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42 Cards in this Set

  • Front
  • Back
Leading Healthy People 2010 indicators
physical activity***, overweight and obesity, tobacco use, substance abuse, responsible sexual behavior, mental health, injury and violence, environmental quality, immunization, access to health care
What is the worst thing for geriatrics?
functional decline
Key strategies for improving health of older people
healthy lifestyles, injury prevention, deliver culturally appropriate services, immunization and preventive screenings, self management techniques
Health from a holistic perspective is viewed as...
a continuum
health Promotion
science and art of helping people change lifestyles to move toward optimum health
Healthy aging determinant
engagement in productive and meaningful activities
Factors to maintain health in later years
avoid disease (reduce risk factors) maintain and improve physical and mental health, active engagement with life
Purpose of health promotion
reduce potential years of life lost in premature mortality and ensure a high quality of life

More important as you live longer
quality of life
how well you can do the things you wanna do: level of satisfactions
Goals of health promotion
lengthen life and improve QOL and functional independence, delay illness, prevent ill from becoming disabled, assist disabled to function and prevent further disability
Primary prevention
activities to prevent disease from occurring

ex: immunizations
secondary prevention
early detection and management

ex: colonoscopy to detect and remove polyps, screenings
Tertiary prevention
manage existing disease, prevent progression or complications

ex: cardiac rehab, stroke rehab
Patient barriers to Health Promotion
SES, beliefs and attitudes, lack of encouragement by HCP, motivation, access/transportation, age, chronic illness/cognitive status, pyscho/physiological status, martial status
Factors that may influence health promotion behaviors
tires easily*** (fatigue), pain, limitations of disability, need someone to help, lack of accessible transportation, lose control of bowel and bladder, weather conditions, inaccessible buildings, hard time thinking/concentrating, ADL takes too much energy, too busy, chemicals in environment, weight
Examples primary prevention
exercise, increase fiber, decrease fat, vaccines, diet, doctor visits
examples secondary prevention
mammogram, colonoscopy, screenings

*anything to identify problem
Barries to health promotion
time, patience, number patients, money, culture, language, access
major risk factor for development of coronary artery disease?
physical inactivitiy
Older adults and people with disabilities can gain significant health benefits with...
a moderate amount of physical activity, preferably daily
Older adults: moderate amount of activity
long sessions of moderate intensity (swimming/walking)

short sessions of vigorous activities (fast walking/ stair climbing)
People with disabilities: moderate activity
moderately intense (30-40 minutes with wheelchair)

shorter sessions of more intensity (20 minutes of wheelchair basketball)
Some low intensity activities...
can lower the risk of CV disease
examples of low intensity activities
walking for pleasure, gardening, yard work
Muscle strengthening benefits
improve ability to perform daily tasks and reduce risk of falls
Persons with contractures most often need to work on what before beginning a strengthening program?
muscle flexibility
Muscle strengthen for spasticity
stretch and strengthen the opposing muscles: do not increase the abnormal muscle tone
Muscle strengthen for limited strength or with MS
use a buddy for resistance
Rules of safe lifting
stretch; breathe normally, smooth movements (may need lighter weights), avoid pain range: if sore, decrease weights
Persons with MS or lower body limitations may benefit from...?
aerobic exercise in the pool
Exercise amount in older adults
moderate amount daily, sedentary 5-10 minutes and gradually build up

consult physician first!
Most popular exercise in those over 65
walking and gardening
Exercise in older adults benefits
maintain ability to live independently, derease risk of dying from heart disease or cancer, improve stamina and muscle strength, decrease symptoms of anxiety or depression, promotes healthy bones, joints, and muscles, and controls joint swelling and pain from arthritis
Exercise in persons with disabilities
moderate daily 20-40 minutes; gradual buildup

consult physician

social support

same benefits as elderly
Strategies for exercise
relate to lifestyle, personal choices, living one's priorities
Some healthy behaviors
smoking cessation, eating well, physical activitie, sexual awareness, injury prevention, substance safety, oral health, self development, productivity
Lists during emergency
emergency info, medical info, Drs. HCP relatives, friends to notify if hurt, disability related supply list (example: wheelchair, batteries, walker), emergency document list

Needs in writing (example, cut tabs in half, crush meds, actions that cause more pain, how to care for service animal, 2 week food supply for animal)
What to do in emergency
have lists ready

wear medic alert bracelet

find special needs evacuation center

keep extra supplies on hand

medical insurance cards
Emergency Step One
know basics, evacuation route, shutoff valves, out of town contact, tell neighbors special needs (if needed: done ahead of time)
Emergency step two
emergency supplies ready, stay at home supplies, water for 3 days (gallon/day), food for 3-5 days (high energy, non cooking), flashlight/radio/batteries, hand operated can opener, portable radio, cell phone
Evacuation bag
hygiene articles (toilet paper, gel hand sanitizer), change of clothes, rain slicker, walking shoes, blanket, sleeping bag, breakfast bars, water dust masks, medlist, contact list, extra glasses/hearing aid, spare batteries
Emergency step three
personal response, your special needs, register with fire/police if limited mobility, alzheimers, or chronic illness, keep old wheelchair if have electric one, supplies for bed bound patient, don't forget cash