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HEALTHASSISTSUPPORT CARE MANAGEMENT



CareGivers   HealthAssist  

Primary Medical CareGivers in detail explains the level of education care offered through multiple areas of home wellness care, medical home care and home repair safety for the patient/client whom is need of home care services.

Nurse

 Primary Medical  has developed a detailed service plan of care strategies for many concerned questions. You may have before your home service assessment and how plan of care is established and completed for immediate service. Primary Medical  "Comfort is our First Priority" for every patient/client enrolled. Your medical history, and developed plan care is fully protected and confidential between you and your medical representatives at all times.   Privacy and understanding toward each care plan is fully respected.  

Medically related activities (Taking Vital Signs). Our first step is to know your health system and full vital signs on a consistent basis while providing descrete monitored care observation.

Temperature Measurement includes:

Oral 98.2, Rectal 99.7, Tympanic 99.7, Axillary 97.6, Vaginal 99.7, Skin of the Forhead. Swallowing a small thermometer, over Temporal Artery.

Every 39 seconds, a person dies, from a heart attack, stroke, or other vascular disease.

Feel free to let us know your home and care concerns. Primary Medical Agency, Home Care Concierge Assistance include:

Basket and Towels

Temperatures: 97.8 - 99.1F, Adult Temp: 98.6F Orally Axillary Temp: 0.5F to 1F, lower than orally, Rectal Temp: 0.5F to 1F, Normal Blood Pressure: 120/80 mm/Hg, Low Blood Pressure: 115/75 risk heart attack, 140/90 heart disease.  Hypertension: 90/60

Pre-Hypertension: 139/89 (Diabetes or Kidney Disease, Obesity , or being Overweight).  High Blood Pressure  Stage 1: 140/90  or  159/99  Stage 2:  160/100 or 179/109 Hypertensive Crises 180/110 or higer. Respiratory Rate: 16-20 Resp. per minute.  Heart Rate (pulse): 60-100 beats per minute.  
.

Respiration Rate Levels: 

Newborn to 1yr of age: 30-40 breaths per minute,
1-3 years of age: 23-35 breaths per minute, 
3-6 years of age: 20-30 breaths per minute,
6-12 year of age: 18-26 breaths per minute,
12-17 years of age: 12-20 breaths per minute,
18 years and over: 16-20
breaths per minute. 

Normal Pulse Rate:

Newborn: 120-160 beats per minute, 1month - 12months: 80-130 beats per minute, 2-6 years of age: 75 -120 beats per minute, 6-12 years of age: 75-110, 13 years and older: 60-100 beats per minute, Adult athletes: 40-60 beats per minute.

LIPID PROFILE

  • CHOLESTEROL 200mg/dl
  • BORDERLINE: 200-239mg/dl
  • HIGH RISK: 240mg/dl
  • TRIGLCERIDES: 150mg/dl
  • B: 150-199mg/dl
  • HR: 200-499mg/dl
  • HDL: 60mg/dl ratio: 4.0
  • B: 35-45mg/dl ratio: 5.0
  • HR: 35mg/dl   ratio: 6.0
  • LDL: 60-130mg/dl
  • B: 130-159mg/dl
  • HR: 160-189mg/dl

ATRIAL PROFILE

  • ATRIAL FIBRILLATION (AF)
  • ATRIAL RATE: 300-600 PM
  • IRREGULARLY PU: 75-190BPM
  • HEART FAILURE, LUNGS DIS.
  • ISCHAEMIC HEART DISEASE
  • VALVULAR HD
  • HYPERTENSION
  • ARRHYTHMIA
  • THYROTOXICOSIS
  • ANAEMIA
  • PERICARDIDITIS
  • MYOCARDITIS
  • DRUGS
  • GALLOP RHYTHMN

MIGRAINES

  • PRECIPITANTS
  • CHOCOLATE, ORAL CONTACEPTIVE, CHEESE, CAFFEINE, ALCOHOL EXERCISE, TRAUMA
  • HEADACHE PAIN: DUE TO ALTERATIONS IN CEREBRAL BLOODFLOW
  • Unilateral Head-aches 4-72 hrs
  • worsened w/ posture,  pulsating
  • Tension Headaches Bilateral
  • Classical Migraines w/ nausea, vomiting or photophobia.
  • ACUTE MANAGEMENT OF PAIN
  • CHRONRIC MANAGEMENT


HEALTHASSISTBLOOD SUGAR & BLOOD PRESSURE


All About Your Blood Pressure and Blood Glucose Management

NORMAL BLOOD PRESSURE: 120/80 mm Hg. Prehypertension 120 to 139 Systolic and Diastolic 80 to 89 mm Hg (gets worse over time). Stage 1 hypertension: 140 to 159 mm Hg Systolic and Diastolic 90 to 99 mm Hg. Stage 2 hypertension: Systolic 169 or higher Diastolic 100 mm Hg or higher. At age 60 Systolic is even more higher & Diastolic normal 140/90 mm Hg. to 150/90 is healthy. Younger than age 60 140/90. If you have kidney disease, diabetes, coronary artery disease or at high risk of it have reading less than 140/90.

HIGH BLOOD PRESSURE: Higher levels or over 180 (HYPERGLYCEMIA or DIABETES) causes higher to abnormal blood pressure. Right before a Meal: 80 to 130, Two hours after the start of the meal: Below 180

LOW BLOOD PRESSURE: (HYPOTENSION) A sudden fall of 110 systolic to 90 mm Hg That's 90/60 or lower til death readings occur. Or. 115/50 is lower to normal blood pressure. Moderate of low symptoms: dizziness, weakness, fainting, and a risk of injury from falls. Severely low symptoms: deprive body of enough oxygen to carry out normal functions causing damage to your heart and brain. Low number of blood cells (Anemia).

LOW BLOOD SUGAR: Lower levels or below 70 (HYPOGLYCEMIA) causes lower to normal blood pressure. Feeling shaky, sweaty, or very hungry, check your blood sugar. To stabalize it..drink: 4 ounces of fruit juice, or regular soda. Chew: 4 pieces of hard candy, or 4 glucose tablet. Wait 15 min. to retest the blood sugar.

BLOOD SUGAR CHECK: The common times for checking: 1. When you first wake-up (fasting), 2. before a meal, 3. 2 hours after a meal, and at bedtime. Check your blood sugar yourself. 4. Take the A1C (A-one-C) test with a lab home service. The test indicates an average blood sugar level over 2 to 3 months. Check right before a meal: 80 to 130. Two hours after the start of the meal: Below 180.

HEALTH NOTE: If you feel shaky, sweaty, or very hungry, check your blood sugar.
Chew 4 gulcose tablets, or Chew 4 pieces of hard candy, or Drink 4 ounces of fruit juice, or Drink 4 ounces of regular soda, do not consume diet soda. Wait! 15 minutes then check your blood sugar again.

Check for Ketones (Hard to lose the weight can lead to Kidney Failure)
Blood Glucose (Positive or Negative Results) KETONES: Small: <20 mg/dL Moderate: 30 to 40 mg/dL Large: >80 mg/dL

When there is not enough insulin to get sugar from the blood and into the cells, the body turns to fat for energy. When fat is broken down, Ketone bodies are made and can accumulate in the body. Ketones are most likely to show up when there is not enough insulin in the body. This can happen if peopl who have Type 1 Diabetes don't take insulin or don't inject enough to meet higher demands, such as during illness or stress or when a pump gets clogged or unattached. It can also happen in people with Type 2 Diabetes who are insulin-deficient if they get sick. You may have Ketone bodies without having Ketoacidosis. If your diet is very low in carbohydrates or very low in calories and nutrients.

Test for Ketones level whenever: 1. Ketones bodies are acids made when your begins using fat instead of carbohydrates for energy. 2. A urine test is recommended to test for Ketones. However, a blood test can also be used with Lab Home Care. 3. High levels of Ketones are toxic to the body. The condition is called Ketoacidosis. 4. Blood glucose number goes over 300. 5. Skin is flushed or loses color. 6. Experiencing vomiting, nausea, or abdominal pain. 7. Sick (illness, infections, and injuries can cause sudden high blood glucose) 8. Have very little energy and feel confused. 9. Experiencing dry mouth or are thirstier than usual. 10. Have a difficult time breathing. 11. Breath smells "fruity."

Pregnant women may test each morning before breakfast and/or any time the blood glucose reading goes above 200. A negative test result means there are no ketones in your urine. A positive result is usually listed as small, moderate, or large. Trace amounts of ketones may mean that the body is beginnning stages of building up stores. High Ketones levels after the chemical balance of your blood and they can posison the body.

Diabetic Ketoacidosis
Ketones build up in the blood and urine as fasts are broken down for energy. High levels, Ketones can be very dangerous and even poisonous. If Ketoacidosis is left untreated, it can lead to diabetic coma or even death. Symptoms of Ketoacidosis can be confused with others (such as the flu or a stomach virus), so be sure to schedule your Lab Home Care Appt.

Kidneys help filter waste produts from the blood. They are also involved with regulating the blood pressure, electrolyte balance, and red blood cell production in the body. Symptoms of kidney failure are due to the build-up of waste products in the body that may cause weakness, shortness of breath, lethargy, and confusion. Inability to remove potassium from the blood stream may lead to abnormal heart rhythms and sudden death. Initially kidney failure may cause no symptoms, that's what makes it so scary. If the kineys fail completely, the only treatment options available may be a kidney transplant. Dr. Coston: Enjoy your life for Time is Short in remembering it."


HEALTHASSIST™ BLOOD PRESSURE


HEMOHigh Blood Pressure Health Conditions

Early Stages of High Blood Pressure: headaches, shortness of breath, nosebleeds, dizziness or nosebleeds. Symptoms usually don't occur until hypertension has reached a sever or life threatening stage. 

High Blood Pressure Information:  (Hypertension) A sudden amount of resistance blood flow in your arteries. The more blood your heart pumps and the narrower your arteries, the higher your blood pressure. Uncontrolled high blood pressure increases your risk of serious health problem, including heart attack and stroke. The higher your blood pressure and the longer it goes uncontrolled the greater the damage. Heart attack or stroke (can cause atherosclerosis), Aneurysm (high pressure cause blood vessels to weaken and bulge,, forming an aneurysm it can rupture at any time), Heart Failure (high pressure causes thickened heart muscle and hard to pump blood to meet the bodys need), Weekened and narrowed blood vessels in your kidneys (will prevent organs from functioning), Thickened, narrowed or torn flood vessels in the eyes ( this will cause vision loss), Metabolic syndrome (increase waist circumference w/high insulin levels), trouble with memory or understanding.  

High Blood Pressure: (Primary Hypertension) is a medical condition where the force of blood rushes against the artery walls high enough that it can cause health problems such as heart disease. Typically develops over many years, it's easily detected.  Having high blood pressure uncontrolled increases the risk of severe health problems such as heart attack and even strokes. 

Secondary Hypertension Symptoms: (caused by underlying condition): Obstructive sleep apna, Kidney problems, Adrenal gland tumors, Thyroid problems, blood vessels burn with congenital of all medications, illegal drugs (cocaine, amphetamines), Certain defects in blood vessels you're born with (congenital), Certain medications, such as birth control pills, cold remedies, decongestants, over-the-counter pain relievers and some prescription drugs.  Illegal drugs, such as cocaine and amphatamines, Alcohol abuse or chronic alcohol use. 

Causes of High Blood Pressure: Physically inactive, Overweight or obesity, using Tobacco, Alcohol (too much), Sodium, Potassium (too little), Stress, Chronic conditions, and Pregnancy. Age, Race ( common in blacks also, stroke, heart attack, and kidney failure), Family History, Not being physically active, Using (Tobacco) damage the lining of your artery walls, (Secondhand smoke can increase your blood pressure).  To much salt (sodium) in your diet and cause the body to retain fluid increasing blood pressure.  Too little potassium in your diet ( potassium balance the sodium in your cells not enough potassium will cause an accumulation of sodium in your blood. To little vitamin D this affects an enzyme produced by your kidneys that affects your blood pressure.  Drinking to much alcohol overtime damages your heart.  More than two a day for men or one a day woman will cause death.  Stress do not eat more, or use tobacco, or drink alcohol. Certain chronic conditions: such as kidney disease, diabetes and sleep apnea will increase your blood pressure. 

HEMOLow Blood Pressure Health Conditions

Early Stages of Low Blood Pressure: Dizziness,  Fainting (Syncope), tiredness or exhaustion, fainting, shortness of breath, general abdominal pain, cramps, or spasms, urinary tract infection symptoms, increased hearbeat, headache, rib pain, consulsions, loss of sensation, general weakness, general ill feeling, disordered motor function, nasal congestion, cough, leg pain, ache, soreness, or discomfort. Lack of concentration, Blurred vision, Cold, Clammy, Pale skin, Rapid, Shallow breathing, Fatque, and Depression. 

Chronically Low Blood Pressure: Primary Hypotension is a dangerous condition where dehydration can sometimes cause bllod pressure to drop.  Dehydration does not automatcally signal low blood pressure. Fever, vomiting, severe diarrhea, overuse of diuretics and strenuous exercise can all lead to dehydration.  A potentially serious condition in which your body loses more water than you take in.  Even mild dehydration (a loss of as little as 1% to 2% of body weight) can cause weakness, dizziness and fatique. Prolonged bed rest, Pregnancy, Certain Medications, Heart problems, Endocrine problems, Severe Infection (septic shock), Allergic reasction (anaphylaxis), Neurally mediated hypotension, and Nutritional deficiencies.

Causes of Low Blood Pressure: Prolonged bed rest,  (Hypotension) Pregnancy (the first 24 weeks), Certain Medications (diuretics, erectile dysfunction drugs, nitroglycerine, narcotics and alcohol, other over the counter drugs if taken w/ high blood pressure medication) Heart problems (bradycardia, heart valves, Heart attack, and heart failure) Dehydration, Body losses more water then you can take in, mild dehydration causes weakness, dizziness and fatque. Fever, vomiting, severe diarrhea,, overuse of diuretics and strenuous exercise all leading to dehydration. Endocrine problems / Underactive Thyroid, Hypothyroidism or Hyperthyroidism, Parathyroid disease, Adrenal insufficiency (Addison's disease), Hypoglycemia low blood sugar (Diabetes),. Severe infection (Septicemia) or septic shock occurs when bacteria leaves site of infection going into the lungs, abdomen, or urinary tract entering the bloodstream. Bacteria produces toxins affecting blood vessels life-threatening decline levels. , Severe Allergic Reaction  penicillin, peanuts, insect venoms, latex, or bee or wasp stings. (Anaphylaxis) (Breathing problems, hives, itching, a swollen throat and a sudden dramatic fall in blood pressure).  Lack of Nutrients in diet/ insufficiency of vitamins B-12 and Folate can cause anemia. Heart Medications (Alpha Blockers, Beta Blockers, Diuretics, Antidepressants (tricyclic), Sildenafil (Viagra), (Dehydration)-Thirst, Dizziness or Lightheadedness, Fainting (syncope), Lack of concenstration, Blurred Vision, Nausea, Cold, Clammy, Pale Skin, Rapid, shallow breating, Fatique, & Depression, Blood loss. Nutritional Deficiencies lacking essential viatmins B-12 and (Folate) folic acid can cause Anemia (body does not produce enough red blood cells), causing low blood pressure.  

Orthostatic Hypotension: Compensating machanisn fails and blood pressure falls when standing after sitting, occurs for a variety of reasons, common in older adults of 65 or health people after sitting for long periods in a squatting position. Leading Symptoms: Dizziness, Lightheadedness, Blurred vision and even Fainting.  Symptoms: Dehydration, prolonged bed rest, pregnancy, diabetes, heart problems, burns, excessive heat, large varicose veins and certain neurological disorders. Affects young people who stand up suddenly after sitting with their legs crossed for long periods or after working for a time in a squatting position. 

Postprandial Hypotension: is a sudden drop after eating causing affects older adults dizziness, faintness and falls. Gravity pulls blood to your feet when you stand, a large amount of blood flows to your digestive tract after you eat.  It can also affect your autonomic nervous system disorders (Parkinson's disease).  Lowering the dose of blood pressure drugs and eating small, low-carbohydrates meals may help reduce symptoms. 

Neurally Mediated Hypotension: Mostly affects young people and it is faulty brain signals. This disorder causes blood pressure to drop after standing for long periods, leading to dizziness, nausea and fainting. This condition primarily affects young people and occures from miscommunication between the heart and brain.   Standing for extended hours causes your blood pressure to fall pooling in your legs. Nerves in the heart lef ventricle actually signals the brain that blood pressure is too high, rather than to low. As a result the brain lessens the heart rate, decreasing blood pressure. This causes more blood pool in the legs and less blood reaches the brain, leading to lightheadedness and fainting. 

Multiple System Atrophy w/ Orthostatic Hypotension: (Shy-Drager Syndrom) causes progressive damage to the autonomic nervous system damage. It controls involuntary functions like the blood pressure, heart rate, breathing and digestion. It's associated with Muscle tremors, slowed movement, problems with coordination and speech, and incontinence, severe to high blood pressure when lying down.

PULMONARY Respiration Lung / Breathing Health Conditions:

Respiration Rate: depends much on different factors, including a person's age or level of exercise.  A person's respiration rate is normal, unusually fast, unusual slow or even non existent.

Tachypnea: Abnormally too fast, Causes: Heart or Lung problems, panic attacks, anxiety, allergies (abnormal reactions to substances).  asthma, exercise or even labor during pregnancy.  

Bradypnea: Abnormally low to slow.  Causes: heart or lung problems, illegal drugs, or certain medications.  

Non-Existent Apnea: a period where breathing completely stops or significantly reduced (A fibrillation). Causes: obstructive sleep apnea (while sleeping), central sleep apnea (once occurring). A Person may wake going from deep sleep to light sleep.

CARDIOVASCULAR HeartHealth Conditions:

Heart Rate Measurement include: Ulnar artery, Carotid artery, Brachial artery, Femoral artery, Radial artery, Popliteal artery, Posterior Tibial artery, Abdominal Aorta, Facial artery, Dorsalis Pedis, Superficial Temporal artery, Apex of Heart (Chest w/Stethoscope).

Causes of Abnormal Heart Rates: (Tachycardia) (Bradycardia) (Arrhythmia) Anxiety, Stress, Caffeine, Nicotine, Certain Medications, Overactive Thyroid, Exercise, Hyperventilation, Fever, Diet pills, Cocaine, Low Oxygen in blood stream, Heart valve disease.

Systolic pressure: The amount of pressure your heart generates when pumping blood thrrough your arteries to the rest of your body. Diastolic pressure: The amount of pressure in your arteries when your heart is at rest between beats.

HEALTHMEDASSISTMedication Rights, Administration and Caregiver Management:

  1. The Right Patient: RTPT. Verify, Medication Order to ID Braclet, State Name and Birthdate, Allergies
  2. The Right Medication:  RTMED.  Tripple check: Retrivals, Preparing, Before Administering, Medication Labels and all Orders. NEVER ADMINISTER MEDS PREPARED BY ANOTHER PERSON OR MEDICATIONS THAT ARE NOT LABELED. EXCEPT BY THE PHARMACIST. 
  3. The Right Dose:  RTDS. Check Label for Medication Concentration,  Compare prepared dose with Medication Order,  Including all Medication calulations with another nurse.  Verify dosage is within range for patient & Medication.  
  4. The Right Time:  RTT.   V erify schedule of Medication -DATE , and -TIME.
  5. The Right Route:  RTR.  Verify Route body area,       Remember:  RTPT,  RTMED,  RTR, RTDS,  RTT.
  6. The Right Education: RTE.  Inform Patient of Medication being administered. Ask Patient for any known allergies to medications. Inform about desired effects and side effects. 
  7. The Right to Refuse:  RTRF Legally responsible party ( patient, parent, family member, guardian, etc) has the right to refuse service or any medication, but, YOU MUST inform the responsible party of the consequences of refusing medication,  Including to notify the Physician and document the refusal.  
  8. The Right Assessment:   RTA  Assess patient and test results to determine if Medication is safe and appropriate. If deemed unsafe or inappropriate notify ordering provider.  DOCUMENT the reason the medication was not administered.  
  9. The Right Evaluation:  RTE. Assess patient for.  -Any adverse Side Effects. and -Effectiveness of Medication, Compare patient's status before and after medication administration. 
  10. The Right Documentation:  RTD.  NEVER document before medication is administered,  YOU MUST DOCUMENT -Medication, -Dosage,  -Route, -Date and Time,  Signature and Credentials, 
  11. Medication Orders:  

 HEALTHMEDASSIST™ Medicalion Administration & Caregiver Management:

COMMON MEDICATION ERRORS

  • Wrong Drug
  • Wrong Dose
  • Wrong Route
  • Skipped Dose
  • Wrong Rate
  • Wrong Time
  • Poor Handwriting
  • Incomplete Orders
  • Dangerous Abbreviations
  • Misplaced Decimal Points
  • Make sure it's complete, clear, and  consistent.  Date, Time and Prescribers Signature. 

TYPES OF MEDICATION ORDERS

  • Standard Written Orders
  • Single Orders (Only Once)
  • STAT Orders (IMMEDIATELY)
  • P.R.N. Orders (As Needed)
  • On-Call Order (When Treatment Request it)
  • Now Orders (As soon as drug is available or within 1 Hour)
  • AC Drug  (Before Meals)
  • PC Drug (After Meals)
  • Verbal Orders (Physician By Phone or In Person) Ignore this type they are inconsistent.  Repeat back and provider sign documentation

TRANSCRIBING MEDICATION ORDERS

  • Transcribe Drug Order  to a Medication Administration Record (M.R.A)
  • Date of the Order
  • Full Name of the Drug
  • Dose form and Amount
  • Administration Route
  • Time Schedule
  • Date to Start the Drug
  • Date to Stop the Drug

HEMO-HEALTHASSIST™  RNA/DNA Daily ReNue Wellness:

Look young again and feel it to.  

Dangers of High Homocysteine Levels lead to these Health Conditions: Alzheimer's, Cancer, Heart Attacks, Strokes, Depression, headaches, Infertility, Pregnancy problems, Thyroid Problems, Arthritis, Chronic Fatigue, Diabetes, Obesity, Ulcers, macular degeneration, Bone fractures, HIV, High Blood Pressure.  Alzheimer's Patients with elevated levels of homocysteine in the blood nearly double the risk of developing Alzheimer's disease (AD), according to a new report from scientists at Boston University.  National Institute of Health.

RNA/DNA Bases with Cofactors... Tired of feeling your age? The supplement is all natural, caffeine-free boost for physical and mental energy. It also provides the building blocks for healthy cells with anti-aging support and it comes in a convenient liquid, spray form.  Metabolism of DNA and RNA has five nucleic acid bases make up the information code of life.  Both DNA and RNA share three bases-adenine, guanine, and cytosine.  In DNA the forth base is thymine, whereas in RNA it is uracil.  In DNA, each base combines with a five-carbon sugar call deoxyribose, hence the term DNA stands for deoxyribonucleic acid.  In RNA, each base combines with the five-carbon sugar ribose, thus RNA stands for ribonucleic acid.  The information code in DNA in the cell nucleus is transcribed to RNA, which is then translated to all the enzymes and proteins made in the body.  The DNA to RNA to protein translation mechanism makes possible the vast diversity of life on earth. 

When the DNA and RNA liquid supplement are ingested intact, they are intensely metabolized by internal bacteria and the intestinal lining.  Over 95% of the pyrimidines bases cytosine, thymine, and uracil are degraded by the intestinal lining before reaching the blood stream.  Eradicate  a large mass of body sickness and illness.  SAVE YOUR LIFE TODAY!  Call Us! To reserve an appointment for proper program planning.  


A. Benefits of Fiber:  Digestion, Heart Health, Blood sugar regulation, cancer prevention, longevity, food allergies and asthma, 

Fiber Soluble Fiber vs. Insoluble fiber: both have important benefits.  Soluble fiber helps decrease blood glucose (blood sugar) levels and lowers blood cholesterol.  Insoluble fiber: speeds up the passage of food through the digestive system. Regularity and prevent constipation, it also increases fecal bulk, which makes stools easier to pass.  Also retains it's shape while in the body. 

Low Fiber Food Precautions: Good for medical situations if under going chemotherapy, radiation or surgery.  If your suffering from Crohn's disease, Diverticulitis, Inflammatory bowel disease and Ulcerative colitis.  Avoid high fiber foods if not this will cause the intestinal tract to work harder, so avoid spicy foods, fried foods, tough or processed meat, caffeine, cocoa from cocoa powder and nuts. 

High Fiber Diet: Reduce the risk of hemorrhoids and diverticulitis (small, painful pouches on the colon). Reduces amounts of LDL (bad) cholesterol.  Reduce blood glucose (HbA1c) glycated hemoglobin can decrease with increased fiber.  Reduce Cancer by naturally reacts with bacteria in the lower colon and can sometimes ferment into a chemical called butyrate, which may cause cancer cell to self-destruct. Longevity Reduce the risk of total mortality.  

High Fiber Food Precautions:  Caffeine is a diuretic that causes loss of fluids, adding excess caffeine with a high fiber diet can cause constipation.  Warning, do not attempt a do it yourself diet and you are mixing incorrect food combinations. This will lead to serious and very expensive health problems.   In High Fiber Diets consumed to fast can cause bloating, cramps, and even diarrhea. 

Fiber Supplements: Not as good as raw fiber from whole foods, It's good to regulate bowel movements, or suffering from constipation.  They lower cholesterol and lowering blood sugar stabilization effects.  Fiber supplements will interact with certain drugs, like aspirin, carbamazepine and warfarin, they also cause bloating and gas -----  just like the real thing. 


Occupational TherapyHEALTHASSIST Oxygen Care 

Primary Medical Agency's Oxygen Health Therapy offers a full range of specialized therapy services. 1NHC Agency focuses on state-of-the-art therapy pocess at home. Following suffering a stroke or lost your strength because of an illness or injury. Specialized Therapy experts can help you regain your motor skills, strength, and mobility functions through helping you to become stronger and accomplish everyday tasks.

Occupational Therapy

Oxygen Deficiency Symptoms:

  • Acid Stomach
  • Bronchial Problems
  • Changes in color of skin from blue to cherry red
  • Confusion and Coughing
  • Fast Heart Rate
  • Rapid Breathing
  • Sweating, Wheezing
  • Poor Digestion
  • Irritability
  • Irrational Behavior
  • Memory Loss
  • Depression
  • Dizziness
  • Muscle Aches & Pain
  • Fatigue
  • Overall Body Weakness
  • Circulation Problems 
  • Food we Eat
  • Air Pollution
  • Carbon Monoxide
  • SERIOUS DIAGNOSIS
  • Anoxia
  • Anemic Hypoxia
  • Cerebral Hypoxia
  • Generated Hypoxia
  • Hyperemic Hypoxia
  • Hisototoxic Hypoxia
  • Hypoxiaic Hypoxia
  • Varying medical conditions Heart or Lung Disease
  • Drinking Alcohol the liver uses a lot of oxygen to break down and eliminate alcohol from the body
  • Smoking- Red Blood cells absorb the carbon monxide in smoke 230 transportation of oxygen throughout the body.
  • High Altitudes activities such as mountain climing, flying planes, or visiting cities like Denver.

HEALTHASSIST Nutrition and Diet Health Intake Assessment

NutriAssist Care Certified Health Coaches are accredited by; The National Consortium for the Credentialing of health and Wellness Coaches. Our goal for each client is to develop nutritional building blocks through daily meals preperation.  Any form of unbalanced nutrition and diet intake can result in severe dehydration, deficiency health problems, immune sickness, obesity, malnutrition, food poisoning and food Insecurity.  Your nutritional care requires a certain amount of nuturing calories for those dealing with all types of health issues while, taking medications or vitamins. The Assessment initiation of nutrition is prepared in a timely manner for identifying clients having nutritional risk and complications after arriving home.  We conduct an evaluation of a client's nutritional status (nutrient stores) based on your current physical examination or health issue. Laboratory data  and food intake information.  

Long-Term Illness of one in six Americans are sick from food poisoning every year.  That is about 48 million people.  Most of them will recover from lasting effects due to their illiness.  However others will have devastating and will die from being food poisoned.  The most Primary Medical Agency can provide is some serious effects associated with several common types of food poisoning.  1.  Kidney failure - Hemolytic-uremic syndrome (HUS) it destroys red blood cells, causing kidney injury HUS occurs after infection with some kinds of E.coli bacteria.  HUS is most common in children, and is one of the main causes of acute kidney failure in children.  2. Brain and nerve damage - Listeria leads to meninitis, an inflammation of the membranes surrounding the brain.  Newborns are most infected with Listeria, long-term consequences include mental retardation, seizures, blindness, or deafness.  Guillain -Barre Syndrome is a disorder affecting the nervous system. Occurs from persons immune system attacks the bodys own nervous system.  Resulting in paralysis lasting several weeks usually requiring intensive care.  Guillain - Barre Syndrome also it may be triggered by the Campylobacter infection.  3.  Death that is 3,000 people die each year of illnesses from food poisoning. Five types of organisms are: Salmonella, Toxoplasma, Listeria, Norovirus, and Campylobacter, is accounted for 88 percent of all deaths. Other types of foodborne illness causing death are Vibrio infection(from eating raw shellfish or a wound exposed to warm seawater) it infect the bloodstream causing severe life-threatening illness. Half are fatel and death occurs in two days.   Let our Certified Health Coaches write out meals plans for you.  It will serve toward your over health stabalization for a successful outcome. 

Many members of the health-care team are involved in a compreshensive nutritional assessment, including the physican, dietitian, nurse, social worker, and laboratory staff.  At Primary Medical Agency nutrition and diet health Intake assessments rest assure we work in conjunction with all health related recovery measures to ensure the best outcome. 


NUTRIASSIST Daily NutriCare

Breakfast, Lunch, Salad, Dinner and Fruit Desert. Please! At Primary Medical Agency, If you need to eat properly for your health to recover our health coach professionals can customize a nutritional program that will include your needs as well as incorporate education for you and your caregiver. We offer a large range of nutritional and diet food planning services; however, we include only those that will suit your individual nutrition and diet intake needs.

The nutrition services may include:

Nutrition in Human Health
• Carbohydrates
• Fats
• Protein
• Energy Balance
• Vitamins
• Minerals
• Water
• Digestion, Absorption
• Metabolism, and Excretion
Happy Elderly Couple

Fruits & Vegetables

SLEEPASSIST™ Sleep Care & Disorders

Parents take note on exactly how much sleep your child is getting. Sleep is essential for a healthy life, and it is important to promote healthy sleep habits in early childhood," children who are in the critical years of early development, sleep is even more crucial." Making sure that is ample time for sleep is one of the best ways to promote a healthy lifestyle for a child," Children who received the recommended amount of sleep experienced "overall better health outcomes including: Improved attention, behavor, learning, memory, emotional regulation, quality of life, and mental and physical health."  

Insufficient sleep was associated with an increased risk in that sleeping fewer than the recommended hours is associated with attention, behavior and learning problems. Insuffiient sleep in teenagers is associated with increased risk of self-harm, suicidal thoughts and suicide attempts.  Getting adequate sleep doesn't only involve meeting your mark.  "The benefits of healthy sleep require not only adequate sleep duration, but also appropriate timing, daily regularity, good sleep quality and the absence of sleep disorders,"  So, go to bed early and wake up early. 

Outline of Sleep needed for Optimal Health may include:

• Infants 4 to 12 months:  12 to 16 hours per 24 hours (including naps)
• Children 1 to 2 years of age: 11 to 14 hours per 24 hours (including naps) 
• Children 3 to 5 years of age: 10 to 13 hours per 24 hours (including naps) 

  • Children 6 to 12 years of age: 9 to 12 hours per 24 hours
  • Teenagers 13 to 18 years of age: 8 to 10 hours per 24 hours