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PATH PROGRESSIVE ACTION TOWARDS HEALING. Vision Statement. Walking towards self actualization. Self actualization is a process of living fully and authentically in the pursue of purpose in life with the Most High. Goal and Objective.
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Vision Statement • Walking towards self actualization. • Self actualization is a process of living fully and authentically in the pursue of purpose in life with the Most High.
Goal and Objective • The goal is to reduce health disparities through ESRD (End Stage Renal Disease) or ( Kidney failure) • The desired objective is to provide intervention in targeting and managing ESRD disparities within the community.
Today’s Situation • Health care in the United States cost an estimated $1.66 trillion in 2003 an are expected and continues to rise. • Chronic diseases such as diabetes, and high blood pressure are the # 1 and # 2 cause of kidney failure. Obesity is a major contributing factor.
Overweight and Obesity • Obesity cost the United States approximately $69 billion to $117 billion per year and $129 million adults are overweight. • In the years 1991 to 2001 there has been an enormous increase and doubling since 1980.
This estimation of $117 billion includes $61 billion for direct cost and $56 billion for indirect cost . • One study of cost of treating obesity suggest that $102 billion on direct cost alone in 1999. Included in this $102 billion were: • $6.7 - $7.4 billion for arthritis; • $25.5 - $30.6 billion for heart disease; • $18.4 - $20.5 billion for type 2 diabetes; • $8.3 - $9.6 billion for hypertension; and • $6.1 - $8.1 billion for stroke.
The age group of adult with the smallest proportion of obese people and the largest percentage of increase is 18 through 29. • It rose from 7.1% in 1191 to 14% in 2001. • Obesity and overweight in children 6 to 11 rose to 15.3% and with adolescents 12 to 19 years of age 15.5%. • Adolescents have almost tripled in last 20 years.
Overweight and Obesity • Obesity cost the United States approximately $69 billion to $117 billion per year with about $129 million adults being overweight.
Weight gain is a direct function of an imbalance between the amount of calories consumed and the amount of calories expended by and individual. • The current widely used definition for overweight in adults is a body mass index (BMI) of 25 to 29.9 for obesity.
In the United States 47 million adults have a condition called “metabolic syndrome” which is a cluster of medical problems related to obesity. • Some example are: insulin resistance, abdominal fat, high blood sugar and triglycerides, high blood cholesterol, and high blood pressure.
Years lost as a result of overweight and obesity can range high as 20 years for some racial and ethic groups.
Leisure Time Physical Activity Pattern Among Overweight Adults by Race & Ethnicity
DIABETES • In 2000,an estimate 17 million people (6.2 percent of the population) had diabetes costing the U.S. $132 Billion. • 11.1 million people with diagnosed diabetes and 5.9 million people whose diabetes was undiagnosed.
Diabetes is a group of diseases in which blood glucose (sugar) levels are elevated either because of failure to make adequate amounts (Type I) or (Type II) failure of cells to respond to insulin.
Cardiovascular Disease • Cardiovascular disease cost the U.S. more than $300 billion in 2003. Heart disease and strokes are the first and third leading cause of death in the United States with 1.1 million Americans having a heart attack.
Asthma • Asthma cost the U.S. approximately $14 billion per year with 23 million adults and 9 million children having been diagnosed. • Asthma is an obstructive lung disease caused by an inflammatory reaction and hyperactivity to the airway to various triggers • Asthma is characterized by periodic attacks of wheezing, shortness of breath, chest tightness, and coughing.
How Did We Get Here • For many Americans individual behavior and lifestyle choices influence the development and course of these chronic conditions. • Over the past two decades Americans have been influenced by technology which has contributed to a fast pace society.
Unhealthy behavior, such as a poor diet, lack of physical activity, are risk factors for many chronic conditions and diseases. • Health disparity within populations contributes to overall rate of disease incidence, morbidity, mortality, and survival rate.
Available Options • #1: Chronic Disease management for End Stage Renal Disease population that requires a Therapeutic Chronic Disease Rehabilitation Treatment Plan(TCDRTP). • #2: Community partnered intervention to reduce health disparity. • #3: Develop a cooperative model between community faith-base center.
#1Therapeutic Chronic Disease Rehabilitation Treatment Plan(TCDRTP) Disease Management tool • Serve as a primary resource for the primary care physician, patient, family and care team.(Created and managed by LPC or BCSW) • LPC or BCSW work proactively with the patient and care team to optimize care. • Minimizes the occurrence of complications and hospitalizations.
Gathers data crucial to effective disease management. • Provide reports and outcomes as needed.
Collaborates with care team to provide education to the patient and family. • Consult with all members of the care team to assist in the implementation of a customized care plan.
COMMUNITY PARTNERED INTERVENTION with Gardening • Builds on existing community resources, knowledge, skill, and attributes. • Engage community members in actively identifying and addressing key health issues or concerns. • Facilitate the building of trusting relationship between the community and target population.
Enhance the likelihood of long term sustainability. • Incorporate knowledge of the people involved thereby enhancing validity and quality of research. • Bridge cultural gaps that may exist between the partners involved.
Faith-Base Cooperation • Each individual faith-base center works for each other. • Benefits the community so that others may have. • Unites others for the faith-base center accomplishments. • A group of people change the world.
Unites the community rich and poor. • Lowers medical cost and gives equal medical care thereby reducing health disparity.
Disadvantage • One disadvantage of this proposal is that disease management is dependent on the Therapeutic Chronic Disease Rehabilitation Treatment Plan(TCDRTP) which can’t exist without community partnership and faith-base partnership.
Advantage • One advantage is that with a highly developed Therapeutic Chronic Disease Rehabilitation Treatment Plan(TCDRTP) will bridge the gap in health care and effective disease management will occur.
Recommendation • I recommend the disease management approach. • As things go as proposed there will be a remarkable improvement in patients outcome and quality of life. • The next thing to do is to identify the clients and screen their families.
Inform the community about diseases and do massive screening at faith-base centers and community centers. • Educate the community and teach them how to live and strive with acute and chronic conditions.
These chronic diseases may be prevented • There is a small amount spent on prevention and education of these chronic disease with the morbidity and mortality.
Numerous initiatives have been implemented to address the ongoing health disparity but it remains the same. • In the U.S. most of the money is spent on the direct care of medical conditions, while only a very small portion spent on targeting and prevention.
