Test your first aid knowledge. Circle the correct answer. 1. Rinse cuts and scrapes with. cool/warm water.

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TENNderCare 4th Quarter 2013 your health download In Case of Emergency Suppose you re babysitting, and the little girl you are watching starts choking on a piece of fruit. Or, you re visiting your grandmother, and she falls down and hits her head. Would you know what to do? To be prepared, you can: While waiting for paramedics to arrive: Stay calm and try to keep the person calm. Do not leave the person unattended. Learn basic first aid Know where to find medical information and supplies, and how to use them Know the address of where you are and who to call during an emergency Never leave children unattended Avoid distractions, like going online and texting Take a class in CPR Learn the Heimlich maneuver Test your first aid knowledge. If the emergency is life threatening, call 9-1-1. Even non-activated cell phones with power can be used to call 9-1-1. 4. Lean your head forward/ backward to help stop nosebleeds. Circle the correct answer. 1. Rinse cuts and scrapes with cool/warm water. 2. To stop bleeding, do/don t apply firm but gentle pressure, using gauze. 3. Do/Don t put butter or oil on burns. Answers: 1. Cool, 2. Do, 3. Don t, 4. Forward Sources: http://kidshealth.org/teen/school_jobs/jobs/babysit_threethings.html?tracking=t_relatedarticle http://kidshealth.org/teen/safety/safebasics/babysit_emergencies.html?tracking=t_relatedarticle www.nlm.nih.gov/medlineplus/firstaid.html http://familydoctor.org/familydoctor/en/prevention-wellness/staying-healthy/first-aid/first-aid-burns.printerview.all.html http://familydoctor.org/familydoctor/en/diseases-conditions/nosebleeds.printerview.all.html http://www.emergencycareforyou.org/yourhealth/aboutemergencies/default.aspx?id=26024 10695M_Tenncare 4thQ.indd 3

Plan to Avoid Drinking and Driving Scenario: Let s say you ride with some friends to a party. The driver, whom you thought planned to stay sober, ends up drinking. Now it is time to leave, but you re nervous about getting in the car. What should you do? Plan ahead. Give yourself several options for getting home safely. Here are some tips to help you: Stay smart and speak up. If you haven t had anything to drink and have your driver s license on you, ask for the keys and get the group home safely. Find another ride. Try to find another sober friend to give you a lift. Call someone to pick you up. While most teens don t want to call a parent, chances are mom or dad would be happier that you called them rather than put yourself in danger. You could also call another family member or visit http://duijusticelink.aaa.com/for-the-public/aaas-role/ public-education/sober-ride to find a safe ride program near you. If possible, stay where you are until morning. Just be sure to let your family know where you are and that you are safe. Remember, the best way to avoid drinking and driving is to stay away from situations where drinking occurs. Sources: http://teens.drugabuse.gov/blog/post/four-tips-avoiddrinking-drugs-and-driving http://duijusticelink.aaa.com/for-the-public/aaas-role/publiceducation/sober-ride Find the Secret Message! 1 2 3 4 2 5 6 2 7 8 9 2 10 9 11 12 12 13 11 7 3 11 7 14 2 7 12 12 13 11 10 11 7 14 To help you solve the secret message, go to http://kidshealth.org/teen/drug_alcohol/alcohol/alcohol.html#. Next, unscramble the words to fi ll in the blanks. Then match the letters by number to the spaces to reveal the secret message about teen drinking and driving. 1. Drinking too much alcohol may cause alcohol. oipsnoign _ 5 9 14 2. Alcohol is a, which means it slows the functions of the body. ressdpanet 12 13 2 8 3. with alcohol during the teen years is common. xpreimetnatnio _ 4 13 1 7 4. The best way to stay safe is to drinking. vdoia _ 10 11 5. to a trusted adult if you think you need help. lkta 6 3 Answers: Make a plan to avoid drinking and driving! 1. Poisoning; 2. Depressant; 3. Experimentation; 4. Avoid; 5. Talk Source: http://kidshealth.org/teen/drug_alcohol/alcohol/alcoh ol.html 10695M_Tenncare 4thQ.indd 4

Teens, Treats and Teeth With a focus during the holidays on 1) deciding on sweets to eat or avoid, 2) practicing moderation and 3) brushing and flossing teeth after indulging in treats. Halloween, Thanksgiving, Hanukkah, Christmas. The holidays are a fun time to celebrate and visit with friends and family. They are also a time when there may be lots of delicious meals and tasty treats. It can be very easy to want to eat everything in sight! However, just because the food is there, doesn t mean we have to eat it. When you have many good foods to choose from, the best thing to do is choose only your favorites, and only take a small portion of those foods. Many of the special foods around during the holidays are sweet treats like dessert and candy. The problem is, too much sugar can hurt your teeth! Eating lots of sugar can cause cavities, which are little holes in your teeth that can hurt and get worse if not treated by a dentist. Even though they may be tasty, you should avoid gummy and chewy candies. These can get stuck in between your teeth and in braces. Chocolate is a better candy to eat because it melts quickly. It is also good to drink water after eating chocolate to rinse the sugar off your teeth. Anytime you eat candy or a sweet treat you should brush your teeth afterward. Brushing will help clean the sugar off your teeth. Flossing can also help get any pieces of candy that may have gotten stuck between teeth. Brushing and flossing your teeth after a sweet holiday treat can help keep your smile healthy and bright. Beginning October 1, 2013, TennCare welcomes back DentaQuest as its dental plan for members under the age of 21. Beginning at age 1, members should get a dental checkup once every six months. These checkups are free. Please visit a DentaQuest dentist. Do you need to find a dentist? Please call 1-855-418-1622 or go to their website at http://www. dentaquest.com. Sources: Zelman, MPH, RD, LD, Kathleen M. Top 10 Holiday Diet Tips of All Time. WebMD. http://www.webmd.com/diet/features/ top-10-holiday-diet-tips-of-all-time This Halloween Don t Play Tricks on Your Teeth. (2010, October 11). American Dental Association. http://www.ada.org/4858.aspx What s a Cavity? (2008, April). Kid s Health. http://kidshealth.org/kid/talk/qa/cavity.html# For more information, visit these helpful resources. For teen resources from the state of Tennessee visit: http://state.tn.us/tenncare/tenndercare/ yourhealth.html. For accurate information that helps you better understand your sexual health visit: www.plannedparenthood.org/health-topics/ index.htm. For suicide prevention information visit: www.tspn.org. If you need help, you can call the toll-free, 24-hour hotline of the National Suicide Prevention Lifeline at 1-800-273-TALK (1-800-273-8255). Have questions about fitness, disease, peer pressure, nutrition or other teen topics? Learn more about these with games, teen challenges, activity calendar at www.bam.gov Need Help to Quit Smoking call: 1-877-44U-QUIT or 1-877-448-7848. This line is open Monday Friday 9 a.m. to 4:30 p.m. Help is available in Spanish and English. 10695M_Tenncare 4thQ.indd 5

When: Where: Why: How: You and the Flu You re invited to protect yourself from the flu. The Centers for Disease Control and Prevention says that all persons 6 months of age and older should get vaccinated e ach year. That includes you. As soon as the flu vaccine becomes available or any time during flu season, which runs from October through May. As a UnitedHealthcare Community Plan or TennCare member you can get a flu shot for free: From your Primary Care Provider (PCP) At your county health department At most walk-in clinics At your local pharmacy (drug store) To spare yourself the misery of getting sick and to help prevent the spread of the virus. For people with certain medical conditions like kidney disease, diabetes, HIV, heart problems or asthma, the flu can cause serious complications. Call your primary care provider (PCP). Make an appointment for a flu shot. If you hate getting shots, ask your PCP about getting the nasal-spray fl u vaccine. If you can t get a fl u vaccine from your PCP, try one of the other options listed above. Sources: www.cdc.gov/flu http://kidshealth.org/teen/flu_center/about_flu/flu_shot.html# Are you Dealing with Abuse? Abuse of children can take many forms. All forms of abuse are serious. It may be emotional, sexual, verbal or physical. You deserve to live your life free from abuse of any kind. To report suspected child abuse, call 1-877-237-0004. If you are in immediate danger, call 911. You do not have to have proof that abuse has occurred. Each concern will be reviewed on a personal basis. Definitions resources: http://www.tn.gov/ youth/childsafety/whatisabuse.htm It is important to get your well-care TENNderCare check up every year. Remember, if you are a United Healthcare Community Plan member under age 21, these check ups are free. A check up is a good time to discuss your concerns about medical and mental health issues with your primary care provider (PCP). Need help? If you need help scheduling your TENNderCare visit, getting any services recommended at the visit or arranging transportation, please call 1-800-690-1606. 10695M_Tenncare 4thQ.indd 6

Do You Struggle with Substance Use? Quitting tobacco, alcohol or drugs is hard. Many kids and teens do not feel they can do it. You may not see that you have a problem. Sometimes substance use is just too big to handle alone. You may need to ask for help. Put a check in the box next to each question that is true for you: Do you do badly in school? Do you lose interest in things you used to like, such as sports or music? Do you get in trouble at school or with the law? Do you use substances to have fun, forget problems or relax? Do you have blackouts? Do you drink or use drugs alone? Do you keep secrets from family? Do you lie, steal or sell stuff to get money? If you answered yes to any of the above, you should ask for help from a parent, counselor, teacher or other trusted adult. What matters the most is to find support. For tips and help with substance abuse, call: Tobacco QuitLine 1-800-QUIT-NOW Alcoholics/Drug Hotline 1-800-662 HELP Al-Anon/Alateen Hotline 1-800-344-2666 The Alcohol and Drug Information Hotline 1-800-729-6686 Teen Mental Health Being a teenager is hard. You re under stress to be liked, do well in school, get along with your family and make big decisions. These are typical teen pressures. Worrying about them is normal. But feeling very sad, hopeless or worthless could be warning signs of a mental health problem. Mental health problems are real, painful and sometimes severe. Mental health problems can be treated. Where to Find Help If you or someone you care about is in crisis, please seek help immediately. Talk to your parents or an adult you trust Call 911 Visit a nearby emergency department or your health care provider s office Call the toll-free, 24-hour hotline of the National Suicide Prevention Lifeline at 1-800-273-TALK (1-800-273-8255). Source: http://kidshealth.org/teen/your_mind/mental_health/ depression.html?tracking=t_relatedarticle# Source: kidshealth.org/teen 10695M_Tenncare 4thQ.indd 1

Stay Healthy! Get Your Checkup! Some teens may think a check-up is a waste of time, especially when they re feeling perfectly healthy. But you know better! Turning to your friends or the internet for health care questions is normal. But remember your doctor has the most accurate information. Meet yearly with your personal doctor, so they can keep track of the changes you are going through. Your doctor can also offer advice about healthy and unhealthy behaviors. Remember, you only have ONE body. Get involved and take charge of your own healthcare! Call your personal doctor for a screening appointment today. If you need help making the appointment or with arranging transportation, please call 1-800-690-1606. Primary Care Tracker My next check up is due. Not sure when it is due? Call your Primary Care Provider (PCP) and ask. Not sure who your Primary Care Provider is? To find out, call your health plan at 1-800-690-1606. Be prepared for your check-up. Write down questions for your PCP. One question I have for my Primary Care Provider is: OR Something my Primary Care Provider needs to know about me is: need a ride? If you need a ride to your doctor or health department, call 1-800-690-1606. We do not allow unfair treatment in TennCare. No one is treated in a different way because of race, color, birthplace, religion, language, sex, age, or disability. Do you think you ve been treated unfairly? Do you have more questions or need more help? If you think you ve been treated unfairly, call the Family Assistance Service Center for free at 1-866-311-4287. In Nashville, call 743-2000. TennCare no permite el trato injusto. Nadie recibe un trato diferente debido a su raza, color de la piel, lugar de nacimiento, religión, idioma, sexo, edad o discapacidad. Cree que lo han tratado injustamente? Tiene más preguntas o necesita más ayuda? Si piensa que lo han tratado injustamente, llame gratis al Centro de Servicio para Asistencia Familiar Do you need help with this information? Is it because you have a health, mental health, or learning problem or a disability? Or, do you need help in another language? If so, you have a right to get help, and we can help you. Call Customer Service at 1-800-690-1606 for more information. Do you have a mental illness and need help with this information? The TennCare Advocacy Program can help you. Call them for free at 1-800-758-1638. Necesita ayuda con esta información? La necesita porque tiene una discapacidad o un problema de aprendizaje, de salud mental o una enfermedad? O acaso necesita ayuda en otro idioma? Si es así, usted tiene derecho a obtener ayuda, y nosotros podemos brindársela. Llame a 1-800-690-1606 para más información. Tiene usted una enfermedad mental y necesita ayuda con esta información? En la línea telefónica de TennCare Advocacy pueden ayudarle. Llámelos gratis al 1-800-758-1638. al 1-866-311-4290. En Nashville, llame al 743-2001. Habla español y necesita ayuda con esta carta? Llámenos gratis al 1-800-690-1606. If you have a hearing or speech problem you can call us on a TTY/TDD machine. Our TTY/ TDD number is 711. Si tiene problemas de audición o del habla, puede llamarnos a través de una máquina de TTY/TDD. El número de TTY/TDD es 711. Need help in another language? You can call UnitedHealthcare Community Plan for assistance in any language at 1-800-690-1606 or the numbers below. Interpretation and translation services are free to TennCare members. Foreign Language Lines Call if you need help and need to speak with someone in one of these languages: (Arabic) 1-800-758-1638 (Bosnian) 1-800-758-1638 (Kurdish-Badinani) 1-800-758-1638 (Kurdish- Sorani) 1-800-758-1638 (Somali) 1-800-758-1638 Espanol (Spanish) 1-800-758-1638 (Vietnamese) 1-800-758-1638 To report fraud or abuse to the Office of Inspector General (OIG) you can call toll-free 1-800-433-3982 or go online to www. state.tn.us/tenncare and click on Report Fraud. To report provider fraud or patient abuse to the Tennessee Bureau of Investigation s Medicaid Fraud Control Unit (MFCU), call toll-free 1-800-433-5454. Para reportar fraude o abuso a la Oficina del Inspector General (Office of Inspector General, OIG) nos puede llamar gratis al 1-800-433-3982. O visítenos en línea en www.state. tn.us/tenncare y haga clic en Report Fraud (Reportar fraude). Para reportar fraude o maltrato de un paciente por parte de un proveedor a la Unidad de Control de Fraude Médico de la Oficina de Investigación de Tennessee (Tennessee Bureau of Investigation s Medicaid Fraud Control Unit, TBIMFCU), llame gratis al 1-800- 433-5454. UnitedHealthcare Plan of the River Valley, Inc. 10695M_Tenncare 4thQ.indd 2