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Greetings from Texas Tech Perry School of Nursing Traditional BSN Accelerated 2 nd ° BSN RN BSN/MSN MSN oNurse Practitioner oNurse Educator Doctor Nursing Practice

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Greetings from Texas Tech

Perry School of Nursing

Traditional BSN

Accelerated 2nd ° BSN

RN – BSN/MSN

MSN

oNurse Practitioner

oNurse Educator

Doctor Nursing Practice

Knowing Your Bodies

Woman’s Health in the 21st Century

Megatrends 1982 predicted:

• In the 21st century, consumers will be drowning in information and starved for …

• …knowledge

Health Information Overload

• Uncontrolled and unorganized information is no longer a resource in an information society,

instead it becomes the enemy

Bad or Good?

Bad or Good?

Bad or Good?

Food is easy…what about medications?

Knowledge and Concern3 years after stopping hormone therapy, women who had taken study pills with active estrogen plus progestin compared with those on placebo:

• No longer had an increased risk of cardiovascular disease (heart disease, stroke, and blood clots).

•The lower risk of colorectal cancer seen in women who had taken active E+P disappeared after stopping the intervention.

•The benefit for fractures (broken bones) in women who had taken active E+P also disappeared after stopping hormone therapy.

•The risk of all cancers combined in women who had used E+P increased after stopping.

•Mortality from all causes was somewhat higher in women who had taken active E+P pills.

Development of Science and the Consumer: The Case of DDT

Development of Science and the Consumer: The Case of DDT

Development of Science and the Consumer: The Case of DDT

Development of Science and the Consumer: The Case of DDT

Development of Science and the Consumer: The Case of DDT

A 65 year journey…….

The decade from 2010 ‐ 2020…

• Increasingly, women will serve as self-care and family care managers in the face of health care reform & knowledge development

• What is your strategy?

Diffusion of Knowledge: Trickle-down to Consumers

• Transmission of knowledge between health care professionals …

• and the patient consumer …

• is fraught with points of

miscommunication

Health of Women

Top 5 Concerns of Women

1. Death from Heart Disease

2. Breast Cancer

3. Osteoporosis

4. Depression

5. Autoimmune diseases

Actual Top 5 Issues• Missed Symptoms, Premature

Death & Disability from Heart

Disease – 43% of all female

deaths

• Lung Cancer #1 cause of death

now in women

• Osteoporosis effects 28 million

women

• Women have double the risk

than man for depression

• 4th largest cause of disability

among American women.

Heart DiseaseNeeds a new name for women – under-diagnosed &

delayed treatment associated with chronicity

• Chest pain more prevalent in men

• Women c/o a little bit of jaw pain, shoulder

ache, nausea, vomiting, shortness of breath,

or unusual fatigue/sleep disturbance.

• Subtle and Dangerous (& ―second-

guessing‖): Symptoms of Heart Disease in

Women (nursing research):• http://www.ninr.nih.gov/NR/rdonlyres/054108E8-E4A3-

4A09-AA0C-E56D2A09F411/0/NINRHEART1216062508.pdf

• Podcast: Heart attack symptoms in women — Are they

different? : http://www.mayoclinic.com/health/heart-

attack-symptoms-in-women/HB00099

What can you do?Risks

• Increasing age

• Male sex (men typically develop heart disease at a younger age)

• Heredity (including race). People with family history of the disease have greater risk. So do African-Americans, Mexican-Americans, Native Americans, Native Hawaiians, and some Asian-Americans.

Heart Disease Prevention• Cannot change age, race, gender, nor heredity but

can change fate

• Cut high caloric/low nutritive foods /w fiber

• White coat concept may be a fallacy

• Measure alcohol – don’t kid yourself http://www.alcoholcontents.com/

• Walk -/w pedometer (apps) –12,000 steps/day

• Do not ignore pre-diabetes

Smoking High blood cholesterol High blood pressure Physical inactivity Obesity and overweight Diabetes

Healthy Consumerism Toolbox

Tools1. Health information from the US National Library of Medicine:

http://medlineplus.gov/

2. Understanding Clinical Trials: http://clinicaltrials.gov/ct2/info/understand

3. USDA National Nutrient Database for Standard Reference: http://www.ars.usda.gov/Services/docs.htm?docid=8964

4. A-Z index of US National Institutes of Health resources: http://health.nih.gov/

5. Guide to understanding genetic conditions: http://ghr.nlm.nih.gov/

6. Women’s Health: http://www.ttuhsc.edu/lwbiwh/ http://health.nih.gov/category/WomensHealth

7. Medical Urban Myths: http://urbanlegends.about.com/od/medical/Health_Medical.htm

Be our Future: Be

Your Own Advocate

for Self, Family and

Community

Thank [email protected]