can help you bounce back in
some way. Find the mix that helps you feel strong and more able to adapt.
Consider our counseling services if you would like help
learning tools to improve resilience and coping.
Think Positive Thoughts
Life is full of challenges. And when you have trouble tackling one, it’s easy to slip into negative thoughts about yourself.
But letting those thoughts define you can take a real toll on your health. Take back control with positive affirmations.
An affirmation is a simple, positive statement that you repeat to yourself. An example is, “I am a smart and resourceful
person.” Statements like this can help you feel worthy and capable. They can also help change your thinking
pattern.
Feeling good about yourself is key for optimal health. That’s because high self-esteem is linked to optimism.
And research shows optimistic people:
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Get sick less often
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Heal faster after illness
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Live longer lives
To help turn affirmations into beliefs, repeat them to yourself throughout the day. Here are some tips to lift your spirits:
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Jot down positive thoughts on sticky notes. Hang them on your fridge, calendar, or desk at work. These simple
reminders will help cheer you on throughout the day.
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Use your own voice as a coach. Keep a small tape recorder with you. Use it to create an audio collection of
positive thoughts. You can tune in whenever you get down on yourself.
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Remind yourself of past accomplishments. Write out a list of all the things you have achieved. Refer to this list
each time you need a boost.
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Your thoughts can quickly turn into your worst enemy. Or they can become your best friends. Make more room
for happy, healthy thoughts in your head.
Supporting a struggling friend or
classmate…
See “KOGNITO” link on Health & Wellness Webpage
• Peer-to-Peer Support of struggling classmates, roommates and / or friends
Monthly on-Campus
reproductive health
education
for men & women
Base your activities and choices on accurate
information – don’t “get caught” because you
“thought it was OK”…
Call Planned Parenthood for more information
about their Redding clinic services:
Planned Parenthood: Shasta-Diablo
Redding Regional Center
2935 Bechelli Lane, Suite C
Redding, CA 96002-1905
Phone: 530-351-7100
Dental Hygiene Services
http://www.shastacollege.edu/HSUP/DNTL/clinichours/
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Services Provided
Students provide all services under the supervision of instructors.
Basic to advanced cleanings are available with x-rays at no cost to registered Shasta
College students and at low cost to the general public.
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Screening: Call for information
Patients must be screened to qualify for the clinic prior to scheduling a cleaning
appointment.
The Dental Hygiene Clinic holds screenings several times a week. There is no cost for
the screening visit, however not all patients will qualify for treatment at the dental
hygiene clinic. Screenings are limited to 5 patients each session, on a first come first
served basis.
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Office staff is available to answer questions at 530-339-3608.
Shasta College Dental Hygiene Clinic
Health Sciences Building, Downtown
1400 Market Street St. 8106
Services Not Provided
Dental fillings
Redding, CA 96001
Dental extractions
Root canals
(530) 339-3608
Dentures
Other services provided by a Dentist
The importance of dental health…
Over the past decade, evidence has been gathered to strongly suggest
that the inflammation of periodontal (gum) disease contributes to:
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Premature and very small babies - Oral bacteria found in
the placenta and amniotic fluid can affect fetal growth and cause early labor.
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Worsens diabetes -
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Plays a part in heart, brain and lung diseases –
Type 2 diabetes TRIPLES risk of developing
gum disease and infection, and gum disease worsens control of blood sugar
Increases by 20% risk for heart disease, heart attack and stroke; oral bacteria
are easily carried to the lungs and worsen existing lung disease, especially
COPD .
Nurse provided services / wellness
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TB testing and verification
Vision / hearing screening
Body Composition analysis
Illness assessment & referral
Urinalysis (bladder infection check)
Pregnancy testing (35 days since LMP)
First aid / student injury reporting process
Tobacco Cessation counseling
Blood pressure screening
Know your numbers
by the time you are
Cholesterol screening ($20.00 fee)
20 years old!
Blood sugar screening
Shasta College Smoking & Tobacco Use Policy
Board Policy #3810
We are a non-smoking campus with the exception of
designated areas.
Please…..
1. Smoke ONLY in designated smoking
gazebos near the:
Includes e-cigarettes !!
• Walkway east of 1100 building
• North parking lot, in front of Bookstore
• Dorms have designated area for
residents
2. Wait to light up until you are IN the gazebo!
About e-cigarettes…..
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The vapor emitted from an e-cigarette is not just water vapor. At the very least, it
contains a propellant. If it is a nicotine e-cigarette then it also emits nicotine particles in
the vapor. So – for those nearby there is a “second-hand” exposure to chemicals,
similar to other smoked products.
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Due to the lack of regulation, no one knows how much nicotine and other substances
are in the different e-cigarettes, and manufacturers have not had to provide any
scientific evidence to support their claims or to comply with public health regulations
intended to protect consumers from deceptive claims. Centers for Disease Control and
Prevention (CDC) 2/28/13
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"E-cigarettes have not been scientifically shown to be effective tobacco cessation tools,
yet some distributors are marketing them either directly or indirectly for that purpose,"
Chris Hansen, president of the American Cancer Society Cancer Action Network (ACS
CAN) 3/2/2013
What are the symptoms of
Influenza-like Illness (ILI aka Flu)?
Sudden onset fever over 100.0 F
 Headache • Flu peaks in the spring months – February, March, April.
• It takes 10 -14 days to develop immunity after a flu shot
 Body pain
•January / Winter Break is not too late to get a flu shot
 Cough
•Call Public Health @ 225-5591 for vaccine information or
visit your local pharmacy for a flu shot
 Fatigue
And, in the case of some, but not all, viruses
 Nausea and / or vomiting
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January-March is not too late to get a flu shot!
Call Public Health 225-5591 for more information.
Flu Vaccination….
• Does NOT cause you to get the flu
• Protects your family, the elderly, the very young, and those that
cannot receive vaccination, as well as yourself
• Protects you from missing school or work ($$) because of the flu
• Is the cheapest health insurance you can buy…usually ~$10 to $20
• Vaccination is critical for those with asthma or other respiratory
conditions, persons who are confined to bed or wheelchair, as well as
those having diabetes, heart conditions, or who are pregnant.
How flu vaccines and antivirals work
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Vaccines works to prevent attachment of the
virus to the cells of the body (“H” portion of
H#N#)
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Antivirals works to stop the replication of the
virus in the cells of the body (“N” portion of
H#N#)
What can I do to not get the flu?
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Wash hands and use 60+% alcohol-based hand sanitizers between
washings – ESPECIALLY AFTER TOUCHING COMMONLY TOUCHED
AREAS.
Cover coughs and sneezes with your sleeve / dispose of tissue in the
waste basket – then wash / sanitize hands.
Don’t touch your nose, mouth, and eyes with hands
Stay home when you are sick
Get Vaccinated!
Pneumonia vaccine – Strongly recommended for adults 19 years and older
who have asthma or smoke cigarettes (new), as well as adults 65 years and
older, and those 2-64 years with chronic illness (heart, lung, diabetes,
alcoholism, liver, kidney, and immune-compromising conditions.)
Source – CDC and Shasta County Public Health
The Goal = Stay Healthy, complete college !
Wash your hands after touching items
everyone touches…
What if I get an ILI / Flu?
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Stay home
Most people will recover without using an antiviral
However, antivirals can be prescribed by your
healthcare provider to lessen the impact of the flu
Are you in a “high-risk” group ?
If you get the flu and become short of breath or have
difficulty breathing, immediately contact your
physician or go to the nearest emergency room.
The winter-break is not too late to get a flu shot!
Call Public Health 225-5591 for more information.
Measures to stay healthy
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Keep your immune system strong - Daily multivitamin with meals,
eat fruit and vegetables, get enough sleep, and take a 20-30 minute
walk each day.
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Stay current with adult vaccinations – Flu, pneumonia, Menactra
(meningitis), Mumps (MMR), TDaP (tetanus / pertussis), Shasta
County Public Health Vaccination Services
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Shingles shot (herpes zoster) now approved for persons over 50!
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Avoid close contact with people who are sick.
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Cover your mouth and nose - cough into your sleeve.
(5 minute DVD) http://www.coughsafe.com/media.html
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If possible, stay home from work, school, and errands when you are
sick. You will help prevent others from catching your illness.
The Goal = Stay Healthy, complete college !
The importance of sleep…
• Less than 6 hours per night contributes to 50% reduction in T cell
(immune system) production = more illness
•Students with fewer than 8 hours of sleep / night may also miss
sleep cycles that play a key role in the ability to store newly
learned information.
•With too little sleep, the body accumulates a “sleep debt.” Eventually,
this debt must be paid, even if this means falling asleep at a bad time,
such as while driving or in class .
• Many students who experience academic difficulties do not realize that
poor sleep habits may be contributing to their problems.
Journal of American College Health Jan/Feb 2006
• Blue light limits melatonin production
• Red light has no effect on melatonin
production
How technology interferes with sleep:
Bright screens can confuse ‘sleep switch’
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Pineal
Gland
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There is a part of the brain that sits right above the optic nerves
called the pineal gland.
The light or dark that our eyes sense triggers the optic nerve,
which triggers the pineal gland to turn on melatonin production
when the eyes sense darkness and shut it off when the eyes
sense light.
Melatonin, a natural hormone, is often called the “Dracula
Hormone – it only comes out in the dark.”
During the day the pineal gland is inactive. When the sun goes
down and darkness occurs, the pineal is "turned on" and begins to
actively produce melatonin, which is released into the blood.
Usually, this occurs around 9 pm. As a result, melatonin levels
in the blood rise sharply and you begin to feel less alert. Sleep
becomes more inviting. Melatonin levels in the blood stay
elevated for about 12 hours - all through the night - before the
light of a new day when they fall back to low daytime levels by
about 9 am. Daytime levels of melatonin are barely detectable.
The Goal = Stay Healthy, complete college !
The importance of sleep…
In fact….
A significant number of people going to a health provider
(MD, NP, LCSW) with symptoms of depression and anxiety
are actually suffering from sleep deprivation and not an
actual mental health diagnosis.
B. Bogener LCSW / per recent studies
(Harvard / Mayo Clinic / ASU)
Healthy Sleep Tips from the National
Heart/Lung/Blood Institute (NHLBI)
The Goal = Stay Healthy, complete college !
To learn better - make sleep a priority!
Check out the Go to Bed Snooze Letter
• Don’t vary by more than 2 hours from day-to-day your going to
sleep or waking times. Even with 8 hours of sleep, shifting sleep
schedules by more than 2 hours results in greater depressive
symptoms, attention and concentration difficulties.
• Students with increased REM sleep following intensive learning
periods perform better on exams. Memory consolidation takes
place during the REM stage (last 2 hours) of sleep.
• Students with more consistent week and weekend wake times
have better sleep quality and academic performance.
You can’t recover lost sleep.
Persons working
during the night must
take extra measures
to be sure sleep
environment is totally
dark during normal
daylight hours!!
• Blue light limits melatonin production
• Red light has no effect on melatonin
production…use clocks with red digital displays
1. Determine when you
need to stop evening
use of computers to
allow melatonin
production
2. Turn off / cover iLights
3. Use noise buffers
RECAP - How to stay physically and academically healthy
Get adequate sleep!!!
Alcohol’s impact & harm reduction
Student-reported negative
consequences of alcohol use,
starting with highest # reported:
1.
2.
3.
4.
5.
6.
Doing something they regretted
Forgetting locations / actions
Being physically injured
Physically injured another
Trouble with the police
Seriously considered suicide
Student-reported alcohol harm
reduction strategies, starting with
highest # reported:
1.
2.
3.
4.
5.
Use a designated driver
Eat before and/or during drinking
Determine in advance a set number of
drinks
Choose not to drink alcohol
Alternate non-alcoholic with alcoholic
beverages
Source: National College Health Assessment
Webpage Resources
Various screenings and info:
 Suicide prevention
 eCHUG & eTOKE
 Online Brain / Body Health Screenings
 Sexual assault prevention
 KOGNITO student-to-student support
 First Aid guide and Symptom checker
 Virtual brochure rack
 Many, Many more resources
Additional health resources
Shasta County Health & Human Services Agency
(aka Public Health)
Quitting Tobacco assistance
MRSA /Staph information
West Nile Virus information
HIV / AIDS testing & services
Emergency preparedness
Public Health services for families & Older adults
Vaccines
And much, much more….
Retail Food Facility Inspection Results (Shasta County)
Centers for Disease Control http://www.cdc.gov/
In our office lobby as well as Intermountain,
Tehama & Trinity offices & HSUP (downtown)
Provided at no charge to students:
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Over the counter (OTC) token vending machine –
Ibuprofen, Tylenol, aspirin, etc.
Cough drops
Minor first aid supplies
Feminine hygiene products
Condoms
What about goal setting?
Writing down your goals is an important first step towards
achieving them.
1. By writing them down, you visualize your goals.
2. The act of writing down goals creates a commitment on your
part. Only about 5% of the population actually takes the time to
write down their goals.
3. Setting goals leads to planning, which can reduce symptoms of
anxiety
What are your health goals for this semester?
Can the Student Health & Wellness Office help?
http://www.goal-setting-guide.com/goal-writing.html
Shasta College
Student Health & Wellness Office
Have a great
semester!