abilene bodies health
TRANSCRIPT
Greetings from Texas Tech
Perry School of Nursing
Traditional BSN
Accelerated 2nd ° BSN
RN – BSN/MSN
MSN
oNurse Practitioner
oNurse Educator
Doctor Nursing Practice
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
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.
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
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
Thank [email protected]