HEALTH

PROMOTION AND
WELLNESS
Veronica Southard PT MS
GCS
Why switch to wellness
Paradigm shiIt
Can we provide this service?
Future practice
Federal Government
Changing Iocus: Health
management
Healthy people 2000, 2010
Surgeon general`s report on
Iitness
Age based Iederal programs to
promote good health
Health Care Changes
MCO`s expanding missions
include prevention
New CARF standards
Public taking a more active role
in Iorcing changes
Demographics
America is aging
Increased concern Ior Iinancial
and human resources
Concerns about quality oI liIe
ProIessional Guidelines
APTA, AOTA, ANA
ProIessional guidelines
Accreditation guidelines
Education models
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
Iix it
Goal: Assist older adults to
achieve and maintain good
health
QUALITY OF LIFE!!!!!!!
Reduction in Public
Access to Rehabilitation
ProIessionals
Managed care and MCARE:
Traditional scope and manner oI
practice is narrowing
Rehab proIessionals est Kept
Secret
HP and prevention activities:
roaden client base
Increase public access to PT,
OT, Nursing expertise
Health Status oI
Practitioners
Many stressors: rown out
HP, education oI clients
Increases our own awareness oI
health
Provides Iorum to practice
healthy behaviors
Positive Iocus
Diversity oI settings, people
SelI-generating practice
Health Promotion
DeIinitions
O`Donnell: Health Promotion
is the science and art oI helping
people change their liIestyle to
move toward a state oI optimal
health. LiIestyle change can be
Iacilitated through a
combination oI eIIorts to
enhance awareness, change
behavior, and create
environments that support good
health practices.
Con`t
Teague, McGhee,
Rosenthal&Kearns: HP
signiIies a shiIt Irom a
biomedical deIinition oI health
and disease toward a view that
encompasses the social and
physical environment, as well
as individual liIestyle and
behavior.
HP
Goodstadt et al.:
HP is the maintenance and
enhancement oI existing levels
oI health, through the
implementation oI eIIective
programs, services and
policies.
Primary Prevention
Procedures that Iorestall
occurrence oI injury or onset oI
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 identiIy risk
Ior injury or illness
24 hr dietary recall
alance
Secondary Prevention
Seeks to identiIy underlying
disease as soon as possible
Overt clinical symptoms are not
yet present
Health screens
Screening Ior osteoporosis in post
menopausal women
Mammograms
Prostate exams
Tertiary prevention
Care commences aIter the
disease is evidenced
Focus: Maintenance or
restoration oI maximal Iunction
and prevention oI Iurther
disease or disability
REHA!!
Wellness
Johnson: Wellness is a way oI
being, the process oI
maintaining a balance between
the body, the mind, the spirit
and the environment
Components:
Iceberg model
Continuum
Dynamic
Relies on selI responsibility
10 leading causes oI
death US
1. Heart
disease(31
2. Cancer (23)
3. Stroke (7)
4. COPD
(5)
5. Unintentional
injury(4)
6. .Pneumonia/
Ilu (4)
7. Diabetes (3)
8. Suicide (1)
9. Kidney
Disease (1)
10. Chronic liver
disease and
/cirrhosis
(1)
Leading causes oI death
65 years and older
1. Heart disease 53
2. Cancer 34
3. Stroke 12
What is a PT to do?
PT`s are valuable providers oI
heath promotion and
preventative health care
ecause:
Knowledge base
Screening abilities
Role in national 2010 goals
Expanding our practice
to the community health
venue
Public health projects
Health Iairs
Prevention education programs
Consultants Ior community
agencies
ProIessional conIerences-
community health projects
Future PT practice
All settings will integrate
health promotion and
prevention using:
Screening
ReIerral
Collaboration
Client education
Future Practice
Links the care continuum:
Example: Iitness centers, Y`s
Treat in these settings
Consult in these settings
OIIer preventive education
Future practice con`t
Transitional or chronic care
programs:
Group or individualized
programs
EIIective slowing oI
impairments, thereby,
sustaining Iunction
Appropriate clients have
chronic illness or extended
recovery
At times, service to clients no
longer in PT
Future Practice
Outcomes research must be
done to avoid a repeat oI PT
history:
Outcomes oI health promotion,
prevention, and practices
studied systematically
Data collection within existing
data systems
Collaborative eIIorts bet
academia and clinics
Ex oI health promotion
opportunities: Older
adults
Consultant:
Area agencies on aging
Senior housing
Senior centers
Y`s, Iitness Iacilities
Sponsored health Iairs
Senior recreation, sporting
events
Con`t
Transition/Chronic care
programs
Osteoporosis
DM
Arthritis
PD
CVA
Fall prevention
HP Ior elders, what`s out
there?
Strong aging
Flying seniors
ird walk
Friends Iun house
VIGOR
Community Health
Promotion
Community Assessment
DeIine needs opportunities,
resources
Develop a community proIile
Surveys, demographics,
epidemiological data, political and
sociocultural Iactors
Increase awareness oI decision makers
Provides an opportunity Ior citizen
involvement, increasing awareness
and ownership
Components oI a
community assessment
Community proIile
Health/wellness proIile
ehavioral/physical activity
proIile
Sports/leisure services proIile
Demographics
Community and proIessional
leaders
Collaborating organizations
Readiness Ior change
Analysis oI community proIile
data
IdentiIy resources available
Implementing parties willing to
support program
Resources
Websites:
Nat`l Wellness Assn:
http:www.wellnesswi.org/nwa/
ADA Rate Your Plate:
http:204.149.104.173/pr/pressn
nm98I.html
Report oI the Surgeon General
on physical activity and health:
ttp://www.cdc.gov/nccdpp/
sgr/ataglan.tml
Resources con`t
Spinal month quiz:
www.health resource center.org
icael O`Donnell, Definition of
Health Promotion, parts
I&II.American Journal oI Health
Promotion. Summer1986
c Cloy Constance,ellness
Practice 2000. Health Promotion,
ellness and Prevention Programs
for Seniors.Sacred Heart
University,June 9-10, 2000.