130402_res_cpd alma 12pp booklet - final

7/28/2019 130402_res_cpd Alma 12pp Booklet - Final

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W O R K S H O P S I N

Lifestyle Medicine and

Chronic Disease ManagementFor GPs, Practice Nurses and Allied Health Practitioners

RACGP approved Continuing Professional Development (CDP)

C H P RTHE CENTRE FOR HEALTH

PROMOTION AND

RESEARCH


2/12

1I N T R O D U C T I O N T O L I F E S T Y L E M E D I C I N E

Background: Lifestyle Medicine is the application of environmental, behavioural, medical andmotivational principles to the management (including self care and self-management) of lifestyle-

related health problems in a clinical setting (Egger, Binns and Rossner, 2009). This workshop

introduces the concept of Lifestyle Medicine and the rationale behind it.

Content:

Background: An overview of Lifestyle Medicine

Modern disease trends

The disease hierarchy

Lifestyle and disease

Lifestyle Medicine frameworks

Motivation or Liestyle Change

The anatomy of motivation

The Stages of Change Model

Motivational interviewing

Other motivational strategies for change

Measuring Liestyle Risks (practical)

Understanding risk factors

Anthropometric measurement

Other lifestyle measures for clinical use

Introduction to Management o Weight Control in General Practice

Causes of obesity

Existing management strategies

New and developing techniques

Metabolic inuences and how to deal with them

Prescribing and testing nutrition (practical)

Measuring food and activity causes of obesity

New ndings in nutrition carbohydrate; protein; fat; alcohol

Exercise prescription for disease managementEpidemiology of inactivity

Generic exercise prescription

Specic exercise prescription

The 4 Ss: Stamina; Size; Suppleness; Strength

The School o Health and Human Sciences at Southern Cross University, in conjunction with

the Australian Liestyle Medicine Association (ALMA) and the Centre or Health Promotion and

Research, ofers approved workshops in Liestyle Medicine or Australian GPs, practice nurses andallied health proessionals. The ollowing workshops are ofered or single day weekend, weekday

or weeknight presentation.


3/12

2L I F E S T Y L E M E D I C I N E A N D M O O D S T AT E S

Background:This workshop introduces basic aspects of management of common mood states:stress, anxiety and depression, as well as introducing techniques for promotion of positive mental

health. It includes an expansion of relevant epidemiological issues for lifestyle management.

Content

Introduction: Liestyle Medicine and Mood States

Lifestyle related disorders

Type 2 Diabetes, pre-diabetes and lifestyle

Lifestyle and mood states

Practical: Measuring Body FatAnthropomorphic measures

Bio-impedance measures

Motivation: Techniques o Infuence

Habits: Hard-wired and learned

Seven methods of inuence

Applying marketing principles to the clinical situation

Pervasive Causes

Nutrition and mood states

Physical activity and management of mood states

Stress ( or Strain?) and Anxiety

Basic concepts of stress

Physiology of stress

Control and Escape the management of stress

Physiology of anxiety

Management tools

Depression andHappinessPrevalence of depression

Basic physiologyManagement tools

Positive psychology and the concept of a happiness

What attendees say about Eduventures:

the kayaking eduventure was a great learning experience Marion Goodman, Practice Nurse,

Tamworth; a antastic way to learn while enjoying the outdoors on a walk Dr Daniel Lewis;

Rheumatologist, Melbourne; the Yuraygir walk and chronic pain workshop were superb

Mary-Anne Cole, Managing Practice Nurse, Graton


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3P S Y C H O LO G I C A L A N D E N V I R O N M E N TA L I N F L U E N C E S I N L I F E S T Y L E M E D I C I N E

Background: This workshop explores a range of common environmental and psychologicalinuences in lifestyle practice. It covers the impact of modern lifestyles on sleep, injury and skin

conditions, as well as approaches to measurement and assessment of these for referral.

Content

Oxidative stress, metaammation and chronic disease

Changing ideas about obesity and disease

Inammation and Metaammation:

The basis of atherogenesis

Metaammation, Type 2 diabetes and Gestational Diabetes

Nutrition and Exercise Update

Energetic factors inuencing body weight

Recent ndings in nutrition

Updating nutrition recommendations

Updating exercise recommendations

Practical: Measuring lifestyle-related problems

Measuring body fat

Skin health

Sleep monitoring

Habits and Addictions

Understanding habits and their impact on health

Behavioural and cognitive habits

Habits relating to eating and drinking

Environmental issues in skin care

Basic anatomy of the skin and lifestyle

Behavioural and environmental insults to the skin

A skindex of problems and simple skin care package

Sleep and sleep disorders

Sleep factsHealth impacts of sleep: too much and too little

Sleep and metaammation

A sleep hygiene package

Associated Program

The LM workshop program represents an abridged version o the Post Graduate Masters in Clinical

Sciences (Liestyle Medicine) oered by Southern Cross University. Advanced standing can be

applied or by those successully completing individual workshop units and wishing to extend to

Post Graduate Certifcate, Diploma or Masters level.


5/12

4L I F E S T Y L E M E D I C I N E , I N F L A M M - A G E I N G A N D A D D I C T I O N S

Background: New ndings suggest that chronic, low-grade systemic inammation underliesall lifestyle-related causes of chronic disease. This extends to ageing and has been called

inammageing. It has also been associated with different forms of addiction. This workshop

expands the role of Lifestyle Medicine into these areas.

Content

Liestyle acts and allacies

Nutrition facts and fallacies

Exercise facts and fallacies

Liestyle related infammation and infamm-ageing

Inammation in chronic disease

The maladaptive environment hypothesis

Teasing out the lifestyle-obesity link in chronic disease

Inamm-ageing: Immunosenescence with ageing

Thought processes, cognitive infammation and mental health

Developing psychological immunity

A 9-step process for changing damaging thought processes

Managing pain

Musculo-skeletal disorders, joint health and chronic pain

Passive vs active strategies of dealing with pain

Pacing for pain management

Inammation and sensitisation

Joint health

Injury

The 5th S of tness stability

Core strength and stability

Dealing with addictive behaviours

Feelings from addictive behaviours

The addiction pit

Addiction and psychological chasm

Trends in addiction treatment

Workshops on the run (or walk or paddle)

Workshops are ofered regularly as part o an Eduventure process walking remote desert trails or

kayaking majestic lake lands over 4-6 days. You can have a tax deductable adventure while earning

CPD points. Enquire or special courses and times on ofer.


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5S E L F - M A N A G E M E N T A N D L I F E S T Y L E M E D I C I N E

Background: A core principle of Lifestyle Medicine is the need for the client or patient to becomeactive in his or her health care. This module describes a model for how this can by initiated

by the clinician using a 3x3 matrix drawing from the best evidence-based approaches to self-

management.

Content

Introduction and sel-management quiz

A self management audit

Self care and self management in Lifestyle Medicine

Chronic Disease Self-Management (CDSM) and General Practice

The endothelium and chronic disease: A physiological basis or sel-management

Inequality and health

The vascular endothelium: Where the rubber meets the road

Risk factors, treatments and CVD outcomes

Self measurement

Rationale, background and models o sel-management

Practice principles for Lifestyle Medicine

Why self-management?

Evidence for CDSM

Structure of good self-management

Approaches to sel-management: 1. Being client-centred

Basic principles

Reective listening: reading body language

Increasing health efcacy

Approaches to sel-management: 2. Being motivation ocused

Basic principles

Motivational interviewing basic principles

Being ready, willing and able to change

Approaches to sel-management: 3. Being health literacy oriented

Facts on health literacy

Assessing clinical health literacy

Practice tips for improving health literacy

Specic Chronic Disease Self-Management health literacy

What attendees say about the clinics:

has changed the way I deal with patients. Dr Tony Andrew, Cremorne, Sydney

very innovative, state o the art inormation. Dr Andrew Binns, Lismore, NSW

a truly useul program. Dr Ke Teoh, Greenield Park, Sydney


7/12

6L I F E S T Y L E M E D I C I N E A N D C H R O N I C PA I N

Background: Chronic, unexplained pain has increased dramatically in recent years. Traditionaltreatment methods have limited success and hence this workshop considers physiological

ndings that implicate lifestyle factors in neural changes and how these might have an inuence.

A triaging system for primary care is also considered to help reduce the demand on the limited

specialist pain clinics.

Content

Epidemiology o chronic pain

History of pain

Chronic pain as a modern phenomena

Types of pain?

Metafammation and chronic pain: a new perspective

Physiology of pain

Pain and chronic pain

Pain and glial cell involvement

Does all chronic pain involve systemic inammation?

A whole person approach to chronic pain

Management approaches

Alternative treatments: medial and other

Neural plasticity: Retraining old neural patterns

Liestyle approaches 1. Nutrition

Nutrition, inammation and pain

Specic aspects of nutrition

Physiological effects of nutrition

Is there such a thing as foods to reduce pain?

Liestyle approaches 2. Exercise

Exercise for pain reduction

Prescribing generic exercise for pain

Prescribing specic exercise for pain

Pain and mind/body medicine: The ideal situation

Exercise for pain reduction

Targeted procedures

Measuring pain

Chronic diseases surpass inectious diseases in prevalence once a country achieves a certain level

o economic development. This happened in western countries in the later hal o the 20th century

and is now happening in rapidly developing countries like India and China. Chronic pain appears to

be a bi-product o such a process, with enormous consequences or health costs.


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Anxiety is a thin stream of fear trickling through the mind. If encouraged, it cuts a channel into which all

other thoughts are drained. Arthur Sommers Roche

7L I F E S T Y L E M E D I C I N E F O R D O C T O R S A N D H E A L T H W O R K E R S

Background: While doctors and health care workers spend their time looking after others, theyoften ignore their own health. This workshop covers aspects of Lifestyle appropriate for getting

and maintaining good health for those at the front line of modern health care.

Working on the infammatory ront line

Lifestyle and health at the coal-face

Metaammation in the workplace

Prioritising heath

Practical:

Anthropometry

Red ags to look for in health workers

Measuring chronic disease early stages

Risk actors or health workers

The 3 Ss: Stress, Sleep and Social Relations

The 3 Fs: Forks, Feet and Fingers

The risks of being inactive and how to overcome them

Slow food for fast workers

Front line health care: All stressed up with no-where to go.

Recognizing brown out and preventing burn out

The ACT program for stress management

Anxiety and depression: Diagnosis and action

Sleeping with the enemy.

Sleep hygiene upgraded

Common sleep disorders amongst health care workers

Managing sleeplessness or daytime sleepiness

The sleep of others: in bed with a snorer/poor sleeper


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As author o Planet Obesity: How we are eating ourselves and the planet to death, Dr Garry Egger is

one o the worlds authorities on the big picture as well as small detail or weight loss.

8L I F E S T Y L E M E D I C I N E , S Y S T E M S T H E O R Y A N D W E I G H T L O S S

Background: Almost two-thirds of Australians are now classied as overweight or obese. Andwhile diet and exercise programs abound, few understand the complexities of weight control in

an obesogenic environment. This module looks at new ndings on obesity and weight control and

their practical implications.

Is at the problem? The physiology o obesity-related disease

Levels and forms of obesity management

New ndings about the adipocyte

Obesity paradox(es) and the fat spill-over hypothesis

Practical

Measuring fat not weight and health, not fat

Estimating ideal weight

Measuring obesity risk/measuring lifestyle risk

Systems theory and weight loss

Thinking in circles: Why a calorie is no longer a calorie

What we now know about the gut: food harvesting and efciency

Strategies and methods in weight-related disease management

Processes or weight loss

A LM toolbox for weight loss /risk factor change

Setting SMART goals

Individualising weight loss: medications/surgery/ lifestyle

Reducing the risks: NASTI DR

Debunking weight loss myths

Myths, presumptions and facts

Group consults a new process or obesity management

The nuts and bolts of group consults.


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While there is controversy about many alternative health practices, ~80% o the population use

these at some stage. Hence it is better or health workers to understand the reasons chosen or

going down this path than to deny that the path is used.

9L I F E S T Y L E M E D I C I N E A N D E V I D E N C E - B A S E D C O M P L E M E N TA R Y M E D I C I N E

Background: There is a wide gulf between orthodox and complementary medicines. However,some of the best aspects of both have relevance for the processes of lifestyle medicine. This

workshop discusses evidence-based research on relevant aspects of complementary medicine and

its use in lifestyle medicine.

Why complementary medicine?

Denitions and history

Lifestyle and chronic disease

Processes in complementary medicine research

The market for complementary products

Practical

Natural health products: The evidence for and against

Physical activity in liestyle and complementary medicine

Exercise as therapy

Activity prescription

Components of tness

Food supplements and exercise enhancement

Nutrition: the orthodox and complementary views

Basic theory

Food and health: Specic prescriptions

Health problems amenable to nutrition changes 1. T2DM

Health problems amenable to nutrition changes 2. Heart risks

Herbs and health

Stress: an alternative approach.

Behavioural approaches from naturopathy

The evidence for natural products: SAMe; St Johns Wort etc.

Dealing with depression


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12/12

Professor Garry EggerPhD, MPH, MAPS AM

Professor of

Health and

Human Sciencesat Southern Cross

University, and

consultant to the

NH&MRC and

WHO on chronic

disease. (Workshop

co-ordinator)

Dr Caroline WestMB BS (GP and Media Doctor)

Dr Caroline West

is a GP with a

special interest in

lifestyle medicine.

She has extensive

experience

conducting

workshops for

allied health

professionals,corporate and community groups in lifestyle

medicine and self care.

Dr Joanna McMillanB Hum Nutr., PhD

Joanna is a

registered

nutritionist anddietitian with a

PhD in nutritional

science. She is also

a trained fitness

instructor with

almost twenty years

experience.

Gary WebbB Hum Movt., MSc

Gary is an Exercise

Physiologist

with a particular

interest in nutrition,

public health and

lifestyle medicine.

He is currently

undertaking a PhD

addressing the

upstream causes oflifestyle disease.

W O R K S H O P D E T A I L S

Time: Workshops are six hours in duration (to receive full CPD points) and are generally

conducted over one day of a weekend. However 2x nightly meetings can be arranged if required

within Medicare Locals.

Costs: Where possible sponsorship is sourced to provide these workshops. In the event of

sponsorship not obtained, workshops can be provided at participant cost.

RACGP Requirements: Requirements for CPD points (40 Category 1) include completion of a pre

and post-test (reinforcing) activity as well as attendance at workshops. Other professionals can

obtain specific CPD points approval through their associations.

C O U R S E L E C T U R E R S I N C L U D E :

m0414 726 [email protected] wwww.lifestylemedicine.com.au

130402_res_cpd alma 12pp booklet - final

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