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health promotion and wellness

Why switch to wellness. Paradigm shiftCan we provide this service?Future practice. Federal Government. Changing focus: Health managementHealthy people 2000, 2010Surgeon general's report on fitness Age based federal programs to promote good health. Health Care Changes. MCO's expanding missions include preventionNew CARF standardsPublic taking a more active role in forcing changes.

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health promotion and wellness

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    1. HEALTH PROMOTION AND WELLNESS Veronica Southard PT MS GCS

    3. Changing focus: Health management Healthy people 2000, 2010 Surgeon general’s report on fitness Age based federal programs to promote good health

    4. Health Care Changes MCO’s expanding missions include prevention New CARF standards Public taking a more active role in forcing changes

    5. Demographics America is aging Increased concern for financial and human resources Concerns about quality of life

    6. Professional Guidelines APTA, AOTA, ANA Professional guidelines Accreditation guidelines Education models

    7. “Right thing to do” Free-living Older adults: “it’s time to attend to the other 90-95%” Institution-dwelling elders: “Prevent it, so we don’t have to fix it” Goal: Assist older adults to achieve and maintain good health QUALITY OF LIFE!!!!!!!

    8. Reduction in Public Access to Rehabilitation Professionals Managed care and MCARE: Traditional scope and manner of practice is narrowing Rehab professionals “Best Kept Secret”

    9. HP and prevention activities: Broaden client base Increase public access to PT, OT, Nursing expertise

    10. Health Status of Practitioners Many stressors: “Brown out” HP, education of clients Increases our own awareness of health Provides forum to practice healthy behaviors Positive focus Diversity of settings, people Self-generating practice

    11. Health Promotion Definitions O’Donnell: “Health Promotion is the science and art of helping people change their lifestyle to move toward a state of optimal health. Lifestyle change can be facilitated through a combination of efforts to enhance awareness, change behavior, and create environments that support good health practices.”

    12. Con’t Teague, McGhee, Rosenthal&Kearns: “ HP signifies a shift from a biomedical definition of health and disease toward a view that encompasses the social and physical environment, as well as individual lifestyle and behavior.”

    13. HP Goodstadt et al.: “HP is the maintenance and enhancement of existing levels of health, through the implementation of effective programs, services and policies.”

    14. Primary Prevention Procedures that forestall occurrence of injury or onset of illness Precautionary habits: wearing seatbelts, motor cycle helmets, padding w/c’s and beds Education: Diabetes prevention Immunizations Health risk appraisal and other health screens that identify risk for injury or illness 24 hr dietary recall Balance

    15. Secondary Prevention Seeks to identify underlying disease as soon as possible Overt clinical symptoms are not yet present Health screens Screening for osteoporosis in post menopausal women Mammograms Prostate exams

    16. Tertiary prevention Care commences after the disease is evidenced Focus: Maintenance or restoration of maximal function and prevention of further disease or disability REHAB!!

    17. Wellness Johnson: Wellness is a way of being, the process of maintaining a balance between the body, the mind, the spirit and the environment Components: Iceberg model Continuum Dynamic Relies on self responsibility

    18. 10 leading causes of death US 1. Heart disease(31% 2. Cancer (23%) 3. Stroke (7%) 4. COPD (5%) 5. Unintentional injury(4%) 6. .Pneumonia/ flu (4%) 7. Diabetes (3%) 8. Suicide (1%) 9. Kidney Disease (1%) 10. Chronic liver disease and /cirrhosis (1%)

    19. Leading causes of death 65 years and older 1. Heart disease 53% 2. Cancer 34% 3. Stroke 12%

    20. What is a PT to do? PT’s are valuable providers of heath promotion and preventative health care Because: Knowledge base Screening abilities Role in national 2010 goals

    21. Public health projects Health fairs Prevention education programs Consultants for community agencies Professional conferences-community health projects

    22. Future PT practice All settings will integrate health promotion and prevention using: Screening Referral Collaboration Client education

    23. Future Practice Links the care continuum: Example: fitness centers, Y’s Treat in these settings Consult in these settings Offer preventive education

    24. Future practice con’t Transitional or chronic care programs: Group or individualized programs Effective slowing of impairments, thereby, sustaining function Appropriate clients have chronic illness or extended recovery At times, service to clients no longer in PT

    25. Future Practice Outcomes research must be done to avoid a repeat of PT history: Outcomes of health promotion, prevention, and practices studied systematically Data collection within existing data systems Collaborative efforts bet academia and clinics

    26. Ex of health promotion opportunities: Older adults Consultant: Area agencies on aging Senior housing Senior centers Y’s, fitness facilities Sponsored health fairs Senior recreation, sporting events

    27. Con’tTransition/Chronic care programs Osteoporosis DM Arthritis PD CVA Fall prevention

    28. HP for elders, what’s out there? Strong aging Flying seniors Bird walk Friends fun house VIGOR

    29. Community Health Promotion Community Assessment Define needs opportunities, resources Develop a community profile Surveys, demographics, epidemiological data, political and sociocultural factors Increase awareness of decision makers Provides an opportunity for citizen involvement, increasing awareness and ownership

    30. Components of a community assessment Community profile Health/wellness profile Behavioral/physical activity profile Sports/leisure services profile Demographics Community and professional leaders Collaborating organizations

    31. Readiness for change Analysis of community profile data Identify resources available Implementing parties willing to support program

    32. Websites: Nat’l Wellness Assn: http:www.wellnesswi.org/nwa/ ADA Rate Your Plate: http:204.149.104.173/pr/pressnnm98f.html Report of the Surgeon General on physical activity and health: http://www.cdc.gov/nccdphp/sgr/ataglan.html

    33. Resources con’t Spinal month quiz: www.health resource center.org Michael O’Donnell, Definition of Health Promotion, parts I&II.American Journal of Health Promotion. Summer1986 Mc Cloy Constance,Wellness Practice 2000: Health Promotion, Wellness and Prevention Programs for Seniors.Sacred Heart University,June 9-10, 2000.

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