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HEALTH PROMOTION AND WELLNESS

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Health Promotion Definitions. O'Donnell: 'Health Promotion is the science ... Outcomes of health promotion, prevention, and practices studied systematically ... – PowerPoint PPT presentation

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Title: HEALTH PROMOTION AND WELLNESS


1
HEALTH PROMOTION AND WELLNESS
  • Veronica Southard PT MS GCS

2
Why switch to wellness
  • Paradigm shift
  • Can we provide this service?
  • Future practice

3
Federal Government
  • Changing focus Health management
  • Healthy people 2000, 2010
  • Surgeon generals report on fitness
  • Age based federal programs to promote good
    health

4
Health Care Changes
  • MCOs 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 its time to attend
    to the other 90-95
  • Institution-dwelling elders Prevent it, so we
    dont 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
  • ODonnell 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
Cont
  • Teague, McGhee, RosenthalKearns 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/cs 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?
  • PTs are valuable providers of heath promotion
    and preventative health care
  • Because
  • Knowledge base
  • Screening abilities
  • Role in national 2010 goals

21
Expanding our practice to the community health
venue
  • 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, Ys
  • Treat in these settings
  • Consult in these settings
  • Offer preventive education

24
Future practice cont
  • 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
  • Ys, fitness facilities
  • Sponsored health fairs
  • Senior recreation, sporting events

27
ContTransition/Chronic care programs
  • Osteoporosis
  • DM
  • Arthritis
  • PD
  • CVA
  • Fall prevention

28
HP for elders, whats 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
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