The People, Power, and Pride of Public Health provides an engaging overview of the incredible accomplishments and promise of the public health field. The first module includes interviews with legendary public health figures whose work led to millions of lives saved with vaccines, air bags and car seats, and the federal Women Infants and Children (WIC) nutrition program. The second module brings key public health tools to life -- including use of data, communications, and policy - through discussions with experienced professionals who have used these tools to save lives. The third module includes a "Carpool Karaoke"-style trip through Baltimore County, Maryland with NACCHO President Dr. Umair Shah to see and hear real public health workers talking about how they serve their communities. Learners will come away from this course with a deeper understanding of the public health field and a greater enthusiasm for their own work in public health. Preview the course on YouTube: goo.gl/RXKbUr
Mary: Home Nursing
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En provenance du cours de Johns Hopkins University
The People, Power, and Pride of Public Health
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À partir de la leçon
People: Public Health in our Communities
In this module, Harris County Health Officer Dr. Umair Shah drives “carpool karaoke”- style around Baltimore County, Maryland to hear from real health department workers about their work.
Rencontrer les enseignants
Beth A. Resnick, MPHAssociate Scientist
Health Policy and Management
Joshua Sharfstein, MDAssociate Dean for Public Health Practice
Hi. >> Hello, Dr. Shaw.
How are you?
>> Mary, how are you?
>> I'm good.
We're good.
Nice to meet you sir.
[LAUGH] >> Nice to meet you.
My gosh, what an honor.
>> [LAUGH] >> This is fantastic.
>> It is.
I'm a little nervous, but,- >> Why are you nervous?
>> I don't know. I'm going to be good.
Yeah they said, gosh, Shaw's so personable.
I go, okay.
>> My gosh.
I have to, hold on one second I gotta get you the, I don't know where they all are,
but- >> My gosh.
Okay.
>> But here you go.
>> I thank you. >> A part of just one
of the incredible gifts that we have is- >> I thank you.
Very good. >> Is bottle of water.
Keep you hydrated.
>> We gotta, we gotta be safe.
>> So Mary you are a nurse?
>> Yes.
>> At Baltimore county.
>> I am a- >> Is that right?
>> Public health nurse for Baltimore County.
>> [CROSSTALK] >> Public health nurse.
>> Correct, yeah. >> This is great.
>> Yeah. >> So where are we?
>> Where are we?
>> [LAUGH] >> What is this?
What are we doing? >> Right now.
This is one of the senior apartments in Baltimore County.
>> because this does not look like the Health Department, so I'm assuming-
>> This is not the Health Department.
>> And yet you're a nurse.
You should be in a Health Department, but you're in-
>> Public Health, and I'm a nurse.
This is where public health is to me.
>> Yeah.
Okay, tell me about that.
>> In people's homes.
>> So this is a senior living center?
>> This is senior apartments.
>> Apartments, okay.
>> Yeah, they're independent living here.
>> Independent living, okay.
>> Right. So I have coordinated many services for
Baltimore Country residents in their homes.
I've been a nurse for a long time and
I've provided- >> How long is a long time?
>> Well, I've been a public health nurse since 1985.
>> My goodness.
>> Yes, and a majority of my years I've provided case management.
>> You come in and you work with the management company here,-
>> Well,-
>> Or you go in to see individual
apartments?
>> Well, sometimes we'll get a call from the service coordinators that they
have here.
>> Okay.
>> Cafeterias have wonderful service coordinators, they know all the residents,
and if stuff, maybe the patient's having some troubles,
maybe they've had a lot of hospitalizations.
They're not eating, they look like they're losing weight, things are going on.
They will call our program called, Adult Evaluation and
Review Services to make a home visit.
>> Got it, well that's great.
>> Yep, so.
>> Looks good. >> So you got the water.
>> I do. >> You got, your seatbelt is buckled.
>> I'm buckled [LAUGH] >> Okay, and I, ready to go?
>> I'm ready.
>> Wow this is beautiful.
>> Really beautiful here.
>> This is incredible.
Incredible, wow look those.
Those are beautiful horses.
>> So the Belmont,
there's a road called Belmont up here that has a bunch of horses.
>> This is amazing.
>> This is the valley.
It's beautiful isn't it?
>> This really, and rolling hills, this is amazing.
All right, well I'm moving.
I mean that's it.
>> Yep.
>> This is it, done.
You sold me.
I'm going into nursing,
public health nursing,- >> Okay.
>> And I'm,- >> All right.
>> going to live in hill country, >> [LAUGH]
>> And ride horses.
[LAUGH] >> It's expensive to live around here,
just saying, but- >> Okay,
>> But it is beautiful, [LAUGH]
>> Maybe I'll retract that.
>> [LAUGH] >> So there's a lot of,
I would think there's a lot of gratification.
>> Yes.
>> Going into people's homes and really getting to see how they live.
>> Right.
>> What?
>> Yeah, I mean we go in there, with Adult Evaluation Review Services,
you go and you do a complete evaluation.
You look, you see what's going on with them medically.
Are they seeing a doctor?
Do they need to see a doctor?
Are they taking their medicines?
We look at what's going on with them socially.
Do they have a caregiver?
Do they have nobody?
Does their family live out of town?
Does the neighbor check in on them?
We look at what's going on with them functionally?
At regards to activities of daily living.
Can they bathe themselves?
Can they dress themselves?
Can they prepare a meal?
>> Yeah. >> So we look at all those factors.
>> All those things.
>> We got calls from doctor's offices and the doctor will say, this person came,
they're losing a ton of weight, they look disheveled, something's going on,
can you make a home visit?
>> Yeah.
>> Can you see what's going on?
>> Yeah, yeah. >> And we'll go out there, and
there'll be, there's nothing in the cupboards, they're-
>> That's so sad.
>> Yeah, it's, we've seen some sad situations, but
we can give those people some of the services that they need,
hopefully they're accepting of them.
>> Right.
>> And try to get them back on track, but we'll get calls from doctors offices,
calls from the hospital they'll be discharging a patient,
well we're really not sure what's going on in the home,
the patient came in and their glucose was 500, and we're not sure,
are they compliant with their insulin, and so we'll get those calls,
and we can provide home health services too, which is skill care.
That's unique about our division is that we actually have a home
health skill care unit, and so- >> Wow, so
you're this real intersection between this incredibly, busy,
important healthcare system, and frankly the community,
where we say in our department is where health happens where you live,
learn, work, worship and play.
>> We're doing a grant right now and
we're partnering with the local hospitals, family health clinic, and
that's that partnership that we need to- >> Yeah.
>> For that to happen to help these folks.
We do a, it's called the Self Measured Blood Pressure Program, and
it's a grant where we received 150 blood pressure cuffs, and so
we're dispensing them to these people that have hypertension and pre-hypertension.
>> But don't have the resources to get,- >> Right.
>> Or may not think,- >> Right.
>> Or they're deciding between food and blood pressure cuff.
>> Exactly.
>> So what are you going to do?
You're going to go for food, right?
>> Right, exactly.
>> Yeah. >> So we're, going out there and
educating them on how to use the cuff, and
we're providing some lifestyle modifications, education with them.
Do you want to lose weight?
These are some diets, MyPlate method, or let's look at what's in your cupboard.
Look at all the sodium in these foods that you're purchasing.
>> Salt is huge, yeah.
>> Salt is huge, and so with this grant we're tracking the blood pressure and
the weight, and we're hoping that we lower their blood pressure and
we reduce hospitalization.
So just that partnership with a local hospital family practice,
and we're also doing these blood pressure, soft measure blood
pressure program with those seniors in the senior apartments.
The service coordinators are coordinating information classes for us, and
they'll come and hear about it, so we're going to do that for a year.
We're going to check your blood pressures and track the lifestyle modifications.
Hopefully being effective for reducing hospitalizations and
lowering their blood pressure.
>> What's your key ingredient- >> Right.
>> For engaging- >> Well,-
>> Somebody to get them to maybe adopt
a different perspective on lifestyle?
>> Right, well, I hope they feel that I do care about them.
I feel like as if I'm compassionate, and
that I want to meet them where they are, but I also want them to succeed.
Hopefully, just through rapport with patients,
like with the blood pressure grant, the nurse goes back every month.
So when we go bach every month, hopefully they're saying, wow maybe this will work.
Maybe I coud try that.
Sometimes it takes little steps to get there.
>> Okay.
>> All right, yes.
>> Wer'e almost wherever I think were almost where we need to go.
>> This is Drum Castle.
We're here.
>> Okay.
So before I have that last question.
>> Okay.
>> That is about, that I asked you to think about.
>> Okay, I have to think about it.
>> And this is not a test.
There is no wrong answer, because it's your answer.
>> Right.
>> And, what makes Mary, what's the passion that makes
her want to get up every morning, professionally, not family,
I heard the family- >> Okay right, but professionally.
>> Professionally >> Right.
>> What makes her want to get into the community and do what she does?
What makes you tick professionally?
>> What makes me tick?
I like to help people.
I like that feeling of helping people.
I get satisfaction from that.
Truthfully, I've helped a lot of people along the way.
They've helped me through learning where they're at,
and so- >> Yeah.
>> I think, I guess that's my answer. [LAUGH]
>> That's so cool.
>> I don't know, it's very basic.
I'm very basic.
[LAUGH]
>> Well, I think-
>> I don't know.
I like being a nurse.
I've always-
>> Keep it simple.
>> Keep it simple.
I do keep it simple.
It's important to keep it simple.
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