ROLE OF NURSING IN PUBLIC ANDCOMMUNITY HEALTH INLIFE STYLE DISEASES

INDUMATHY VIJAY

TUTOR, VMMC&SJHNEWDELHI

Today's Lifestyle is a disease in itself. It is a silent disaster.

DISEASES OF LONGEVITY OR DISEASES OF CIVILIZATION

Life style diseasesAre linked with the way people live their life that tend to impact on health.

Examples: Unhealthy eating Lack of physical activity Alcohol, drug and smoking abuse

Leading Health IndicatorsHealthy People 2020Physical activityOverweight and obesityTobacco useSubstance abuseResponsible sexual behaviorMental healthInjury and ViolenceEnvironmental qualityImmunizationAccess to health care

APPROACHES INDIVIDUAL GROUP OR COMMUNITY

STRATEGIESA variety of educational strategies, targeted at

individuals or groups, via verbal, written or audio-visual forms of information can be used to expand and reinforce dietary messages and lifestyle change

The most important aspect is to match the type and level of information to individual needs and abilities.

Tools for Nurses5 A’s- Assess, Advise, Agree, Assist, Arrange

Physical activities

Healthier Life Steps

Screening, Brief Intervention, Referral and Treatment

BUT THIS ISN’T ENOUGH!

What Works to Improve Health Behaviors

Create sense of self-efficacy, address barriers

Barriers of health behavior changeLack of timeFinancial issuesInsufficient confidenceInsufficient knowledgeInsufficient skillsOthers? And so on ………

What Works….Goal SettingListen . . choose

ONE behavior & reasonable goal

Patient should rate confidence of completing the goal at 7/10

What works…Stages of Change

• Identify stage, and move patient along the continuum • Not every patient will enter every stage• Not every stage is the same length

The current challenges for individuals: Unhealthy

LifestylesCan you say yes to all ?

I am having an ideal body weightI exercise 30 minutes or more most days of the weekI eat a healthy diet with 5 fruits/vegetables most

daysI don’t use tobacco productsI have 2 or fewer alcoholic drinks per day

These are the drivers of health care costs!

Changing and challenging role of a Nurses

EVIDENCE BASED RECOMMENDATIONSTrusted Professionals emerging as pioneers of

our nation health care reform.

HEALTH CONSULTATION

Lifestyle Medicine (LM)LM is the evidence-based practice of helping individuals and families adopt and sustain healthy behaviors that affect health and quality of life.

Examples of target patient behaviors include but are not limited to eliminating tobacco use, improving diet, increasing physical activity, and moderating alcohol consumption.

Field of Lifestyle MedicineLM recognizes the link between lifestyle

medicine and health outcomes

Uses science behind health behavior change

Emphasizes value of lifestyle medicine prescriptions by physicians

Emphasizes value of support of those prescriptions by other health professionals

Adult health examination program

Increase awarenessDevelop training programsAdapt LMCs to other

health professionalsAdvocate for wide

implementation and integration into practice

Integrate lifestyle medicine into your practice with easy steps

With Every PatientMake a point of addressing lifestyle issues with

every patient, even brieflyPrescribe lifestyle as the first-line treatment for

most chronic illnesses

Nutrition improvement program

Formulation of health promotion program

Role in Prevention

1. Public health education

2. Regular exercises

3. Weight management

4. Avoidance of smoking, alcohol and drugs

5. Control of existing diseases

CONCLUSION• Healthier

students to schools

• Healthier workers to businesses and employers

• A healthier population to the health care system

Improving community conditions to support healthy behaviors and promote effective management of chronic conditions will deliver:

Healthier People

Lower Health Care Costs

Thank you