Mary E. Crump, RN,MSN,MPH Clinic Manager – Jackson Heart Study Clinic

Reception Greeted by administrative assistant Participant ask to sign in and provide contact information. Clinic staff is notified participant has made his/her arrival

Meeting the participant with a smile

Clinic Staff JHS Staff introduction to participant JHS Informed consent provided to participant to read and time for questions JHS If participant has difficulty reading or sight challenges, audio tape of consent will be provided for participant.

Examination Fasting Height Changing clothes Weight Anthropometric measures Hip circumference

Blood Pressure

Self-monitoring blood pressure

Interviews Stroke/TIA Medical Health Medication

Laboratory

Exam continues VenipunctureHcA1cSpot Urine 24-Hr urine collected in Exam 1 C-reactive proteinGlucose Lipids (triglyceride,LDL,HDL) Creatinine

Exam continues EKG

Exam continues Snack provided More questions

MoCA test

MoCA The Montreal Cognitive Assessment (MoCA) was designed as a rapid screening instrument for mild cognitive dysfunction. It assesses different cognitive domains: attention and concentration, executive functions, memory, language, visuoconstructional skills, conceptual thinking, calculation and orientation.

Medical Data Review Check for completeness of exam Refer participant if treatment is needed Meet with Social Worker Satisfaction Survey completed

Exams CT MRI

Results Reporting 1.Immediate referral to HCP if needed 2.Referral for one week or month to HCP 3.Results from exam in clinic within 2-3 weeks after visit to clinic

Content for JHS Exam Medical and family history Medications Lifestyle factors Sociocultural factors Anthropometry BP, ECG Echocardiography Carotid Ultrasound Brachial Reactivity Pulmonary Function Extensive Blood work Long-term storage of frozen specimens and DNA extractions

Questions

Clinic Staff