HEALTH PROMOTION AND WELLNESS

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HEALTH PROMOTION AND WELLNESS

• Veronica Southard PT MS GCS

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Why switch to wellness

• Paradigm shift
• Can we provide this service?
• Future practice

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Federal Government

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

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Health Care Changes

• MCOs expanding missions include prevention
• New CARF standards
• Public taking a more active role in forcing
  changes

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Demographics

• America is aging
• Increased concern for financial and human
  resources
• Concerns about quality of life

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Professional Guidelines

• APTA, AOTA, ANA
• Professional guidelines
• Accreditation guidelines
• Education models

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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!!!!!!!

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Reduction in Public Access to Rehabilitation
Professionals

• Managed care and MCARE
• Traditional scope and manner of practice is
  narrowing
• Rehab professionals Best Kept Secret

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

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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

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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.

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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.

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HP

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

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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

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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

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Tertiary prevention

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

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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

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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)

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Leading causes of death 65 years and older

• 1. Heart disease 53
• 2. Cancer 34
• 3. Stroke 12

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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

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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

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Future PT practice

• All settings will integrate health promotion and
  prevention using
• Screening
• Referral
• Collaboration
• Client education

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Future Practice

• Links the care continuum
• Example fitness centers, Ys
• Treat in these settings
• Consult in these settings
• Offer preventive education

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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

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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

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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

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ContTransition/Chronic care programs

• Osteoporosis
• DM
• Arthritis
• PD
• CVA
• Fall prevention

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HP for elders, whats out there?

• Strong aging
• Flying seniors
• Bird walk
• Friends fun house
• VIGOR

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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

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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

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Readiness for change

• Analysis of community profile data
• Identify resources available
• Implementing parties willing to support program