Siletz
Community
Transportation
Policy
Purpose. It is the policy of the
Siletz Tribe that individuals and
families
have
the
primary
responsibilities for their own
transportation needs. Transportation
services are not the most efficient use
of tribal resources. It is the purpose of
the Transportation Policy to more
clearly outline when these services are
appropriate. Considerations would be
given to extreme emergencies.
Authority. The Transportation
Policy is a part of the Tribal
Government Operations Manual.
Objectives. The objectives of the
transportation policy are to:
(a) Educate tribal members as to the
nature and type of transportation
services that are available through
tribal programs.
(b) Clarify the role of transportation
services in relation to other
program services.
(c) Establish criteria for staff in
evaluating transportation requests.
(d) Institute procedures for requesting
and utilizing transportation services
(transportation request form).
Eligibility. Transportation services
are a last resort to personal and public
transportation. There are situations in
which these resources many not be
available. Transportation services are
intended for tribal members and
program participants who do not have
access to these services. In those
instances in which transportation
services are necessary to improve or
maintain the individual’s quality of
life, care should be taken not to
minimize the responsibility of the
individual and family to whom these
services may be provided.
Function. Generally, purposes that
may be appropriate for transportation
services include advocacy services
related to an existing case plan, medical
transports where issues are present,
elder transports where no practical
alternatives are present, or program-
sponsored activities. Transportation
services that are normally not
“Cha-may weeya”
Medicine Talk
Health
Clinic
The ABCs of Diabetes Care
Did you know that you can lower
your risk for heart attack and stroke?
Research has shown that people with
diabetes, while often not aware
that they are at high risk for these
diseases, can live longer and healthier
lives simply by controlling the ABCs
of diabetes.
Do You Know Your
ABCs?
Reduce your risk for heart attack
and stroke by learning and lowering
your ABCs:
months. The recommended A1C target
level is below 7.
B is for blood pressure. The
suggested target level is to keep your
blood pressure below 130/80. If you
keep your blood pressure in the target
range, your heart doesn’t have to work
as hard.
C is for cholesterol. It’s easier on
your heart if your arteries aren’t
clogged with bad cholesterol, or LDL.
The suggested LDL target level is
below 100.
Ask your health care provider
these questions:
A is for A1C test. Previously
known as HbA 1c, this longer-term test
measures your average blood glucose
(blood sugar) over the last three
appropriate include shopping trips,
paying utility bills, court appearances,
visitation, etc.
Program. Services offered by the
tribe are geared toward the betterment
of tribal members and program
participants. Consequently, eligible
transportation services are viewed as
shared responsibility among tribal
employees. However, in the interests of
appropriate program utilization,
transports will be the primary
responsibility of the staff that is most
closely associated with that purpose.
For example, medical transports would
normally be transported by Health staff,
elders would be transported by Social
Service staff, etc. In cases where no
clear distinction exists, it may be
appropriate to share the responsibility
among the relevant programs.
Procedures. It is requested that at
least 48 hours notice be given for the
purpose of transportation. Staff are
instructed to ensure that all personal,
family, and public transportation
resources have been exhausted prior to
assuming responsibility for the
transportation. It should be noted that
the majority of staff duties are not for
the purpose of transportation and are
contingent upon staff availability. It is
requested that at least 24 hours notice
be given prior to any cancellation.
1. What are my ABC numbers?
2. What should my ABC target
numbers be? Ask your provider
what targets are right for you.
3. What actions should I take to reach
my ABC target numbers?
Today, good diabetes management
is much more than lowering your
blood glucose. It’s about controlling
your ABCs. Each of the ABCs is
equally important.
Talk to your health care provider
to learn about other ways to reduce
your risk for heart attack and stroke.
Remember, even if you reduce your
ABCs by a small amount, you’re
significantly lowering your risk for
heart disease.
Tips to Help Lower
Your ABCs
*•
□ Get physical activity every day.
□ Eat less fat and salt.
□ Eat more fiber - whole grains,
fruits, vegetables, and beans.
□ Stay at a healthy weight.
□ Stop smoking. We have help at
the clinic. Ask your health
care provider.
□ Take medicines as prescribed.
□ Ask your provider about taking
aspirin.
□ Ask others to help you manage
your diabetes.
Tobacco, Diabetes Programs
Attend Health Fair
The Siletz Community Health
Clinic’s Tobacco Prevention and
Education Program and the Diabetes
Program participated in a health fair at
Chinook Winds Casino & Convention
Center in May. Pac-West Ambulance
sponsored the fair.
Shannon Chrisman, TPEP coor
dinator, had a booth with a variety of
tobacco prevention information. Details
on secondhand smoke, guides to
quitting tobacco products, coping with
withdrawal symptoms, and stress tips
Shannon Chrisman
were available for fair attendees and
Chinook Winds employees. Posters and information on the history of traditional
tobacco use were available and “The Only Thing You Should Smoke is Salmon”
water bottles and T-shirts were raffled.
Shannon was one of several featured speakers and gave a presentation on the
difference between the historical sacred use of tobacco by Native people in prayer
and ceremony vs. the commercial use of cigarettes and other products that are
hazardous to health and addictive.
John Jasper, diabetes coordinator, also had a booth at the fair. He handed out
educational brochures on diabetes, gave diabetic screenings, and met with
participants to discuss diabetes diagnosis and prevention.
August 2002
□
Siletz News
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