presented by: cdr michael laplante pt, dsc, ecs physical rehabilitation director tuba city regional...

Presented By: CDR Michael LaPlante PT, DSC, ECSPhysical Rehabilitation Director

Tuba City Regional Health Care Corporation

The evolution of health care provided by the Indian Health Service.

Understand the basic framework of a rehab/wellness program.

Introduction of outcome measures documenting possible impact of program.

Currently, the incidence rate of diabetes continues to rise, as does the rate for obesity.

Higher numbers of children at ever-younger ages are being diagnosed with Type II diabetes.

Native American four year olds are twice as likely to suffer from obesity compared to their non-Hispanic white peers.

During the date range for data collection in the Rehab/Wellness program, the incidence rate for Diabetes rose to a total of 16.5% of all the Native American population, compared to a level of 12% in 1998.

Comparatively, the incidence rate for the overall American population in 2007 was 7.8%.

Neel (1962) proposed the "thrifty" genotype model to explain why diabetes mellitus occurs at such high rates in some populations.

During the date range for data collection, from June 2007 to June 2009, there was a 28% increase in the incidence rate of obesity among the Native Americans in our service area.

Medications Counseling Dietary Education Exercise Recommendations

Rehab/Wellness could be called ‘DPP Light’, which has as a primary goal manageable lifestyle change.

Successful goal setting can be moderate weight loss and decreased percent body fat.

Successful goal setting can also include prevention of weight gain and stable body fat – for certain ‘age and weight’ patient groups.

Available for those having the risk of, and the diagnosis of, Diabetes.

Patient receives a full musculoskeletal examination by a physical therapist.

Therapeutic exercise program is introduced to patient which helps meet their functional and measurable goals, and addresses weaknesses and accommodative requirements.

If patients can see the changes in their body, they can appreciate the positive impact it has on their lives.

Time Period Data Collected: 2 Years N = 43 Mean Weight Change: -4.1lbs Change in Percent Body Fat: -1.1%

A place to ‘graduate’ high-level patients who are quite independent but will benefit from continued intervention.

Don’t wince – Chronic Pain Provides a option for pain management that

can reduce the amount and strength of pain meds needed by patients on a daily basis.

You can find me here: 928-283-1347

Here: Michael.laplante@TCHEALTH.org

Or Here…